Your browser doesn't support javascript.
loading
Evaluation of the age-specific relationship between PTH and vitamin D metabolites.
Povaliaeva, Alexandra; Zhukov, Artem; Bogdanov, Viktor; Bondarenko, Axenia; Senko, Oleg; Kuznetsova, Anna; Kodryan, Maxim; Ioutsi, Vitaliy; Pigarova, Ekaterina; Rozhinskaya, Liudmila; Mokrysheva, Natalia.
Afiliación
  • Povaliaeva A; Endocrinology Research Centre 11, Dmitriya Ul'yanova street, Moscow 117292, Russia.
  • Zhukov A; Endocrinology Research Centre 11, Dmitriya Ul'yanova street, Moscow 117292, Russia.
  • Bogdanov V; Endocrinology Research Centre 11, Dmitriya Ul'yanova street, Moscow 117292, Russia.
  • Bondarenko A; Life Sciences Research Center, Moscow Institute of Physics and Technology, Dolgoprudniy, Russia.
  • Senko O; Endocrinology Research Centre 11, Dmitriya Ul'yanova street, Moscow 117292, Russia.
  • Kuznetsova A; Federal Research Center "Computer Science and Control" of the Russian Academy of Sciences, Moscow, Russia.
  • Kodryan M; Emanuel Institute of Biochemical Physics of Russian Academy of Sciences, Moscow, Russia.
  • Ioutsi V; HSE University, Moscow, Russia.
  • Pigarova E; Endocrinology Research Centre 11, Dmitriya Ul'yanova street, Moscow 117292, Russia.
  • Rozhinskaya L; Endocrinology Research Centre 11, Dmitriya Ul'yanova street, Moscow 117292, Russia.
  • Mokrysheva N; Endocrinology Research Centre 11, Dmitriya Ul'yanova street, Moscow 117292, Russia.
Bone Rep ; 22: 101800, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39281298
ABSTRACT
A commonly used method for determining vitamin D sufficiency is the suppression of excess PTH secretion. Conventionally, the main circulating vitamin D metabolite 25(OH)D is used for this assessment, however, the cut-off data for this parameter vary widely in the literature. The role of other metabolites as markers of vitamin D status is actively debated. The aim of our study was to assess the relationship between PTH, age and parameters characterizing vitamin D status, both "classical" - 25(OH)D3, and "non-classical" - 24,25(OH)2D3 and 25(OH)D3/24,25(OH)2D3 (vitamin D metabolite ratio, VMR). This prospective non-controlled cohort study included 162 apparently healthy Caucasian adult volunteers. When PTH was binarized according to the median value, at VMR < 14.9, 25(OH)D3 > 9.7 ng/mL and 24,25(OH)2D3 > 0.64 ng/mL there was a pronounced relationship between PTH and age (p = 0.001, p = 0.023 and p = 0.0134 respectively), with the prevalence of higher PTH levels in older individuals and vice versa. Moreover, at an age of <40.3 years, there was a pronounced relationship between PTH and VMR (p < 0.001), and similarly at an age of <54.5 years, there was a pronounced relationship between PTH and 25(OH)D3 (p = 0.002) as well as between PTH and 24,25(OH)2D3 (p = 0.0038) in younger people, higher PTH values prevailed only in the range of vitamin D insufficiency, while in the older age group this relationship was not demonstrated and PTH values were in general above the median. VMR controlled the correlation between PTH and age more strongly than metabolites 25(OH)D3 and 24,25(OH)2D3 (p = 0.0012 vs. p > 0.05 and p = 0.0385 respectively). The optimal threshold was found equal to 11.7 for VMR such that the relationship between PTH and age in the subset of participants with VMR < 11.7 was characterized by a correlation coefficient of ρ = 0.68 (p < 0.001), while the cohort with VMR > 11.7 was characterized by a very weak correlation coefficient of ρ = 0.12 (p = 0.218), which is non-significant. In summary, our findings suggest that the relationship between PTH and vitamin D is age-dependent, with a greater susceptibility to elevated PTH among older individuals even with preserved renal function, likely due to the resistance to vitamin D function. We propose VMR can be considered as a potential marker of vitamin D status. These findings require confirmation in larger population-based studies.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Bone Rep Año: 2024 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Bone Rep Año: 2024 Tipo del documento: Article País de afiliación: Rusia Pais de publicación: Estados Unidos