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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Lab+Med
2017 ; 37
(5
): 381-387
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Comparison of Intact PTH and Bio-Intact PTH Assays Among Non-Dialysis Dependent
Chronic Kidney Disease Patients
#MMPMID28643486
Einbinder Y
; Benchetrit S
; Golan E
; Zitman-Gal T
Ann Lab Med
2017[Sep]; 37
(5
): 381-387
PMID28643486
show ga
BACKGROUND: The third-generation bio-intact parathyroid hormone (PTH) (1-84)
assay was designed to overcome problems associated with the detection of
C-terminal fragments by the second-generation intact PTH assay. The two assays
have been compared primarily among dialysis populations. The present study
evaluated the correlations and differences between these two PTH assays among
patients with chronic kidney disease (CKD) stages 3 to 5 not yet on dialysis.
METHODS: Blood samples were collected from 98 patients with CKD stages 3 to 5.
PTH concentrations were measured simultaneously by using the second-generation -
PTH intact-STAT and third-generation bio-intact 1-84 PTH assays. Other serum
biomarkers of bone mineral disorders were also assessed. CKD stage was calculated
by using the CKD-Epidemiology Collaboration (EPI) formula. RESULTS: Serum
bio-intact PTH concentrations were strongly correlated but significantly lower
than the intact PTH concentrations (r=0.963, P<0.0001). This finding was
consistent among CKD stages 3 to 5. PTH concentrations by both assays (intact and
bio-intact PTH) positively correlated with urea (r=0.523, r=0.504; P=0.002,
respectively), phosphorus (r=0.532, r=0.521; P<0.0001, respectively) and
negatively correlated with blood calcium (r=-0.435, r=-0.476; P<0.0001,
respectively), 25(OH) vitamin D, (r=-0.319, r=-0.353; respectively, P<0.0001) and
the estimated glomerular filtration rate (r=-0.717, r=-0.688; P<0.0001,
respectively). CONCLUSIONS: Among patients with CKD stages 3 to 5 not on
dialysis, the bio-intact PTH assay detected significantly lower PTH
concentrations compared with intact PTH assay. Additional studies that correlate
the diagnosis and management of CKD mineral and bone disorders with bone
histomorphometric findings are needed to determine whether bio-intact PTH assay
results are better surrogate markers in these early stages of CKD.