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Peripheral effects of PTH are not altered after thyroid surgery in euthyroid patients

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Author

Summary, in English

Background. We have previously found decreased serum levels of both ionized calcium and 1,25(OH)(2)D and an increase in serum phosphate levels at 1 year after hemithyroidectomy. However, basal and stimulated parathyroid hormone (PTH) secretions were not altered. To investigate whether the observed biochemical changes after unilateral thyroid surgery may be due to a relative end-organ resistance to PTH, we studied the peripheral effects of infused hPTH-(1-34) in 6 patients preoperatively and 3 months after hemithyroidectomy. Methods: Serum levels of TSH, FT4 and FT3 were measured pre- and postoperatively. hPTH-(1-34) was infused at 0.9 IU/kg/h during 6 h. Blood samples for analysis of ionized calcium, intact PTH, phosphate, 25(OH)D, 1,25(OH)(2)D and urinary samples for calcium, phosphate and nephrogenous(n)-cAMP analysis were taken at baseline, when the infusion was discontinued after 6 h and at 24 h. Results: Three months after hemithyroidectomy, serum levels of FT3 were decreased and TSH levels increased. Pre- and postoperative hPTH-(1-34) infusions induced increased serum levels of ionized calcium, 1,25(OH)2D, increased urinary excretion of phosphate and elevated n-cAMP levels. The changes in the studied biochemical variables during the hPTH-(1-34) infusions did not differ between the two study occasions. Conclusion: By using a 6-hour hPTH-(1-34) infusion protocol, we have shown that the peripheral PTH effect is not altered by a slight reduction in thyroid hormone levels at 3 months after hemithyroidectomy.

Publishing year

2001

Language

English

Pages

105-109

Publication/Series

Hormone Research

Volume

56

Issue

3-4

Document type

Journal article

Publisher

Karger

Topic

  • Surgery
  • Medicinal Chemistry
  • Pharmacology and Toxicology

Keywords

  • Hemithyroidectomy
  • hPTH-(1-34) infusion
  • PTH
  • peripheral
  • effects
  • Solitary cold thyroid nodules
  • Thyroid surgery

Status

Published

ISBN/ISSN/Other

  • ISSN: 0301-0163