Implications of intermittent calcitriol therapy on growth and secondary hyperparathyroidism

2000 ◽  
Vol 14 (7) ◽  
pp. 641-645 ◽  
Author(s):  
I. B. Salusky ◽  
W. G. Goodman ◽  
B. D. Kuizon
1998 ◽  
Vol 54 (3) ◽  
pp. 907-914 ◽  
Author(s):  
Isidro B. Salusky ◽  
Beatriz D. Kuizon ◽  
Thomas R. Belin ◽  
Jorge A. Ramirez ◽  
Barbara Gales ◽  
...  

1994 ◽  
Vol 267 (6) ◽  
pp. E961-E967 ◽  
Author(s):  
J. A. Ramirez ◽  
W. G. Goodman ◽  
T. R. Belin ◽  
B. Gales ◽  
G. V. Segre ◽  
...  

Calcitriol lowers serum parathyroid hormone (PTH) levels in patients with secondary hyperparathyroidism, but its effect on calcium-regulated PTH release remains controversial. Thus 11 patients with secondary hyperparathyroidism underwent dynamic tests of parathyroid function before and after 4 mo of intermittent calcitriol therapy. Serum calcitriol levels rose from 8 +/- 1 to 55 +/- 9 (SE) pg/ml, P < 0.01, serum total and ionized calcium levels increased, and serum PTH levels decreased from 584 +/- 154 to 154 +/- 31 pg/ml, P < 0.05. The maximum increase in serum PTH during hypocalcemia did not differ before (248 +/- 78 pg/ml) or after (280 +/- 100 pg/ml) treatment, but the increase in PTH, expressed as a percentage of preinfusion values, was greater after treatment (329 +/- 73 vs. 132 +/- 10%, P < 0.05). The decreases in serum PTH during calcium infusions did not differ before (70 +/- 5%) or after (73 +/- 5%) therapy, and the set point for PTH release did not change (1.20 +/- 0.03 vs. 1.23 +/- 0.01 mmol/l, not significant). Calcitriol modifies PTH secretion during hypocalcemia in secondary hyperparathyroidism without affecting the set point for PTH release; although calcitriol lowers serum PTH levels, it may also restore the secretory reserve of hyperplastic parathyroid tissues during hypocalcemia.


ASAIO Journal ◽  
1995 ◽  
Vol 41 (3) ◽  
pp. M688-M693 ◽  
Author(s):  
Fulvio Susanna ◽  
Nicoletta Borsato ◽  
Barbara Rossi ◽  
Sergio Minello ◽  
Giorgio Ferlin ◽  
...  

1994 ◽  
Vol 46 (4) ◽  
pp. 1160-1166 ◽  
Author(s):  
William G. Goodman ◽  
Jorge A. Ramirez ◽  
Thomas R. Belin ◽  
Yun Chon ◽  
Barbara Gales ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document