FGF23 or PTH: which comes first in CKD?

被引:50
作者
Isakova, Tamara [1 ]
Wolf, Myles S. [1 ]
机构
[1] Univ Miami, Div Nephrol & Hypertens, Dept Med, Miller Sch Med, Miami, FL 33136 USA
关键词
FIBROBLAST GROWTH FACTOR-23; CHRONIC KIDNEY-DISEASE; FIBROBLAST-GROWTH-FACTOR-23;
D O I
10.1038/ki.2010.281
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
In the past 40 years, disordered mineral metabolism has been among the most intensely studied areas of nephrology. A June 2010 PubMed search for 'secondary hyperparathyroidism and kidney disease' yielded 5866 references. Among these are papers documenting the development and application of numerous therapeutic agents-including calcitriol, vitamin D analogs, phosphate binders, and cinacalcet-that remain in widespread use in the day-to-day management of dialysis patients worldwide. However, almost 6000 papers later, fundamental pathophysiological concepts remain unclear, particularly regarding the early pathogenesis of disordered mineral metabolism.
引用
收藏
页码:947 / 949
页数:3
相关论文
共 8 条
  • [1] Transgenic mice overexpressing human fibroblast growth factor 23 (R176Q) delineate a putative role for parathyroid hormone in renal phosphate wasting disorders
    Bai, XY
    Miao, DS
    Li, JR
    Goltzman, D
    Karaplis, AC
    [J]. ENDOCRINOLOGY, 2004, 145 (11) : 5269 - 5279
  • [2] Fibroblast growth factor-23 mitigates hyperphosphatemia but accentuates calcitriol deficiency in chronic kidney disease
    Gutierrez, O
    Isakova, T
    Rhee, E
    Shah, A
    Holmes, J
    Collerone, G
    Jüppner, H
    Wolf, M
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2005, 16 (07): : 2205 - 2215
  • [3] Fibroblast growth factor 23 and mortality among patients undergoing hemodialysis
    Gutierrez, Orlando M.
    Mannstadt, Michael
    Isakova, Tamara
    Rauh-Hain, Jose Alejandro
    Tamez, Hector
    Shah, Anand
    Smith, Kelsey
    Lee, Hang
    Thadhani, Ravi
    Juppner, Harald
    Wolf, Myles
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2008, 359 (06) : 584 - 592
  • [4] Direct evidence for a causative role of FGF23 in the abnormal renal phosphate handling and vitamin D metabolism in rats with early-stage chronic kidney disease
    Hasegawa, Hisashi
    Nagano, Nobuo
    Urakawa, Itaru
    Yamazaki, Yuji
    Iijima, Kousuke
    Fujita, Toshiro
    Yamashita, Takeyoshi
    Fukumoto, Seiji
    Shimada, Takashi
    [J]. KIDNEY INTERNATIONAL, 2010, 78 (10) : 975 - 980
  • [5] Klotho in chronic kidney disease - What's new?
    Kuro-o, Makoto
    [J]. NEPHROLOGY DIALYSIS TRANSPLANTATION, 2009, 24 (06) : 1705 - 1708
  • [6] Gene expression analysis of kidneys from transgenic mice expressing fibroblast growth factor-23
    Marsell, Richard
    Krajisnik, Tijana
    Goransson, Hanna
    Ohlsson, Claes
    Ljunggren, Osten
    Larsson, Tobias E.
    Jonsson, Kenneth B.
    [J]. NEPHROLOGY DIALYSIS TRANSPLANTATION, 2008, 23 (03) : 827 - 833
  • [7] Early Control of PTH and FGF23 in Normophosphatemic CKD Patients: A New Target in CKD-MBD Therapy?
    Oliveira, Rodrigo B.
    Cancela, Ana L. E.
    Graciolli, Fabiana G.
    Dos Reis, Luciene M.
    Draibe, Sergio A.
    Cuppari, Lilian
    Carvalho, Aluizio B.
    Jorgetti, Vanda
    Canziani, Maria E.
    Moyses, Rosa M. A.
    [J]. CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2010, 5 (02): : 286 - 291
  • [8] Possible involvement of circulating fibroblast growth factor 23 in the development of secondary hyperparathyroidism associated with renal insufficiency
    Shigematsu, T
    Kazama, JJ
    Yamashita, T
    Fukumoto, S
    Hosoya, T
    Gejyo, F
    Fukagawa, M
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2004, 44 (02) : 250 - 256