Lanthanum carbonate stimulates bone formation in a rat model of renal insufficiency with low bone turnover

Control of phosphate is important in the management of chronic kidney disease with mineral and bone disorder (CKD-MBD), for which lanthanum carbonate, a non-calcium phosphate-binding agent, has recently been introduced; however, it remains to be determined whether it has any beneficial or deleteriou...

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Veröffentlicht in:Journal of bone and mineral metabolism 2014-09, Vol.32 (5), p.484-493
Hauptverfasser: Fumoto, Toshio, Ito, Masako, Ikeda, Kyoji
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container_title Journal of bone and mineral metabolism
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creator Fumoto, Toshio
Ito, Masako
Ikeda, Kyoji
description Control of phosphate is important in the management of chronic kidney disease with mineral and bone disorder (CKD-MBD), for which lanthanum carbonate, a non-calcium phosphate-binding agent, has recently been introduced; however, it remains to be determined whether it has any beneficial or deleterious effect on bone remodeling. In the present study, the effects of lanthanum carbonate were examined in an animal model that mimics low turnover bone disease in CKD, i.e., thyroparathyroidectomized (TPTX) and 5/6 nephrectomized (NX) rats undergoing a constant infusion of parathyroid hormone (PTH) and thyroxine injections (TPTX-PTH-5/6NX). Bone histomorphometry at the second lumbar vertebra and tibial metaphysis revealed that both bone formation and resorption were markedly suppressed in the TPTX-PTH-5/6NX model compared with the sham-operated control group, and treatment with lanthanum carbonate was associated with the stimulation of bone formation but not an acceleration of bone resorption. Lanthanum treatment caused a robust stimulation of bone formation with an activation of osteoblasts on the endosteal surface of femoral diaphysis, leading to an increase in cortical bone volume. Thus, lanthanum carbonate has the potential to stimulate bone formation in cases of CKD-MBD with suppressed bone turnover.
doi_str_mv 10.1007/s00774-013-0521-2
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Thus, lanthanum carbonate has the potential to stimulate bone formation in cases of CKD-MBD with suppressed bone turnover.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>24126694</pmid><doi>10.1007/s00774-013-0521-2</doi><tpages>10</tpages></addata></record>
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subjects Alkaline Phosphatase - metabolism
Animals
Body Weight - drug effects
Bone Morphogenetic Proteins - metabolism
Bone Remodeling - drug effects
Cell Count
Disease Models, Animal
Femur - diagnostic imaging
Femur - drug effects
Femur - physiopathology
Genetic Markers
Lanthanum - pharmacology
Lumbar Vertebrae - drug effects
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Original Article
Orthopedics
Osteocytes - pathology
Osteogenesis - drug effects
Rats, Sprague-Dawley
Renal Insufficiency - blood
Renal Insufficiency - physiopathology
Tibia - diagnostic imaging
Tibia - drug effects
Tibia - physiopathology
X-Ray Microtomography
title Lanthanum carbonate stimulates bone formation in a rat model of renal insufficiency with low bone turnover
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