fibroblast growth factor 23 and klotho protein in the pathogenesis of secondary hyperparathyroidism

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ID: 133397
2013
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Abstract
One of the main problems in patients with chronic kidney disease (CKD) is a disturbance of calcium-phosphorus metabolism, especially in chronic hemodialysis. Besides classical endocrine axis parathyroid-kidney, in recent years was established the existence of a new endocrine axis the bone-kidney, which gives a better explanation of the calcium and phosphorus metabolism abnormalities, pathophysiology of secondary hyperparathyroidism in CKD. FGF23 is a circulating factor synthesized in osteocytes. It inhibits renal phosphate reabsorption and activity of 1-alphahydroxylase. Anti-aging Klotho protein is a potent co-factor of FGF23. This review presents the mechanisms of the interaction of these elements of the newly discovered axis in normal settings and secondary hyperparathyroidism.
Reference Key
ilin2013osteoporozfibroblast Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;A V Ilin;M I Arbuzova
Journal journal of interprofessional care
Year 2013
DOI
10.14341/osteo2013320-27
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