Pediat. Res. 12: 980-982 (1978) Bile acid sequestrant resins (colestipol) 25-hydroxy-vitamin D
SummaryIn this study we have assessed effects of Colestipol, a synthetic organic bile sequestrant polymer, on vitamin D metabolism over a 2-year period in children with familial hypercholesterolemia. In the 15 children, mean (+SE) low density lipoprotein (LDL) cholesterol decreased from 221 + 9 mg/dl (baseline), to 181 +-7 after 12-14 months of Colestipol resin, P < 0.01. Thereafter, LDL cholesterol remained in the 170-190 mg/dl range. Mean plasma 25-hydroxyvitamin D (25-OHD) levels appeared to fall slightly and progressively from 32.6 + 4 ng/ml (baseline) to 29.8 + 3.5 at 12-14 months, to 25.6 & 3.3 at 16-18 months, and to 18.5 + 2.7 at 18-20 months. The decrease in plasma 25-OHD was not significant until 18-20 months (paired t, P < 0.01). After 20 months, plasma 25-OHD levels appeared to increase again and were not significantly different from baseline. Seasonal effects on plasma 25-OHD were not demonstrable. Mean plasma Ca values were mildly increased after Colestipol therapy was begun and were significantly elevated at 18-20 months (10.04 vs. 9.71 mg/dl at baseline). Mean plasma PO4 levels were not significantly different on Colestipol therapy, with the single exception that at 20-22 months plasma Po4 was 3.82 vs. 4.05 mg/dl at baseline ( P< 0.05). In no subject was serum Ca <9 mg/dl or serum PO4 <2.5 mg/dl at any time during the study.