Anti cancer drug causing nephrotoxicity –
## Core Concept
The question tests the knowledge of adverse effects of anticancer drugs, specifically nephrotoxicity. Nephrotoxicity refers to the potential of certain substances, including drugs, to cause damage to the kidneys. Various anticancer agents can cause nephrotoxicity through different mechanisms.
## Why the Correct Answer is Right
Cisplatin is a platinum-based chemotherapy drug used to treat various types of cancers, including testicular, ovarian, lung, bladder, and stomach cancers. It works by forming platinum-DNA adducts in cancer cells, which interfere with DNA repair, leading to cell death. However, one of its major side effects is nephrotoxicity. Cisplatin causes renal damage through several mechanisms, including the formation of reactive oxygen species, damage to renal tubules, and vasoconstriction of renal blood vessels, ultimately leading to acute kidney injury.
## Why Each Wrong Option is Incorrect
* **Option A:** Although certain antibiotics and antiviral drugs can cause nephrotoxicity, without a specific option provided, it's hard to directly refute this choice. However, the context of the question specifically asks about anticancer drugs.
* **Option B:** This option is not directly refutable without specifics but considering common anticancer drugs, if this option does not specify a known nephrotoxic anticancer agent, it would be incorrect.
* **Option D:** If this option does not represent a known nephrotoxic anticancer drug, it would be incorrect.
## Clinical Pearl / High-Yield Fact
A key clinical pearl is that **Cisplatin-induced nephrotoxicity** can be dose-limiting and may be mitigated by aggressive hydration and the use of nephroprotective agents like **N-acetylcysteine**. Monitoring renal function is crucial in patients receiving cisplatin.
## Correct Answer: C. Cisplatin