Improved assessment of bone turnover by the PTH-(1-84)/large C-PTH fragments ratio in ESRD patients.

Abstract:

BACKGROUND:The "intact" parathyroid hormone (PTH) assay recognizes PTH-(1-84) as well as amino terminally truncated PTH fragments, that is, large carboxyterminal PTH fragments (C-PTH fragments). The present study investigated whether the use of the plasma PTH-(1-84)/C-PTH fragment ratio enhances the noninvasive assessment of bone turnover in patients on dialysis. METHODS:Bone biopsies and blood samples for determinations of routine indices of bone turnover and PTH peptides were obtained in 51 adult patients on dialysis not treated with drugs affecting bone such as vitamin D or corticosteroids. Blood levels of large C-PTH fragments were calculated by subtracting PTH-(1-84) from "intact" PTH. Patients were classified according to their levels of bone turnover based on histomorphometrically obtained results of activation frequency. Prediction of bone turnover by the various blood indices was done by using proper statistical methods. In addition, hypercalcemia was induced by calcium gluconate infusion in a subset of patients, and levels of PTH-(1-84), "intact" PTH, and PTH-(1-84)/C-PTH fragment ratio were determined. RESULTS:The PTH-(1-84)/C-PTH fragment ratio was the best predictor of bone turnover. A ratio> 1 predicted high or normal bone turnover (sensitivity 100%), whereas a ratio <1 indicated a high probability (sensitivity 87.5%) of low bone turnover. Calcium infusion resulted in decrease in PTH-(1-84)/C-PTH fragment ratio. CONCLUSIONS:The PTH-(1-84)/C-PTH fragment ratio predicts bone turnover with acceptable precision for biological measurements. Moreover, a change in serum calcium levels is one of the regulators of the relative amount of circulating PTH-(1-84) and its large C-PTH fragments.

journal_name

Kidney Int

journal_title

Kidney international

authors

Monier-Faugere MC,Geng Z,Mawad H,Friedler RM,Gao P,Cantor TL,Malluche HH

doi

10.1046/j.1523-1755.2001.00949.x

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

1460-8

issue

4

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)48014-7

journal_volume

60

pub_type

杂志文章
  • Acute effect of oral phosphate loading on serum fibroblast growth factor 23 levels in healthy men.

    abstract::Serum fibroblast growth factor 23 (FGF23) is a novel phosphaturic factor and important for the regulation of inorganic phosphate (Pi) homeostasis. In this study, we examined an acute effect of oral Pi loading on serum FGF23 levels to clarify the role in rapid adjustment of serum Pi level. We performed a randomized, do...

    journal_title:Kidney international

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/sj.ki.5002000

    authors: Nishida Y,Taketani Y,Yamanaka-Okumura H,Imamura F,Taniguchi A,Sato T,Shuto E,Nashiki K,Arai H,Yamamoto H,Takeda E

    更新日期:2006-12-01 00:00:00

  • Expression of transforming growth factor-beta isoforms in human glomerular diseases.

    abstract::Protein and mRNA expression of TGF-beta isoforms, TGF-beta 1, -beta 2 and -beta 3, and deposition of fibronectin containing extra domain A (fibronectin EDA+) and plasminogen activator inhibitor-1 (PAI-1) were studied in human chronic glomerulonephritis and diabetic nephropathy. Normal kidneys showed similar, weak immu...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1996.65

    authors: Yamamoto T,Noble NA,Cohen AH,Nast CC,Hishida A,Gold LI,Border WA

    更新日期:1996-02-01 00:00:00

  • Perspectives on blockade of TGFbeta overexpression.

    abstract::Many approaches to blocking profibrotic TGFbeta overexpression are under way. Therapeutic targeting of TGFbeta-Smad signaling holds promise for slowing or halting progressive renal disease. In this issue, Fukasawa et al., using the unilateral ureteral obstruction model, provide a new target for therapeutic interventio...

