To analyze the correlation between blood drug concentration and kidney injury in children with medulloblastoma treated with high-dose methotrexate (HD-MTX) chemotherapy.
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.
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.
Monitoring of MTX serum concentration can predict the kidney damage caused by MTX chemotherapy.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 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 |