“…Within each of the 6 categories of selected toxins, variation was observed in the extent of their potency against HK-2 cells, but overall, anticancer drugs and heavy metal-containing compounds were the most toxic. Within the anticancer drug category, in vivo animal and clinical studies have demonstrated potentially profound proximal tubular nephrotoxicity of idarubicin, 23,24 camptothecin, 25,26 vinblastine sulfate, 27 mitomycin C, 28,29 taxol, 30 doxorubicin-HCl, 24,31 sunitinib malate, 32,33 methotrexate hydrate, 28,34 and afatinib 35,36 These pharmaceutical drugs which possess vastly different mechanisms of action for their intended purposes of affecting the tubular and other parts of the kidney are not well studied. However, what they have in common is that these drugs and their metabolites are commonly eliminated through the renal system.…”