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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Physiol+Endocrinol+Metab
2014 ; 307
(5
): E426-36
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gab.com Text
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English Wikipedia
FGF23 directly impairs endothelium-dependent vasorelaxation by increasing
superoxide levels and reducing nitric oxide bioavailability
#MMPMID25053401
Silswal N
; Touchberry CD
; Daniel DR
; McCarthy DL
; Zhang S
; Andresen J
; Stubbs JR
; Wacker MJ
Am J Physiol Endocrinol Metab
2014[Sep]; 307
(5
): E426-36
PMID25053401
show ga
Fibroblast growth factor 23 (FGF23) is secreted primarily by osteocytes and
regulates phosphate and vitamin D metabolism. Elevated levels of FGF23 are
clinically associated with endothelial dysfunction and arterial stiffness in
chronic kidney disease (CKD) patients; however, the direct effects of FGF23 on
endothelial function are unknown. We hypothesized that FGF23 directly impairs
endothelial vasorelaxation by hindering nitric oxide (NO) bioavailability. We
detected expression of all four subtypes of FGF receptors (Fgfr1-4) in male mouse
aortas. Exogenous FGF23 (90-9,000 pg/ml) did not induce contraction of aortic
rings and did not relax rings precontracted with PGF2?. However, preincubation
with FGF23 (9,000 pg/ml) caused a ?36% inhibition of endothelium-dependent
relaxation elicited by acetylcholine (ACh) in precontracted aortic rings, which
was prevented by the FGFR antagonist PD166866 (50 nM). Furthermore, in
FGF23-pretreated (9,000 pg/ml) aortic rings, we found reductions in NO levels. We
also investigated an animal model of CKD (Col4a3(-/-) mice) that displays highly
elevated serum FGF23 levels and found they had impaired endothelium-dependent
vascular relaxation and reduced nitrate production compared with age-matched wild
types. To elucidate a mechanism for the FGF23-induced impairment, we measured
superoxide levels in endothelial cells and aortic rings and found that they were
increased following FGF23 treatment. Crucially, treatment with the superoxide
scavenger tiron reduced superoxide levels and also restored aortic relaxation to
ACh. Therefore, our data suggest that FGF23 increases superoxide, inhibits NO
bioavailability, and causes endothelial dysfunction in mouse aorta. Together,
these data provide evidence that high levels of FGF23 contribute to
cardiovascular dysfunction.