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A Land of Controversy: Fibroblast Growth Factor-23 and Uremic Cardiac Hypertrophy

期刊

JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
卷 31, 期 7, 页码 1423-1434

出版社

AMER SOC NEPHROLOGY
DOI: 10.1681/ASN.2020010081

关键词

fibroblast growth factor-23; ?-Klotho; uremic cardiac hypertrophy

资金

  1. National Natural Science Foundation of China [81270825, 81770727]
  2. Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme grant 2017
  3. Science and Technology Planning Project of Guangdong Province grant [2017A010103041]
  4. Key Project of Guangzhou Science Technology and Innovation Commission [201804020054]

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Cardiac hypertrophy is a common feature in patients with CKD. Recent studies revealed that two phosphate regulators, fibroblast growth factor-23 and ?-Klotho, are highly involved in the pathophysiologic process of CKD-induced cardiac hypertrophy. With decreasing renal function, elevated fibroblast growth factor-23 and decreased ?-Klotho may contribute to cardiac hypertrophy by targeting the heart directly or by inducing systemic changes, such as vascular injury, hemodynamic disorders, and inflammation. However, several studies have demonstrated that disturbances in the fibroblast growth factor-23/?-Klotho axis do not lead to cardiac hypertrophy. In this review, we describe the cardiac effects of the fibroblast growth factor-23/?-Klotho axis and summarize recent progress in this field. In addition, we present not only the main controversies in this field but also provide possible directions to resolve these disputes.

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