Skip to main content
Erschienen in: Calcified Tissue International 4/2021

15.11.2020 | Review

Chronic Kidney Disease—Mineral and Bone Disorders: Pathogenesis and Management

verfasst von: Jorge B. Cannata-Andía, Beatriz Martín-Carro, Julia Martín-Vírgala, Javier Rodríguez-Carrio, José Joaquín Bande-Fernández, Cristina Alonso-Montes, Natalia Carrillo-López

Erschienen in: Calcified Tissue International | Ausgabe 4/2021

Einloggen, um Zugang zu erhalten

Abstract

The key players of the chronic kidney disease-mineral and bone disorders (CKD-MBD) are calcium, phosphate, PTH, FGF23, and the vitamin D hormonal system. The progressive reduction of kidney function greatly modifies the tightly interrelated mechanisms that control these parameters. As a result, important changes occur in the bone and mineral hormonal axis, leading to changes in bone turnover with relevant consequences in clinical outcomes, such as decrease in bone mass with increased bone fragility and bone fractures and increased vascular and valvular calcification, also with great impact in the cardiovascular outcomes. So far, the knowledge of the mineral and bone disorders in CKD and the increased variety of efficacious therapies should lead to a better prevention and management of CKD-MBD.
Literatur
1.
Zurück zum Zitat Cannata-Andia J, Rodriguez-Garcia M (2015) Metabolismo Calcio-Fósforo y sus alteraciones. In: Avendaño H (ed) Nefrología Clínica, L. Editorial médicaPanamericana, Madrid, pp 147–160 Cannata-Andia J, Rodriguez-Garcia M (2015) Metabolismo Calcio-Fósforo y sus alteraciones. In: Avendaño H (ed) Nefrología Clínica, L. Editorial médicaPanamericana, Madrid, pp 147–160
2.
Zurück zum Zitat Jüppner H, Kronenberg HM (2003) Parathyroid hormone. In: Favus MJ (ed) Primer on metabolic bone diseases and disorders of mineral metabolism. American Society for Bone and Mineral Research, Washington, pp 117–124 Jüppner H, Kronenberg HM (2003) Parathyroid hormone. In: Favus MJ (ed) Primer on metabolic bone diseases and disorders of mineral metabolism. American Society for Bone and Mineral Research, Washington, pp 117–124
3.
Zurück zum Zitat Goodman WG et al (2003) Renal osteodystrophy in adults and children. In: Favus MJ (ed) Primer on the metabolic bone diseases and disorders of mineral metabolism. American Society for Bone and Mineral Research, Washington, pp 430–447 Goodman WG et al (2003) Renal osteodystrophy in adults and children. In: Favus MJ (ed) Primer on the metabolic bone diseases and disorders of mineral metabolism. American Society for Bone and Mineral Research, Washington, pp 430–447
4.
Zurück zum Zitat Favus MJ, Goltzman D (2013) Regulation of calcium and magnesium. In: Rosen CJ (ed) Primer on the metabolic bone diseases and disorders of mineral metabolism. Wiley-Blackwell, Hoboken, pp 171–179 Favus MJ, Goltzman D (2013) Regulation of calcium and magnesium. In: Rosen CJ (ed) Primer on the metabolic bone diseases and disorders of mineral metabolism. Wiley-Blackwell, Hoboken, pp 171–179
5.
Zurück zum Zitat Vorland CJ et al (2017) Effects of excessive dietary phosphorus intake on bone health. Curr Osteoporos Rep 15(5):473–482PubMedPubMedCentral Vorland CJ et al (2017) Effects of excessive dietary phosphorus intake on bone health. Curr Osteoporos Rep 15(5):473–482PubMedPubMedCentral
6.
Zurück zum Zitat Cannata Andia J et al (2014) Mineral and bone disorders in chronic kidney disease. In: Arici M (ed) Management of chronic kidney disease. Springer, Berlin, pp 223–239 Cannata Andia J et al (2014) Mineral and bone disorders in chronic kidney disease. In: Arici M (ed) Management of chronic kidney disease. Springer, Berlin, pp 223–239
7.
Zurück zum Zitat Moe S et al (2006) Definition, evaluation, and classification of renal osteodystrophy: a position statement from kidney disease: improving global outcomes (KDIGO). Kidney Int 69(11):1945–1953PubMed Moe S et al (2006) Definition, evaluation, and classification of renal osteodystrophy: a position statement from kidney disease: improving global outcomes (KDIGO). Kidney Int 69(11):1945–1953PubMed
