title: [Kidney and HIV infection].
abstract: Screening of chronic kidney disease (CKD) that includes estimation of the glomerular filtration rate (GFR) and evaluation proteinuria should be performed in all HIV-infected patients and these parameters have to be monitored annually in patients at higher risk for CKD. Black patients have a genetic predisposition to develop HIV-associated nephropathy. Suppression of HIV viral replication with antiretroviral therapy prevents the development of HIV-associated nephropathy or halts its progression. Kidney biopsy remains the most informative diagnosis test to differentiate various forms of kidney diseases in HIV-infected patients. Dosing antiretroviral agents with kidney metabolism should be adjusted when eGFR is bellow 50 mL/min/1.73 m(2). eGFR and serum phosphorus at baseline and during treatment should be carefully assessed in patients receiving tenofovir. Proximal renal tubular toxicity must be further evaluated in the presence of eGFR decrease and/or hypophosphatemia under tenofovir therapy.
authors.affiliation: Hôpital Tenon, service de néphrologie et dialyses, 75970 Paris, France. emmanuelle.plaisier@tnn.aphp.fr
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Plaisier
authors.forename: François-Xavier
authors.initials: FX
authors.lastname: Lescure
authors.forename: Pierre
authors.initials: P
authors.lastname: Ronco
mesh_terms: D016263:AIDS-Associated Nephropathy / Q000188:drug therapy / Q000208:ethnology / Q000473:pathology / Q000517:prevention & control; D000225:Adenine / Q000009:adverse effects / Q000031:analogs & derivatives / Q000627:therapeutic use; D019380:Anti-HIV Agents / Q000009:adverse effects / Q000627:therapeutic use; D001706:Biopsy; D044383:Black People; D066246:ErbB Receptors / Q000097:blood; D005260:Female; D020022:Genetic Predisposition to Disease / Q000235:genetics; D005919:Glomerular Filtration Rate; D015497:HIV-1 / Q000502:physiology; D006801:Humans; D007668:Kidney / Q000473:pathology; D007674:Kidney Diseases / Q000139:chemically induced; D008297:Male; D063065:Organophosphonates / Q000009:adverse effects / Q000627:therapeutic use; D010758:Phosphorus / Q000097:blood; D000068698:Tenofovir; D014779:Virus Replication / Q000187:drug effects
chemical_list: D019380:Anti-HIV Agents; D063065:Organophosphonates; D010758:Phosphorus; D000068698:Tenofovir; D066246:ErbB Receptors; D000225:Adenine