the pleiotropic effects of paricalcitol: beyond bone-mineral metabolism
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2016
Secondary hyperparathyroidism (SHPT) is a common complication in patients with chronic kidney disease (CKD) that is characterised by elevated parathyroid hormone (PTH) levels and a series of bone-mineral metabolism anomalies. In patients with SHPT, treatment with paricalcitol, a selective vitamin D receptor activator, has been shown to reduce PTH levels with minimal serum calcium and phosphorus variations. The classic effect of paricalcitol is that of a mediator in mineral and bone homeostasis. However, recent studies have suggested that the benefits of treatment with paricalcitol go beyond PTH reduction and, for instance, it has a positive effect on cardiovascular disease and survival. The objective of this study is to review the most significant studies on the so-called pleiotropic effects of paricalcitol treatment in patients with CKD.
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egido2016nefrologathe
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Authors | ;Jesús Egido;Alberto Martínez-Castelao;Jordi Bover;Manuel Praga;José Vicente Torregrosa;Elvira Fernández-Giráldez;Carlos Solozábal |
Journal | demiryolu mühendisliği |
Year | 2016 |
DOI | 10.1016/j.nefroe.2016.02.006 |
URL | |
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