[Rickets/Osteomalacia. Action of FGF23.]

Clinical calcium Pub Date : 2018-01-01 DOI:CliCa181013351342
Daisuke Inoue
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Abstract

FGF23 is an "endocrine FGF" mainly secreted by osteocytes. FGF23 exerts its action through binding to an FGF receptor isoform, FGFR1c, using α-Klotho as a co-receptor. The main physiological function of FGF23 is to suppress phosphate reabsorption and active vitamin D production in the proximal tubule of the kidney, thereby lowering serum concentration of inorganic phosphate. In recent years, however, FGF23 has been shown to contribute to various pathological processes including cardiac hypertrophy via a distinct mode of action in a Klotho-independent manner. This review summarizes such pleiotropic actions of FGF23.

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佝偻病、骨软化。FGF23的作用[j]
FGF23是一种主要由骨细胞分泌的“内分泌FGF”。FGF23通过结合FGF受体异构体FGFR1c,利用α-Klotho作为共受体发挥作用。FGF23的主要生理功能是抑制肾近端小管的磷酸盐重吸收和活性维生素D的产生,从而降低血清中无机磷酸盐的浓度。然而,近年来,FGF23已被证明通过klotho独立方式的独特作用模式参与各种病理过程,包括心脏肥厚。本文就FGF23的多效性作用进行综述。
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