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DC Field | Value | Language |
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dc.contributor.author | Siomou, E. | en |
dc.contributor.author | Challa, A. | en |
dc.contributor.author | Printza, N. | en |
dc.contributor.author | Giapros, V. | en |
dc.contributor.author | Petropoulou, F. | en |
dc.contributor.author | Mitsioni, A. | en |
dc.contributor.author | Papachristou, F. | en |
dc.contributor.author | Stefanidis, C. J. | en |
dc.date.accessioned | 2015-11-24T18:52:04Z | - |
dc.date.available | 2015-11-24T18:52:04Z | - |
dc.identifier.issn | 1432-198X | - |
dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/18350 | - |
dc.rights | Default Licence | - |
dc.subject | Acid Phosphatase/blood | en |
dc.subject | Analysis of Variance | en |
dc.subject | Biological Markers/blood | en |
dc.subject | Bone Remodeling | en |
dc.subject | Case-Control Studies | en |
dc.subject | Child | en |
dc.subject | Child, Preschool | en |
dc.subject | Chronic Disease | en |
dc.subject | Female | en |
dc.subject | Fibroblast Growth Factors/*blood | en |
dc.subject | Greece | en |
dc.subject | Humans | en |
dc.subject | Isoenzymes/blood | en |
dc.subject | Kidney Diseases/*blood/diagnosis/physiopathology | en |
dc.subject | Male | en |
dc.subject | Osteoprotegerin/*blood | en |
dc.subject | Parathyroid Hormone/blood | en |
dc.subject | Phosphates/blood | en |
dc.subject | RANK Ligand/*blood | en |
dc.subject | Regression Analysis | en |
dc.subject | Severity of Illness Index | en |
dc.title | Serum osteoprotegerin, RANKL and fibroblast growth factor-23 in children with chronic kidney disease | en |
heal.type | journalArticle | - |
heal.type.en | Journal article | en |
heal.type.el | Άρθρο Περιοδικού | el |
heal.identifier.primary | 10.1007/s00467-011-1870-5 | - |
heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/21479768 | - |
heal.identifier.secondary | http://www.springerlink.com/content/n630rn43h3464v6g/fulltext.pdf | - |
heal.language | en | - |
heal.access | campus | - |
heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
heal.publicationDate | 2011 | - |
heal.abstract | Osteoprotegerin (OPG), receptor activator of the nuclear factor kappaB ligand (RANKL) and fibroblast growth factor-23 (FGF-23) play a central role in renal osteodystrophy. We evaluated OPG/RANKL and FGF-23 levels in 51 children with chronic kidney disease (CKD) [n = 26 stage 3 or 4 (CKD3-4) and n = 25 stage 5 (CKD5)] and 61 controls. Any possible association with intact parathyroid hormone (iPTH) and bone turnover markers was also investigated. The OPG levels were lower in the CKD3-4 group (p < 0.001) and higher in the CKD5 group (p < 0.01) than in the controls, while RANKL levels did not differ. The FGF-23 levels were higher in both patient groups (p < 0.0001), while the levels of phosphate and iPTH were higher only in the CKD5 group (p < 0.0001). There were independent positive correlations between OPG and RANKL (beta = 0.297, p < 0.01) and FGF-23 (beta = 0.352, p < 0.05) and a negative correlation with the bone resorption marker TRAP5b (beta = -0.519, p < 0.001). OPG was positively correlated with iPTH (R = 0.391, p < 0.01). An independent positive correlation between FGF-23 and phosphate (beta = 0.368, p < 0.05) or iPTH (beta = 0.812, p < 0.0001) was noted. In conclusion, we found that higher OPG levels in patients with CKD stage 5 correlated with the levels of RANKL, FGF-23, iPTH, and TRAP5b. These findings may reflect a compensatory mechanism to the negative balance of bone turnover. High FGF-23 levels in early CKD stages may indicate the need for intervention to manage serum phosphate (Pi) levels. | en |
heal.journalName | Pediatr Nephrol | en |
heal.journalType | peer-reviewed | - |
heal.fullTextAvailability | TRUE | - |
Appears in Collections: | Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ |
Files in This Item:
File | Description | Size | Format | |
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Siomou-2011-Serum osteoprotegeri.pdf | 223.91 kB | Adobe PDF | View/Open Request a copy |
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