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American Physiological Society, American Journal of Physiology - Renal Physiology, 3(309), p. F216-F226, 2015

DOI: 10.1152/ajprenal.00003.2015

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Antialbuminuric actions of calcilytics in the remnant kidney

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Hyperphosphatemia accelerates the progression of chronic kidney diseases. In the present study, the effects of ronacaleret, a calcilytic agent, on renal injury were assessed in the following four groups of rats: 5/6-nephrectomized Wistar rats as a control (C group), rats treated with ronacaleret (3 mg·kg−1·day−1; R group), rats treated with calcitriol (30 ng·kg−1·day−1; V group), and rats treated with both ronacaleret and calcitriol (R + V group). Three months later, rats were euthanized under anesthesia, and the remnant kidneys were harvested for analysis. Albuminuria was lower in the R and V groups than in the C group ( P < 0.05). Creatinine clearance was elevated in the R and V groups compared with the C group ( P < 0.05). Serum Ca2+ and renal ANG II were higher in the R + V group than in the C group ( P < 0.05 for each), and serum phosphate was reduced in the R group compared with the C group ( P < 0.05). Fibroblast growth factor-23 was lower in the R group and higher in the V and R + V groups than in the C group. However, parathyroid hormone did not differ significantly among the four groups. Renal klotho expression was elevated in the R and V groups compared with the C group ( P < 0.05). The present data indicate that ronacaleret preserves klotho expression and renal function with reductions in serum phosphate and albuminuria in 5/6-nephrectomized rats. Our findings demonstrate that vitamin D prevents declines in klotho expression and renal function, suppressing albuminuria.