Clinkenbeard Erica L, White Kenneth E
Department of Medical and Molecular Genetics, Division of Molecular Genetics and Gene Therapy, Indiana University School of Medicine, Indianapolis, IN 46202.
Curr Mol Biol Rep. 2016 Mar 1;2(1):62-71. doi: 10.1007/s40610-016-0035-5. Epub 2016 Feb 3.
The regulation of phosphate metabolism as an influence on bone homeostasis is profound. Recent advances in understanding the systemic control of Fibroblast growth factor-23 (FGF23) has uncovered novel effectors of endocrine feedback loops for calcium, phosphate, and vitamin D balance that interact with 'traditional' feedback loops for mineral metabolism. Not only are these findings re-shaping research studying phosphate handling and skeletal interactions, they have provided new therapeutic interventions. Emerging data support that the control of FGF23 production in bone and its circulating concentrations is a multi-layered process, with some influences affecting FGF23 transcription and some post-translational modification of the secreted, bioactive protein. Additionally, the actions of FGF23 on its target tissues via its co-receptor αKlotho, are subject to regulatory events just coming to light. The recent findings of systemic influences on circulating FGF23 and the downstream manifestations on bone homeostasis will be reviewed herein.
磷酸盐代谢对骨稳态的调节作用极为深远。近年来,在理解成纤维细胞生长因子23(FGF23)的全身调控方面取得的进展,揭示了钙、磷酸盐和维生素D平衡的内分泌反馈回路中的新型效应器,这些效应器与矿物质代谢的“传统”反馈回路相互作用。这些发现不仅正在重塑关于磷酸盐处理和骨骼相互作用的研究,还提供了新的治疗干预措施。新出现的数据支持,骨中FGF23产生及其循环浓度的控制是一个多层次的过程,一些影响作用于FGF23转录,另一些则影响分泌的生物活性蛋白的翻译后修饰。此外,FGF23通过其共受体αKlotho对其靶组织的作用,也受到刚刚被揭示的调控事件的影响。本文将综述近期关于循环FGF23的全身影响以及对骨稳态的下游表现的研究发现。