Concurrent measurement of plasma levels of vitamin D3 and five of its metabolites in normal humans, chronic renal failure patients, and anephric subjects

P. W. Lambert, P. B. DeOreo, B. W. Hollis, I. Y. Fu, D. J. Ginsberg, B. A. Roos

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Here we report the use of newly developed and established techniques for the determination of plasma levels of a broad spectrum of vitamin D3 metabolites, including vitamin D3 and 250HD3-lactone, in normal humans, chronic renal failure patients, and anephric subjects. The methodology described consisted of methanol-methylene chloride extraction, Lipidex-5000 chromatography with stepwise gradient elution, normal-phase HPLC with concave gradient elution, and sensitive ligand-binding assays. The results of the study strongly suggest an extrarenal source(s) for 24,25(OH)2D3 and 25,26(OH)2D3 and indicate that both 25OHD3-lactone and 1,25(OH)2D3 may be produced solely in the kidney of the human. Significant reductions or nondetectable plasma levels of vitamin D3 in the renal disease patients may reflect abnormalities in the hepatobiliary-intestinal and/or cutaneous metabolism of vitamin D.

Original languageEnglish (US)
Pages (from-to)536-548
Number of pages13
JournalThe Journal of Laboratory and Clinical Medicine
Volume98
Issue number4
StatePublished - Oct 1981

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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