Skip to main content

Parathyroid Hormone Dysfunction

  • Reference work entry
  • First Online:
PanVascular Medicine

Abstract

Phosphorus-calcium homeostasis is regulated by parathyroid hormone (PTH). A primary (parathyroid gland adenoma or hyperplasia) or secondary (chronic renal failure or vitamin D deficiency) excess of this hormone or a PTH defect (hypoparathyroidism) has deleterious effects on the heart and vascular system. In this chapter the different disorders and their effects on the cardiovascular system are reviewed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 649.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 549.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

FGF23/klotho system :

is a system that maintains phosphate homeostasis.

Fibroblast growth factor-23 (FGF23):

is secreted from bone, and it promotes phosphate excretion.

Klotho:

is a membrane-bound protein expressed in renal tubules and an obligate co-receptor to activate FGF receptors.

References

  • Altay H, Zorlu A, Binici S, Bilgi M, Yilmaz MB, Colkesen Y, Erol T, Muderrisoglu H (2012) Relation of serum parathyroid hormone level to severity of heart failure. Am J Cardiol 109:252–256

    Article  CAS  PubMed  Google Scholar 

  • Ballane GT, Sfeir JG, Dakik HA, Brown EM, El-Hajj Fuleihan G (2012) Use of recombinant human parathyroid hormone in hypocalcemic cardiomyopathy. Eur J Endocrinol 166:1113–1120

    Article  CAS  PubMed  Google Scholar 

  • Benishin CG, Lewanczuk RZ, Shan JJ, Pang PK (1999) Parathyroid hypertensive factor secretion from subcultured spontaneously hypertensive rat parathyroid cells. Am J Hypertens 12:1260–1263

    Article  CAS  PubMed  Google Scholar 

  • Brewer LC, Michos ED, Reis JP (2011) Vitamin D in atherosclerosis, vascular disease, and endothelial function. Curr Drug Targets 12:54–60

    Article  CAS  PubMed  Google Scholar 

  • Bro S, Olgaard K (1997) Effects of excess PTH on nonclassical target organs. Am J Kidney Dis 30:606–620

    Article  CAS  PubMed  Google Scholar 

  • Clemens TL, Cormier S, Eichinger A, Endlich K, Fiaschi-Taesch N, Fischer E, Friedman PA, Karaplis AC, Massfelder T, Rossert J, Schlüter KD, Silve C, Stewart AF, Talane K, Helwig J-J (2001) Parathyroid hormone-related protein and its receptors: nuclear functions and roles in the renal and cardiovascular systems, the placental trophoblasts and the pancreatic islets. Br J Pharmacol 134:111–1136

    Article  Google Scholar 

  • Feldstein CA, Akopian M, Pietrobelli D, Olivieri A, Garrido D (2010) Long-term effects of parathyroidectomy on hypertension prevalence and circadian blood pressure profile in primary hyperparathyroidism. Clin Exp Hypertens 32:154–158

    Article  CAS  PubMed  Google Scholar 

  • García de la Torre N, Wass JAH, Turner HE (2003) Parathyroid adenomas and cardiovascular risk. Endocr Relat Cancer 10:309–322

    Article  PubMed  Google Scholar 

  • Goldschlager N, Goldman MJ (1989) Effects of drugs and electrolytes on the electrocardiogram. In: Goldschlager N, Goldman MJ (eds) Principles of clinical electrocardiography. Appleton & Lange, East Norwalk, pp 256–271

    Google Scholar 

  • Krylova S, Labedz T, Lewanczuk RZ, Benishin CG (2003) Generation, characterization, and use of monoclonal antibodies against parathyroid hypertensive factor. Clin Chem 49:1204–1206

    Article  CAS  PubMed  Google Scholar 

  • Martín-Ventura JL, Ortego M, Esbrit P, Hernández-Presa MA, Ortega L, Egido J (2003) Possible role of parathyroid hormone-related protein as a proinflammatory cytokine in atherosclerosis. Stroke 34:1783–1789

    Article  PubMed  Google Scholar 

  • Monego G, Arena V, Pasquini S, Stigliano E, Fiaccavento R, Leone O et al (2009) Ischemic injury activates PTHrP and PTHR1 expression in human ventricular cardiomyocytes. Basic Res Cardiol 104:427–434

    Article  CAS  PubMed  Google Scholar 

  • Peiris AN, Youssef D, Grant WB (2012) Secondary hyperparathyroidism: benign bystander or culpable contributor to adverse health outcomes? South Med Assoc 105:36–42