    journal_title:Kidney international

    pub_type: 评论,杂志文章

    doi:10.1038/sj.ki.5000260

    authors: Huang Y,Border WA,Noble NA

    更新日期:2006-05-01 00:00:00

  • 15-HETE: selective incorporation into inositol phospholipids of MDCK cells.

    abstract::The interaction of 15-hydroxyeicosatetraenoic acid (15-HETE) and cultured MDCK renal tubular epithelial cells was investigated to determine whether incorporation of this lipoxygenase product will affect polyphosphoinositide formation. MDCK cells were incubated with 1 microM [3H]-15-HETE for 15 to 120 minutes. Maximum ...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1994.131

    authors: Girton RA,Spector AA,Gordon JA

    更新日期:1994-04-01 00:00:00

  • Immunocytochemical detection of advanced glycated end products in rat renal tissue as a function of age and diabetes.

    abstract:BACKGROUND:High blood glucose levels play major roles in the pathogenesis of renal diabetic complications through non-enzymatic glycation. For long-lived molecules this leads to formation of advanced glycation end products (AGE), and the renal extracellular matrix appears to be one of the targets for such processes. Us...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.1998.00030.x

    authors: Bendayan M

    更新日期:1998-08-01 00:00:00

  • Impact of nitric oxide deficiency on blood pressure and glomerular hemodynamic adaptations to pregnancy in the rat.

    abstract::Studies were conducted to investigate the impact of nitric oxide synthesis inhibition on blood pressure and glomerular hemodynamic adaptations to pregnancy in the rat. In normal pregnancy, urinary excretion of NO2 + NO3 (NOx), reflecting increased nitric oxide (NO) production, progressively increased. Blockade of NO p...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1996.420

    authors: Deng A,Engels K,Baylis C

    更新日期:1996-10-01 00:00:00

  • Molecular cloning of KS, a novel rat gene expressed exclusively in the kidney.

    abstract:BACKGROUND:We aimed to identify genes with kidney specific, developmentally regulated expression. Here we report the cDNA sequence and expression pattern of KS, a novel kidney-specific rat gene. METHODS:A partial cDNA was identified by differential display polymerase chain reaction (PCR) of a renal cell fraction enric...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.1998.00143.x

    authors: Hilgers KF,Nagaraj SK,Karginova EA,Kazakova IG,Chevalier RL,Carey RM,Pentz ES,Gomez RA

    更新日期:1998-11-01 00:00:00

  • Phosphate-induced autophagy counteracts vascular calcification by reducing matrix vesicle release.

    abstract::Autophagy is a dynamic and highly regulated process of self-digestion responsible for cell survival and reaction to oxidative stress. As oxidative stress is increased in uremia and is associated with vascular calcification, we studied the role of autophagy in vascular calcification induced by phosphate. In an in vitro...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2012.482

    authors: Dai XY,Zhao MM,Cai Y,Guan QC,Zhao Y,Guan Y,Kong W,Zhu WG,Xu MJ,Wang X

    更新日期:2013-06-01 00:00:00

  • Skeletal X-ray findings and bone histology in patients on hemodialysis.

    abstract::X-ray films of the hand skeleton (mammography technique), serum chemistry, and quantitative bone histology (micromorphometry of undecalcified sections, iliac crest spongiosa) were compared in 25 patients on maintenance hemodialysis. The X-ray findings correlated better with serum PTH levels than with bone histology. O...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1978.45

    authors: Ritz E,Prager P,Krempien B,Bommer J,Malluche HH,Schmidt-Gayk H

    更新日期:1978-04-01 00:00:00

  • Tenofovir nephrotoxicity: acute tubular necrosis with distinctive clinical, pathological, and mitochondrial abnormalities.

    abstract::Tenofovir, a widely prescribed antiretroviral medication for treatment of HIV-1 infection, is infrequently associated with renal dysfunction and biopsy findings of acute tubular necrosis. We examined the clinical and pathological findings in 13 cases of tenofovir nephrotoxicity (7 men and 6 women, mean age of 51.1±9.6...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2010.318

    authors: Herlitz LC,Mohan S,Stokes MB,Radhakrishnan J,D'Agati VD,Markowitz GS

    更新日期:2010-12-01 00:00:00

  • Risk factors for coronary artery disease, circulating endothelial progenitor cells, and the role of HMG-CoA reductase inhibitors.

