1
|
Morrone LF, Bolasco P, Camerini C, Cianciolo G, Cupisti A, Galassi A, Mazzaferro S, Russo D, Russo L, Cozzolino M. Vitamin D in patients with chronic kidney disease: a position statement of the Working Group "Trace Elements and Mineral Metabolism" of the Italian Society of Nephrology. J Nephrol 2016; 29:305-328. [PMID: 27062486 DOI: 10.1007/s40620-016-0305-6] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Accepted: 03/30/2016] [Indexed: 02/07/2023]
Abstract
In the late 1970s, calcitriol was introduced into clinical practice for the management of secondary renal hyperparathyroidism in chronic kidney disease (CKD). Since then, the use of calcifediol or other native forms of vitamin D was largely ignored until the publication of the 2009 Kidney Disease Improving Global Outcomes (KDIGO) recommendations. The guidelines suggested that measurement of circulating levels of 25(OH)D (calcifediol) and its supplementation were to be performed on the same basis as for the general population. This indication was based on the fact that the precursors of active vitamin D had provided to CKD patients considerable benefits in survival, mainly due to their pleiotropic effects on the cardiovascular system. However, despite the long-term use of various classes of vitamin D in CKD, a clear definition is still lacking concerning the most appropriate time for initiation of therapy, the best compound to prescribe (active metabolites or analogs), the proper dosage, and the most suitable duration of therapy. The aim of this position statement is to provide and critically appraise the current plentiful evidence on vitamin D in different clinical settings related to CKD, particularly focusing on outcomes, monitoring and treatment-associated risks. However, it should be taken in account that position statements are meant to provide guidance; therefore, they are not to be considered prescriptive for all patients and, importantly, they cannot replace the judgment of clinicians.
Collapse
Affiliation(s)
- Luigi Francesco Morrone
- Nephrology, Dialysis and Renal Transplantation Unit, University Hospital "Policlinico", Bari, Italy.
| | - Pergiorgio Bolasco
- Territorial Unit of Nephrology and Dialysis-ASL 8 of Cagliari, Cagliari, Italy
| | - Corrado Camerini
- Operative Unit of Nephrology, AO Spedali Civili di Brescia and University of Brescia, Brescia, Italy
| | - Giuseppe Cianciolo
- Nephrology Dialysis and Renal Transplantation Unit, S. Orsola University Hospital, Bologna, Italy
| | - Adamasco Cupisti
- Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | | | - Sandro Mazzaferro
- Department of Cardiovascular Respiratory Nephrologic Anesthetic and Geriatric Sciences, Sapienza University of Rome, Rome, Italy
| | - Domenico Russo
- Department of Public Health, Unit of Nephrology and Hypertension, University of Naples Federico II, Naples, Italy
| | - Luigi Russo
- Department of Public Health, Unit of Nephrology and Hypertension, University of Naples Federico II, Naples, Italy
| | - Mario Cozzolino
- Renal Division and Laboratory of Experimental Nephrology, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy
| |
Collapse
|
6
|
Jaureguiberry G, De la Dure-Molla M, Parry D, Quentric M, Himmerkus N, Koike T, Poulter J, Klootwijk E, Robinette SL, Howie AJ, Patel V, Figueres ML, Stanescu HC, Issler N, Nicholson JK, Bockenhauer D, Laing C, Walsh SB, McCredie DA, Povey S, Asselin A, Picard A, Coulomb A, Medlar AJ, Bailleul-Forestier I, Verloes A, Le Caignec C, Roussey G, Guiol J, Isidor B, Logan C, Shore R, Johnson C, Inglehearn C, Al-Bahlani S, Schmittbuhl M, Clauss F, Huckert M, Laugel V, Ginglinger E, Pajarola S, Spartà G, Bartholdi D, Rauch A, Addor MC, Yamaguti PM, Safatle HP, Acevedo AC, Martelli-Júnior H, dos Santos Netos PE, Coletta RD, Gruessel S, Sandmann C, Ruehmann D, Langman CB, Scheinman SJ, Ozdemir-Ozenen D, Hart TC, Hart PS, Neugebauer U, Schlatter E, Houillier P, Gahl WA, Vikkula M, Bloch-Zupan A, Bleich M, Kitagawa H, Unwin RJ, Mighell A, Berdal A, Kleta R. Nephrocalcinosis (enamel renal syndrome) caused by autosomal recessive FAM20A mutations. NEPHRON. PHYSIOLOGY 2013; 122:1-6. [PMID: 23434854 PMCID: PMC3782194 DOI: 10.1159/000349989] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2013] [Accepted: 02/20/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND/AIMS Calcium homeostasis requires regulated cellular and interstitial systems interacting to modulate the activity and movement of this ion. Disruption of these systems in the kidney results in nephrocalcinosis and nephrolithiasis, important medical problems whose pathogenesis is incompletely understood. METHODS We investigated 25 patients from 16 families with unexplained nephrocalcinosis and characteristic dental defects (amelogenesis imperfecta, gingival hyperplasia, impaired tooth eruption). To identify the causative gene, we performed genome-wide linkage analysis, exome capture, next-generation sequencing, and Sanger sequencing. RESULTS All patients had bi-allelic FAM20A mutations segregating with the disease; 20 different mutations were identified. CONCLUSIONS This autosomal recessive disorder, also known as enamel renal syndrome, of FAM20A causes nephrocalcinosis and amelogenesis imperfecta. We speculate that all individuals with biallelic FAM20A mutations will eventually show nephrocalcinosis.
