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The pharmacokinetic study on enhanced vancomycin renal clearance in patients with malignancies.

Research Project

Project/Area Number 23590177
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical pharmacy
Research InstitutionKanazawa University

Principal Investigator

MATSUSHITA Ryo  金沢大学, 薬学系, 教授 (20293368)

Co-Investigator(Kenkyū-buntansha) MIYAMOTO Ken-ichi  金沢大学, 附属病院, 教授 (30100514)
WADA Takashi  金沢大学, 医学系, 教授 (40334784)
TERAMACHI Hitomi  岐阜薬科大学, 薬学部, 教授 (20405129)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2011: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywordsがん / バンコマイシン / 腎クリアランス / 亢進 / サイトカイン / 骨肉腫 / vancomycin / 蛋白結合率 / セファゾリン / 酸化ストレス
Research Abstract

Recently, it has been reported that vancomycin (VCM) total clearance (CLtot) is significantly higher in patients with malignancies compared to those without malignancies. In the present study, to clarify the mechanism of VCM CLtot enhancement in malignancy, we adopted the population pharmacokinetic analysis and the rat animal models, using chemical carcinogen-induced osteosarcoma, transplanted into thigh muscles. The CLtot and renal clearance (CLr) of VCM in the tumor-bearing rats were increased compared to that of the control rats. However, there was no difference in the glomerular filtration rate. The plasma concentrations of cytokines, were elevated in tumor-bearing rats. When cytokines were simultaneously exposed to renal proximal tubular epithelial (RPTEC) cells, VCM secretory ratio increased significantly. These findings suggest that the change in VCM tubular secretion or reabsorption by cytokines might be associated with the VCM CLtot enhancement in the tumor-bearing rats.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (2 results)

All 2012

All Journal Article (2 results) (of which Peer Reviewed: 2 results)

  • [Journal Article] Enhanced renal clearance of vancomycin in rats with carcinogen-induced osteosarcoma2012

    • Author(s)
      Shimada I, Iwata C, Taga S, Teramachi H, Nomura M, Miyamoto K, Tsuciya H, Wada T, Kimura K, Matsushita R
    • Journal Title

      Anticancer Res

      Volume: 32(3) Pages: 823-9

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Enhanced renal clearance of vancomycin in rats with carcinogen-induced2012

    • Author(s)
      Shimada I, Iwata C, Taga S, Teramachi H, Nomura M, Miyamoto K, Tsuciya H, Wada T,
    • Journal Title

      Anticancer Research

      Volume: 32 Pages: 823-9

    • Related Report
      2011 Research-status Report
    • Peer Reviewed

URL: 

Published: 2011-08-05   Modified: 2019-07-29  

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