    abstract::Recent studies suggest that postnatal neovascularization relies not exclusively on sprouting of preexisting vessels ("angiogenesis"), but also involves the contribution of bone marrow-derived circulating endothelial progenitor cells (EPCs). EPCs can be isolated from peripheral blood or bone marrow mononuclear cells, C...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1111/j.1523-1755.2005.00261.x

    authors: Urbich C,Dimmeler S

    更新日期:2005-05-01 00:00:00

  • Urinary ortho-tyrosine excretion in diabetes mellitus and renal failure: evidence for hydroxyl radical production.

    abstract:BACKGROUND:Phenylalanine is converted to para- and ortho-tyrosine by hydroxyl free radical, or to para-tyrosine by the phenylalanine hydroxylase enzyme. The aim of this study was to measure para- and ortho-tyrosine in the urine and plasma of patients with chronic renal disease and/or diabetes, to obtain information on ...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2005.00687.x

    authors: Molnár GA,Wagner Z,Markó L,Kó Szegi T,Mohás M,Kocsis B,Matus Z,Wagner L,Tamaskó M,Mazák I,Laczy B,Nagy J,Wittmann I

    更新日期:2005-11-01 00:00:00

  • Accumulation of protein-bound uremic toxins: the kidney remains the leading culprit in the gut-liver-kidney axis.

    abstract::Protein-bound uremic toxins (PBUTs) accumulate in chronic kidney disease (CKD) and are poorly removed by dialysis. Gryp et al. demonstrated that fecal bacteria from patients with CKD do not produce more PBUTs than do those from healthy controls and that the accumulation of PBUTs, as CKD progresses, is mainly due to th...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1016/j.kint.2020.02.026

    authors: Jourde-Chiche N,Burtey S

    更新日期:2020-06-01 00:00:00

  • Genetic susceptibility to severe course of nephropathia epidemica caused by Puumala hantavirus.

    abstract::Nephropathia epidemica (NE) caused by Puumala hantavirus is one type of hemorrhagic fever with renal syndrome (HFRS). There is considerable variability in the clinical severity of NE. Many infections are subclinical but the disease can even be fatal. We questioned whether the wide spectrum in the outcome of NE is depe...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1996.29

    authors: Mustonen J,Partanen J,Kanerva M,Pietilä K,Vapalahti O,Pasternack A,Vaheri A

    更新日期:1996-01-01 00:00:00

  • Dialysis-requiring acute renal failure increases the risk of progressive chronic kidney disease.

    abstract::To determine whether acute renal failure (ARF) increases the long-term risk of progressive chronic kidney disease (CKD), we studied the outcome of patients whose initial kidney function was normal or near normal but who had an episode of dialysis-requiring ARF and did not develop end-stage renal disease within 30 days...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2009.289

    authors: Lo LJ,Go AS,Chertow GM,McCulloch CE,Fan D,Ordoñez JD,Hsu CY

    更新日期:2009-10-01 00:00:00

  • Effects of hyperosmolality on ANP-stimulated cGMP generation in rat inner medullary collecting duct.

    abstract::The inner medullary collecting duct (IMCD) is a major target site of atrial natriuretic peptide (ANP) for diuresis and natriuresis, and it is in a hypertonic condition made by the renal countercurrent multiplication system. We investigated the effects of hyperosmolality on ANP-stimulated cGMP generation in IMCD and gl...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1994.178

    authors: Shinohara M,Nonoguchi H,Ujiie K,Terada Y,Owada A,Tomita K,Marumo F

    更新日期:1994-05-01 00:00:00

  • Meprin, a brush-border enzyme, plays an important role in hypoxic/ischemic acute renal tubular injury in rats.

