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肾移植患者吗替麦考酚酯血药浓度监测 被引量:3

Therapeutic drug monitoring of mycophenolate mofetil in kidney transplant patients
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摘要 目的:探讨对吗替麦考酚酯进行治疗药物监测的临床必要性.方法:采用HPLC方法测定血浆中麦考酚酸的谷浓度和峰浓度,对2012 年10 – 12 月期间83 例肾移植患者血浆麦考酚酸浓度进行分析.结果:患者血浆麦考酚酸谷浓度在0.34 ~ 3.99 μg·mL-1范围内的共46例次,血浆麦考酚酸峰浓度在0.91~12.78 μg·mL-1范围内的有37例次.在固定给药剂量下,麦考酚酸血药浓度的个体差异较大.结论:对吗替麦考酚酯进行治疗药物监测具有重要的临床价值. Objective: To investigate the clinical necessity of therapeutic drug monitoring (TDM) of mycophenolatemofetil. Methods: The peak and trough concentrations of mycophenolic acid in plasma were determined by high performanceliquid chromatography (HPLC). Plasma concentrations of mycophenolic acid in 83 cases of renal transplant recipients collected fromOctober to December in 2012 were analyzed. Results: The valley concentrations of mycophenolic acid in 46 patients were withinthe range from 0.34 μg·mL-1 to 3.99 μg·mL-1. The peak concentrations of mycophenolic acid in 37 cases were within the range from0.91 μg·mL-1 to 12.78 μg·mL-1. The concentrations of mycophenolic acid varied greatly with a fixed-dosage. Conclusion: There isa definite clinical value for therapeutic drug monitoring of mycophenolate mofetil.
机构地区 解放军
出处 《中国药物应用与监测》 CAS 2014年第1期5-8,共4页 Chinese Journal of Drug Application and Monitoring
关键词 吗替麦考酚酯 麦考酚酸 治疗药物监测 高效液相色谱法 Mycophenolate mofetil Mycophenolic acid Therapeutic drug monitoring (TDM) HPLC
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参考文献9

  • 1洪秀娟,周长林,顾觉奋.麦考酚酸酯及其临床应用进展[J].药学与临床研究,2009,17(3):227-230. 被引量:7
  • 2沈兵,谭建明.在肾移植中麦考酚酸酯药物浓度监测研究现状[J].世界临床药物,2006,27(2):80-85. 被引量:5
  • 3Staatz CE, Tett SE. Clinical pharmacokinetics andpharmacodynamics of mycophenolate in solid organ transplantrecipients[J]. Clin Pharmacokinet, 2007, 46(1): 13-58.
  • 4van Gelder T, Hilbrands LB, Vanrenterghem Y, et al. A randomizeddouble-blind, multicenter plasma concentration controlled studyof the safety and efficacy of oral mycophenolate mofetil for theprevention of acute rejection after kidney transplantation[J].Transplantation, 1999, 68(2): 261-266.
  • 5Barten MJ, Rahmel A, Garbade J, et al. C0h/C2h monitoring of thepharmacodynamics of cyclosporine plus mycophenolate mofetilin human heart transplant recipients[J]. Transplant Proc, 2005,37(2):1360-1361.
  • 6Suntornsuk L, Meyer T, Lindgren A, et al. A micellar electrokineticcapillary chromatography method for monitoring mycophenolicacid in serum of transplant recipients[J]. Pharmazie, 2005, 60(2):115-119.
  • 7段京莉,王筱楠,张现化,翟所迪.HPLC/MS/MS法测定人血浆中麦考酚酸浓度[J].中国临床药理学杂志,2009,25(5):445-447. 被引量:2
  • 8沈杰,焦正,郁韵秋,迟丹怡,张明,钟明康.高效液相色谱荧光检测法测定人血浆中麦考酚酸的浓度[J].中国新药与临床杂志,2005,24(1):11-13. 被引量:13
  • 9Filler G, Lepage N. To what extent dose the understandingof pharmacokinetics of mycophenolate mofetil influence itsprescription[J]. Pediatr Nephrol, 2004, 19(9): 962-965.