Collapse
Affiliation(s)
| | | | - David Parry
- Molecular Medicine, University of Leeds, Leeds, UK
| | - Mickael Quentric
- de Duve Institute, Université catholique de Louvain, Brussels, Belgium
| | | | | | | | | | | | | | - Vaksha Patel
- Centre for Nephrology, University College London, London, UK
| | | | | | - Naomi Issler
- Centre for Nephrology, University College London, London, UK
| | | | | | | | | | | | - Sue Povey
- Department of Genetics, Evolution and Environment, UCL, London, UK
| | | | | | - Aurore Coulomb
- Pathology service, Armand Trousseau Hospital, Paris, France
| | - Alan J. Medlar
- Centre for Nephrology, University College London, London, UK
| | | | - Alain Verloes
- Department of Genetics, APHP – Robert Debré University Hospital, Paris, and Services de, Nantes, France
| | | | | | | | | | - Clare Logan
- Molecular Medicine, University of Leeds, Leeds, UK
| | - Roger Shore
- Leeds Dental Institute, University of Leeds, Leeds, UK
| | | | | | | | | | - François Clauss
- University of Strasbourg, Strasbourg, Hôpital Emile Muller, Mulhouse, France
| | - Mathilde Huckert
- University of Strasbourg, Strasbourg, Hôpital Emile Muller, Mulhouse, France
| | - Virginie Laugel
- IGBMC, INSERM, U964, Illkirch, Hôpital Emile Muller, Mulhouse, France
| | | | - Sandra Pajarola
- Medical Genetics, University of Zurich, Lausanne, Switzerland
| | - Giuseppina Spartà
- Nephrology Unit, University Children's Hospital, Zurich, Lausanne, Switzerland
| | | | - Anita Rauch
- Medical Genetics, University of Zurich, Lausanne, Switzerland
| | | | - Paulo M. Yamaguti
- Health Sciences School, University of Brasilia, Brasilia, São Paulo, Brazil
| | - Heloisa P. Safatle
- Department of Medical Genetics, University of Brasilia, Brasilia, São Paulo, Brazil
| | | | | | | | | | | | | | | | - Craig B. Langman
- Pediatric Nephrology, Northwestern University, Chicago, Ill., Scranton, Pa., USA
| | | | | | - Thomas C. Hart
- Periodontics, University of Illinois at Chicago, Chicago, Ill., Md., USA
| | | | - Ute Neugebauer
- Internal Medicine D, University of Muenster, Muenster, Germany
| | | | - Pascal Houillier
- Cordeliers Research Center, Paris-Descartes University, Paris, France
| | | | - Miikka Vikkula
- de Duve Institute, Université catholique de Louvain, Brussels, Belgium
| | - Agnès Bloch-Zupan
- University of Strasbourg, Strasbourg, Hôpital Emile Muller, Mulhouse, France
| | | | | | - Robert J. Unwin
- Centre for Nephrology, University College London, London, UK
| | - Alan Mighell
- Leeds Dental Institute, University of Leeds, Leeds, UK
| | | | - Robert Kleta
- Centre for Nephrology, University College London, London, UK
| |
Collapse
|