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New Actions of Parathyroid Hormone (Paperback, Softcover reprint of the original 1st ed. 1989)
Loot Price: R1,679
Discovery Miles 16 790
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New Actions of Parathyroid Hormone (Paperback, Softcover reprint of the original 1st ed. 1989)
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Shaul G. Massry Division of Nephrology, The University of Southern
California, School of Medicine Los Angeles, California In the last
two decades evidence has accumulated indicating that parathyroid
hormone may exert a multitude of effects on many cells and a
variety of organs beyond its classical targets: the kidney and the
bone. These efforts have been spearheaded by nephrologists. The
interest of this group of clinicians-scientists stems from the fact
that patients with renal failure have secondary hyperparathyroidism
and markedly elevated blood levels of PTH (1,2). If this hormone
does act on various organs, it becomes plausible that excess blood
levels of PTH may be harmful in these patients. Indeed, in an
Editorial published in 1977, Massry suggested that the elevated
blood levels of PTH in patients with renal failure may exert
deleterious effects on many systems and as such may participate in
the genesis of many of the manifestations of the uremic syndrome
(3). Thus, the essence of the Massry hypothesis is the notion that
PTH may act as a major uremic toxin. The search for uremic toxins
did not yield successful results. In the last three decades many
compounds have been implicated as uremic toxins. However, a cause
and effect relationship between these compounds and the
manifestations of the uremic syndrome has not been established in
most cases.
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