8.
Zurück zum Zitat Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Work Group (2009) KDIGO clinical practice guideline for the diagnosis evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Kidney Int Suppl 113:S1-130 Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Work Group (2009) KDIGO clinical practice guideline for the diagnosis evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Kidney Int Suppl 113:S1-130
9.
Zurück zum Zitat Spasovski GB (2004) Bone biopsy as a diagnostic tool in the assessment of renal osteodystrophy. Int J Artif Organs 27(11):918–923PubMed Spasovski GB (2004) Bone biopsy as a diagnostic tool in the assessment of renal osteodystrophy. Int J Artif Organs 27(11):918–923PubMed
10.
Zurück zum Zitat Olgaard K, Salusky I, Silver J (2010) The spectrum of mineral and bone disorders in chronic kidney disease. Oxford University Press, Oxford Olgaard K, Salusky I, Silver J (2010) The spectrum of mineral and bone disorders in chronic kidney disease. Oxford University Press, Oxford
11.
Zurück zum Zitat Evenepoel P, Bover J, Ureña Torres P (2016) Parathyroid hormone metabolism and signaling in health and chronic kidney disease. Kidney Int 90(6):1184–1190PubMed Evenepoel P, Bover J, Ureña Torres P (2016) Parathyroid hormone metabolism and signaling in health and chronic kidney disease. Kidney Int 90(6):1184–1190PubMed
12.
Zurück zum Zitat Silver J (2000) Molecular mechanisms of secondary hyperparathyroidism. Nephrol Dial Transpl 15(Suppl 5):2–7 Silver J (2000) Molecular mechanisms of secondary hyperparathyroidism. Nephrol Dial Transpl 15(Suppl 5):2–7
13.
Zurück zum Zitat Centeno PP et al (2019) Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. Nat Commun 10(1):4693PubMedPubMedCentral Centeno PP et al (2019) Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. Nat Commun 10(1):4693PubMedPubMedCentral
14.
Zurück zum Zitat Tominaga Y et al (1997) Histopathology, pathophysiology, and indications for surgical treatment of renal hyperparathyroidism. Semin Surg Oncol 13(2):78–86PubMed Tominaga Y et al (1997) Histopathology, pathophysiology, and indications for surgical treatment of renal hyperparathyroidism. Semin Surg Oncol 13(2):78–86PubMed
15.
Zurück zum Zitat Lorenzo V et al (1986) Prevalencia de las distintas formas histológicas de osteodistrofia renal, con especial referencia a la osteomalacia. Nefrología 6(2):25–33 Lorenzo V et al (1986) Prevalencia de las distintas formas histológicas de osteodistrofia renal, con especial referencia a la osteomalacia. Nefrología 6(2):25–33
16.
Zurück zum Zitat Moriniere P et al (1989) Disappearance of aluminic bone disease in a long term asymptomatic dialysis population restricting A1(OH)3 intake: emergence of an idiopathic adynamic bone disease not related to aluminum. Nephron 53(2):93–101PubMed Moriniere P et al (1989) Disappearance of aluminic bone disease in a long term asymptomatic dialysis population restricting A1(OH)3 intake: emergence of an idiopathic adynamic bone disease not related to aluminum. Nephron 53(2):93–101PubMed
17.
Zurück zum Zitat Sherrard DJ et al (1993) The spectrum of bone disease in end-stage renal failure–an evolving disorder. Kidney Int 43(2):436–442PubMed Sherrard DJ et al (1993) The spectrum of bone disease in end-stage renal failure–an evolving disorder. Kidney Int 43(2):436–442PubMed
18.
Zurück zum Zitat Hercz G et al (1993) Aplastic osteodystrophy without aluminum: the role of “suppressed” parathyroid function. Kidney Int 44(4):860–866PubMed Hercz G et al (1993) Aplastic osteodystrophy without aluminum: the role of “suppressed” parathyroid function. Kidney Int 44(4):860–866PubMed
19.
