Changes in Serum 25-Hydroxyvitamin D and Plasma Intact PTH Levels Following Treatment With Ergocalciferol in Patients With CKD

作者: Ziyad Al-Aly , Rizwan A. Qazi , Esther A. González , Angelique Zeringue , Kevin J. Martin

DOI: 10.1053/J.AJKD.2007.04.010

关键词: Blood plasmaRenal osteodystrophyMedicineHyperparathyroidismInternal medicineKidney diseaseUrologyParathyroid hormoneSecondary hyperparathyroidismVitamin D and neurologyErgocalciferolEndocrinology

摘要: Background Vitamin D insufficiency and deficiency are very common in patients with chronic kidney disease (CKD). The effect of ergocalciferol administration on serum 25-hydroxyvitamin plasma intact parathyroid hormone (PTH) levels these is not known. Study Design Retrospective study. Setting & Participants Patients CKD stage 3 or 4 who had a level less than 30 ng/mL ( Outcome Measurements 25-Hydroxyvitamin PTH were measured at baseline follow-up. Results 66 met inclusion criteria. Average age was 70.4 ± 1.3 (SE) years (range, 40 to 88 years), 97% men. There 44 (66%) 22 (33%) 4. After median follow-up 6 months, there significant increase from 16.6 0.7 27.2 1.8 (41 2 68 nmol/L; P 12 nmol/L) associated likelihood greater 30% decrease (odds ratio, 4.5; 95% confidence interval, 1.5 15.1; Limitations This retrospective study mostly male patients. Conclusions show that has favorable if therapy results an levels; this more evident 3.

参考文章(37)
Dusso A, Slatopolsky E, Brown A, Extrarenal production of calcitriol. Seminars in Nephrology. ,vol. 14, pp. 144- ,(1994)
A. Dusso, S. Lopez-Hilker, N. Rapp, E. Slatopolsky, A. Brown, J. Delmez, J. Finch, Extrarenal production of calcitriol. Kidney International. ,vol. 38, ,(1990)
Mary Gellens, Hanna Abboud, L. Lee Hamm, Esther A. González, Kevin J. Martin, Jill Lindberg, 19-Nor-1-alpha-25-dihydroxyvitamin D2 (Paricalcitol) safely and effectively reduces the levels of intact parathyroid hormone in patients on hemodialysis. Journal of The American Society of Nephrology. ,vol. 9, pp. 1427- 1432 ,(1998) , 10.1681/ASN.V981427
Helmut Reichel, H. Phillip Koeffler, Anthony W. Norman, The role of the vitamin D endocrine system in health and disease. The New England Journal of Medicine. ,vol. 320, pp. 980- 991 ,(1989) , 10.1056/NEJM198904133201506
C.S. Ritter, H.J. Armbrecht, E. Slatopolsky, A.J. Brown, 25-Hydroxyvitamin D3 suppresses PTH synthesis and secretion by bovine parathyroid cells Kidney International. ,vol. 70, pp. 654- 659 ,(2006) , 10.1038/SJ.KI.5000394
Geoffrey A. Block, Kevin J. Martin, Angel L.M. de Francisco, Stewart A. Turner, Morrell M. Avram, Michael G. Suranyi, Gavril Hercz, John Cunningham, Ali K. Abu-Alfa, Piergiorgio Messa, Daniel W. Coyne, Francesco Locatelli, Raphael M. Cohen, Pieter Evenepoel, Sharon M. Moe, Albert Fournier, Johann Braun, Laura C. McCary, Valter J. Zani, Kurt A. Olson, Tilman B. Drüeke, William G. Goodman, Cinacalcet for Secondary Hyperparathyroidism in Patients Receiving Hemodialysis New England Journal of Medicine. ,vol. 350, pp. 1516- 1525 ,(2004) , 10.1056/NEJMOA031633
BERNARD P. HALLORAN, PHILLIP SCHAEFER, MEYER LIFSCHITZ, MARILYN LEVENS, RALPH S. GOLDSMITH, Plasma Vitamin D Metabolite Concentrations in Chronic Renal Failure: Effect of Oral Administration of 25-Hydroxyvitamin D3 The Journal of Clinical Endocrinology and Metabolism. ,vol. 59, pp. 1063- 1069 ,(1984) , 10.1210/JCEM-59-6-1063
Eric M. Gibney, David S. Goldfarb, The association of nephrolithiasis with cystic fibrosis. American Journal of Kidney Diseases. ,vol. 42, pp. 1- 11 ,(2003) , 10.1016/S0272-6386(03)00403-7