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The Complexity of FGF23 Effects on Cardiomyocytes in Normal and Uremic Milieu
Andreja Figurek1,2, Merita Rroji3, Goce Spasovski4
1Department of Internal Medicine, Medical Faculty, University of Banja Luka, 78000 Banja Luka, Republic of Srpska, Bosnia and Herzegovina.
Insights
Fibroblast growth factor-23 (FGF23) is a key predictor of cardiovascular risk, especially in chronic kidney disease (CKD). This review explores FGF23
Area of Science:
- Cardiovascular Research
- Nephrology
- Endocrinology
Background:
- Fibroblast growth factor-23 (FGF23) is increasingly recognized as a significant biomarker.
- Elevated FGF23 levels are linked to cardiovascular complications, particularly in patients with chronic kidney disease (CKD).
- Understanding FGF23's role in cardiac function is crucial for managing cardiovascular risk.
Purpose of the Study:
- To review the mechanisms of FGF23 action in the myocardium.
- To examine FGF23's role in both physiological and pathophysiological states of CKD.
- To discuss FGF23's interactions with other signaling pathways in cardiomyocytes.
Main Methods:
- Literature review of existing studies on FGF23.
- Analysis of FGF23's effects on myocardial tissue.
- Examination of FGF23's signaling pathways and cross-talk.
Main Results:
- FGF23 influences myocardial function through various signaling pathways.
- CKD exacerbates the detrimental effects of FGF23 on the heart.
- FGF23 interacts with other critical signaling cascades within cardiomyocytes.
Conclusions:
- FGF23 is a critical mediator of cardiovascular risk in CKD.
- Targeting FGF23 pathways may offer novel therapeutic strategies.
- Further research into FGF23's cardiac mechanisms is warranted.
Abstract:
Fibroblast growth factor-23 (FGF23) appears to be one of the most promising biomarkers and predictors of cardiovascular risk in patients with heart disease and normal kidney function, but moreover in those with chronic kidney disease (CKD). This review summarizes the current knowledge of FGF23 mechanisms of action in the myocardium in the physiological and pathophysiological state of CKD, as well as its cross-talk to other important signaling pathways in cardiomyocytes. In this regard, current therapeutic possibilities and future perspectives are also discussed.
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