Review Article

Vitamin D Receptor Activators and Clinical Outcomes in Chronic Kidney Disease

Table 14

Endothelial function.

AuthorYearStudyOutcome

Wu-Wong et al. [52]2010Study in uremic rats (5/6 NX rats), treated for two weeks with paricalcitol.Uremia impaired aortic relaxation was improved by paricalcitol in a dose-dependent manner, independent of serum PTH levels or blood pressure. PTH suppression alone did not improve endothelial function since in a separate experiment cinacalcet suppressed PTH without affecting endothelial-dependent vasorelaxation.

Karavalakis et al. [53]2008Uremic (5/6 NX) rats treated with paricalcitol (0.2 mcg/kg, thrice weekly) for 12 weeks. Aortic histology was studiedParicalcitol treatment showed both benefits and harmful effects: vasoconstriction was reduced but calcification increased. Plasma phosphate was increased, 2.1- to 2.5-fold higher than normal.