Autor: |
Cusato, Jessica, Calcagno, Andrea, Marinaro, Letizia, Avataneo, Valeria, DʹAvolio, Antonio, Di Perri, Giovanni, Bonora, Stefano |
Zdroj: |
The Pharmacogenomics Journal; April 2020, Vol. 20 Issue: 2 p202-212, 11p |
Abstrakt: |
Tenofovir disoproxyl fumarate (TDF) has been associated with renal tubular abnormalities, phosphaturia and proteinuria (retinol binding protein, RBP, loss): vitamin D (VD) and PTH affect these markers. Aim was to understand if some single nucleotide polymorphisms (SNPs) were predictors of renal abnormalities in an Italian cohort of HIV-affected patients. DNA was analyzed through real-time PCR, urinary RBP corrected by creatinine (uRBP/Cr). The majority of patients received TDF. Abnormal uRBP/Cr was more frequent in TDF recipients: eGFR <90 mL/min and TDF were predictors in the whole cohort, whereas eGFR <90 mL/min, TDF concentrations and CYP24A1-3999TT in TDF-treated patients. Phosphate levels were higher low VD level patients: age <50 years, CYP27B1+ 2838CC genotype and non-European ancestry were predictors. PTH levels were border-linehigher in TDF patients: non-European ancestry, females, TDF, VD levels < 30 ng/mL and SLC28A2-124CT/TTand ABCC2-24CC were predictors. For the first time, SNPs were associated with PTH, phosphate, calcium and tubular dysfunction in HIV-infected patients. |
Databáze: |
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