2019
DOI: 10.1038/s12276-019-0265-8
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C-type natriuretic peptide attenuates renal osteodystrophy through inhibition of FGF-23/MAPK signaling

Abstract: Renal osteodystrophy (ROD) occurs as early as chronic kidney disease (CKD) stage 2 and seems ubiquitous in almost all pediatric patients with CKD stage 5. Fibroblast growth factor (FGF)-23, a bone-derived endocrine regulator of phosphate homeostasis, is overexpressed in CKD and disturbs osteoblast differentiation and matrix mineralization. In contrast, C-type natriuretic peptide (CNP) acts as a potent positive regulator of bone growth. In the present study, we infused CNP into uremic rats and observed whether … Show more

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Cited by 6 publications
(7 citation statements)
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“…Over the past two decades, increasing evidence has demonstrated CNP importance as a physiological stimulator of longitudinal bone growth, chondrocytic proliferation and hypertrophy, and cartilage matrix synthesis [9,25]. Pathologically, our latest study established a rat model of renal osteodystrophy and observed that CNP administration significantly restored calcium phosphate metabolic disorders, hypovitaminosis D, secondary hyperparathyroidism and decreased bone turnover markers, and retarded bone pathological progression [26]. To eliminate disturbance from the neuroendocrine network, the present study cultured osteoblasts with different doses of CNP and found that osteoblastic proliferation could be directly promoted by exogenous CNP in a dose-dependent manner in vitro.…”
Section: Discussionmentioning
confidence: 98%
See 1 more Smart Citation
“…Over the past two decades, increasing evidence has demonstrated CNP importance as a physiological stimulator of longitudinal bone growth, chondrocytic proliferation and hypertrophy, and cartilage matrix synthesis [9,25]. Pathologically, our latest study established a rat model of renal osteodystrophy and observed that CNP administration significantly restored calcium phosphate metabolic disorders, hypovitaminosis D, secondary hyperparathyroidism and decreased bone turnover markers, and retarded bone pathological progression [26]. To eliminate disturbance from the neuroendocrine network, the present study cultured osteoblasts with different doses of CNP and found that osteoblastic proliferation could be directly promoted by exogenous CNP in a dose-dependent manner in vitro.…”
Section: Discussionmentioning
confidence: 98%
“…Moreover, identical results were obtained using the chondrogenic cell line ATDC5. In our previous study, we established a renal osteodystrophy rat model to identify whether CNP could attenuate renal osteodystrophy through the inhibition of FGF-23 cascades, and found that a continuous infusion of CNP (0.05 μg/kg/min × 1 h) significantly inhibited the expression of FGF-23, RAF-1/phospho-RAF-1, and downstream ERK/phospho-ERK in bone tissue [26]. As for FGF-23 signaling, no dose effect of CNP was observed in the present study.…”
Section: Discussionmentioning
confidence: 99%
“…NPR-B expression in the PT suggests CNP as a regulator of tubular transport in this nephron segment, which is compatible with previous results in NPR-B knockout mice that have impaired diuresis and developed salt-dependent renal injury [ 28 ]. Because of the nephroprotective potential of CNP, observed in various animal experiments, the expression of NPR-B in the PT might exert a primary protective function [ 9 , 28 , 77 ]. Interestingly, marked protective effects of CNP treatment was observed in models with primary damage of proximal tubules, such as cisplatin-induced nephrotoxicity, ischemia/reperfusion or hemorrhagic shock [ 8 , 28 , 31 ].…”
Section: Discussionmentioning
confidence: 99%
“…MaPK signaling pathway has been recognized as an important regulator of osteoblast differentiation and bone mass (49,50). The upstream stimulation can activate the key components of the MaPK signaling pathway by Protein expression of Runx2 and OSX in the control, Ti, JNK inhibitor and Ti + JNK inhibitor groups were measured.…”
Section: Discussionmentioning
confidence: 99%