title: Immune, metabolic and epidemiological aspects of vitamin D in chronic kidney disease and transplant patients.
abstract: Chronic kidney disease strongly impacts on mineral and bone metabolism. Despite numerous medications, the biological targets recommended by international guidelines are often unmet. Among the treatment armamentarium, native or nutritional vitamin D (25OHD3) has been rediscovered in the early 2000s, and its general and specific actions further studied. Effects on bone, immunity, infection prevention, muscle function and phosphocalcic metabolism have been reviewed. Assessment of nutritional vitamin D status showed very low serum 25OHD3 levels and increase in nutritional vitamin D prescription led to improvement in these levels. However, about 45% of adult CKD patients still have insufficient serum 25OHD3 levels. Epidemiological studies should be enforced to describe further the mineral and bone disease management in CKD.
authors.affiliation: Centre de Référence des Maladies Rénales Rares, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Bron, France.
authors.forename: Justine
authors.initials: J
authors.lastname: Bacchetta
authors.affiliation: Department of Nephrology, Centre Hospitalier Lyon Sud, Pierre-Bénite, France.
authors.forename: Solenne
authors.initials: S
authors.lastname: Pelletier
authors.affiliation: NEPHROCARE Tassin-Charcot, Ste Foy les Lyon, France.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Jean
authors.affiliation: Department of Nephrology, Centre Hospitalier Lyon Sud, Pierre-Bénite, France; CARMEN, CENS and Université de Lyon, Lyon, France. Electronic address: denis.fouque@chu-lyon.fr.
authors.forename: Denis
authors.initials: D
authors.lastname: Fouque
mesh_terms: D003956:Dialysis; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000453:epidemiology / Q000276:immunology / Q000378:metabolism; D016030:Kidney Transplantation; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology / Q000276:immunology / Q000378:metabolism*; D014807:Vitamin D / Q000031:analogs & derivatives / Q000276:immunology* / Q000378:metabolism*
chemical_list: D014807:Vitamin D
keywords: Adult; Children; Cholecalciferol; Dialysis; Kidney disease; Vitamin D