Nakanishi Shohei, Fukagawa Masafumi
Toranomon Hospital, Nephrology Center.
Clin Calcium. 2007 Jan;17(1):88-92.
Calcimimetics drug such as cinacalcet suppress the secretion of parathyroid hormone by sensitizing parathyroid calcium receptors to extracellular ionized calcium. Standard treatment for secondary hyperparathyroidism is associated with the risk of hypercalcemia, but cinacalcet don't induce elevation of serum calcium. And some studies were reported the use of cinacalcet not only to manage primary hyperparathyroidism, but also secondary hyperparathyroidism in nondialyzed stage, renal transplant patients and parathyroid carcinoma.
拟钙剂药物如西那卡塞可通过使甲状旁腺钙受体对细胞外离子钙敏感来抑制甲状旁腺激素的分泌。继发性甲状旁腺功能亢进的标准治疗存在高钙血症风险,但西那卡塞不会引起血清钙升高。并且有一些研究报道西那卡塞不仅可用于治疗原发性甲状旁腺功能亢进,还可用于治疗非透析阶段的继发性甲状旁腺功能亢进、肾移植患者和甲状旁腺癌。