4.2 Review

FGF23 functions and disease

Journal

MINERVA ENDOCRINOLOGY
Volume 47, Issue 4, Pages 437-448

Publisher

EDIZIONI MINERVA MEDICA
DOI: 10.23736/S2724-6507.21.03378-2

Keywords

FGF23 protein; human; Phosphates; Physiology; Physiopathology

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The main function of fibroblast growth factor 23 (FGF23) is to regulate phosphate metabolism through its interaction with sodium-dependent phosphate cotransporters in the proximal renal tubules. It also interacts with vitamin D and parathyroid hormone in a complex metabolic pathway. Recent research has focused on FGF23's action on organs and systems other than the kidneys and bone, as well as its interaction with other metabolic pathways. This new evidence has contributed to the clinical evaluation and management of FGF23-related disorders.
The main function of fibroblast growth factor 23 (FGF23) is the regulation of phosphate metabolism through its action on the sodium-dependent phosphate cotransporters in the proximal renal tubules. Additionally, FGF23 interacts with vitamin D and parathyroid hormone in a complex metabolic pathway whose detailed mechanisms are still not clear in human physiology and disease. More recently, research has also focused on the understanding of mechanisms of FGF23 action on organs and system other than the kidneys and bone, as well as on its interaction with other metabolic pathways. Col-lectively, the new evidence are successfully used for the clinical evaluation and management of FGF23-related disorders, for which new therapies with many potential applications are now available.

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