PMID- 8807622 OWN - NLM STAT- MEDLINE DCOM- 19961114 LR - 20131121 IS - 0378-0392 (Print) IS - 0378-0392 (Linking) VI - 22 IP - 4 DP - 1996 TI - Does the plasma concentration of 25-hydroxyvitamin D determine the level of 1,25-dihydroxyvitamin D in primary hyperparathyroidism? PG - 203-6 AB - In man, parathyroid hormone (PTH) is one of the main regulators of 1,25-dihydroxyvitamin D (1,25(OH)2D) production. However, conflicting results have been reported concerning the regulatory significance of PTH on 1,25(OH)2D in primary hyperparathyroidism. We measured the plasma concentrations of intact PTH, ionized calcium (pH 7.4), phosphate, creatinine, 25-hydroxyvitamin D (25(OH)D), 1,25(OH)2D and urine creatinine in a standardised regime in 17 patients with primary hyperparathyroidism. The nephrogeneous cyclic adenosine-3,5-monophosphate (NcAMP) was measured and so provides an "in vivo receptor assay' for biologically active PTH in the circulation. Multiple regression analysis was used to identify variables with a possible influence on the plasma concentration of 1,25(OH)2D. The only variable showing a significant correlation to the plasma concentration of 1,25(OH)2D was 25(OH)D (r=0.6, p < 0.03). Our results indicate that the plasma concentration of 25(OH)D may be very central for the regulation of 1,25(OH)2D production in primary hyperparathyroidism. FAU - Frolich, A AU - Frolich A AD - Department of Clinical Chemistry, KAS Herlev, University of Copenhagen, Gentofte, Denmark. FAU - Storm, T AU - Storm T FAU - Thode, J AU - Thode J LA - eng PT - Journal Article PL - Switzerland TA - Miner Electrolyte Metab JT - Mineral and electrolyte metabolism JID - 7802196 RN - 0 (Parathyroid Hormone) RN - 0 (Phosphates) RN - AYI8EX34EU (Creatinine) RN - E0399OZS9N (Cyclic AMP) RN - FXC9231JVH (Calcitriol) RN - P6YZ13C99Q (Calcifediol) RN - SY7Q814VUP (Calcium) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Calcifediol/*blood MH - Calcitriol/*blood MH - Calcium/blood MH - Creatinine/blood MH - Cyclic AMP/blood MH - Female MH - Humans MH - Hydrogen-Ion Concentration MH - Hyperparathyroidism/*blood MH - Male MH - Middle Aged MH - Parathyroid Hormone/blood MH - Phosphates/blood MH - Regression Analysis EDAT- 1996/01/01 00:00 MHDA- 1996/01/01 00:01 CRDT- 1996/01/01 00:00 PHST- 1996/01/01 00:00 [pubmed] PHST- 1996/01/01 00:01 [medline] PHST- 1996/01/01 00:00 [entrez] PST - ppublish SO - Miner Electrolyte Metab. 1996;22(4):203-6.