2004
DOI: 10.1210/en.2004-0233
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Transgenic Mice Overexpressing Human Fibroblast Growth Factor 23 (R176Q) Delineate a Putative Role for Parathyroid Hormone in Renal Phosphate Wasting Disorders

Abstract: Fibroblast growth factor 23 (FGF23) is a recently characterized protein likely involved in the regulation of serum phosphate homeostasis. Increased circulating levels of FGF23 have been reported in patients with renal phosphate-wasting disorders, but it is unclear whether FGF23 is the direct mediator responsible for the decreased phosphate transport at the proximal renal tubules and the altered vitamin D metabolism associated with these states. To examine this question, we generated transgenic mice expressing … Show more

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Cited by 305 publications
(245 citation statements)
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“…Transgenic mice over-expressing FGF-23 exhibit hypophosphatemia, with no significant changes in serum levels of calcium (Bai et al, 2004;Larsson et al, 2004;Shimada et al, 2004b), while an opposing effect of high serum levels of phosphate, and increased vitamin D activities are documented in Fgf-23 null mice (Shimada et al, 2004a;Sitara et al, 2004). More importantly, the phenotype of Fgf-23 null animals mimics patients with familial tumoral calcinosis (FTC), an autosomal recessive disorder characterized by ectopic calcifications and elevated serum levels of phosphate due to inactivating mutations in the FGF-23 gene (Benet-Pages et al, 2005;Frishberg et al, 2006).…”
Section: Fibroblast Growth Factor 23mentioning
confidence: 98%
See 1 more Smart Citation
“…Transgenic mice over-expressing FGF-23 exhibit hypophosphatemia, with no significant changes in serum levels of calcium (Bai et al, 2004;Larsson et al, 2004;Shimada et al, 2004b), while an opposing effect of high serum levels of phosphate, and increased vitamin D activities are documented in Fgf-23 null mice (Shimada et al, 2004a;Sitara et al, 2004). More importantly, the phenotype of Fgf-23 null animals mimics patients with familial tumoral calcinosis (FTC), an autosomal recessive disorder characterized by ectopic calcifications and elevated serum levels of phosphate due to inactivating mutations in the FGF-23 gene (Benet-Pages et al, 2005;Frishberg et al, 2006).…”
Section: Fibroblast Growth Factor 23mentioning
confidence: 98%
“…It is however, interesting to note that despite extremely high serum levels of Fgf-23 (about 2,000 fold higher) in klotho mutants, Fgf-23 is unable to exert its phosphaturic effects in these mice. Both human diseases with increased FGF-23 activity, and experimental studies with over-expression of FGF-23 in transgenic animals have convincingly demonstrated that FGF-23 is a potent phosphaturic factor that induces renal phosphate wasting (ADHR_Consortium, 2000;Bai et al, 2004). However, the lack of phosphaturic activity despite extremely high levels of Fgf-23, signifies that Fgf-23 is unable to exert its physiological functions in the absence of klotho.…”
Section: Why Klotho Mutants Show Similar Phenotypes As Fgf-23 Mutants?mentioning
confidence: 99%
“…Emerging evidence from clinical and animal studies demonstrates pivotal roles of fibroblast growth factor 23 (FGF23) 2 signaling in the regulation of phosphate homeostasis (1)(2)(3)(4)(5). Osteoblast-lineage specific cells, especially osteocytes, produces large amounts of FGF23, but other tissues including small intestine, heart, and ventrolateral thalamic nucleus and thymus produce FGF23 as well although the physiological significance of FGF23 produced from these tissues remain to be defined (6,7).…”
mentioning
confidence: 99%
“…Genetic modifications of FGF-23 in animals have shown phenotypes similar to those of human diseases. Transgenic mice overexpressing FGF-23 exhibit hypophosphatemia, reduced serum 1,25(OH) 2 D 3 levels, and rickets (15)(16)(17), while Fgf-23 null mice exhibit hyperphosphatemia, elevated serum 1,25 (OH) 2 D 3 levels with abnormal skeletogenesis (17,18). FGF-23 transgenic mice mimic autosomal dominant hypophosphatemic rickets (ADHR), X-linked hypophosphatemia (XLH), and oncogenic osteomalacia (OOM) in humans, while the Fgf-23 null mice mimic the features consistent with human familial tumoral calcinosis (FTC) (12,19,20).…”
mentioning
confidence: 99%