4.2 Article

Pathogenesis and diagnostic criteria for rickets and osteomalacia-Proposal by an expert panel supported by Ministry of Health, Labour and Welfare, Japan, The Japanese Society for Bone and Mineral Research and The Japan Endocrine Society

Journal

ENDOCRINE JOURNAL
Volume 62, Issue 8, Pages 665-671

Publisher

JAPAN ENDOCRINE SOC
DOI: 10.1507/endocrj.EJ15-0289

Keywords

Vitamin D; Hypophosphatemia; Hyopcalcemia; FGF23

Funding

  1. Ministry of Health, Labour and Welfare of Japan

Ask authors/readers for more resources

Rickets and osteomalacia are diseases characterized by impaired mineralization of bone matrix. Recent investigations revealed that the causes for rickets and osteomalacia are quite variable. While these diseases can severely impair the quality of life of the affected patients, rickets and osteomalacia can be completely cured or at least respond to treatment when properly diagnosed and treated according to the specific causes. On the other hand, there are no standard criteria to diagnose rickets or osteomalacia nationally and internationally. Therefore, we summarize the definition and pathogenesis of rickets and osteomalacia, and propose the diagnostic criteria and a flowchart for the differential diagnosis of various causes for these diseases. We hope that these criteria and flowchart are clinically useful for the proper diagnosis and management of patients with these diseases.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Multidisciplinary Sciences

Activation of unliganded FGF receptor by extracellular phosphate potentiates proteolytic protection of FGF23 by its O-glycosylation

Yuichi Takashi, Hidetaka Kosako, Shun Sawatsubashi, Yuka Kinoshita, Nobuaki Ito, Maria K. Tsoumpra, Masaomi Nangaku, Masahiro Abe, Munehide Matsuhisa, Shigeaki Kato, Toshio Matsumoto, Seiji Fukumoto

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2019)

Review Medicine, General & Internal

Peptide-conjugate antisense based splice-correction for Duchenne muscular dystrophy and other neuromuscular diseases

Maria K. Tsoumpra, Seiji Fukumoto, Toshio Matsumoto, Shin'ichi Takeda, Matthew J. A. Wood, Yoshitsugu Aoki

EBIOMEDICINE (2019)

Review Endocrinology & Metabolism

Earlier Onset in Autosomal Dominant Hypophosphatemic Rickets of R179 than R176 Mutations in Fibroblast Growth Factor 23: Report of 20 Chinese Cases and Review of the Literature

Chang Liu, Zhen Zhao, Ou Wang, Mei Li, Xiaoping Xing, Evelyn Hsieh, Seiji Fukumoto, Yan Jiang, Weibo Xia

CALCIFIED TISSUE INTERNATIONAL (2019)

Article Endocrinology & Metabolism

Circulating FGF23 is not associated with cardiac dysfunction, atherosclerosis, infection or inflammation in hemodialysis patients

Yuichi Takashi, Shu Wakino, Hitoshi Minakuchi, Masashi Ishizu, Akio Kuroda, Hisato Shima, Manabu Tashiro, Keiko Miya, Kazuyoshi Okada, Jun Minakuchi, Shu Kawashima, Munehide Matsuhisa, Toshio Matsumoto, Seiji Fukumoto

JOURNAL OF BONE AND MINERAL METABOLISM (2020)

Review Endocrinology & Metabolism

How do we sense phosphate to regulate serum phosphate level?

Seiji Fukumoto, Yuichi Takashi, Maria K. Tsoumpra, Shun Sawatsubashi, Toshio Matsumoto

JOURNAL OF BONE AND MINERAL METABOLISM (2020)

Article Endocrinology & Metabolism

Management manual for cancer treatment-induced bone loss (CTIBL): position statement of the JSBMR

Seiji Fukumoto, Satoshi Soen, Tetsuya Taguchi, Takashi Ishikawa, Hisashi Matsushima, Masakazu Terauchi, Shigeo Horie, Toshiyuki Yoneda, Toshitsugu Sugimoto, Toshio Matsumoto

JOURNAL OF BONE AND MINERAL METABOLISM (2020)

Article Medicine, General & Internal

Long-term outcomes for Asian patients with X-linked hypophosphataemia: rationale and design of the SUNFLOWER longitudinal, observational cohort study

Takuo Kubota, Seiji Fukumoto, Hae Il Cheong, Toshimi Michigami, Noriyuki Namba, Nobuaki Ito, Shin Tokunaga, Yoshimi Gibbs, Keiichi Ozono

BMJ OPEN (2020)

Article Endocrinology & Metabolism

Interim Analysis of a Phase 2 Open-Label Trial Assessing Burosumab Efficacy and Safety in Patients With Tumor-Induced Osteomalacia

Yasuo Imanishi, Nobuaki Ito, Yumie Rhee, Yasuhiro Takeuchi, Chan Soo Shin, Yutaka Takahashi, Hiroki Onuma, Masahiro Kojima, Masanori Kanematsu, Hironori Kanda, Yoshiki Seino, Seiji Fukumoto

Summary: Burosumab (KRN23) shows promising efficacy and tolerability in patients with TIO, effectively increasing serum phosphate levels, improving bone metabolism and pain, especially beneficial for patients who are not eligible for tumor resection.

