Pastor-Arroyo, E.M.* ; Gehring, N.H.* ; Krudewig, C.* ; Costantino, S.* ; Bettoni, C.* ; Knöpfel, T.* ; Sabrautzki, S. ; Lorenz-Depiereux, B. ; Pastor, J.* ; Strom, T.M. ; Hrabě de Angelis, M. ; Camici, G.G.* ; Paneni, F.* ; Wagner, C.A.* ; Rubio-Aliaga, I.*
The elevation of circulating fibroblast growth factor 23 without kidney disease does not increase cardiovascular disease risk.
Kidney Int. 94, 49-59 (2018)
High circulating fibroblast growth factor 23 (FGF23) levels are probably a major risk factor for cardiovascular disease in chronic kidney disease. FGF23 interacts with the receptor FGFR4 in cardiomyocytes inducing left ventricular hypertrophy. Moreover, in the liver FGF23 via FGFR4 increases the risk of inflammation which is also found in chronic kidney disease. In contrast, X-linked hypophosphatemia is characterized by high FGF23 circulating levels due to loss of function mutations of the phosphate-regulating gene with homologies to an endopeptidase on the X chromosome (PHEX), but is not characterized by high cardiovascular morbidity. Here we used a novel murine X-linked hypophosphatemia model, the PhexC733RMhda mouse line, bearing an amino acid substitution (p.Cys733Arg) to test whether high circulating FGF23 in the absence of renal injury would trigger cardiovascular disease. As X-linked hypophosphatemia patient mimics, these mice show high FGF23 levels, hypophosphatemia, normocalcemia, and low/normal vitamin D levels. Moreover, these mice show hyperparathyroidism and low circulating soluble alpha Klotho levels. At the age of 27 weeks we found no left ventricular hypertrophy and no alteration of cardiac function as assessed by echocardiography. These mice also showed no activation of the calcineurin/NFAT pathway in heart and liver and no tissue and systemic signs of inflammation. Importantly, blood pressure, glomerular filtration rate and urea clearance were similar between genotypes. Thus, the presence of high circulating FGF23 levels alone in the absence of renal impairment and normal/high phosphate levels is not sufficient to cause cardiovascular disease.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Typ der Hochschulschrift
Herausgeber
Schlagwörter
Cardiovascular Disease ; Chronic Kidney Disease ; Fgf23 ; Phosphate; X-linked Hypophosphatemia; Left-ventricular Hypertrophy; Phex Gene; Cardiac-hypertrophy; Soluble Klotho; Vitamin-d; Rickets; Phosphate; Mice; Fgf23
Keywords plus
Sprache
englisch
Veröffentlichungsjahr
2018
Prepublished im Jahr
HGF-Berichtsjahr
2018
ISSN (print) / ISBN
0085-2538
e-ISSN
1523-1755
ISBN
Bandtitel
Konferenztitel
Konferzenzdatum
Konferenzort
Konferenzband
Quellenangaben
Band: 94,
Heft: 1,
Seiten: 49-59
Artikelnummer: ,
Supplement: ,
Reihe
Verlag
Nature Publishing Group
Verlagsort
360 Park Ave South, New York, Ny 10010-1710 Usa
Tag d. mündl. Prüfung
0000-00-00
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Prüfer
Topic
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Veröffentlichungsdatum
0000-00-00
Anmeldedatum
0000-00-00
Anmelder/Inhaber
weitere Inhaber
Anmeldeland
Priorität
Begutachtungsstatus
Peer reviewed
POF Topic(s)
30202 - Environmental Health
30201 - Metabolic Health
30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
Forschungsfeld(er)
Genetics and Epidemiology
PSP-Element(e)
G-500900-001
G-500600-001
G-500700-001
G-500600-003
Förderungen
Copyright
Erfassungsdatum
2018-06-05