Article(id=1322245654374634136, tenantId=1146029695717560320, journalId=1235980733773295621, issueId=1322245649572156020, articleNumber=null, orderNo=null, doi=null, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=1609171200000, acceptedDateStr=2020-12-29, onlineDate=1793177530139, onlineDateStr=2026-10-28, pubDate=1619712000000, pubDateStr=2021-04-30, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793177530139, onlineIssueDateStr=2026-10-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793177530139, creator=13701087609, updateTime=1793177530139, updator=13701087609, issue=Issue{id=1322245649572156020, tenantId=1146029695717560320, journalId=1235980733773295621, year='2021', volume='30', issue='8', pageStart='673', pageEnd='768', issueExtLink='null', onlineDate='null', pubDate='1619712000000', pubDateStr='2021-04-30', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793177528994, creator='13701087609', updateTime=1793177643007, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322246127831863562, tenantId=1146029695717560320, journalId=1235980733773295621, issueId=1322245649572156020, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322246127831863563, tenantId=1146029695717560320, journalId=1235980733773295621, issueId=1322245649572156020, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=701, endPage=704, ext={EN=ArticleExt(id=1322245654538211993, articleId=1322245654374634136, tenantId=1146029695717560320, journalId=1235980733773295621, language=EN, title=Correlation analysis between methotrexate serum concentration and renal function in children with medulloblastoma, columnId=null, journalTitle=Chinese Journal of New Drugs, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective:

To analyze the correlation between blood drug concentration and kidney injury in children with medulloblastoma treated with high-dose methotrexate (HD-MTX) chemotherapy.

Methods:

A total of 139 children with medulloblastoma treated with high-dose methotrexate chemotherapy were selected and their 782 blood drug concentrations, basic data, and laboratory examination results before and after treatment were retrospectively collected to analyze the correlation between changes in kidney function indicators and blood drug concentration.

Results:

Serum MTX concentrations at 24 h post medication were positively correlated with uric acid level, negatively correlated with creatinine clearance, but not with serum creatinine and blood urea nitrogen levels. Serum concentrations of MTX at 42 h post medication were positively correlated with serum creatinine and blood urea nitrogen levels, negatively correlated with creatinine clearance and blood urea nitrogen level.

Conclusion:

Monitoring of MTX serum concentration can predict the kidney damage caused by MTX chemotherapy.

, authors=Zheng-yuan SHI1, 2, 3, Xi-qiao XU1, 2, 3, Chun-jing YANG1, 2, 3, Lu YANG1, 2, 3, authorsList=Zheng-yuan SHI, Xi-qiao XU, Chun-jing YANG, Lu YANG, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322245654819230362, articleId=1322245654374634136, tenantId=1146029695717560320, journalId=1235980733773295621, language=CN, title=髓母细胞瘤患儿甲氨蝶呤的血药浓度与肾功能的相关性研究, columnId=1236331161786569054, journalTitle=中国新药杂志, columnName=重大新药创制专项巡礼, runingTitle=null, highlight=null, articleAbstract=
目的:

分析髓母细胞瘤患儿使用大剂量甲氨蝶呤(HD-MTX)化疗的血药浓度与肾损伤的相关性。

方法:

选择大剂量甲氨蝶呤化疗的髓母细胞瘤患儿139例(共计监测782例次)为研究对象,回顾性收集患者的24 h与42 h血药浓度、血肌酐、血尿素氮与尿酸治疗前后实验室检查结果,分析肾功能指标变化与血药浓度之间的相关性。

结果:

MTX给药后24 h血清中MTX浓度与患者化疗后尿酸值呈正相关,与肌酐清除率呈负相关,而与血肌酐值、尿素氮值无关。MTX给药后42 h血清中MTX浓度与患者化疗后血肌酐、尿素氮值呈正相关,而与肌酐清除率、尿酸值呈负相关(P<0.001)。

结论:

MTX血药浓度监测对于MTX化疗造成的肾损害有一定的预测作用。

, authors=时正媛1, 2, 3, 续茜桥1, 2, 3, 杨春静1, 2, 3, 杨璐1, 2, 3, authorsList=时正媛, 续茜桥, 杨春静, 杨璐, authorCompany=null, correspAuthors=null, authorNote=

时正媛,女,主管药师,博士,主要从事代谢组学研究工作。E-mail:。

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髓母细胞瘤患儿甲氨蝶呤的血药浓度与肾功能的相关性研究
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时正媛 1, 2, 3 , 续茜桥 1, 2, 3 , 杨春静 1, 2, 3 , 杨璐 1, 2, 3
中国新药杂志 | 重大新药创制专项巡礼 2021,30(8): 701-704
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中国新药杂志 |重大新药创制专项巡礼 2021 , 30 (8) : 701 -704
髓母细胞瘤患儿甲氨蝶呤的血药浓度与肾功能的相关性研究
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2首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价北京市重点实验室,北京 100038
3首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价国际合作联合实验室,北京 100038, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322245655028945563, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, xref=1, ext=[AuthorCompanyExt(id=1322245655041528476, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, companyId=1322245655028945563, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Department of Pharmacy, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China), AuthorCompanyExt(id=1322245655054111389, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, companyId=1322245655028945563, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1首都医科大学附属北京世纪坛医院 药剂科,北京 100038)]), AuthorCompany(id=1322245655125414558, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, xref=2, ext=[AuthorCompanyExt(id=1322245655133803167, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, companyId=1322245655125414558, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2Beijing Key Laboratory of Bio-characteristic Profiling for Evaluation of Rational Drug Use, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China), AuthorCompanyExt(id=1322245655142191776, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, companyId=1322245655125414558, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价北京市重点实验室,北京 100038)]), AuthorCompany(id=1322245655230272161, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, xref=3, ext=[AuthorCompanyExt(id=1322245655238660770, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, companyId=1322245655230272161, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3Joint Laboratory for International Cooperation of Bio-characteristic Profiling for Evaluation of Clinical Rational Drug Use, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China), AuthorCompanyExt(id=1322245655247049379, tenantId=1146029695717560320, journalId=1235980733773295621, articleId=1322245654374634136, companyId=1322245655230272161, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价国际合作联合实验室,北京 100038)])])]
时正媛1, 2, 3 , 续茜桥1, 2, 3, 杨春静1, 2, 3, 杨璐1, 2, 3
作者信息
  • 1首都医科大学附属北京世纪坛医院 药剂科,北京 100038
  • 2首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价北京市重点实验室,北京 100038
  • 3首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价国际合作联合实验室,北京 100038
作者简介:

