Regulation of parathyroid function in chronic renal failure

Regulation of parathyroid function in chronic renal failure
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慢性肾功能衰竭中甲状旁腺功能的调节

DOI:
10.1007/s00774-005-0665-9
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发表时间:
2005
影响因子:
3.3
通讯作者:
Y. Almadén
Y. Almadén
中科院分区:
医学3区
文献类型:
--
作者:
Mariano Rodríguez;S. Cañadillas;I. Lopez;E. Aguilera;Y. Almadén

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本综述总结了继发于慢性肾脏病 (CKD) 的甲状旁腺功能亢进症 (2nd-HPTH) 的发展相关因素。钙和骨化三醇作用于各自特定的甲状旁腺细胞受体,抑制甲状旁腺功能。除了众所周知的钙和骨化三醇对甲状旁腺细胞功能的影响外,还有实验工作表明,磷酸盐、pH 值的变化、PTHrP、雌激素和一些细胞因子也对 PTH 分泌有影响。这些因素与慢性肾脏病患者相关。然而,低钙、维生素D缺乏以及肾功能下降导致的磷酸盐蓄积是CKD患者2nd-HPTH发病的主要致病因素。
This review summarizes the factors involved in the development of hyperparathyroidism secondary (2nd-HPTH) to chronic kidney disease (CKD). Calcium and calcitriol act on their respective specific parathyroid cell receptors to inhibit parathyroid function. As well as the well-known effect of calcium and calcitriol on parathyroid cell function, there is experimental work that demonstrates that phosphate, changes in pH, PTHrP, estrogens, and some cytokines also have an effect on PTH secretion. These factors are relevant in patients with chronic kidney disease. However, low calcium, vitamin D deficiency, and an accumulation of phosphate due to the decrease in renal function are the main pathogenic factors involved in the pathogenesis of 2nd-HPTH in CKD patients.
DOI: 10.1016/s0272-6386(96)90473-4
发表时间: 1996-10-01
影响因子: 13.2
作者:
Denda, M;Finch, J;Slatopolsky, E
通讯作者: Slatopolsky, E
维生素 D 代谢物对离体牛甲状旁腺细胞中前甲状旁腺激素前甲状旁腺激素的信使核糖核酸的调节。
DOI: 10.1073/pnas.82.12.4270
发表时间: 1985
影响因子: 11.1
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DOI: 10.1046/j.1523-1755.2001.00027.x
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DOI: 10.1172/jci118701
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