Effects of Sucroferric Oxyhydroxide Compared to Lanthanum Carbonate and Sevelamer Carbonate on Phosphate Homeostasis and Vascular Calcifications in a Rat Model of Chronic Kidney Failure
Elevated serum phosphorus, calcium, and fibroblast growth factor 23 (FGF23) levels are associated with cardiovascular disease in chronic renal disease. This study evaluated the effects of sucroferric oxyhydroxide (PA21), a new iron-based phosphate binder, versus lanthanum carbonate (La) and sevelame...
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description | Elevated serum phosphorus, calcium, and fibroblast growth factor 23 (FGF23) levels are associated with cardiovascular disease in chronic renal disease. This study evaluated the effects of sucroferric oxyhydroxide (PA21), a new iron-based phosphate binder, versus lanthanum carbonate (La) and sevelamer carbonate (Se), on serum FGF23, phosphorus, calcium, and intact parathyroid hormone (iPTH) concentrations, and the development of vascular calcification in adenine-induced chronic renal failure (CRF) rats. After induction of CRF, renal function was significantly impaired in all groups: uremic rats developed severe hyperphosphatemia, and serum iPTH increased significantly. All uremic rats (except controls) then received phosphate binders for 4 weeks. Hyperphosphatemia and increased serum iPTH were controlled to a similar extent in all phosphate binder-treatment groups. Only sucroferric oxyhydroxide was associated with significantly decreased FGF23. Vascular calcifications of the thoracic aorta were decreased by all three phosphate binders. Calcifications were better prevented at the superior part of the thoracic and abdominal aorta in the PA21 treated rats. In adenine-induced CRF rats, sucroferric oxyhydroxide was as effective as La and Se in controlling hyperphosphatemia, secondary hyperparathyroidism, and vascular calcifications. The role of FGF23 in calcification remains to be confirmed. |
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This study evaluated the effects of sucroferric oxyhydroxide (PA21), a new iron-based phosphate binder, versus lanthanum carbonate (La) and sevelamer carbonate (Se), on serum FGF23, phosphorus, calcium, and intact parathyroid hormone (iPTH) concentrations, and the development of vascular calcification in adenine-induced chronic renal failure (CRF) rats. After induction of CRF, renal function was significantly impaired in all groups: uremic rats developed severe hyperphosphatemia, and serum iPTH increased significantly. All uremic rats (except controls) then received phosphate binders for 4 weeks. Hyperphosphatemia and increased serum iPTH were controlled to a similar extent in all phosphate binder-treatment groups. Only sucroferric oxyhydroxide was associated with significantly decreased FGF23. Vascular calcifications of the thoracic aorta were decreased by all three phosphate binders. Calcifications were better prevented at the superior part of the thoracic and abdominal aorta in the PA21 treated rats. In adenine-induced CRF rats, sucroferric oxyhydroxide was as effective as La and Se in controlling hyperphosphatemia, secondary hyperparathyroidism, and vascular calcifications. The role of FGF23 in calcification remains to be confirmed.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2015/515606</identifier><identifier>PMID: 26221597</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Animals ; Body Weight - drug effects ; Calcification ; Carbonates ; Chronic kidney failure ; Colleges & universities ; Comparative analysis ; Coronary vessels ; Disease Models, Animal ; Drug Combinations ; Ferric Compounds - pharmacology ; Ferric Compounds - therapeutic use ; Fibroblast Growth Factors - blood ; Health aspects ; Homeostasis ; Homeostasis - drug effects ; Hydroxides ; Investigations ; Kidney diseases ; Kidney Failure, Chronic - blood ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - drug therapy ; Kidney Failure, Chronic - urine ; Lanthanum - pharmacology ; Lanthanum - therapeutic use ; Male ; Metabolism ; Mortality ; Nephrology ; Phosphatase ; Phosphates ; Phosphates - metabolism ; Physiological aspects ; Rats, Wistar ; Rodents ; Sevelamer - pharmacology ; Sevelamer - therapeutic use ; Sucrose - pharmacology ; Sucrose - therapeutic use ; Urine ; Vascular Calcification - blood ; Vascular Calcification - complications ; Vascular Calcification - drug therapy ; Vascular Calcification - urine</subject><ispartof>BioMed research international, 2015-01, Vol.2015 (2015), p.1-9</ispartof><rights>Copyright © 2015 Olivier Phan et al.</rights><rights>COPYRIGHT 2015 John Wiley & Sons, Inc.</rights><rights>Copyright © 2015 Olivier Phan et al. Olivier Phan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2015 Olivier Phan et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c594t-7683402c127f9f027d0f3e1f5bda912643f033f5b4d6ec7b647e07f4656b33293</citedby><cites>FETCH-LOGICAL-c594t-7683402c127f9f027d0f3e1f5bda912643f033f5b4d6ec7b647e07f4656b33293</cites><orcidid>0000-0003-0794-1105</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499607/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499607/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26221597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Paraskevas, Kosmas</contributor><creatorcontrib>Funk, Felix</creatorcontrib><creatorcontrib>Stehle, Jean-Christophe</creatorcontrib><creatorcontrib>Malluche, Hartmut H.