| Literature DB >> 30606407 |
David E Leaf1, Marta Christov2.
Abstract
Dysregulated mineral metabolism is a nearly universal sequalae of acute kidney injury (AKI). Abnormalities in circulating mineral metabolites observed in patients with AKI include hypocalcemia, hyperparathyroidism, hyperphosphatemia, decreased vitamin D metabolite levels, and increased fibroblast growth factor 23 levels. We review the pathophysiology of dysregulated mineral metabolism in AKI with a focus on calcium, phosphate, parathyroid hormone, and vitamin D metabolites. We discuss how mineral metabolite levels can serve as novel prognostic markers for incident AKI and other related outcomes in various clinical settings. Finally, we discuss how vitamin D metabolites potentially could be used as novel therapeutic agents for AKI prevention and treatment.Entities:
Keywords: AKI; FGF23; PTH; acute kidney injury; calcium; mineral metabolism; phosphate; vitamin D
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Year: 2019 PMID: 30606407 DOI: 10.1016/j.semnephrol.2018.10.004
Source DB: PubMed Journal: Semin Nephrol ISSN: 0270-9295 Impact factor: 5.299