Zurück zum Zitat Torres A et al (1995) Bone disease in predialysis, hemodialysis, and CAPD patients: evidence of a better bone response to PTH. Kidney Int 47(5):1434–1442PubMed Torres A et al (1995) Bone disease in predialysis, hemodialysis, and CAPD patients: evidence of a better bone response to PTH. Kidney Int 47(5):1434–1442PubMed
20.
Zurück zum Zitat Ferreira A et al (2008) Effects of sevelamer hydrochloride and calcium carbonate on renal osteodystrophy in hemodialysis patients. J Am Soc Nephrol 19(2):405–412PubMedPubMedCentral Ferreira A et al (2008) Effects of sevelamer hydrochloride and calcium carbonate on renal osteodystrophy in hemodialysis patients. J Am Soc Nephrol 19(2):405–412PubMedPubMedCentral
21.
Zurück zum Zitat Levin A et al (2007) Prevalence of abnormal serum vitamin D, PTH, calcium, and phosphorus in patients with chronic kidney disease: results of the study to evaluate early kidney disease. Kidney Int 71(1):31–38PubMed Levin A et al (2007) Prevalence of abnormal serum vitamin D, PTH, calcium, and phosphorus in patients with chronic kidney disease: results of the study to evaluate early kidney disease. Kidney Int 71(1):31–38PubMed
22.
Zurück zum Zitat Ketteler M et al (2017) Executive summary of the 2017 KDIGO chronic kidney disease-mineral and bone disorder (CKD-MBD) guideline update: what’s changed and why it matters. Kidney Int 92(1):26–36PubMed Ketteler M et al (2017) Executive summary of the 2017 KDIGO chronic kidney disease-mineral and bone disorder (CKD-MBD) guideline update: what’s changed and why it matters. Kidney Int 92(1):26–36PubMed
23.
Zurück zum Zitat Kidney Disease Outcome Quality Initiative (2002) K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis 39(2 Suppl 1):S1-266 Kidney Disease Outcome Quality Initiative (2002) K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis 39(2 Suppl 1):S1-266
24.
Zurück zum Zitat Fernandez-Martin JL et al (2015) Improvement of mineral and bone metabolism markers is associated with better survival in haemodialysis patients: the COSMOS study. Nephrol Dial Transpl 30(9):1542–1551 Fernandez-Martin JL et al (2015) Improvement of mineral and bone metabolism markers is associated with better survival in haemodialysis patients: the COSMOS study. Nephrol Dial Transpl 30(9):1542–1551
25.
Zurück zum Zitat Fernandez-Martin JL et al (2019) Serum phosphate optimal timing and range associated with patients survival in haemodialysis: the COSMOS study. Nephrol Dial Transpl 34(4):673–681 Fernandez-Martin JL et al (2019) Serum phosphate optimal timing and range associated with patients survival in haemodialysis: the COSMOS study. Nephrol Dial Transpl 34(4):673–681
26.
Zurück zum Zitat Tentori F et al (2008) Mortality risk for dialysis patients with different levels of serum calcium, phosphorus, and PTH: the Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis 52(3):519–530PubMed Tentori F et al (2008) Mortality risk for dialysis patients with different levels of serum calcium, phosphorus, and PTH: the Dialysis Outcomes and Practice Patterns Study (DOPPS). Am J Kidney Dis 52(3):519–530PubMed
27.
Zurück zum Zitat Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group (2017) Clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Kidney Int Suppl 7(1):1–59 Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group (2017) Clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD). Kidney Int Suppl 7(1):1–59
28.
Zurück zum Zitat Bover J et al (2021) The non-invasive diagnosis of bone disorders in CKD. Calcif Tissue Int. (in press) Bover J et al (2021) The non-invasive diagnosis of bone disorders in CKD. Calcif Tissue Int. (in press)
29.
Zurück zum Zitat Pimentel A et al (2021) Bone fragility fractures in CKD patients. Calcif Tissue Int. (in press) Pimentel A et al (2021) Bone fragility fractures in CKD patients. Calcif Tissue Int. (in press)
30.
