Edited by Lukas Alfons HuberThe consequence is a decrease in the plasma concentration of phosphate and 1,25(OH) 2 D 3 , the biologically active form of vitamin D. To mediate these renal effects, FGF23 requires aKlotho as a co-receptor [4,5].In addition, FGF23 is a powerful counteracter of aging. Mice deficient for FGF23 or for aKlotho suffer from rapid aging with a life span of a few weeks only and numerous age-related diseases [5,6]. The rapid aging is directly or indirectly dependent on the hyperphosphatemia of the mice as feeding them a low-phosphate or low-vitamin D diet greatly expands their life span [7].In contrast, excess FGF23 production due to FGF23-synthesizing tumors in men results in osteomalacia [8]. The regulation of FGF23 formation by bone cells has remained ill-defined. Among the known triggers of FGF23 expression are parathyroid hormone (PTH) [9][10][11], 1,25(OH) 2 D 3 [12,13] and increased dietary phosphorus intake [14,15]. Mutations of the dentin Abbreviations 1,25(OH) 2 D 3, calcitriol; Fgf, fibroblast growth factor; NFjB, nuclear factor kappa B; PI3, phosphoinositide-3; PTH, parathyroid hormone; PVDF, polyvinylidene fluoride; TNF, tumor necrosis factor; VDR, vitamin D receptor.
705FEBS Letters 590 (2016) 705-715 ª