論文

2020年11月

A case of long-term dasatinib-induced proteinuria and glomerular injury.

CEN case reports
  • Kana Koinuma
  • Toru Sakairi
  • Yoshikazu Watanabe
  • Azusa IIzuka
  • Mitsuharu Watanabe
  • Hiroko Hamatani
  • Masao Nakasatomi
  • Takuma Ishizaki
  • Hidekazu Ikeuchi
  • Yoriaki Kaneko
  • Keiju Hiromura
  • 全て表示

9
4
開始ページ
359
終了ページ
364
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s13730-020-00484-8

A 52-year-old woman was diagnosed with chronic myeloid leukemia. Treatment with dasatinib, a second-generation Bcr-Abl tyrosine kinase inhibitor, was initiated, and complete cytogenetic remission was achieved. Two years later, proteinuria occurred, and the urinary protein level increased gradually in the next 3 years. Moreover, the serum creatinine level increased mildly during this period. The urinary protein level reached 2.18 g/gCr; hence, a renal biopsy was conducted. Light microscopy revealed mild proliferation of mesangial cells, and immunofluorescence analysis revealed IgG and C3 depositions in the mesangial area. Electron microscopy revealed electron-dense deposition in the paramesangial area, partial podocyte foot process effacement, and segmental endothelial cell swelling with a slight expansion of the subendothelial space. Dasatinib was discontinued, and within 3 weeks, the proteinuria disappeared, with improvements in her renal function. After switching to bosutinib, a new second-generation of tyrosine kinase inhibitor, the proteinuria remained negative. The rapid cessation of proteinuria following dasatinib discontinuation indicated that proteinuria was induced by the long-term administration of dasatinib. Proteinuria and renal function should be regularly monitored during dasatinib therapy.

リンク情報
DOI
https://doi.org/10.1007/s13730-020-00484-8
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32388829
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502092
ID情報
  • DOI : 10.1007/s13730-020-00484-8
  • PubMed ID : 32388829
  • PubMed Central 記事ID : PMC7502092

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