Zurück zum Zitat Bucur RC et al (2015) Low bone mineral density and fractures in stages 3–5 CKD: an updated systematic review and meta-analysis. Osteoporos Int 26(2):449–458PubMed Bucur RC et al (2015) Low bone mineral density and fractures in stages 3–5 CKD: an updated systematic review and meta-analysis. Osteoporos Int 26(2):449–458PubMed
31.
Zurück zum Zitat Silva BC, Bilezikian JP (2015) Parathyroid hormone: anabolic and catabolic actions on the skeleton. Curr Opin Pharmacol 22:41–50PubMedPubMedCentral Silva BC, Bilezikian JP (2015) Parathyroid hormone: anabolic and catabolic actions on the skeleton. Curr Opin Pharmacol 22:41–50PubMedPubMedCentral
32.
Zurück zum Zitat Sprague SM et al (2016) Diagnostic accuracy of bone turnover markers and bone histology in patients with CKD treated by dialysis. Am J Kidney Dis 67(4):559–566PubMed Sprague SM et al (2016) Diagnostic accuracy of bone turnover markers and bone histology in patients with CKD treated by dialysis. Am J Kidney Dis 67(4):559–566PubMed
34.
Zurück zum Zitat Cannata-Andia JB et al (2013) Use of phosphate-binding agents is associated with a lower risk of mortality. Kidney Int 84:998–1008PubMed Cannata-Andia JB et al (2013) Use of phosphate-binding agents is associated with a lower risk of mortality. Kidney Int 84:998–1008PubMed
35.
Zurück zum Zitat Mendez-Chacon P et al (2018) Influencia de la sobrecarga de calcio sobre el metabolismo óseo y mineral en 55 centros de hemodiálisis de Lima. Nefrologia 38(3):279–285PubMed Mendez-Chacon P et al (2018) Influencia de la sobrecarga de calcio sobre el metabolismo óseo y mineral en 55 centros de hemodiálisis de Lima. Nefrologia 38(3):279–285PubMed
36.
Zurück zum Zitat Alvarez-Hernandez D et al (2005) Long-term response of cultured rat parathyroid glands to calcium and calcitriol: the effect of cryopreservation. J Nephrol 18(2):141–147PubMed Alvarez-Hernandez D et al (2005) Long-term response of cultured rat parathyroid glands to calcium and calcitriol: the effect of cryopreservation. J Nephrol 18(2):141–147PubMed
37.
Zurück zum Zitat Torregrosa JV et al (2011) Spanish Society of Nephrology recommendations for controlling mineral and bone disorder in chronic kidney disease patients (S.E.N.–M.B.D.). Nefrologia 31(Suppl 1):3–32PubMed Torregrosa JV et al (2011) Spanish Society of Nephrology recommendations for controlling mineral and bone disorder in chronic kidney disease patients (S.E.N.–M.B.D.). Nefrologia 31(Suppl 1):3–32PubMed
38.
Zurück zum Zitat Floege J et al (2011) Serum iPTH, calcium and phosphate, and the risk of mortality in a European haemodialysis population. Nephrol Dial Transpl 26(6):1948–1955 Floege J et al (2011) Serum iPTH, calcium and phosphate, and the risk of mortality in a European haemodialysis population. Nephrol Dial Transpl 26(6):1948–1955
39.
Zurück zum Zitat Naves-Diaz M et al (2011) Calcium, phosphorus, PTH and death rates in a large sample of dialysis patients from Latin America. The CORES Study. Nephrol Dial Transpl 26(6):1938–1947 Naves-Diaz M et al (2011) Calcium, phosphorus, PTH and death rates in a large sample of dialysis patients from Latin America. The CORES Study. Nephrol Dial Transpl 26(6):1938–1947
40.
Zurück zum Zitat Carrillo-Lopez N et al (2008) Simultaneous changes in the calcium-sensing receptor and the vitamin D receptor under the influence of calcium and calcitriol. Nephrol Dial Transpl 23(11):3479–3484 Carrillo-Lopez N et al (2008) Simultaneous changes in the calcium-sensing receptor and the vitamin D receptor under the influence of calcium and calcitriol. Nephrol Dial Transpl 23(11):3479–3484
41.
Zurück zum Zitat Fernandez-Martin JL et al (2013) COSMOS: the dialysis scenario of CKD-MBD in Europe. Nephrol Dial Transpl 28(7):1922–1935 Fernandez-Martin JL et al (2013) COSMOS: the dialysis scenario of CKD-MBD in Europe. Nephrol Dial Transpl 28(7):1922–1935
42.