    abstract:BACKGROUND:It has been shown that non-congenic mice strains with lower levels of renal meprin develop less renal injury following renal ischemia and reperfusion. We have demonstrated that following ischemia-reperfusion renal injury, there is a rapid shift of meprin localization and intensity from the brush border to th...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2002.00209.x

    authors: Carmago S,Shah SV,Walker PD

    更新日期:2002-03-01 00:00:00

  • Prognostic factors in diffuse proliferative lupus glomerulonephritis.

    abstract::A number of clinical laboratory and biopsy-derived parameters were assessed for their prognostic significance in the short (24 months), intermediate (60 months) and long terms in 45 patients (43 female, 2 male) with diffuse proliferative lupus glomerulonephritis (DPGN). The factors evaluated were serum creatinine (SCr...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1988.211

    authors: Magil AB,Puterman ML,Ballon HS,Chan V,Lirenman DS,Rae A,Sutton RA

    更新日期:1988-10-01 00:00:00

  • Sodium and water handling during hemodialysis: new pathophysiologic insights and management approaches for improving outcomes in end-stage kidney disease.

    abstract::Space medicine and new technology such as magnetic resonance imaging of tissue sodium stores (23NaMRI) have changed our understanding of human sodium homeostasis and pathophysiology. It has become evident that body sodium comprises 3 main components. Two compartments have been traditionally recognized, namely one that...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1016/j.kint.2018.09.024

    authors: Canaud B,Kooman J,Selby NM,Taal M,Francis S,Kopperschmidt P,Maierhofer A,Kotanko P,Titze J

    更新日期:2019-02-01 00:00:00

  • Role of adenosine on glucagon-induced cAMP in a human cortical collecting duct cell line.

    abstract::The hormonal responsiveness profile of the cortical collecting duct varies from one species to another. To identify the hormones and agonists that modulate the functions of this tubule segment in the human species, we generated a cell line (HCD) immortalized by SV40 virus. The tubular origin of this cell line was asse...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1995.186

    authors: Prié D,Friedlander G,Coureau C,Vandewalle A,Cassingéna R,Ronco PM

    更新日期:1995-05-01 00:00:00

  • Association between hypertension and variation in the alpha- and beta-adducin genes in a white population.

    abstract:BACKGROUND:The substitution of tryptophan for glycine at amino acid 460 (Gly460Trp polymorphism) of the alpha-subunit of the heterodimeric cytoskeleton protein adducin increases renal sodium reabsorption and may be involved in the pathophysiology of essential hypertension. In the present study, we investigated in multi...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2002.00691.x

    authors: Wang JG,Staessen JA,Barlassina C,Fagard R,Kuznetsova T,Struijker-Boudier HA,Zagato L,Citterio L,Messaggio E,Bianchi G

    更新日期:2002-12-01 00:00:00

  • The emerging role of phosphate in vascular calcification.

    abstract::Vascular calcification is recognized as a major contributor to cardiovascular disease (CVD) in end stage renal disease (ESRD) patients. Susceptibility to vascular calcification is genetically determined and actively regulated by diverse inducers and inhibitors. One of these inducers, hyperphosphatemia, promotes vascul...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1038/ki.2008.644

    authors: Giachelli CM

    更新日期:2009-05-01 00:00:00

  • Rapid fluid removal during dialysis is associated with cardiovascular morbidity and mortality.

    abstract::Patients receiving hemodialysis have high rates of cardiovascular morbidity and mortality that may be related to the hemodynamic effects of rapid ultrafiltration. Here we tested whether higher dialytic ultrafiltration rates are associated with greater all-cause and cardiovascular mortality, and hospitalization for car...

    journal_title:Kidney international

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1038/ki.2010.383

    authors: Flythe JE,Kimmel SE,Brunelli SM

    更新日期:2011-01-01 00:00:00

  • Pain management in polycystic kidney disease.

    abstract::Pain is a common complaint in patients with autosomal-dominant polycystic kidney disease, and a systematic approach is needed to differentiate the etiology of the pain and define an approach to management. A thorough history is the best clue to the multifactorial causes of the pain, superimposed upon an understanding ...

