Nephrogenous Cyclic Adenosine Monophosphate Levels in Normocalcemic Cancer Patients: Its Significance

Summary We evaluated nephrogenous cyclic adenosine monophosphate (NcAMP) levels in 61 normocalcemic patients with documented cancer of various organs and cell types. NcAMP levels were elevated in 17 (28%) and decreased in 13 (21%) of the cancer patients. Both high and low NcAMP levels were seen with...

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Veröffentlicht in:Hormone and metabolic research 1984-04, Vol.16 (4), p.204-207
Hauptverfasser: Abramson, Edith C., Kukreja, S. C., Lad, T. E., Shemerdiak, W. P., York, Patricia A. J.
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container_end_page 207
container_issue 4
container_start_page 204
container_title Hormone and metabolic research
container_volume 16
creator Abramson, Edith C.
Kukreja, S. C.
Lad, T. E.
Shemerdiak, W. P.
York, Patricia A. J.
description Summary We evaluated nephrogenous cyclic adenosine monophosphate (NcAMP) levels in 61 normocalcemic patients with documented cancer of various organs and cell types. NcAMP levels were elevated in 17 (28%) and decreased in 13 (21%) of the cancer patients. Both high and low NcAMP levels were seen within the various cancer groups. There was a significant correlation (r = 0.383, P < 0.01) between NcAMP and serum parathyroid hormone (PTH) levels, suggesting that tumor-related factors affecting NcAMP. may be partially related to native PTH. Alternatively, these factors might be altering the effect of endogenous PTH on renal tubules. A significant negative correlation was also observed between NcAMP and tubular maximum for phosphate (r = -0.356, P < 0.02) suggesting that either cAMP per se or factors affecting NcAMP alter phosphate excretion. Follow up serum calcium data was available on 48 of the 61 patients. Subsequent hypercalcemia developed independent of the initial nephrogenous cAMP levels. It therefore appears that NcAMP elevation and development of hypercalcemia are two separate paraneoplastic phenomena.
doi_str_mv 10.1055/s-2007-1014743
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Alternatively, these factors might be altering the effect of endogenous PTH on renal tubules. A significant negative correlation was also observed between NcAMP and tubular maximum for phosphate (r = -0.356, P &lt; 0.02) suggesting that either cAMP per se or factors affecting NcAMP alter phosphate excretion. Follow up serum calcium data was available on 48 of the 61 patients. Subsequent hypercalcemia developed independent of the initial nephrogenous cAMP levels. 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subjects Adult
Aged
Biological and medical sciences
Calcium - blood
Cyclic AMP - metabolism
Female
General aspects
Humans
Kidney - metabolism
Male
Medical sciences
Middle Aged
Neoplasms - metabolism
Parathyroid Hormone - blood
Phosphates - metabolism
Tumors
title Nephrogenous Cyclic Adenosine Monophosphate Levels in Normocalcemic Cancer Patients: Its Significance
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