Zurück zum Zitat Rodriguez Garcia M, Naves Diaz M, Cannata Andia JB (2005) Bone metabolism, vascular calcifications and mortality: associations beyond mere coincidence. J Nephrol 18(4):458–463PubMed Rodriguez Garcia M, Naves Diaz M, Cannata Andia JB (2005) Bone metabolism, vascular calcifications and mortality: associations beyond mere coincidence. J Nephrol 18(4):458–463PubMed
43.
Zurück zum Zitat Roman-Garcia P et al (2011) Vascular calcification in patients with chronic kidney disease: types, clinical impact and pathogenesis. Med Princ Pract 20(3):203–212PubMed Roman-Garcia P et al (2011) Vascular calcification in patients with chronic kidney disease: types, clinical impact and pathogenesis. Med Princ Pract 20(3):203–212PubMed
44.
Zurück zum Zitat Lomashvili K, Garg P, O’Neill WC (2006) Chemical and hormonal determinants of vascular calcification in vitro. Kidney Int 69(8):1464–1470PubMed Lomashvili K, Garg P, O’Neill WC (2006) Chemical and hormonal determinants of vascular calcification in vitro. Kidney Int 69(8):1464–1470PubMed
45.
Zurück zum Zitat O’Neill WC, Lomashvili KA (2010) Recent progress in the treatment of vascular calcification. Kidney Int 78(12):1232–1239PubMedPubMedCentral O’Neill WC, Lomashvili KA (2010) Recent progress in the treatment of vascular calcification. Kidney Int 78(12):1232–1239PubMedPubMedCentral
46.
Zurück zum Zitat Montezano AC et al (2010) Vascular smooth muscle cell differentiation to an osteogenic phenotype involves TRPM7 modulation by magnesium. Hypertension 56(3):453–462PubMed Montezano AC et al (2010) Vascular smooth muscle cell differentiation to an osteogenic phenotype involves TRPM7 modulation by magnesium. Hypertension 56(3):453–462PubMed
47.
Zurück zum Zitat Mune S et al (2009) Mechanism of phosphate-induced calcification in rat aortic tissue culture: possible involvement of Pit-1 and apoptosis. Clin Exp Nephrol 13(6):571–577PubMed Mune S et al (2009) Mechanism of phosphate-induced calcification in rat aortic tissue culture: possible involvement of Pit-1 and apoptosis. Clin Exp Nephrol 13(6):571–577PubMed
48.
49.
Zurück zum Zitat O’Neill WC et al (2011) Treatment with pyrophosphate inhibits uremic vascular calcification. Kidney Int 79(5):512–517PubMed O’Neill WC et al (2011) Treatment with pyrophosphate inhibits uremic vascular calcification. Kidney Int 79(5):512–517PubMed
50.
Zurück zum Zitat Villa-Bellosta R (2020) New insights into endogenous mechanisms of protection against arterial calcification. Atherosclerosis 306:68–74PubMed Villa-Bellosta R (2020) New insights into endogenous mechanisms of protection against arterial calcification. Atherosclerosis 306:68–74PubMed
51.
Zurück zum Zitat Cannata-Andia JB, Roman-Garcia P, Hruska K (2011) The connections between vascular calcification and bone health. Nephrol Dial Transpl 26(11):3429–3436 Cannata-Andia JB, Roman-Garcia P, Hruska K (2011) The connections between vascular calcification and bone health. Nephrol Dial Transpl 26(11):3429–3436
52.
Zurück zum Zitat Rodriguez-Garcia M et al (2009) Vascular calcifications, vertebral fractures and mortality in haemodialysis patients. Nephrol Dial Transpl 24(1):239–246 Rodriguez-Garcia M et al (2009) Vascular calcifications, vertebral fractures and mortality in haemodialysis patients. Nephrol Dial Transpl 24(1):239–246
53.
Zurück zum Zitat Asci G et al (2011) The link between bone and coronary calcifications in CKD-5 patients on haemodialysis. Nephrol Dial Transpl 26(3):1010–1015 Asci G et al (2011) The link between bone and coronary calcifications in CKD-5 patients on haemodialysis. Nephrol Dial Transpl 26(3):1010–1015
54.
Zurück zum Zitat Carrillo-Lopez N et al (2016) Direct inhibition of osteoblastic Wnt pathway by fibroblast growth factor 23 contributes to bone loss in chronic kidney disease. Kidney Int 90(1):77–89PubMed Carrillo-Lopez N et al (2016) Direct inhibition of osteoblastic Wnt pathway by fibroblast growth factor 23 contributes to bone loss in chronic kidney disease. Kidney Int 90(1):77–89PubMed
55.
