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Phosphate overload accelerates vascular aging in uremic patients

Vascular calcification is a very common event in atients affected by diabetes and chronic kidney disease (CKD). Recently, it has been well documented that abnormalities in mineral and bone metabolism in CKD patients are associated with increased morbidity and mortality. Elevated serum phosphate and...

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Detalles Bibliográficos
Autores principales: COZZOLINO, MARIO, GALLIENI, MAURIZIO, GALASSI, ANDREA, BRAMBILLA, CLAUDIA, BRANCACCIO, DIEGO
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184654/
https://www.ncbi.nlm.nih.gov/pubmed/21977245
http://dx.doi.org/10.4081/hi.2006.6
Descripción
Sumario:Vascular calcification is a very common event in atients affected by diabetes and chronic kidney disease (CKD). Recently, it has been well documented that abnormalities in mineral and bone metabolism in CKD patients are associated with increased morbidity and mortality. Elevated serum phosphate and calcium-phosphate product levels play an important role in the pathogenesis of vascular mineralization in uremic patients and also appear to be associated with increased cardiovascular mortality. Together with classical passive precipitation of calcium-phosphate in soft tissues, during the last decade it has been demonstrated that inorganic phosphate may cause extraskeletal calcification directly through a real “ossification” of the tunica media in the vasculature of CKD patients. Therefore, control of phosphate retention is now an even more crucial target of treatment in patients affected by chronic kidney disease.