Nishi Hiroshi, Fukagawa Masafumi
Division of Nephrology and Dialysis Center, Kobe University School of Medicine.
Clin Calcium. 2004 May;14(5):756-9.
Calcimimetic agents modulate the activity of calcium-sensing receptor on the surface of parathyroid cell and suppress the secretion of parathyroid hormone. Several clinical trials demonstrated that the second-generation calcimimetics cinacalcet HCl reduced PTH level, as well as Ca x P product in secondary hyperparathyroidism, while the agents reduced PTH and calcium level in primary hyperparathyroidism.
拟钙剂可调节甲状旁腺细胞表面钙敏感受体的活性,并抑制甲状旁腺激素的分泌。多项临床试验表明,第二代拟钙剂盐酸西那卡塞可降低继发性甲状旁腺功能亢进患者的甲状旁腺激素水平以及钙磷乘积,而该类药物可降低原发性甲状旁腺功能亢进患者的甲状旁腺激素和血钙水平。