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甲状旁腺功能减退症:新治疗方法的最新进展

Hypoparathyroidism: an update on new therapeutic approaches.

作者信息

Pitea Marco, Lanzafame Ruggero, Sala Elisa, Crocè Ludovica, Mora Stefano

机构信息

Department of Pediatrics, IRCCS Ospedale San Raffaele, Milano, Italy.

Laboratory of Pediatric Endocrinology, IRCCS Ospedale San Raffaele, Milano, Italy.

出版信息

Endocrine. 2025 Feb;87(2):420-429. doi: 10.1007/s12020-024-04057-y. Epub 2024 Oct 13.

Abstract

BACKGROUND

Hypoparathyroidism is a rare endocrine disease characterized by insufficient parathyroid hormone (PTH) secretion by the parathyroid glands, leading to hypocalcemia. In contrast to most hormone deficiencies for which hormone replacement is currently the mainstay of therapy, hypoparathyroidism has conventionally been treated with calcium supplements and active analogs of vitamin D. Although the advent of a replacement therapy with 1-34 and 1-84 PTH represented a major step in the therapeutic history of hypoparathyroidism, several new molecules and different management strategies have recently been developed.

PURPOSE

This review investigates the therapeutic approaches currently under investigation for the treatment of hypoparathyroidism. Clinical trials results have been considered and discussed.

摘要

背景

甲状旁腺功能减退症是一种罕见的内分泌疾病,其特征是甲状旁腺分泌甲状旁腺激素(PTH)不足,导致低钙血症。与目前激素替代疗法是主要治疗手段的大多数激素缺乏症不同,甲状旁腺功能减退症传统上采用钙剂补充和维生素D活性类似物进行治疗。尽管1-34和1-84 PTH替代疗法的出现是甲状旁腺功能减退症治疗史上的一个重要步骤,但最近已开发出几种新分子和不同的管理策略。

目的

本综述探讨了目前正在研究的治疗甲状旁腺功能减退症的治疗方法。已对临床试验结果进行了考量和讨论。

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