The emerging role of phosphate in vascular calcification.

Abstract:

:Vascular calcification is recognized as a major contributor to cardiovascular disease (CVD) in end stage renal disease (ESRD) patients. Susceptibility to vascular calcification is genetically determined and actively regulated by diverse inducers and inhibitors. One of these inducers, hyperphosphatemia, promotes vascular calcification and is a nontraditional risk factor for CVD mortality in ESRD patients. Vascular smooth muscle cells (SMCs) respond to elevated phosphate levels by undergoing an osteochondrogenic phenotype change and mineralizing their extracellular matrix through a mechanism requiring sodium-dependent phosphate cotransporters. Disease states and cytokines can increase expression of sodium-dependent phosphate cotransporters in SMCs, thereby increasing susceptibility to calcification even at phosphate concentrations that are in the normal range.

journal_name

Kidney Int

journal_title

Kidney international

authors

Giachelli CM

doi

10.1038/ki.2008.644

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

890-7

issue

9

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)53811-8

journal_volume

75

pub_type

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