Response of 1α,25-Dihydroxyvitamin D3to Hypocalcemia in Human Subjects

Authors:
  • JBJohn P. Bilezikian
    John P. Bilezikian
  • RCRobert E. Canfield
    Robert E. Canfield
  • TJThomas P. Jacobs
    Thomas P. Jacobs
  • JPJanet S. Polay
    Janet S. Polay
  • ADAnn P. D'Adamo
    Ann P. D'Adamo
  • JEJohn A. Eisman
    John A. Eisman
  • HDHector F. DeLuca
    Hector F. DeLuca

Abstract
We determined the response of 1α,25-dihydroxyvitamin D3 after mithramycin-induced hypocalcemia in eight subjects with polyostotic Paget's disease of bone. Thirty-six hours after infusion of mithramycin (25 μg per kilogram), the average calcium declined from 9.9±0.14 (S.E.M.) to 8.0±0.19 mg per deciliter (P3 rose from 98±12 to 332±61 pM (P3 and changes in parathyroid hormone (correlation coefficient, r = +0.91) and phosphate (r=-0.96). The relatively rapid response of 1α,25-dihydroxyvitamin D3 to hypocalcemia occurs with a time course consistent with regulation by parathyroid hormone and phosphate. (N Engl J Med 299:437–441, 1978)

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