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Parathyroid Glands in Chronic Aluminum Intoxication
Abstract
In chronic renal failure, aluminum overload may influence parathyroid function. In a study of possible aluminum-induced parathyroid abnormalities, parathyroid glands from nine parathyroidectomized patients on hemodialysis were examined by light and electron microscopy and by X-ray microanalysis. Aluminum overload was assessed by the presence of stainable aluminum (aluminum surface, 23.3% +/- 11% of total surface) in bone biopsy specimens. The mean plasma aluminum concentration was 7.7 +/- 1.9 mumol/L. All patients but one had elevated plasma concentrations of immunoreactive parathyroid hormone as well as osteitis fibrosa. The aluminum concentrations in bone and parathyroid gland from these patients were significantly higher than those in tissue from patients on hemodialysis without stainable bone aluminum. Abundant aluminum deposits were present in parathyroid chief cell cytoplasm in lipoid bodies, lipofuscin granules, and mitochondria. These cells exhibited features of active hormonal synthesis and contained numerous secretory granules. The data show that in the parathyroid glands of these aluminum-intoxicated patients the presence of aluminum deposits neither induced cellular damage or chief cell necrosis nor interfered with the production of parathyroid hormone.
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“bone pathology due to dysfunction of parathyroid gland (Cannata et al., 1983; Sherrard et al., 1985; Cournot-Witmer and Plachott, 1990; Díaz-Corte et al., 2001; Gonzelez-Suerez et al., 2005)”
From Aluminium toxicosis: a review of toxic actions and effects (2019) · cites this paper as Cournot-Witmer and Plachott, 1990
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Aluminium toxicosis: a review of toxic actions and effects
Igbokwe, I. O., Igwenagu, E., & Igbokwe, N. A. (2019) · Interdisciplinary Toxicology · doi:10.2478/intox-2019-0007 · Cited by 395
Metadata
- Authors
- Cournot-Witmer, G., & Plachot, J.-J.
- Affiliations
- Hôpital Necker-Enfants Malades (FR)
- Venue
- Ultrastructural Pathology
- Publisher
- Informa UK Limited
- Published
- 1990-01
- Volume
- 14
- Issue
- 3
- Pages
- 211-219
- ISSN
- 0191-3123 (ISSN-L)
- 1521-0758
- OpenAlex
- W2120263139
- Cited by
- 4
- References
- 0
- Citations by year
- 2026: 1 · 2019: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Ultrastructural Pathology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Aluminum toxicity and tolerance in plants and animals
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
- Keywords
- parathyroid glands, parathyroid hormone, hemodialysis, chronic kidney disease, aluminum overload, osteitis fibrosa, parathyroid chief cells, lipofuscin granules
- MeSH terms
- Adult, Aged, Aluminum, Bone and Bones, Cell Nucleus, Cytoplasm, Cytoplasmic Granules, Female, Renal Dialysis, Humans, Hyperplasia, Kidney Failure, Chronic, Male, Microscopy, Electron, Middle Aged, Osteoblasts, Osteoclasts, Parathyroid Diseases, Parathyroid Glands, Parathyroid Hormone
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