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Hypoalbuminemia and cisplatin-induced acute kidney injury.

Front Pharmacol

December 2024

Department of Pharmacy, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.

Background: Cisplatin binds to serum albumin in the body at a rate of 90%, and high levels of free cisplatin are a significant cause of its nephrotoxicity. Therefore, hypoalbuminemia theoretically poses a significant risk factor for cisplatin-induced acute kidney injury (CIA) and can be easily corrected. However, existing research results are inconsistent.

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Article Synopsis
  • Cisplatin (CDDP) is known to cause acute kidney injury (AKI), and magnesium supplementation may help prevent this side effect; sodium bicarbonate Ringer's solution (BRS), which contains magnesium, was studied for its effectiveness compared to normal saline in CDDP treatment.
  • In a study of 131 patients treated for esophageal cancer, those receiving BRS experienced a significantly lower rate of AKI (11%) compared to those receiving saline (39%), and BRS was associated with higher magnesium levels post-treatment.
  • The findings suggest that hydration with BRS not only helps reduce AKI occurrences but also acts as an independent factor in its prevention, without affecting the rates of hematological toxicity.
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