慢性肾脏疾病-矿物质和骨骼疾病(CKD-MBD),从实验室到床边

K. Nitta, N. Hanafusa, K. Akiyama, Yuki Kawaguchi, Ken Tsuchiya
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引用次数: 1

摘要

慢性肾脏-矿物质和骨骼疾病(CKD-MBD)是一种全身性疾病,增加了透析患者发病率和死亡率的风险。CKD-MBD在透析患者中非常普遍,适当的治疗对于改善其预后非常重要。无机磷酸盐、成纤维细胞生长因子23、甲状旁腺激素和钙蛋白颗粒是CKD-MBD的关键成分和效应物的标志物,这些标志物的高循环水平与心血管疾病有关。在这篇简短的综述中,我们将重点介绍CKD患者,特别是透析治疗的CKD- mbd的发病机制和管理,并讨论改善CKD患者(包括透析治疗的CKD患者)管理的前景。
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Chronic Kidney Disease—Mineral and Bone Disorder (CKD-MBD), from Bench to Bedside
Chronic kidney disease—mineral and bone disorder (CKD-MBD) is a systemic disorder that increases the risk of morbidity and mortality in dialysis patients. CKD-MBD is highly prevalent in dialysis patients, and appropriate treatment is important for improving their outcomes. Inorganic phosphate, fibroblast growth factor 23, parathyroid hormone, and calciprotein particles are markers for critical components and effectors of CKD-MBD, and higher circulating levels of these markers are linked to cardiovascular diseases. In this short review, we focus on the pathogenesis and management of CKD-MBD in CKD patients, especially those on dialysis therapy, and discuss the prospects for improving the management in CKD patients, including those on dialysis.
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