NDT Advance Access originally published online on July 19, 2005
Nephrology Dialysis Transplantation 2005 20(10):2032-2035; doi:10.1093/ndt/gfh991
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org
Editorial Comment
FGF-23, vitamin D and calcification: the unholy triad
1 Department of Oral and Developmental Biology, Harvard School of Dental Medicine, Boston, MA, USA,2 Genetics Unit, Shriners Hospital for Children, Montreal, Quebec, Canada and 3 Department of Pathology, Nagasaki University School of Biomedical Sciences, Nagasaki, Japan
Correspondence and offprint requests to: Mohammed S. Razzaque, Department of Oral and Developmental Biology, Research and Educational Building, Room 312, Harvard School of Dental of Medicine, 190 Longwood Ave, Boston, MA 02115, USA. Email: mrazzaque@hms.harvard.edu
Keywords: fibroblast growth factor 23 (FGF-23); hyperphosphatemia; soft tissue calcification; vitamin D
| The first 150 words of the full text of this article appear below. |
| Introduction |
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Recent studies have changed the commonly held view that phosphate is mostly needed for normal skeletal growth and development. Extensive research in the last decade has identified numerous other essential dynamic functions for phosphate, ranging from signalling to energy metabolism. Abnormal phosphate homeostasis potentially affects functional activities of almost any organ system. Despite its wide biological importance and significance, the regulation of phosphate homeostasis is not yet clearly understood. Recent studies have identified a number of molecules with phosphaturic activities, including fibroblast growth factor-23 (FGF-23) [1], frizzled-related protein 4 [2] and matrix extracellular phosphoglycoprotein [1,3]. Among these recently identified molecules, so far FGF-23 has been implicated in various human diseases, including autosomal dominant hypophosphatemic rickets (ADHR) [4], oncogenic osteomalacia (OOM) [5], X-linked hypophosphatemia (XLH) [6], chronic renal diseases [7] and familial tumoral calcinosis (FTC)
| Phosphate homeostasis |
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| FGF-23 |
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| Soft tissue calcification |
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| FGF-23 and soft tissue calcification |
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Fgf-23 null animals
Fgf-23/1
(OH)ase null animals| Conclusion |
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