Kidney and Metabolic Bone Diseases Vol.20 No.4(1)

Theme The new horizon of phosphate control in kidney disease
Title Phosphate regulation by intestines, kidnies and bones
Publish Date 2007/10
Author Ichiro Ohkido Division of Nephrology and Hypertension, Jikei University School of Medicine
[ Summary ] Phosphate homeostasis is mainly regulated by the kidnies, the bones, and the intestines. Renal proximal reabsorption of phosphate is regulated by controlling the amount of NaPi-II a, NaPi-II c cotransporters in the brush border membrane of the proximal tubules. NaPi cotransporters are regulated by the parathyroid hormone (PTH) and vitamin D. Intestinal reabsorption of phosphate is regulated by NaPi-II b. Recently, fibroblast growth factor 23 (FGF23) has been cloned. In this review, we discuss the regulation of NaPi proteins, and their physiological role.
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