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Distinctive features of multidimensional relationships of hypercalcemia associated with dynamics of bone metabolism markers

https://doi.org/10.33667/2078-5631-2024-4-11-17

Abstract

The use of the method of visualization of multidimensional connections, as an auxiliary method in the analysis of the obtained laboratory data, significantly increases their informativeness. At the same time, it becomes possible to identify the leading factors that influence the overall structure of the ratios of the indicators of the selected panel and their «relationship» with each other. This paper presents the results of a discussion of the connections obtained using the method of visualization of multidimensional connections inside the panel of electrolyte ratios, demonstrating the possibility of identifying functional relationships of bone metabolism and hypocalcemia. At the same time, the authors, including, provide individual observations in which, against the background of normal calcium indicators, relationship are recorded indicating a marked decrease in its functional activity. The authors suggest that a highly significant negative (correlation coefficient) effect of calcium in the integral panel of the electrolyte ratio at its normal values reveal the manifestation of intense individual adaptive adjustment in the network of factors supporting the physiological values of the ion. However, it prolonged predominance can lead to the occurrence of certain disorders, including bone metabolism. It is concluded that the definition of a complex of multidimensional relationships in individual cases will allow not only to personalize the differential diagnosis of hypocalcemia, but also to choose targets for targeted therapy and subsequent monitoring of the effectiveness of the treatment.

About the Authors

A. V. Solomennikov
Saint Petersburg State University of Chemistry and Pharmacy
Russian Federation

Solomennikov Alexander V., DM Sci (habil.), professor at Dept of Physiology and Pathology

AuthorID: 1054258

Saint Petersburg



S. L. Bogdanova
National Medical Research Centre for Pediatric Traumatology and Orthopedics n. a. G. I. Turner
Russian Federation

Bogdanova Svetlana L., head of clinical laboratory

Saint Petersburg



A. I. Tyukavin
Saint Petersburg State University of Chemistry and Pharmacy
Russian Federation

Tyukavin Alexander I,, DM Sci (habil.), professor, head of Dept of Physiology and Pathology

Scopus: 6603645369, WOS: 6699–2017

Saint Petersburg



N. A. Arseniyev
Saint Petersburg State University of Chemistry and Pharmacy
Russian Federation

Arseniev Nikolay A., PhD Bio Sci, associate professor at Dept of Physiology and Pathology

Saint Petersburg



A. A. Barykina
Saint Petersburg State University of Chemistry and Pharmacy
Russian Federation

Barykina Alexandra A., student

Saint Petersburg



References

1. Lukyanchikov V. S. Hypocalcemia. breast cancer. 2013;28:1429 (in Russ.).

2. Matthew B. Greenblatt, Joy N. Tsai and Marc N. Wein Bone Turnover Markers in the Diagnosis and Monitoring of Metabolic Bone Disease/Clin Chem. 2017 Feb; 63(2): 464–474. Published online 2016 Dec 9. doi: 10.1373/clinchem.2016.259085.

3. Solomennikov A. V., Tyukavin A. I., Arseniev N. A. A new approach to the development of methods for personalized expert analysis of laboratory data. Medical Advice. 2019; 6: 164–168. DOI: https://doi.org/10.21518/2079–701X2019–6–164–168 (in Russ.).

4. Solomennikov A. V., Tyukavin A. I., Arseniev N. A. Additional opportunities for using computer technologies in expert analysis of laboratory data. Medical Alphabet. 2021; (41): 34–40. https://doi.org/10.33667/2078–5631–2021–41–34–40 (in Russ.).

5. Vaishali Veldurthy, Ran Wei, Leyla Oz, Puneet Dhawan, Yong Heui Jeon, and Sylvia Christakos. Vitamin D, calcium homeostasis and aging / Bone Res. 2016; 4: 16041. Published online 2016 Oct 18. doi: 10.1038/boneres.2016.41

6. Khundmiri SJ, Murray RD, Lederer E.PTH and Vitamin D/ Compr Physiol. 2016 Mar 15;6(2):561–601. doi: 10.1002/cphy.c140071.

7. Peter A. Friedman, and William G. Goodman PTH(1–84)/PTH(7–84): a balance of power American Journal of Physiology-Renal PhysiologyVol. 290, No. 5 01 MAY 2006 https://doi.org/10.1152/ajprenal.00336.2005

8. Dydykina I. S., Vetkova E. S. Sclerostin and its role in the regulation of bone tissue metabolism / Scientific-practical rheumatol 2013; 51(3): 296–301(in Russ.).

9. Iris Boraschi-Diaz, John S. Mort, DieterBrömme, Yotis A. Senis, AlexandraMazharian, Svetlana V. Komarova Collagen type I degradation fragments act through the collagen receptor LAIR-1 to provide a negative feedback for osteoclast formation/Bone Volume 117, December 2018, Pages 23–30 https://doi.org/10.1016/j.bone.2018.09.006

10. Ilyin A. V., Arbuzova M. I. Fibroblast growth factor 23 and Klotho protein in the pathogenesis of secondary parathyroidism / Osteoporosis and osteopathy. 2013;16(3):20–27. https://doi.org/10.14341/osteo2013320–27 (in Russ.)

11. Ellis E. Golub and Kathleen Boesze-BattaglThe role of alkaline phosphatase in mineralization/Current Opinion in Orthopaedics 2007, 18:444–448


Review

For citations:


Solomennikov A.V., Bogdanova S.L., Tyukavin A.I., Arseniyev N.A., Barykina A.A. Distinctive features of multidimensional relationships of hypercalcemia associated with dynamics of bone metabolism markers. Medical alphabet. 2024;(4):11-17. (In Russ.) https://doi.org/10.33667/2078-5631-2024-4-11-17

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)