The Different Effects of High Phosphate Levels in Chronic Kidney Disease

نویسندگان

  • Antonio Canalejo
  • Yolanda Almadén
  • Mariano Rodríguez
چکیده

As renal function declines, the accumulation of phosphate adversely affects mineral homeostasis and bone turnover. The consequences of this imbalance include secondary hyperparathyroidism (2oHPT), osteodystrophy, and vascular calcification. High phosphate levels are a key factor in the pathogenesis of 2oHPT. Hyperphosphatemia is common in uraemic patients due to a reduced excretion of phosphate and because routine dialysis cannot remove the absorbed phosphate. Studies in uraemic rats have shown that phosphate loading accelerates development of 2°HPT, whereas dietary phosphate restriction can prevent and even arrest 2°HPT in animal models of renal The different effects of high phosphate levels in chronic kidney disease

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تاریخ انتشار 2005