Source:http://linkedlifedata.com/resource/pubmed/id/19946326
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
114
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pubmed:dateCreated |
2009-11-30
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pubmed:abstractText |
Fibroblast growth factor (FGF)-23 is a recently discovered regulator of calcium-phosphate metabolism. Whereas other known FGFs mainly act in a paracrine manner, FGF-23 has significant systemic effects. Together with its cofactor Klotho, FGF-23 enhances renal phosphate excretion in order to maintain serum phosphate levels within the normal range. In patients with chronic kidney disease (CKD), FGF-23 levels rise in parallel with declining renal function long before a significant increase in serum phosphate concentration can be detected. However, in cross-sectional studies increased FGF-23 levels in patients with CKD were found to be associated not only with therapy-resistant secondary hyperparathyroidism but were also independently related to myocardial hypertrophy and endothelial dysfunction after adjustment for traditional markers of calcium-phosphate metabolism. Finally, in prospective studies high serum FGF-23 concentrations predicted faster disease progression in CKD patients not on dialysis, and increased mortality in patients receiving maintenance hemodialysis. FGF-23 may therefore prove to be an important therapeutic target in the management of CKD.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Calcitriol,
http://linkedlifedata.com/resource/pubmed/chemical/Fibroblast Growth Factors,
http://linkedlifedata.com/resource/pubmed/chemical/Parathyroid Hormone,
http://linkedlifedata.com/resource/pubmed/chemical/Phosphates,
http://linkedlifedata.com/resource/pubmed/chemical/fibroblast growth factor 23
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0098-6577
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S34-42
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pubmed:meshHeading |
pubmed-meshheading:19946326-Calcitriol,
pubmed-meshheading:19946326-Fibroblast Growth Factors,
pubmed-meshheading:19946326-Humans,
pubmed-meshheading:19946326-Hyperparathyroidism, Secondary,
pubmed-meshheading:19946326-Kidney Failure, Chronic,
pubmed-meshheading:19946326-Kidney Transplantation,
pubmed-meshheading:19946326-Parathyroid Hormone,
pubmed-meshheading:19946326-Phosphates,
pubmed-meshheading:19946326-Renal Dialysis
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pubmed:year |
2009
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pubmed:articleTitle |
Clinical relevance of FGF-23 in chronic kidney disease.
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pubmed:affiliation |
Department of Internal Medicine IV-Renal and Hypertensive Disease, Saarland University Medical Centre, Homburg/Saar, Germany.
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pubmed:publicationType |
Journal Article,
Review
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