Zurück zum Zitat Carrillo-Lopez N et al (2021) Role of the RANK/RANKL/OPG and Wnt/ß-catenin systems in CKD Bone and cardiovascular disorders. Calcif Tissue Int. (in press) Carrillo-Lopez N et al (2021) Role of the RANK/RANKL/OPG and Wnt/ß-catenin systems in CKD Bone and cardiovascular disorders. Calcif Tissue Int. (in press)
56.
Zurück zum Zitat Luo J et al (2016) LGR4 is a receptor for RANKL and negatively regulates osteoclast differentiation and bone resorption. Nat Med 22(5):539–546PubMed Luo J et al (2016) LGR4 is a receptor for RANKL and negatively regulates osteoclast differentiation and bone resorption. Nat Med 22(5):539–546PubMed
57.
Zurück zum Zitat London GM et al (2003a) Inflammation, arteriosclerosis, and cardiovascular therapy in hemodialysis patients. Kidney Int Suppl 84:S88-93 London GM et al (2003a) Inflammation, arteriosclerosis, and cardiovascular therapy in hemodialysis patients. Kidney Int Suppl 84:S88-93
58.
Zurück zum Zitat London GM et al (2003b) Arterial media calcification in end-stage renal disease: impact on all-cause and cardiovascular mortality. Nephrol Dial Transpl 18(9):1731–1740 London GM et al (2003b) Arterial media calcification in end-stage renal disease: impact on all-cause and cardiovascular mortality. Nephrol Dial Transpl 18(9):1731–1740
59.
Zurück zum Zitat Raggi P (2018) Atherosclerosis imaging to refine cardiovascular risk assessment in diabetic patients: computed tomography and positron emission tomography applications. Atherosclerosis 271:77–83PubMed Raggi P (2018) Atherosclerosis imaging to refine cardiovascular risk assessment in diabetic patients: computed tomography and positron emission tomography applications. Atherosclerosis 271:77–83PubMed
60.
Zurück zum Zitat Raggi P, Achenbach S (2010) Computed tomography for atherosclerosis and coronary artery disease imaging. Discov Med 9(45):98–104PubMed Raggi P, Achenbach S (2010) Computed tomography for atherosclerosis and coronary artery disease imaging. Discov Med 9(45):98–104PubMed
61.
Zurück zum Zitat Bellasi A, Raggi P (2005) Diagnostic and prognostic value of coronary artery calcium screening. Curr Opin Cardiol 20(5):375–380PubMed Bellasi A, Raggi P (2005) Diagnostic and prognostic value of coronary artery calcium screening. Curr Opin Cardiol 20(5):375–380PubMed
62.
Zurück zum Zitat Kauppila LI et al (1997) New indices to classify location, severity and progression of calcific lesions in the abdominal aorta: a 25-year follow-up study. Atherosclerosis 132(2):245–250PubMed Kauppila LI et al (1997) New indices to classify location, severity and progression of calcific lesions in the abdominal aorta: a 25-year follow-up study. Atherosclerosis 132(2):245–250PubMed
63.
Zurück zum Zitat Adragao T et al (2004) A simple vascular calcification score predicts cardiovascular risk in haemodialysis patients. Nephrol Dial Transpl 19:1480–1488 Adragao T et al (2004) A simple vascular calcification score predicts cardiovascular risk in haemodialysis patients. Nephrol Dial Transpl 19:1480–1488
64.
Zurück zum Zitat Ketteler M, Floege J (2010) Clinical management of vascular and soft tissue calcifications in chronic kidney disease patients. In: Olgaard K, Salusky I, Silver J (eds) The spectrum of mineral and bone disorders in chronic kidney disease. Oxford University Press, Oxford, pp 317–331 Ketteler M, Floege J (2010) Clinical management of vascular and soft tissue calcifications in chronic kidney disease patients. In: Olgaard K, Salusky I, Silver J (eds) The spectrum of mineral and bone disorders in chronic kidney disease. Oxford University Press, Oxford, pp 317–331
65.
Zurück zum Zitat Perelló J et al (2020) Mechanism of action of SNF472, a novel calcification inhibitor to treat vascular calcification and calciphylaxis. Br J Pharmacol 177(19):4400–4415PubMed Perelló J et al (2020) Mechanism of action of SNF472, a novel calcification inhibitor to treat vascular calcification and calciphylaxis. Br J Pharmacol 177(19):4400–4415PubMed
