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September 1, 2003Journal of Clinical InvestigationOpen Access

FGF-23 in fibrous dysplasia of bone and its relationship to renal phosphate wasting

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Authors

MRMara RiminucciMCMichael T. CollinsNFNeal S. Fedarko

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Overview

Translational study reveals elevated FGF-23 production in fibrous dysplasia of bone with renal phosphate wasting, indicating its causative role in mineral dysregulation.

Key Points

  • To evaluate FGF-23 expression in fibrous dysplasia bone tissue and determine its association with renal phosphate wasting in patients with fibrous dysplasia and McCune-Albright syndrome.
  • Analyzed in vivo and in vitro FGF-23 production by normal and fibrous dysplasia (FD) osteoprogenitors using in situ hybridization to localize mRNA expression.
  • Measured and compared circulating serum FGF-23 levels in patients with FD/McCune-Albright syndrome (FD/MAS) against age-matched normal controls.
  • Assessed serum FGF-23 concentrations between FD/MAS patients with versus without renal phosphate wasting, correlating levels with disease burden and bone turnover markers.
  • In situ hybridization identified fibrous cells, osteogenic cells, and microvascular wall cells as primary cellular sources of FGF-23 expression in FD tissue.
  • Serum FGF-23 concentrations were significantly elevated in FD/MAS patients compared to normal controls, with significantly higher levels in patients exhibiting renal phosphate wasting compared to those without.
  • Circulating FGF-23 levels correlated positively with total skeletal disease burden and bone turnover markers of disease activity.

Cite This Study

Riminucci et al. (2003) studied this question.

synapsesocial.com/papers/69daa4df00ab073a27838a43https://doi.org/10.1172/jci18399
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