申请人:OPKO RENAL, LLC
公开号:US10302660B2
公开(公告)日:2019-05-28
Methods for diagnosing, treating, and preventing catabolism-related vitamin D deficiency and related disorders, related compositions, apparatus and kits, are disclosed. A method involves measuring CYP24 expression and/or activity, or a proxy thereof such as FGF23 level, in a patient and correlating abnormally elevated CYP24 expression and/or activity with catabolism-related vitamin D deficiency or with susceptibility for catabolism-related vitamin D deficiency. In response to abnormally elevated CYP24 expression and/or activity, the method further includes administering a CYP24 inhibitor to the vitamin D deficient or at-risk patient, and preferably avoiding activation of the vitamin D binding receptor, such as by avoiding administration of active vitamin D compounds to such patients. Optionally, a vitamin D prohormone or prohormone can be administered.
本发明公开了用于诊断、治疗和预防代谢相关维生素 D 缺乏症及相关疾病的方法、相关组合物、仪器和试剂盒。一种方法包括测量患者体内 CYP24 的表达和/或活性,或其替代物,如 FGF23 水平,并将异常升高的 CYP24 表达和/或活性与分解代谢相关维生素 D 缺乏症或分解代谢相关维生素 D 缺乏症的易感性相关联。针对异常升高的 CYP24 表达和/或活性,该方法进一步包括向维生素 D 缺乏或高危患者施用 CYP24 抑制剂,并优选避免激活维生素 D 结合受体,例如避免向此类患者施用活性维生素 D 化合物。可选地,可以施用维生素D原或维生素D原激素。