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Cited by 594

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

Arterial Calcifications and Bone Histomorphometry in End-Stage Renal Disease

London, Gérard M., Marty, Caroline, Marchais, Sylvain J., Guerin, Alain P., Metivier, Fabien, de Vernejoul, Marie-Christine·2004·Journal of the American Society of Nephrology

Abstract

Arterial calcification (AC) is a common complication of end-stage renal disease (ESRD). The mechanisms responsible are complex, including disturbances of mineral metabolism and active expression of various mineral-regulating proteins. An inverse relationship between AC and bone density has been documented in uremic patients. In the study presented here, which included 58 patients with ESRD on hemodialysis (HD), bone-histomorphometry characteristics were compared with the AC scores (0 to 4) determined according to the number of arterial sites with calcifications. Patients with AC scores of 0 (no calcifications), or 1 or 2 (mild calcifications) had similar serum parathyroid hormone levels and bone histomorphometry, with larger osteoclast resorption, higher osteoclast numbers, and larger osteoblastic and double tertracycline-labeled surfaces. In contrast, patients with high AC scores (3 and 4) were characterized by lower serum parathyroid hormone, low osteoclast numbers and osteoblastic surfaces, smaller or absent double tetracycline-labeled surfaces, and high percentages of aluminum-stained surfaces. According to multivariate analysis, AC score was positively associated with age (P < 0.0001), daily dose of calcium-containing phosphate binders (P = 0.009), and bone aluminum-stained surfaces (P = 0.037), and an inverse correlation was observed with osteoblastic surfaces (P = 0.001). A high AC score is associated with bone histomorphometry suggestive of low bone activity and adynamic bone disease. These findings suggest that therapeutic interventions associated with excessive lowering of parathyroid activity (parathyroidectomy, excessive calcium or aluminum load) favor lower bone turnover and adynamic bone disease, which could influence the development and progression of AC.

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Metadata

Authors
London, G. M., Marty, C., Marchais, S. J., Guerin, A. P., Metivier, F., & de Vernejoul, M.-C.
Venue
Journal of the American Society of Nephrology
Published
2004-07
Volume
15
Issue
7
Pages
1943-1951
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2105288874
Cited by
594
References
38
FWCI
21.23
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Arterial Calcifications and Bone Histomorphometry in End-Stage Renal Disease. https://app.cochat.ai/papers/10.1097/01.asn.0000129337.50739.48
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London, G. M., Marty, C., Marchais, S. J., Guerin, A. P., Metivier, F., & de Vernejoul, M.-C. (2004). Arterial Calcifications and Bone Histomorphometry in End-Stage Renal Disease. Journal of the American Society of Nephrology. https://doi.org/10.1097/01.asn.0000129337.50739.48

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