Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative period

Abstract Objective This study mainly observes changes in perioperative mineral bone metabolism‐related indicators and inflammatory factors in patients with secondary hyperparathyroidism (SHPT), and analyzed the correlation between mineral bone metabolism‐related indicators and inflammatory factors....

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Main Authors: Lei Yan, Qiuyue Xiong, Qin Xu, Pengru Ren, Tiantian Li, Huixia Cao, Fengmin Shao
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Immunity, Inflammation and Disease
Subjects:
Online Access:https://doi.org/10.1002/iid3.828
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author Lei Yan
Qiuyue Xiong
Qin Xu
Pengru Ren
Tiantian Li
Huixia Cao
Fengmin Shao
author_facet Lei Yan
Qiuyue Xiong
Qin Xu
Pengru Ren
Tiantian Li
Huixia Cao
Fengmin Shao
author_sort Lei Yan
collection DOAJ
description Abstract Objective This study mainly observes changes in perioperative mineral bone metabolism‐related indicators and inflammatory factors in patients with secondary hyperparathyroidism (SHPT), and analyzed the correlation between mineral bone metabolism‐related indicators and inflammatory factors. Methods Clinical data were collected. The study detects mineral bone metabolism‐related indicators and inflammatory factor of perioperative patients with SHPT before and 4 days after operation. The production of high‐sensitivity c‐reactive protein (hs‐CRP) in human hepatocytes cells (LO2 cells) stimulated by different concentrations of parathyroid hormone‐associated protein was detected by enzyme‐linked immunosorbent assay, reverse‐transcription polymerase chain reaction (RT‐PCR), and western blot. Results The levels of mineral bone metabolism‐related indicators and hs‐CRP in SHPT group were significantly higher than those of control group. After operation, serum calcium, serum phosphorus, iPTH, FGF‐23 decreased, and the level of osteoblast active biomarkers increased, while the level of osteoclast active biomarkers decreased. The levels of hs‐CRP decreased significantly after operation. With the increase of PTHrP concentration, hs‐CRP level in supernatant of LO2 cells decreased first and then increased. RT‐PCR and western blot shows the same trend. Conclusion Parathyroidectomy can significantly improve bone resorption and inflammation in SHPT patients. We speculate that there may be an optimal range of PTH concentrations to minimize inflammation in the body.
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spelling doaj.art-008d761398634f67820c9bb3b81274b72023-05-09T06:57:15ZengWileyImmunity, Inflammation and Disease2050-45272023-04-01114n/an/a10.1002/iid3.828Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative periodLei Yan0Qiuyue Xiong1Qin Xu2Pengru Ren3Tiantian Li4Huixia Cao5Fengmin Shao6Department of Nephrology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Laboratory of Kidney Disease and Immunology Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou ChinaDepartment of Nephrology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Laboratory of Kidney Disease and Immunology Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou ChinaDepartment of Nephrology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Laboratory of Kidney Disease and Immunology Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou ChinaDepartment of Nephrology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Laboratory of Kidney Disease and Immunology Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou ChinaDepartment of Nephrology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Laboratory of Kidney Disease and Immunology Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou ChinaDepartment of Nephrology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Laboratory of Kidney Disease and Immunology Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou ChinaDepartment of Nephrology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Laboratory of Kidney Disease and Immunology Henan Provincial Clinical Research Center for Kidney Disease Zhengzhou ChinaAbstract Objective This study mainly observes changes in perioperative mineral bone metabolism‐related indicators and inflammatory factors in patients with secondary hyperparathyroidism (SHPT), and analyzed the correlation between mineral bone metabolism‐related indicators and inflammatory factors. Methods Clinical data were collected. The study detects mineral bone metabolism‐related indicators and inflammatory factor of perioperative patients with SHPT before and 4 days after operation. The production of high‐sensitivity c‐reactive protein (hs‐CRP) in human hepatocytes cells (LO2 cells) stimulated by different concentrations of parathyroid hormone‐associated protein was detected by enzyme‐linked immunosorbent assay, reverse‐transcription polymerase chain reaction (RT‐PCR), and western blot. Results The levels of mineral bone metabolism‐related indicators and hs‐CRP in SHPT group were significantly higher than those of control group. After operation, serum calcium, serum phosphorus, iPTH, FGF‐23 decreased, and the level of osteoblast active biomarkers increased, while the level of osteoclast active biomarkers decreased. The levels of hs‐CRP decreased significantly after operation. With the increase of PTHrP concentration, hs‐CRP level in supernatant of LO2 cells decreased first and then increased. RT‐PCR and western blot shows the same trend. Conclusion Parathyroidectomy can significantly improve bone resorption and inflammation in SHPT patients. We speculate that there may be an optimal range of PTH concentrations to minimize inflammation in the body.https://doi.org/10.1002/iid3.828chronic kidney diseaseinflammationmineral bone metabolism disordersparathyroidectomysecondary hyperparathyroidism
spellingShingle Lei Yan
Qiuyue Xiong
Qin Xu
Pengru Ren
Tiantian Li
Huixia Cao
Fengmin Shao
Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative period
Immunity, Inflammation and Disease
chronic kidney disease
inflammation
mineral bone metabolism disorders
parathyroidectomy
secondary hyperparathyroidism
title Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative period
title_full Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative period
title_fullStr Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative period
title_full_unstemmed Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative period
title_short Study on the correlation between mineral bone metabolism and CRP in patients with SHPT during perioperative period
title_sort study on the correlation between mineral bone metabolism and crp in patients with shpt during perioperative period
topic chronic kidney disease
inflammation
mineral bone metabolism disorders
parathyroidectomy
secondary hyperparathyroidism
url https://doi.org/10.1002/iid3.828
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