二级参考文献34

  • 1石茹,文爱东,赵磊,林琳,王萌,吴寅.HPLC法测定肾脏移植患者血浆中霉酚酸浓度及其药代动力学[J].第四军医大学学报,2004,25(15):1416-1418. 被引量:13
  • 2沈兵,谭建明,刘志宏,龚华,包尔敦,范昱.肾移植受者口服多剂霉酚酸酯的临床药代动力学特点[J].肾脏病与透析肾移植杂志,2004,13(5):431-435. 被引量:10
  • 3徐蓉,胡辉,朱健.新型免疫抑制抗生素霉酚酸酯的研究进展[J].温州大学学报,2005,18(6):58-60. 被引量:7
  • 4Iaccarino L, Rampudda M, Canova M, et al. Mycophenolate mofetil: What is its place in the treatment of autoimmune rheumatic diseases? [J]. Aatoimmtta Rev, 2007, 6(3) : 190-195.
  • 5Wu XY, Zha DQ, Xiang GS, et al. Combined MMF and insulin therapy prevents renal injury in experimental diabetic rats[J]. Cytokine, 2006, 36(5-6) : 229-236.
  • 6Suzuki C, Takahashi M, Morimoto H, et al. Mycophenolate mofetil attenuates pulmonary arterial hypertension in rats [ J ]. Biochem Biophys Res Commun, 2006, 349(2): 781-788.
  • 7Ying C, Colonno R, Clercq ED, et al. Ribavirin and mycophenolic acid markedly potentiate the anti-hepatitis B virus activity of entecavir[J]. Antiviral Res, 2007, 73(3) : 192-196.
  • 8Pourfarziani V, Panahi Y, Assari S, et al. Changing treatment protocol from azathioprine to mycophenolate mofetil: decrease in renal dysfunction, increase in infections [ J ]. Transplant Proc, 2007,39(4) : 1237-1240.
  • 9Fernandez A, Marcen R, Pascual J, et al. Mycophenolate mofetil levels in stable kidney transplant recipients [ J ]. Transplant Proc, 2007, 39(7): 2192-2184.
  • 10Gonzalez-Roncero FM, Govantes MAG, Chaves VC, et al. Influence of renal insufficiency on pharmacokinetics of ACYL-Glucuronide metabolite of mycophenoiic acid in renal transplant patients[J]. Transplant Proc. 2007, 39(7) : 2176-2178.

共引文献20

同被引文献30

  • 1陆福明 ,丁小强 ,陈楠 ,钱家麒 ,徐琴君 ,袁伟杰 ,梅长林 ,徐玉兰 ,侯凡凡 ,林善锬 .吗替麦考酚酯治疗原发性肾病综合征的前瞻性多中心临床研究[J].中华肾脏病杂志,2004,20(4):238-241. 被引量:35
  • 2卢晓阳,黄洪锋,黄明珠,申屠建中.霉酚酸酯在肾移植患者的药动学研究[J].中国药学杂志,2005,40(16):1246-1248. 被引量:6
  • 3余自成,陈皓,张伟霞,周佩军,周光文,陈红专.霉酚酸在肝移植病人体内的药代动力学研究[J].药学学报,2006,41(12):1157-1160. 被引量:7
  • 4师少军,李忠芳,万元胜,陈华庭,曾繁典.HPLC法测定人血浆中霉酚酸的浓度及药动学研究[J].中国药房,2007,18(20):1558-1560. 被引量:6
  • 5王海燕.肾脏病学[M].3版.北京:人民卫生出版社,2008:8262.
  • 6国家药品不良反应监测中心.常见严重药品不良反应技术规范及评价标准[S], 2011 -03 -29.
  • 7KDIGO clinical practice guideline for the care of kidney trans- plant recipients[J]. Am J Transplant,2009, 9(Suppl 3): s1- s157.
  • 8Staatz CE, Tett SE. Clinical pharrnacokinetics and pharmaeo- dynamics of mycophenolate in solid organ transplant recipients [J]. Clin Pharmacokinet,2007,46(1):13-58.
  • 9Land W, Vincenti F. Toxicity-sparing protocols using myco- phenolate mofetil in renal transplantation [ J]. Transplanta- tion, 2005,80 (2 Suppl) s221-s234.
  • 10Le Meura Y, Biiehlerb M, Thierryc A, et al. Individualized Mycophenolate Mofetil dosing based on drug exposure signifi- cantly improves patient outcomes after renal transplantation [J]. Am J Transplant, 2007,7,2496-2503.

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