</creatorcontrib><creatorcontrib>Maillard, Marc</creatorcontrib><creatorcontrib>Phan, Olivier</creatorcontrib><creatorcontrib>Burnier, Michel</creatorcontrib><title>Effects of Sucroferric Oxyhydroxide Compared to Lanthanum Carbonate and Sevelamer Carbonate on Phosphate Homeostasis and Vascular Calcifications in a Rat Model of Chronic Kidney Failure</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Elevated serum phosphorus, calcium, and fibroblast growth factor 23 (FGF23) levels are associated with cardiovascular disease in chronic renal disease. This study evaluated the effects of sucroferric oxyhydroxide (PA21), a new iron-based phosphate binder, versus lanthanum carbonate (La) and sevelamer carbonate (Se), on serum FGF23, phosphorus, calcium, and intact parathyroid hormone (iPTH) concentrations, and the development of vascular calcification in adenine-induced chronic renal failure (CRF) rats. After induction of CRF, renal function was significantly impaired in all groups: uremic rats developed severe hyperphosphatemia, and serum iPTH increased significantly. All uremic rats (except controls) then received phosphate binders for 4 weeks. Hyperphosphatemia and increased serum iPTH were controlled to a similar extent in all phosphate binder-treatment groups. Only sucroferric oxyhydroxide was associated with significantly decreased FGF23. Vascular calcifications of the thoracic aorta were decreased by all three phosphate binders. 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The role of FGF23 in calcification remains to be confirmed.</description><subject>Animals</subject><subject>Body Weight - drug effects</subject><subject>Calcification</subject><subject>Carbonates</subject><subject>Chronic kidney failure</subject><subject>Colleges & universities</subject><subject>Comparative analysis</subject><subject>Coronary vessels</subject><subject>Disease Models, Animal</subject><subject>Drug Combinations</subject><subject>Ferric Compounds - pharmacology</subject><subject>Ferric Compounds - therapeutic use</subject><subject>Fibroblast Growth Factors - blood</subject><subject>Health aspects</subject><subject>Homeostasis</subject><subject>Homeostasis - drug effects</subject><subject>Hydroxides</subject><subject>Investigations</subject><subject>Kidney diseases</subject><subject>Kidney Failure, Chronic - blood</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - drug therapy</subject><subject>Kidney Failure, Chronic - urine</subject><subject>Lanthanum - 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This study evaluated the effects of sucroferric oxyhydroxide (PA21), a new iron-based phosphate binder, versus lanthanum carbonate (La) and sevelamer carbonate (Se), on serum FGF23, phosphorus, calcium, and intact parathyroid hormone (iPTH) concentrations, and the development of vascular calcification in adenine-induced chronic renal failure (CRF) rats. After induction of CRF, renal function was significantly impaired in all groups: uremic rats developed severe hyperphosphatemia, and serum iPTH increased significantly. All uremic rats (except controls) then received phosphate binders for 4 weeks. Hyperphosphatemia and increased serum iPTH were controlled to a similar extent in all phosphate binder-treatment groups. Only sucroferric oxyhydroxide was associated with significantly decreased FGF23. Vascular calcifications of the thoracic aorta were decreased by all three phosphate binders. Calcifications were better prevented at the superior part of the thoracic and abdominal aorta in the PA21 treated rats. In adenine-induced CRF rats, sucroferric oxyhydroxide was as effective as La and Se in controlling hyperphosphatemia, secondary hyperparathyroidism, and vascular calcifications. The role of FGF23 in calcification remains to be confirmed.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26221597</pmid><doi>10.1155/2015/515606</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0794-1105</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Animals Body Weight - drug effects Calcification Carbonates Chronic kidney failure Colleges & universities Comparative analysis Coronary vessels Disease Models, Animal Drug Combinations Ferric Compounds - pharmacology Ferric Compounds - therapeutic use Fibroblast Growth Factors - blood Health aspects Homeostasis Homeostasis - drug effects Hydroxides Investigations Kidney diseases Kidney Failure, Chronic - blood Kidney Failure, Chronic - complications Kidney Failure, Chronic - drug therapy Kidney Failure, Chronic - urine Lanthanum - pharmacology Lanthanum - therapeutic use Male Metabolism Mortality Nephrology Phosphatase Phosphates Phosphates - metabolism Physiological aspects Rats, Wistar Rodents Sevelamer - pharmacology Sevelamer - therapeutic use Sucrose - pharmacology Sucrose - therapeutic use Urine Vascular Calcification - blood Vascular Calcification - complications Vascular Calcification - drug therapy Vascular Calcification - urine |
title | Effects of Sucroferric Oxyhydroxide Compared to Lanthanum Carbonate and Sevelamer Carbonate on Phosphate Homeostasis and Vascular Calcifications in a Rat Model of Chronic Kidney Failure |
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