Article
Compensatory regulation of the sodium/phosphate cotransporters NaPi-IIc (SCL34A3) and Pit-2 (SLC20A2) during Pi deprivation and acidosis.
Laboratory of Molecular Toxicology, Veterinary Faculty, University of Zaragoza, Calle Miguel Servet 177, 50013 Zaragoza, Spain.
Pflügers Archiv - European Journal of Physiology (impact factor:
4.46).
10/2009;
459(3):499-508.
DOI:10.1007/s00424-009-0746-z
pp.499-508
Source: PubMed
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Citations (0)
- Cited In (1)
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Article: Genetic disorders of phosphate regulation.
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ABSTRACT: Regulation of phosphate homeostasis is critical for many biological processes, and both hypophosphatemia and hyperphosphatemia can have adverse clinical consequences. Only a very small percentage (1%) of total body phosphate is present in the extracellular fluid, which is measured by routine laboratory assays and does not reflect total body phosphate stores. Phosphate is absorbed from the gastrointestinal tract via the transcellular route [sodium phosphate cotransporter 2b (NaPi2b)] and across the paracellular pathway. Approximately 85% of the filtered phosphate is reabsorbed from the kidney, predominantly in the proximal tubule, by NaPi2a and NaPi2c, which are present on the brush border membrane. Renal phosphate transport is tightly regulated. Dietary phosphate intake, parathyroid hormone (PTH), 1,25 (OH)2 vitamin D3, and fibroblast growth factor 23 (FGF23) are the principal regulators of phosphate reabsorption from the kidney. Recent advances in genetic techniques and animal models have identified many genetic disorders of phosphate homeostasis. Mutations in NaPi2a and NaPi2c; and hormonal dysregulation of PTH, FGF23, and Klotho, are primarily responsible for most genetic disorders of phosphate transport. The main focus of this educational review article is to discuss the genetic and clinical features of phosphate regulation disorders and provide understanding and treatment options.Pediatric Nephrology 02/2012; 27(9):1477-87. · 2.52 Impact Factor
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Keywords
BBMV Pi transport
control diet animals
low Pi diet
mathematical analyses
metabolic acidosis
modest involvement
NaPi-IIa
NaPi-IIa RNA accounts
NaPi-IIc
pH 6.0. Metabolic acidosis
pH 7.5. Real brush-border membrane vesicles
pH effect
Pi adaptation
Pi transporters
Pi uptake
Pit-1
renal handling
renal Pi handling
type II transporters
Type II-mediated Pi uptake