Article
Delayed Methotrexate Elimination after Administration of a Medium Dose of Methotrexate in a Patient with Genetic Variants Associated with Methotrexate Clearance.
Acta medica Okayama - 1 Dec 2020
Tatebe Yasuhisa, Kanamitsu Kiichiro, Kanzaki Hirotaka, Ishida Hisashi, Fujiwara Kaori, Washio Kana, Kitamura Yoshihisa, Sendo Toshiaki, Shimada Akira, Tsukahara Hirokazu
Abstract excerpt
Polymorphisms in methotrexate transporter pathways have been associated with methotrexate toxicities and clearance. Recent genome-wide association studies have revealed that the SLCO1B1 T521C variant is associated with methotrexate elimination. We present a case of a pediatric patient with acute lymphoblastic leukemia who suffered from persistently high plasma methotrexate concentrations and acute kidney injuries...
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