The Causes of Hypo- and Hyperphosphatemia in Humans

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作者
Eugénie Koumakis
Catherine Cormier
Christian Roux
Karine Briot
机构
[1] AP-HP Centre-Paris University,Reference Center for Rare Disorders of Calcium and Phosphate Metabolism, Reference Center for Rare Genetic Bone Disorders, OSCAR Filière, Rheumatology Department, Cochin Hospital
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关键词
Hypophosphatemia; Hyperphosphatemia; Parathyroid hormone; Phosphate depletion; Phosphate regulation; Phosphates; Phosphatonins; Vitamin D;
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摘要
Phosphate homeostasis involves several major organs that are the skeleton, the intestine, the kidney, and parathyroid glands. Major regulators of phosphate homeostasis are parathormone, fibroblast growth factor 23, 1,25-dihydroxyvitamin D, which respond to variations of serum phosphate levels and act to increase or decrease intestinal absorption and renal tubular reabsorption, through the modulation of expression of transcellular transporters at the intestinal and/or renal tubular level. Any acquired or genetic dysfunction in these major organs or regulators may induce hypo- or hyperphosphatemia. The causes of hypo- and hyperphosphatemia are numerous. This review develops the main causes of acquired and genetic hypo- and hyperphosphatemia.
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页码:41 / 73
页数:32
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