    Article  Google Scholar 

  • Pilz S, Tomaschitz A, Marz W, Drechsler C, Ritz E, Zittermann A, Cavalier E, Pieber TR, Lappe JM, Grant WB, Holick MF, Dekker JM (2011) Vitamin D, cardiovascular disease and mortality. Clin Endocrinol (Oxf) 75:575–584

    Article  CAS  Google Scholar 

  • Rhee SS, Pearce EN (2011) The endocrine system and the heart: a review. Rev Esp Cardiol 64:220–231

    Article  PubMed  Google Scholar 

  • Seely EW, Williams GH (1995) The cardiovascular system and endocrine diseases. In: Becker (ed) Principles and practice of Endocrinology and Metabolism. Lippincott Company, Philadelphia, pp 1713–1721

    Google Scholar 

  • Silver J, Naveh-Many T (2010) FGF23 and the parathyroids glands. Pediatr Nephrol 25:2241–2245

    Article  PubMed  Google Scholar 

  • Silverberg SJ, Fitzpatrick LA, Bilezikian JP (1995) Primary hyperparathyroidism. In: Becker (ed) Principles and practice of endocrinology and metabolism. Lippincott, Philadelphia, pp 512–520

    Google Scholar 

  • Strewler GJ (2000) The physiology of parathyroid hormone-related protein. N Engl J Med 342:177–185

    Article  CAS  PubMed  Google Scholar 

  • Sutherland SK, Nemere I, Benishin CG (2005) Regulation of parathyroid hypertensive factor secretion by vitamin D3 analogs in parathyroid cells derived from spontaneously hypertensive rats. J Cell Biochem 96(1):97–108

    Article  CAS  PubMed  Google Scholar 

  • Tomaschitz A, Rits E, Pieske B, Fahrleitner-Pammer A, Kienreich K, Horina JH, Drechsler C, März W, Ofner M, Pieber TR, Pilz S (2012) Aldosterone and parathyroid hormone: a precarious couple for cardiovascular disease. Cardiovasc Res 94:10–19

    Article  CAS  PubMed  Google Scholar 

  • van Ballegooijen AJ, Reinders I, Visser M, Brouwer IA (2013) Parathyroid hormone and cardiovascular disease events: A systematic review and meta-analysis of prospective studies. Am Heart J. May;165:655–64, 664.e1–5

    Google Scholar 

  • van Ballegooijen AJ, Visser M, Kestenbaum B, Siscovick DS, de Boer IH, Gottdiener JS, de Filippi CR, Brouwer IA (2013) Relation of Vitamin D and parathyroid hormone to cardiac biomarkers and to left ventricular mass (from the Cardiovascular Health Study). Am J Cardiol 111:418–424

    Article  PubMed  Google Scholar 

  • Walker MD, Fleischer J, Rundek T, McMahon DJ, Homma S, Sacco R, Silverberg SJ (2009) Carotid vascular abnormalities in primary hyperparathyroidism. J Clin Endocrinol Metab 94:3849–3856

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Williams GH, Leonard SL, Seely EW (1997) The heart in endocrine and nutritional disorders. In: Braunwald E (ed) Heart disease. A textbook of cardiovascular medicine. Saunders, Philadelphia, pp 1887–1913

    Google Scholar 

  • Wysolmerski J (2012) Parathyroid hormone-related protein: an update. J Clin Endocrinol Metab 97:2947–2956

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Further Reading

  • Pilz S, Tomaschitz A, Marz W, Drechsler C, Ritz E, Zittermann A, Cavalier E, Pieber TR, Lappe JM, Grant WB, Holick MF, Dekker JM (2011) Vitamin D, cardiovascular disease and mortality. Clinical Endocrinology 75:575–584

    Article  CAS  PubMed  Google Scholar 

  • Tomaschitz A, Rits E, Pieske B, Fahrleitner-Pammer A, Kienreich K, Horina JH, Drechsler C, Mðrz W, Ofner M, Pieber TR, Pilz S (2012) Aldosterone and parathyroid hormone: a precarious couple for cardiovascular disease

    Google Scholar 

  • Wysolmerski J (2012) Parathyroid Hormone-Related Protein: An Update. J Clin Endocrinol Metab 97:2947–2956

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rosa M. Sánchez .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Sánchez, R.M., Wägner, A.M. (2015). Parathyroid Hormone Dysfunction. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37078-6_175

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-37078-6_175

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-37077-9

  • Online ISBN: 978-3-642-37078-6

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics