Vascular calcification: Contribution of parathyroid hormone in renal failure

Hyperphosphatemia is a driving force in the pathogenesis of vascular calcification (VC) and secondary hyperparathyroidism associated with renal failure. To test for the possible contribution of parathyroid hormone (PTH) to cardiovascular calcification, we removed the parathyroid glands from rats but...

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Veröffentlicht in:Kidney international 2007-06, Vol.71 (12), p.1262-1270
Hauptverfasser: Neves, K.-R., Graciolli, F.-G., dos Reis, L.-M., Graciolli, R.-G., Neves, C.-L., Magalhães, A.-O., Custódio, M.-R., Batista, D.-G., Jorgetti, V., Moysés, R.M.A.
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container_end_page 1270
container_issue 12
container_start_page 1262
container_title Kidney international
container_volume 71
creator Neves, K.-R.
Graciolli, F.-G.
dos Reis, L.-M.
Graciolli, R.-G.
Neves, C.-L.
Magalhães, A.-O.
Custódio, M.-R.
Batista, D.-G.
Jorgetti, V.
Moysés, R.M.A.
description Hyperphosphatemia is a driving force in the pathogenesis of vascular calcification (VC) and secondary hyperparathyroidism associated with renal failure. To test for the possible contribution of parathyroid hormone (PTH) to cardiovascular calcification, we removed the parathyroid glands from rats but infused synthetic hormone at a supraphysiologic rate. All rats were pair-fed low, normal, or high phosphorus diets and subjected to a sham or 5/6 nephrectomy (remnant kidney). Control rats were given a normal diet and underwent both sham parathyroidectomy and 5/6 nephrectomy. Heart weight/body weight ratios and serum creatinine levels were higher in remnant kidney rats than in the sham-operated rats. Remnant kidney rats on the high phosphorus diet and PTH replacement developed hyperphosphatemia and hypocalcemia along with low bone trabecular volume. Remnant kidney rats on the low phosphorus diet or intact kidney rats on a normal phosphorus diet, each with hormone replacement, developed hypercalcemia. All rats on PTH replacement developed intense aortic medial calcification, and some animals presented coronary calcification. We suggest that high PTH levels induce high bone turnover and medial calcification resembling Mömckeberg's sclerosis independent of uremia. This model may be useful in defining mechanisms underlying VC.
doi_str_mv 10.1038/sj.ki.5002241
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subjects Animals
Aorta - pathology
Body Weight - drug effects
Bone Remodeling
Calcinosis - complications
Calcinosis - metabolism
Calcinosis - pathology
Cardiovascular Diseases - complications
Cardiovascular Diseases - metabolism
Cardiovascular Diseases - pathology
chronic
Coronary Vessels - pathology
Disease Models, Animal
Eating - drug effects
Hypercalcemia - etiology
kidney failure
Male
parathyroid hormone
Parathyroid Hormone - pharmacology
Parathyroid Hormone - physiology
phosphorus
Plethysmography
Rats
Rats, Wistar
Renal Insufficiency - etiology
renal osteodystrophy
vascular calcification
title Vascular calcification: Contribution of parathyroid hormone in renal failure
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