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Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism
Background: The benefits of parathyroidectomy on cardiovascular risk in primary hyperparathyroidism (PHPT) are controversial. This monocentric, observational, prospective study aimed to assess the effects of parathyroidectomy on glucose and lipid metabolism in classic or mild PHPT. Methods: Patients...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911089/ https://www.ncbi.nlm.nih.gov/pubmed/35268464 http://dx.doi.org/10.3390/jcm11051373 |
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author | Frey, Samuel Bourgade, Raphaël Le May, Cédric Croyal, Mikaël Bigot-Corbel, Edith Renaud-Moreau, Nelly Wargny, Matthieu Caillard, Cécile Mirallié, Eric Cariou, Bertrand Blanchard, Claire |
author_facet | Frey, Samuel Bourgade, Raphaël Le May, Cédric Croyal, Mikaël Bigot-Corbel, Edith Renaud-Moreau, Nelly Wargny, Matthieu Caillard, Cécile Mirallié, Eric Cariou, Bertrand Blanchard, Claire |
author_sort | Frey, Samuel |
collection | PubMed |
description | Background: The benefits of parathyroidectomy on cardiovascular risk in primary hyperparathyroidism (PHPT) are controversial. This monocentric, observational, prospective study aimed to assess the effects of parathyroidectomy on glucose and lipid metabolism in classic or mild PHPT. Methods: Patients who underwent parathyroidectomy for classic (calcemia >2.85 mmol/L) or mild PHPT (calcemia ≤2.85 mmol/L) between 2016 and 2019 were included. A metabolic assessment was performed before and 1 year after parathyroidectomy. Patients with a history of diabetes were excluded. Results: Nineteen patients had classic and 120 had mild PHPT. Ninety-five percent were normocalcemic 6 months after surgery. Fasting plasma glucose and insulin levels decreased after parathyroidectomy in patients with mild PHPT (p < 0.001). HOMA-IR decreased after surgery in the overall population (p < 0.001), while plasma adiponectin concentrations increased in patients with both classic (p = 0.005) and mild PHPT (p < 0.001). Plasma triglyceride levels decreased significantly only in patients with classic PHPT (p = 0.021). Plasma PCSK9 levels decreased in patients with mild PHPT (p < 0.001). Conclusions: Parathyroidectomy for PHPT improves insulin resistance and decreases plasma triglyceride levels in classic PHPT and plasma PCSK9 levels in mild PHPT. Further studies are needed to better characterize the consequences of such metabolic risk factors’ improvements on cardiovascular events. |
format | Online Article Text |
id | pubmed-8911089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89110892022-03-11 Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism Frey, Samuel Bourgade, Raphaël Le May, Cédric Croyal, Mikaël Bigot-Corbel, Edith Renaud-Moreau, Nelly Wargny, Matthieu Caillard, Cécile Mirallié, Eric Cariou, Bertrand Blanchard, Claire J Clin Med Article Background: The benefits of parathyroidectomy on cardiovascular risk in primary hyperparathyroidism (PHPT) are controversial. This monocentric, observational, prospective study aimed to assess the effects of parathyroidectomy on glucose and lipid metabolism in classic or mild PHPT. Methods: Patients who underwent parathyroidectomy for classic (calcemia >2.85 mmol/L) or mild PHPT (calcemia ≤2.85 mmol/L) between 2016 and 2019 were included. A metabolic assessment was performed before and 1 year after parathyroidectomy. Patients with a history of diabetes were excluded. Results: Nineteen patients had classic and 120 had mild PHPT. Ninety-five percent were normocalcemic 6 months after surgery. Fasting plasma glucose and insulin levels decreased after parathyroidectomy in patients with mild PHPT (p < 0.001). HOMA-IR decreased after surgery in the overall population (p < 0.001), while plasma adiponectin concentrations increased in patients with both classic (p = 0.005) and mild PHPT (p < 0.001). Plasma triglyceride levels decreased significantly only in patients with classic PHPT (p = 0.021). Plasma PCSK9 levels decreased in patients with mild PHPT (p < 0.001). Conclusions: Parathyroidectomy for PHPT improves insulin resistance and decreases plasma triglyceride levels in classic PHPT and plasma PCSK9 levels in mild PHPT. Further studies are needed to better characterize the consequences of such metabolic risk factors’ improvements on cardiovascular events. MDPI 2022-03-02 /pmc/articles/PMC8911089/ /pubmed/35268464 http://dx.doi.org/10.3390/jcm11051373 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Frey, Samuel Bourgade, Raphaël Le May, Cédric Croyal, Mikaël Bigot-Corbel, Edith Renaud-Moreau, Nelly Wargny, Matthieu Caillard, Cécile Mirallié, Eric Cariou, Bertrand Blanchard, Claire Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism |
title | Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism |
title_full | Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism |
title_fullStr | Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism |
title_full_unstemmed | Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism |
title_short | Effect of Parathyroidectomy on Metabolic Homeostasis in Primary Hyperparathyroidism |
title_sort | effect of parathyroidectomy on metabolic homeostasis in primary hyperparathyroidism |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8911089/ https://www.ncbi.nlm.nih.gov/pubmed/35268464 http://dx.doi.org/10.3390/jcm11051373 |
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