66.
Zurück zum Zitat Raggi P et al (2020) Slowing progression of cardiovascular calcification with SNF472 in patients on hemodialysis: results of a randomized phase 2b study. Circulation 141(9):728–739PubMed Raggi P et al (2020) Slowing progression of cardiovascular calcification with SNF472 in patients on hemodialysis: results of a randomized phase 2b study. Circulation 141(9):728–739PubMed
67.
Zurück zum Zitat Fusaro M et al (2021) Vitamin K in CKD bone disordes. Calcif Tissue Int. (in press) Fusaro M et al (2021) Vitamin K in CKD bone disordes. Calcif Tissue Int. (in press)
68.
Zurück zum Zitat Nigwekar SU, Thadhani R, Brandenburg VM (2018) Calciphylaxis. N Engl J Med 378(18):1704–1714PubMed Nigwekar SU, Thadhani R, Brandenburg VM (2018) Calciphylaxis. N Engl J Med 378(18):1704–1714PubMed
69.
Zurück zum Zitat Torregrosa JV et al (2012) Successful treatment of calcific uraemic arteriolopathy with bisphosphonates. Nefrologia 32(3):329–334PubMed Torregrosa JV et al (2012) Successful treatment of calcific uraemic arteriolopathy with bisphosphonates. Nefrologia 32(3):329–334PubMed
70.
Zurück zum Zitat Torregrosa JV, Cucchiari D (2018) 50 key questions on Calciphylaxis. In: Permanyer P (ed) Chronic kidney disease, Barcelona Torregrosa JV, Cucchiari D (2018) 50 key questions on Calciphylaxis. In: Permanyer P (ed) Chronic kidney disease, Barcelona
71.
Zurück zum Zitat Ong S, Coulson IH (2012) Diagnosis and treatment of calciphylaxis. Skinmed 10(3):166–170PubMed Ong S, Coulson IH (2012) Diagnosis and treatment of calciphylaxis. Skinmed 10(3):166–170PubMed
72.
Zurück zum Zitat Singh RP, Derendorf H, Ross EA (2011) Simulation-based sodium thiosulfate dosing strategies for the treatment of calciphylaxis. Clin J Am Soc Nephrol 6(5):1155–1159PubMedPubMedCentral Singh RP, Derendorf H, Ross EA (2011) Simulation-based sodium thiosulfate dosing strategies for the treatment of calciphylaxis. Clin J Am Soc Nephrol 6(5):1155–1159PubMedPubMedCentral
73.
Zurück zum Zitat Ariyoshi T et al (2006) Effect of etidronic acid on arterial calcification in dialysis patients. Clin Drug Investig 26(4):215–222PubMed Ariyoshi T et al (2006) Effect of etidronic acid on arterial calcification in dialysis patients. Clin Drug Investig 26(4):215–222PubMed
74.
Zurück zum Zitat Neven EG, De Broe ME, D’Haese PC (2009) Prevention of vascular calcification with bisphosphonates without affecting bone mineralization: a new challenge? Kidney Int 75(6):580–582PubMed Neven EG, De Broe ME, D’Haese PC (2009) Prevention of vascular calcification with bisphosphonates without affecting bone mineralization: a new challenge? Kidney Int 75(6):580–582PubMed
75.
Zurück zum Zitat Persy V, De Broe M, Ketteler M (2006) Bisphosphonates prevent experimental vascular calcification: treat the bone to cure the vessels? Kidney Int 70(9):1537–1538PubMed Persy V, De Broe M, Ketteler M (2006) Bisphosphonates prevent experimental vascular calcification: treat the bone to cure the vessels? Kidney Int 70(9):1537–1538PubMed
76.
Zurück zum Zitat Toussaint ND et al (2010) Effect of alendronate on vascular calcification in CKD stages 3 and 4: a pilot randomized controlled trial. Am J Kidney Dis 56(1):57–68PubMed Toussaint ND et al (2010) Effect of alendronate on vascular calcification in CKD stages 3 and 4: a pilot randomized controlled trial. Am J Kidney Dis 56(1):57–68PubMed
77.
Zurück zum Zitat Cannata-Andia JB, Rodriguez Garcia M, Gomez Alonso C (2013) Osteoporosis and adynamic bone in chronic kidney disease. J Nephrol 26(1):73–80PubMed Cannata-Andia JB, Rodriguez Garcia M, Gomez Alonso C (2013) Osteoporosis and adynamic bone in chronic kidney disease. J Nephrol 26(1):73–80PubMed
78.
Zurück zum Zitat World Health Organ (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organ Tech Rep Ser 843:1–129 World Health Organ (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organ Tech Rep Ser 843:1–129
