Treatment of Pediatric Chronic Kidney Disease-Mineral and Bone Disorder

Purpose of reviewIn this paper, we review the pathogenesis and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD), especially as it relates to pediatric CKD patients.Recent findingsDisordered regulation of bone and mineral metabolism in CKD may result in fractures, skeletal deformities, and poor growth, which is especially relevant for pediatric CKD patients. Moreover, CKD-MBD may result in extra-skeletal calcification and cardiovascular morbidity. Early increases in fibroblast growth factor 23 (FGF23) levels play a key, primary role in CKD-MBD pathogenesis. Therapeutic approaches in pediatric CKD-MBD aim to minimize complications to the growing skeleton and prevent extra-skeletal calcifications, mainly by addressing hyperphosphatemia and secondary hyperparathyroidism. Ongoing clinical trials are focused on assessing the benefit of FGF23 reduction in CKD. CKD-MBD is a systemic disorder that has significant clinical implications. Treatment of CKD-MBD in children requires special consideration in order to maximize growth, optimize skeletal health, and prevent cardiovascular disease

Predation on heterospecific larvae by adult females of Kampimodromus aberrans, Amblyseius andersoni, Typhlodromus pyri and Phytoseius finitimus (Acari: Phytoseiidae)

The predatory mites Kampimodromus aberrans (Oudemans), Amblyseius andersoni (Chant), Typhlodromus pyri Scheuten and Phytoseius finitimus Ribaga are important biological control agents in orchards and vineyards in Europe and elsewhere. They can coexist in the same habitat and engage in intraguild predation (IGP). In the laboratory we evaluated biological parameters of these predatory mites fed with heterospecific larvae considered as intraguild prey (IG-prey). Results suggest that A. andersoni should be considered the superior intraguild predator, while Phytoseius finitimus appeared to suffer from intraguild predation. The profiles of K. aberrans and T. pyri were less definite