FGF-23 Levels before and after Renal Transplantation

Phosphatonin fibroblast growth factor-23 (FGF-23) is involved in phosphate (P) excretion and vitamin D metabolism. Recently, FGF-23 has been suggested to be responsible for the hypophosphatemia and inappropriately low calcitriol levels observed after renal transplantation. We performed a prospective...

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Main Authors: Domniki Economidou, Spyros Dovas, Aikaterini Papagianni, Panagiotis Pateinakis, Dimitrios Memmos
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Journal of Transplantation
Online Access:http://dx.doi.org/10.1155/2009/379082
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author Domniki Economidou
Spyros Dovas
Aikaterini Papagianni
Panagiotis Pateinakis
Dimitrios Memmos
author_facet Domniki Economidou
Spyros Dovas
Aikaterini Papagianni
Panagiotis Pateinakis
Dimitrios Memmos
author_sort Domniki Economidou
collection DOAJ
description Phosphatonin fibroblast growth factor-23 (FGF-23) is involved in phosphate (P) excretion and vitamin D metabolism. Recently, FGF-23 has been suggested to be responsible for the hypophosphatemia and inappropriately low calcitriol levels observed after renal transplantation. We performed a prospective study to investigate FGF-23 levels in patients with end-stage renal disease before and after renal transplantation and their probable association with markers of bone and mineral metabolism. Intact FGF-23 levels were determined before and at 3, 6, and 12 months posttransplantation in 18 renal transplant recipients. Intact parathyroid hormone (iPTH), calcium (Ca), P, 25(OH)VitD, and 1,25(OH)2VitD levels were measured at the same time periods. Renal threshold phosphate concentration (TmPO4/GFR) was also calculated at 3, 6, and 12 months posttransplantation. The results showed that FGF-23 levels decreased by 89% 3 months posttransplantation (346 ± 146 versus 37 ± 9 pg/mL, 𝑃<.01) and remained stable throughout the study period. iPTH and P levels also decreased significantly after renal transplantation, while Ca and 1,25(OH)2VitD increased. Pretransplantation FGF-23 was significantly correlated with P levels at 3 months posttransplantation (𝑃<.005). In conclusion, FGF-23 levels decrease dramatically after successful renal transplantation. Pre-transplantation FGF-23 correlate with P levels 3 months posttransplantation.
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spelling doaj-art-a08486801291420e9337954b0bf901942025-02-03T01:09:03ZengWileyJournal of Transplantation2090-00072090-00152009-01-01200910.1155/2009/379082379082FGF-23 Levels before and after Renal TransplantationDomniki Economidou0Spyros Dovas1Aikaterini Papagianni2Panagiotis Pateinakis3Dimitrios Memmos4University Department of Nephrology, Hippokration General Hospital, 54642 Thessaloniki, GreeceUniversity Department of Nephrology, Hippokration General Hospital, 54642 Thessaloniki, GreeceUniversity Department of Nephrology, Hippokration General Hospital, 54642 Thessaloniki, GreeceUniversity Department of Nephrology, Hippokration General Hospital, 54642 Thessaloniki, GreeceUniversity Department of Nephrology, Hippokration General Hospital, 54642 Thessaloniki, GreecePhosphatonin fibroblast growth factor-23 (FGF-23) is involved in phosphate (P) excretion and vitamin D metabolism. Recently, FGF-23 has been suggested to be responsible for the hypophosphatemia and inappropriately low calcitriol levels observed after renal transplantation. We performed a prospective study to investigate FGF-23 levels in patients with end-stage renal disease before and after renal transplantation and their probable association with markers of bone and mineral metabolism. Intact FGF-23 levels were determined before and at 3, 6, and 12 months posttransplantation in 18 renal transplant recipients. Intact parathyroid hormone (iPTH), calcium (Ca), P, 25(OH)VitD, and 1,25(OH)2VitD levels were measured at the same time periods. Renal threshold phosphate concentration (TmPO4/GFR) was also calculated at 3, 6, and 12 months posttransplantation. The results showed that FGF-23 levels decreased by 89% 3 months posttransplantation (346 ± 146 versus 37 ± 9 pg/mL, 𝑃<.01) and remained stable throughout the study period. iPTH and P levels also decreased significantly after renal transplantation, while Ca and 1,25(OH)2VitD increased. Pretransplantation FGF-23 was significantly correlated with P levels at 3 months posttransplantation (𝑃<.005). In conclusion, FGF-23 levels decrease dramatically after successful renal transplantation. Pre-transplantation FGF-23 correlate with P levels 3 months posttransplantation.http://dx.doi.org/10.1155/2009/379082
spellingShingle Domniki Economidou
Spyros Dovas
Aikaterini Papagianni
Panagiotis Pateinakis
Dimitrios Memmos
FGF-23 Levels before and after Renal Transplantation
Journal of Transplantation
title FGF-23 Levels before and after Renal Transplantation
title_full FGF-23 Levels before and after Renal Transplantation
title_fullStr FGF-23 Levels before and after Renal Transplantation
title_full_unstemmed FGF-23 Levels before and after Renal Transplantation
title_short FGF-23 Levels before and after Renal Transplantation
title_sort fgf 23 levels before and after renal transplantation
url http://dx.doi.org/10.1155/2009/379082
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AT spyrosdovas fgf23levelsbeforeandafterrenaltransplantation
AT aikaterinipapagianni fgf23levelsbeforeandafterrenaltransplantation
AT panagiotispateinakis fgf23levelsbeforeandafterrenaltransplantation
AT dimitriosmemmos fgf23levelsbeforeandafterrenaltransplantation