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FGF-23 and cardiovascular disease: review of literature
Jasveen Batra1, Rupinder Singh Buttar, Pardeep Kaur
1Department of Medicine/Nephrology, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York, USA.
Insights
Elevated fibroblast growth factor 23 (FGF-23) levels are linked to cardiovascular diseases like hypertension and heart failure. Further research is needed to determine if reducing FGF-23 can improve heart health outcomes.
Area of Science:
- Endocrinology
- Cardiology
- Nephrology
Background:
- Fibroblast growth factor 23 (FGF-23) is a hormone primarily produced by bone cells.
- FGF-23 plays a crucial role in phosphate and vitamin D metabolism.
- Emerging evidence suggests FGF-23 may impact cardiovascular health.
Purpose of the Study:
- To review the current literature on the association between FGF-23 and cardiovascular disease.
- To synthesize findings on FGF-23's role in various cardiovascular conditions.
Main Methods:
- Systematic review of existing animal and human observational studies.
- Analysis of research investigating FGF-23 levels and cardiovascular outcomes.
Main Results:
- Elevated FGF-23 levels are associated with hypertension.
- Higher FGF-23 is linked to left ventricular hypertrophy and endothelial dysfunction.
- Increased FGF-23 is correlated with cardiovascular events and mortality.
Conclusions:
- A significant association exists between elevated FGF-23 and adverse cardiovascular outcomes.
- The precise mechanisms underlying FGF-23's cardiovascular effects require further elucidation.
- Clinical trials are necessary to ascertain if targeting FGF-23 can mitigate cardiovascular risk.
Purpose Of Review:
This review examines associations between fibroblast growth factor 23 (FGF-23) and cardiovascular disease.
Recent Findings:
FGF-23 is a hormone produced by osteocytes and osteoblasts that aids with phosphate excretion by the kidney and acts as a negative feedback regulator for activated vitamin D synthesis. Recent studies have found associations between elevated FGF-23 levels and a number of cardiovascular diseases, including hypertension, left ventricular hypertrophy, endothelial dysfunction, cardiovascular events and mortality.
Conclusion:
Recent studies have explored the possible effects of FGF-23 on the cardiovascular system. In animal and observational human studies, there is a link between elevated FGF-23 levels and multiple cardiovascular outcomes, including hypertension, left ventricular hypertrophy and cardiovascular events and mortality. Further studies are required to evaluate whether decreasing FGF-23 levels improves cardiovascular outcomes.
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