Glomerular filtration rate in patients with multiple sclerosis undergoing stem cell transplantation andtreated with cyclophosphamide

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Abstract

Background: Glomerular filtration rate (GFR) is partially impaired in patients with multiple sclerosis (MS). When given chemotherapy before receiving hematopoietic stem-cell transplantation, GFR might be further deteriorated. Objective: To measure the effect of cyclophosphamide on GFR in patients with MS who undergo chemotherapy. Methods: We estimated GFR based on creatinine and cystatin C plasma concentrations in patients undergoing autologous hematopoietic stem-cell transplantation to treat their MS. Results: Baseline GFR values were lower in the 28 patients with MS than in the 20 healthy individuals. Also, according to the Chronic Kidney Disease-Epidemiology Collaborative Group (CKD-EPI) 2012 Creat-CysC equation criteria, 4 of 28 patients were classified as having chronic kidney disease (CKD) before receiving the chemotherapy drugs. After receiving 4 × 50 mg per kg body weight cyclophosphamide, abnormal GFR results were recorded in 12 of 28 patients. Conclusions. Renal function must be monitored in patients with MS undergoing autologous stem-cell transplantation. Also, chemotherapy should be constrained as much as possible to prevent further deterioration of renal function.

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Ruiz-Argüelles, A., Gastélum-Cano, J. M., Méndez-Huerta, M. A., Rodríguez-Gallegos, A. B., & Ruiz-Argüelles, G. J. (2019). Glomerular filtration rate in patients with multiple sclerosis undergoing stem cell transplantation andtreated with cyclophosphamide. Lab Medicine, 50(1), 42–46. https://doi.org/10.1093/labmed/lmy028

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