Evidence for a bone-kidney axis regulating phosphate homeostasis

被引:89
作者
Quarles, LD [1 ]
机构
[1] Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA
关键词
D O I
10.1172/JC1200319687
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
A novel circulation phosphaturic hormone is postulated to regulate systemic phosphate homeostasis. Two new studies (see the related articles beginning on pages 683 and 785) reveal that the phosphaturic factor FGF-23 is increased in hypophosphatemic subjects with McCune-Albright syndrome and that secreted frizzled-related protein-4 (sFRP-4), a factor produced by tumors derived from subjects with tumor-induced osteomalacia, also has phosphaturic activity. It remains to be established whether FGF-23 and sFRP-4 represent two distinct phosphatonins or are somehow integrated in a novel phosphate-regulating bone-kidney axis.
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收藏
页码:642 / 646
页数:5
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