2015
DOI: 10.1007/s40121-015-0070-1
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Tenofovir: What We Have Learnt After 7.5 Million Person-Years of Use

Abstract: Tenofovir was licensed for use in patients with HIV in 2001 and since then has become a firmly established anti-retroviral in both guidelines and routine practice. Data have been presented from many pivotal studies—informing on its efficacy, use, and adverse features—and there are also over 7.5 million patient-years of experience to date. We explore the data on this nucleotide reverse transcriptase inhibitor in HIV presented since 2008—focusing on efficacy, side effects, and utility.Electronic supplementary ma… Show more

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Cited by 37 publications
(25 citation statements)
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“…Erlotinib and genistein both inhibit the Endothelial Growth Factor Receptor (EGFR), and the EGFR gene expression profile showed overexpression in 38.2% of tumour samples from an independent cohort of 63 ccRCC patients 12 . The nucleotide reverse transcriptase inhibitor tenofovir is associated with nephrotoxicity due to accumulation in the proximal tubules 13 , which ccRCC is thought to originate from. The similarity in gene expression between ccRCC and proximal tubules cells has been noted before 14 , and therefore it seems plausible they share the same toxicity as well.…”
Section: Discussionmentioning
confidence: 99%
“…Erlotinib and genistein both inhibit the Endothelial Growth Factor Receptor (EGFR), and the EGFR gene expression profile showed overexpression in 38.2% of tumour samples from an independent cohort of 63 ccRCC patients 12 . The nucleotide reverse transcriptase inhibitor tenofovir is associated with nephrotoxicity due to accumulation in the proximal tubules 13 , which ccRCC is thought to originate from. The similarity in gene expression between ccRCC and proximal tubules cells has been noted before 14 , and therefore it seems plausible they share the same toxicity as well.…”
Section: Discussionmentioning
confidence: 99%
“…Some reports have also shown that HAART is associated with decreased prevalence of renal disease and amelioration of progression in the general population and in HIV infected patients with chronic renal disease [45][46][47]. Some degrees of adverse drug reactions have been reported after the use of HAART in HIV infected subjects including the use of second-line regimen [48] However, studies have reported cases of kidney disease after the introduction of tenofovir-containing HAART [9,49].…”
Section: Discussionmentioning
confidence: 99%
“…Presentation of nephrotoxicity can appear as Fanconi syndrome, acute kidney injury, or decline of GFR. Nephrotoxicity may be due to proximal tubules accumulation of tenofovir disoproxil leading to elevated serum concentrations [9]. Recent reports have linked HAART regimens that contain tenofovir to a mild, time-dependent elevation in the serum creatinine level and a decrease in the glomerular filtration rate [10].…”
Section: Introductionmentioning
confidence: 99%
“…[17] It should also be taken into consideration that most data on TDF ADRs are from controlled trials in populations that are genetically different from much of SA's student population. Furthermore, many individuals in resource-limited settings use a dual system of healthcare, traditional and conventional.…”
Section: What About the Cost?mentioning
confidence: 99%