    journal_title:Kidney international

    pub_type: 杂志文章,评审

    doi:10.1046/j.1523-1755.2001.00985.x

    authors: Bajwa ZH,Gupta S,Warfield CA,Steinman TI

    更新日期:2001-11-01 00:00:00

  • Nitric oxide enhances paracellular permeability of opossum kidney cells.

    abstract:BACKGROUND:Nitric oxide (NO) has been shown to be a paracrine/autocrine regulator of proximal tubular transport. In this study, we investigated the effect of NO on the paracellular permeability of opossum kidney (OK) cells, a proximal tubule cell line that possesses a leaky paracellular pathway resembling that of the i...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.1999.00465.x

    authors: Liang M,Knox FG

    更新日期:1999-06-01 00:00:00

  • Recombinant human growth hormone exacerbates chronic puromycin aminonucleoside nephropathy in rats.

    abstract::Growth failure is a cardinal feature of chronic renal failure in children. Administration of recombinant human growth hormone (rhGH) ameliorates this problem but may adversely affect the kidney and hasten the progression to end-stage renal disease. We conducted experiments to examine the impact of rhGH on the severity...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.1993.380

    authors: Trachtman H,Futterweit S,Schwob N,Maesaka J,Valderrama E

    更新日期:1993-12-01 00:00:00

  • Hyperuricemia induces endothelial dysfunction.

    abstract:BACKGROUND:Hyperuricemia has been linked to cardiovascular and renal diseases, possibly through the generation of reactive oxygen species (ROS) and subsequent endothelial dysfunction. The enzymatic effect of xanthine oxidase is the production of ROS and uric acid. Studies have shown that inhibiting xanthine oxidase wit...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1111/j.1523-1755.2005.00273.x

    authors: Khosla UM,Zharikov S,Finch JL,Nakagawa T,Roncal C,Mu W,Krotova K,Block ER,Prabhakar S,Johnson RJ

    更新日期:2005-05-01 00:00:00

  • Interaction between variants of two glycosyltransferase genes in IgA nephropathy.

    abstract::Increasing evidence points to the importance of aberrant O-glycosylated immunoglobulin A1 (IgA1) in the pathogenesis of IgA nephropathy (IgAN), a disease widely considered to be a polygenic disorder. We earlier found that haplotypes in two key glycosyltransferase genes, C1GALT1 and ST6GALNAC2, were associated with sus...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2009.99

    authors: Zhu L,Tang W,Li G,Lv J,Ding J,Yu L,Zhao M,Li Y,Zhang X,Shen Y,Zhang H,Wang H

    更新日期:2009-07-01 00:00:00

  • Suramin promotes recovery from renal ischemia/reperfusion injury in mice.

    abstract::Suramin is a polysulfonated naphthylurea originally designed as a treatment for trypanosomiasis; but that has also been used to treat rodent models of fulminant hepatic failure and focal brain ischemia. In this study, we determined the effects of suramin on renal ischemia/reperfusion-induced acute kidney injury in mic...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1038/ki.2008.506

    authors: Zhuang S,Lu B,Daubert RA,Chavin KD,Wang L,Schnellmann RG

    更新日期:2009-02-01 00:00:00

  • Expression of apoptosis regulatory proteins in tubular epithelium stressed in culture or following acute renal failure.

    abstract:BACKGROUND:While tubular cell death is a characteristic of acute renal failure (ARF), the molecular mechanisms that modulate this cell death are unclear. Cell fate in acute renal failure hinges on a balance of survival and mortality factors in a changing environment. We further explored this issue by studying selected ...

    journal_title:Kidney international

    pub_type: 杂志文章

    doi:10.1046/j.1523-1755.2000.00925.x

    authors: Ortiz A,Lorz C,Catalán MP,Danoff TM,Yamasaki Y,Egido J,Neilson EG

    更新日期:2000-03-01 00:00:00