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爱德华多·斯拉托波尔斯基:肾病矿物质和骨疾病领域的先驱。

Eduardo Slatopolsky: A Pioneer in the Field of Mineral and Bone Disorders in Kidney Disease.

作者信息

Tinawi Mohammad

机构信息

Nephrology, Nephrology Specialists, Munster, USA.

出版信息

Cureus. 2024 Sep 3;16(9):e68543. doi: 10.7759/cureus.68543. eCollection 2024 Sep.

DOI:10.7759/cureus.68543
PMID:39364464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11449467/
Abstract

Eduardo Alberto Slatopolsky (1934-2024), Washington University Joseph Friedman Professor Emeritus of Medicine, a prominent physician-scientist, was born in Buenos Aires, Argentina. The impact of his research in the area of mineral and bone disorders in kidney disease has been profound for over 50 years starting in the 1960s. He was a global authority on secondary hyperparathyroidism. He was instrumental in illustrating the role of hyperphosphatemia in chronic kidney disease (CKD) and in developing the first reliable parathyroid hormone (PTH) assay. His research led to the utilization of calcium salts as phosphate binders replacing the toxic aluminum salts. Moreover, he illustrated the role of vascular calcifications in CKD patients, paving the way for non-calcium phosphate binders. He proposed the use of calcitriol and later vitamin D analogs in the management of secondary hyperparathyroidism, which is the current standard of care. He demonstrated the decreased expression of the calcium-sensing receptor in parathyroid tissue in CKD patients. Dr. Slatopolsky's global legacy will last for generations.

摘要

爱德华多·阿尔韦托·斯拉托波尔斯基(1934 - 2024),华盛顿大学约瑟夫·弗里德曼医学荣誉退休教授,杰出的医学科学家,出生于阿根廷布宜诺斯艾利斯。从20世纪60年代开始,他在肾脏疾病的矿物质和骨骼疾病领域的研究影响深远,长达50多年。他是继发性甲状旁腺功能亢进症的全球权威。他在阐明高磷血症在慢性肾脏病(CKD)中的作用以及开发首个可靠的甲状旁腺激素(PTH)检测方法方面发挥了重要作用。他的研究促使使用钙盐作为磷结合剂,取代了有毒的铝盐。此外,他阐明了血管钙化在CKD患者中的作用,为非钙磷结合剂的应用铺平了道路。他提出使用骨化三醇及后来的维生素D类似物来治疗继发性甲状旁腺功能亢进症,这是目前的标准治疗方法。他证明了CKD患者甲状旁腺组织中钙敏感受体的表达降低。斯拉托波尔斯基博士的全球遗产将延续几代人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae13/11449467/cf3f5cfe5b09/cureus-0016-00000068543-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae13/11449467/8358c682f1d7/cureus-0016-00000068543-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae13/11449467/cf3f5cfe5b09/cureus-0016-00000068543-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae13/11449467/8358c682f1d7/cureus-0016-00000068543-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae13/11449467/cf3f5cfe5b09/cureus-0016-00000068543-i02.jpg

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本文引用的文献

1
Phosphate Toxicity in CKD: The Killer among Us.慢性肾脏病中的磷毒性:我们身边的杀手
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Definition, evaluation, and classification of renal osteodystrophy: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO).肾性骨营养不良的定义、评估及分类:改善全球肾脏病预后组织(KDIGO)的立场声明
Kidney Int. 2006 Jun;69(11):1945-53. doi: 10.1038/sj.ki.5000414.
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First- and second-generation immunometric PTH assays during treatment of hyperparathyroidism with cinacalcet HCl.
在使用盐酸西那卡塞治疗甲状旁腺功能亢进期间的第一代和第二代免疫测定法甲状旁腺激素检测
Kidney Int. 2005 Sep;68(3):1236-43. doi: 10.1111/j.1523-1755.2005.00517.x.
4
Vitamin D.维生素D。
Am J Physiol Renal Physiol. 2005 Jul;289(1):F8-28. doi: 10.1152/ajprenal.00336.2004.
5
New developments in hyperphosphatemia management.
J Am Soc Nephrol. 2003 Sep;14(9 Suppl 4):S297-9. doi: 10.1097/01.asn.0000081668.41546.2b.
6
Reversal of secondary hyperparathyroidism by phosphate restriction restores parathyroid calcium-sensing receptor expression and function.通过限制磷摄入逆转继发性甲状旁腺功能亢进可恢复甲状旁腺钙敏感受体的表达及功能。
J Bone Miner Res. 2002 Dec;17(12):2206-13. doi: 10.1359/jbmr.2002.17.12.2206.
7
Calcemic activity of 19-Nor-1,25(OH)(2)D(2) decreases with duration of treatment.19-去甲-1,25-二羟维生素D₂的血钙活性随治疗时间的延长而降低。
J Am Soc Nephrol. 2000 Nov;11(11):2088-2094. doi: 10.1681/ASN.V11112088.
8
Differential effects of 1,25-dihydroxy-vitamin D3 and 19-nor-1,25-dihydroxy-vitamin D2 on calcium and phosphorus resorption in bone.1,25-二羟基维生素D3和19-去甲-1,25-二羟基维生素D2对骨中钙和磷吸收的不同作用。
J Am Soc Nephrol. 1999 May;10(5):980-5. doi: 10.1681/ASN.V105980.
9
Decreased calcium-sensing receptor expression in hyperplastic parathyroid glands of uremic rats: role of dietary phosphate.尿毒症大鼠增生甲状旁腺中钙敏感受体表达降低:膳食磷的作用
Kidney Int. 1999 Apr;55(4):1284-92. doi: 10.1046/j.1523-1755.1999.00386.x.
10
RenaGel, a nonabsorbed calcium- and aluminum-free phosphate binder, lowers serum phosphorus and parathyroid hormone. The RenaGel Study Group.RenaGel是一种不被吸收的无钙无铝磷酸盐结合剂,可降低血清磷和甲状旁腺激素水平。RenaGel研究小组。
Kidney Int. 1999 Jan;55(1):299-307. doi: 10.1046/j.1523-1755.1999.00240.x.