时正媛,女,主管药师,博士,主要从事代谢组学研究工作。E-mail:。

Correlation analysis between methotrexate serum concentration and renal function in children with medulloblastoma
Zheng-yuan SHI1, 2, 3 , Xi-qiao XU1, 2, 3, Chun-jing YANG1, 2, 3, Lu YANG1, 2, 3
Affiliations
  • 1Department of Pharmacy, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • 2Beijing Key Laboratory of Bio-characteristic Profiling for Evaluation of Rational Drug Use, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
  • 3Joint Laboratory for International Cooperation of Bio-characteristic Profiling for Evaluation of Clinical Rational Drug Use, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
出版时间: 2021-04-30
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目的:

分析髓母细胞瘤患儿使用大剂量甲氨蝶呤(HD-MTX)化疗的血药浓度与肾损伤的相关性。

方法:

选择大剂量甲氨蝶呤化疗的髓母细胞瘤患儿139例(共计监测782例次)为研究对象,回顾性收集患者的24 h与42 h血药浓度、血肌酐、血尿素氮与尿酸治疗前后实验室检查结果,分析肾功能指标变化与血药浓度之间的相关性。

结果:

MTX给药后24 h血清中MTX浓度与患者化疗后尿酸值呈正相关,与肌酐清除率呈负相关,而与血肌酐值、尿素氮值无关。MTX给药后42 h血清中MTX浓度与患者化疗后血肌酐、尿素氮值呈正相关,而与肌酐清除率、尿酸值呈负相关(P<0.001)。

结论:

MTX血药浓度监测对于MTX化疗造成的肾损害有一定的预测作用。

甲氨蝶呤  /  髓母细胞瘤  /  血药浓度  /  肾损伤
Objective:

To analyze the correlation between blood drug concentration and kidney injury in children with medulloblastoma treated with high-dose methotrexate (HD-MTX) chemotherapy.

Methods:

A total of 139 children with medulloblastoma treated with high-dose methotrexate chemotherapy were selected and their 782 blood drug concentrations, basic data, and laboratory examination results before and after treatment were retrospectively collected to analyze the correlation between changes in kidney function indicators and blood drug concentration.

Results:

Serum MTX concentrations at 24 h post medication were positively correlated with uric acid level, negatively correlated with creatinine clearance, but not with serum creatinine and blood urea nitrogen levels. Serum concentrations of MTX at 42 h post medication were positively correlated with serum creatinine and blood urea nitrogen levels, negatively correlated with creatinine clearance and blood urea nitrogen level.

Conclusion:

Monitoring of MTX serum concentration can predict the kidney damage caused by MTX chemotherapy.

methotrexate  /  medulloblastoma  /  serum concentration  /  kidney damage
时正媛, 续茜桥, 杨春静, 杨璐. 髓母细胞瘤患儿甲氨蝶呤的血药浓度与肾功能的相关性研究. 中国新药杂志, 2021 , 30 (8) : 701 -704 .
Zheng-yuan SHI, Xi-qiao XU, Chun-jing YANG, Lu YANG. Correlation analysis between methotrexate serum concentration and renal function in children with medulloblastoma[J]. Chinese Journal of New Drugs, 2021 , 30 (8) : 701 -704 .
  • 国家“重大新药创制”科技重大专项资助项目(2017ZX 09301040)
  • 国家自然科学基金面上基金资助项目(81773891)
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KHWAJA A. KDIGO clinical practice guideline for acute kidney injury[J]. Nephron Clin Pract, 2012, 120(4): 179-184.
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HEMPEL L, MISSELWITZ J, FLECK C, et al. Influence of high-dose methotrexate therapy (HD-MTX) on glomerular and tubular kidney function[J]. Med Pediatr Oncol, 2003, 40(6): 348-354.
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JOANNON P, OVIEDO I, CAMPBELL M, et al. High-dose methotrexate therapy of childhood acute lymphoblastic leukemia: Lack of relation between serum methotrexate concentration and creatinine clearance[J]. Pediatr Blood Cancer, 2004, 43(1): 17-22.
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2021年第30卷第8期
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  • 首发时间:2026-10-28
  • 出版时间:2021-04-30
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  • 录用日期:2020-12-29
基金
国家“重大新药创制”科技重大专项资助项目(2017ZX 09301040)
国家自然科学基金面上基金资助项目(81773891)
作者信息
    1首都医科大学附属北京世纪坛医院 药剂科,北京 100038
    2首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价北京市重点实验室,北京 100038
    3首都医科大学附属北京世纪坛医院 临床合理用药生物特征谱学评价国际合作联合实验室,北京 100038
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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