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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Veröffentlicht in:BioMed research international 2015-01, Vol.2015 (2015), p.1-9
Hauptverfasser: Funk, Felix, Stehle, Jean-Christophe, Malluche, Hartmut H., Maillard, Marc, Phan, Olivier, Burnier, Michel
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container_issue 2015
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creator Funk, Felix
Stehle, Jean-Christophe
Malluche, Hartmut H.
Maillard, Marc
Phan, Olivier
Burnier, Michel
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.
doi_str_mv 10.1155/2015/515606
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source MEDLINE; PubMed Central Open Access; Wiley Online Library Open Access; PubMed Central; Alma/SFX Local Collection
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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