79.
Zurück zum Zitat Jamal SA et al (2013) Effect of calcium-based versus non-calcium-based phosphate binders on mortality in patients with chronic kidney disease: an updated systematic review and meta-analysis. Lancet 382:1268–1277PubMed Jamal SA et al (2013) Effect of calcium-based versus non-calcium-based phosphate binders on mortality in patients with chronic kidney disease: an updated systematic review and meta-analysis. Lancet 382:1268–1277PubMed
80.
Zurück zum Zitat Bover J et al (2018) Osteoporosis, bone mineral density and CKD-MBD complex (I): diagnostic considerations. Nefrologia 38(5):476–490PubMed Bover J et al (2018) Osteoporosis, bone mineral density and CKD-MBD complex (I): diagnostic considerations. Nefrologia 38(5):476–490PubMed
81.
Zurück zum Zitat Bover J et al (2019) Osteoporosis, bone mineral density and CKD-MBD (II): therapeutic implications. Nefrologia 39(3):227–242PubMed Bover J et al (2019) Osteoporosis, bone mineral density and CKD-MBD (II): therapeutic implications. Nefrologia 39(3):227–242PubMed
82.
Zurück zum Zitat Kazama JJ, Iwasaki Y, Fukagawa M (2013) Uremic osteoporosis. Kidney Int Suppl 3(5):446–450 Kazama JJ, Iwasaki Y, Fukagawa M (2013) Uremic osteoporosis. Kidney Int Suppl 3(5):446–450
84.
Zurück zum Zitat Hernández E et al (2003) Effects of raloxifene on bone metabolism and serum lipids in postmenopausal women on chronic hemodialysis. Kidney Int 63(6):2269–2274PubMed Hernández E et al (2003) Effects of raloxifene on bone metabolism and serum lipids in postmenopausal women on chronic hemodialysis. Kidney Int 63(6):2269–2274PubMed
85.
Zurück zum Zitat Evenepoel P, D’Haese P, Brandenburg V (2015) Sclerostin and DKK1: new players in renal bone and vascular disease. Kidney Int 88(2):235–240PubMed Evenepoel P, D’Haese P, Brandenburg V (2015) Sclerostin and DKK1: new players in renal bone and vascular disease. Kidney Int 88(2):235–240PubMed
86.
Zurück zum Zitat Pereira L, Frazão JM (2020) The bone-vessel axis in chronic kidney disease: an update on biochemical players and its future role in laboratory medicine. Clin Chim Acta 508:221–227PubMed Pereira L, Frazão JM (2020) The bone-vessel axis in chronic kidney disease: an update on biochemical players and its future role in laboratory medicine. Clin Chim Acta 508:221–227PubMed
87.
Metadaten
Titel
Chronic Kidney Disease—Mineral and Bone Disorders: Pathogenesis and Management
verfasst von
Jorge B. Cannata-Andía
Beatriz Martín-Carro
Julia Martín-Vírgala
Javier Rodríguez-Carrio
José Joaquín Bande-Fernández
Cristina Alonso-Montes
Natalia Carrillo-López
Publikationsdatum
15.11.2020
Verlag
Springer US
Erschienen in
Calcified Tissue International / Ausgabe 4/2021
Print ISSN: 0171-967X
Elektronische ISSN: 1432-0827
DOI
https://doi.org/10.1007/s00223-020-00777-1

Weitere Artikel der Ausgabe 4/2021

Calcified Tissue International 4/2021 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhöhte Mortalität bei postpartalem Brustkrebs

07.05.2024 Mammakarzinom Nachrichten

Auch für Trägerinnen von BRCA-Varianten gilt: Erkranken sie fünf bis zehn Jahre nach der letzten Schwangerschaft an Brustkrebs, ist das Sterberisiko besonders hoch.

Hypertherme Chemotherapie bietet Chance auf Blasenerhalt

07.05.2024 Harnblasenkarzinom Nachrichten

Eine hypertherme intravesikale Chemotherapie mit Mitomycin kann für Patienten mit hochriskantem nicht muskelinvasivem Blasenkrebs eine Alternative zur radikalen Zystektomie darstellen. Kölner Urologen berichten über ihre Erfahrungen.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Vorhofflimmern bei Jüngeren gefährlicher als gedacht

06.05.2024 Vorhofflimmern Nachrichten

Immer mehr jüngere Menschen leiden unter Vorhofflimmern. Betroffene unter 65 Jahren haben viele Risikofaktoren und ein signifikant erhöhtes Sterberisiko verglichen mit Gleichaltrigen ohne die Erkrankung.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.