Acute Tubular Necrosis Caused by Zoledronic Acid Infusion in a Patient With Osteoporosis

Jani, Chinmay; Ueberroth, Jordan A.; Page, Stephanie T.; Sehra, Shiv T.

doi:10.1097/mjt.0000000000001380

Cited by 3 publications

(1 citation statement)

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“…IL-6 can regulate the proliferation, differentiation, and apoptosis of osteoblasts through multiple pathways, and can promote the formation of osteoclasts and bone resorption, leading to the occurrence of POP. TNF- α can not only act as an inducer to regulate IL-6 secretion but also act on osteoblasts to indirectly activate mature osteoclasts and inhibit osteoclast apoptosis [ 14 ]. The levels of IL-6 and TNF- α in the observation group was lower than those in the control group, and the levels of IGF-1 in observation group was higher than that in the control group, which indicated that probiotics could be contribute bone metabolism by inhibiting the secretion of proinflammatory factors.…”

Section: Discussionmentioning

confidence: 99%

Curative Effect of Prebiotics/Probiotics Preparations Combined with Zoledronic Acid + Calcitriol Regimen on Patients with Primary Osteoporosis and Their Influences on Bone Metabolism Markers

Jia

Liu²,

Zhu

et al. 2022

Emergency Medicine International

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Objective. To explore the curative effect of prebiotics/probiotics preparations combined with zoledronic acid + calcitriol regimen on patients with primary osteoporosis (POP) and the influences of prebiotics/probiotics preparations combined with zoledronic acid + calcitriol regimen on markers of bone metabolism. Methods. 126 elderly hospitalized patients with POP in our hospital from January 2020 to December 2021 were divided into the control group (n = 63) and the observation group (n = 63) by the random number table method. The patients in the control group were treated with zoledronic acid and calcitriol, while the patients in the observation group were additionally treated with prebiotics/probiotics preparations. The clinical curative effect, bone metabolism, calcium-phosphorus metabolism indexes, intestinal floras, and cytokines levels before and via treatment between the two groups were compared. Results. The total efficiency of the observation group was higher than that of the control group ( P < 0.05 ). After treatment, the levels of bone gla protein (BGP), total propeptide of type I procollagen (PINP), and β-crosslaps (β-CTX) in both groups were lower than those before treatment, and the levels of BGP, total PINP, and β-CTX in the observation group were lower than those in the control group ( P < 0.05 ). The levels of serum P in the both groups after treatment were lower than those before treatment, and the level of serum P in the observation group was lower than that in the control group ( P < 0.05 ). The number of Escherichia coli after treatment in the two groups were less than that before treatment, and the number of Escherichia coli in the observation group was less than that in the control group ( P < 0.05 ). The number of bifidobacteria and lactobacilli in the two groups after treatment were more than that before treatment, and the number of bifidobacteria and lactobacilli in the observation group were more than those in the control group ( P < 0.05 ). After treatment, the levels of IL-6 and TNF-α in the two groups were lower than those before treatment, and the levels of IL-6 and TNF-α in the observation group was lower than those in the control group ( P < 0.05 ). The levels of IGF-1 in the two groups after treatment were higher than those before treatment, and the levels of IGF-1 in the observation group was higher than that in the control group ( P < 0.05 ). Conclusion. The response rate of prebiotics/probiotics preparations combined with zoledronic acid + calcitriol regimen is high in the treatment of POP patients, which ameliorates bone metabolism and intestinal floras, and suppresses cytokines release in patients with POP.

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Section: Discussionmentioning

confidence: 99%