JOURNAL OF BONE AND MINERAL RESEARCH (2021)

Article Endocrinology & Metabolism

Incidence of Complications in 25 Adult Patients With X-linked Hypophosphatemia

Hajime Kato, Minae Koga, Yuka Kinoshita, Yuki Taniguchi, Hiroshi Kobayashi, Seiji Fukumoto, Masaomi Nangaku, Noriko Makita, Nobuaki Ito

Summary: This study revealed a high prevalence and severity of ectopic ossification, hip/knee osteophytes, nephrocalcinosis, and hearing impairment in adults with XLH. Enthesopathy in the Achilles tendon was also common. Undiagnosed XLH should be considered in cases with severe spinal ligament ossification or noticeable osteophytes around the hip/knee joints.

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2021)

Review Endocrinology & Metabolism

FGF23 and Hypophosphatemic Rickets/Osteomalacia

Yuichi Takashi, Daiji Kawanami, Seiji Fukumoto

Summary: This review discussed the pathogenesis of X-linked hypophosphatemia and tumor-induced osteomalacia, as well as the new treatment strategy involving the use of an anti-FGF23 monoclonal antibody, burosumab. Inhibition of excessive FGF23 activity has been approved as a new therapy for these hypophosphatemic diseases, but further studies are needed to determine the long-term effects and safety of burosumab.

CURRENT OSTEOPOROSIS REPORTS (2021)

Review Endocrinology & Metabolism

Etiology and Pathophysiology of Hypoparathyroidism: A Narrative Review

Janice L. Pasieka, Kelly Wentworth, Caitlin T. Yeo, Serge Cremers, David Dempster, Seiji Fukumoto, Ravinder Goswami, Pascal Houillier, Michael A. Levine, Jesse D. Pasternak, Nancy D. Perrier, Antonio Sitges-Serra, Dolores M. Shoback

Summary: This article utilized a systematic review to investigate the etiologies and pathogenesis of hypoparathyroidism, with a particular focus on new knowledge about parathyroid gland viability and intraoperative parathyroid hormone monitoring. Non-surgical factors, especially genetic factors, play a significant role in hypoparathyroidism. Due to the widespread impact of PTH deficiency on multiple organ systems, the article provides a detailed review of skeletal, renal, neuromuscular, and ocular complications. The burden of illness on patients and their caregivers leads to reduced quality of life and increased social costs for this chronic endocrinopathy.

JOURNAL OF BONE AND MINERAL RESEARCH (2022)

Review Endocrinology & Metabolism

Tumor-induced Osteomalacia: A Comprehensive Review

Salvatore Minisola, Seiji Fukumoto, Weibo Xia, Alessandro Corsi, Luciano Colangelo, Alfredo Scillitani, Jessica Pepe, Cristiana Cipriani, Rajesh Thakker

Summary: Tumor-induced osteomalacia is a rare paraneoplastic syndrome characterized by bone softening and various symptoms. It is often underdiagnosed due to nonspecific symptoms. Biochemical features include hypophosphatemia, abnormal FGF23 levels, and abnormal vitamin D levels. The underlying tumors are usually phosphaturic mesenchymal tumors.

ENDOCRINE REVIEWS (2023)

Article Endocrinology & Metabolism

Effect of Conventional Treatment on Dental Complications and Ectopic Ossifications Among 30 Adults With XLH

Hajime Kato, Rena Okawa, Toru Ogasawara, Yoshitomo Hoshino, Naoko Hidaka, Minae Koga, Yuka Kinoshita, Hiroshi Kobayashi, Yuki Taniguchi, Seiji Fukumoto, Masaomi Nangaku, Noriko Makita, Kazuto Hoshi, Kazuhiko Nakano, Nobuaki Ito

Summary: This study compared dental complications and ectopic ossifications among adult patients with XLH with early and late conventional treatment. The results showed that early treatment could prevent dental complications but did not prevent ectopic ossification in adult patients with XLH.

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2023)

Article Endocrinology & Metabolism

Ectopic expression of Klotho in fibroblast growth factor 23 (FGF23)-producing tumors that cause tumor-induced rickets/osteomalacia (TIO)

Yuka Kinoshita, Yuichi Takashi, Nobuaki Ito, Shiro Ikegawa, Hiroyuki Mano, Tetsuo Ushiku, Masashi Fukayama, Masaomi Nangaku, Seiji Fukumoto

BONE REPORTS (2019)

Article Biochemistry & Molecular Biology

Skeletal FGFR1 signaling is necessary for regulation of serum phosphate level by FGF23 and normal life span

Yuichi Takashi, Shun Sawatsubashi, Itsuro Endo, Yukiyo Ohnishi, Masahiro Abe, Munehide Matsuhisa, Daiji Kawanami, Toshio Matsumoto, Seiji Fukumoto

Summary: The study demonstrates the significance of FGFR1 signaling in regulating FGF23 production and serum phosphate level in vivo. Knockout of Fgfr1 leads to increased hyperphosphatemia, body weight loss, and shorter lifespan in mice, highlighting the role of FGFR1 in phosphate metabolism and normal lifespan.

BIOCHEMISTRY AND BIOPHYSICS REPORTS (2021)

No Data Available