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Vol 70, No 6 (2019)
Review paper
Submitted: 2019-02-13
Accepted: 2019-08-21
Published online: 2019-12-20
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The role of sodium phosphate cotransporters in ectopic calcification

Sergio Gonzalo1, Ricardo Villa-Bellosta1
·
Pubmed: 31891412
·
Endokrynol Pol 2019;70(6):496-503.
Affiliations
  1. Fundación Instituto de Investigación sanitaria, Fundación Jiménez Díaz, Madrid, Spain

open access

Vol 70, No 6 (2019)
Review Article
Submitted: 2019-02-13
Accepted: 2019-08-21
Published online: 2019-12-20

Abstract

Phosphate plays a critical role in many vital cellular processes. Deviations from normal serum phosphate levels, including alterations in the extracellular phosphate/pyrophosphate ratio, can cause severe consequences, such as ectopic calcification. Cellular phosphate levels are tightly controlled by sodium phosphate cotransporters, underscoring their importance in cellular physiology. The role of sodium phosphate cotransporters in ectopic calcification requires further elucidation, taking into account their important role in the control of intracellular phosphate levels and the synthesis of ATP, the main source of extracellular pyrophosphate (a potent endogenous inhibitor of calcification). In this review, we discuss the roles of phosphate and pyrophosphate homeostasis in ectopic calcification, with a specific focus on phosphate transporters. We concentrate on the five known sodium-dependent phosphate transporters and review their localisation and regulation by external factors, and the effects observed in knockout studies and in naturally occurring mutations.

Abstract

Phosphate plays a critical role in many vital cellular processes. Deviations from normal serum phosphate levels, including alterations in the extracellular phosphate/pyrophosphate ratio, can cause severe consequences, such as ectopic calcification. Cellular phosphate levels are tightly controlled by sodium phosphate cotransporters, underscoring their importance in cellular physiology. The role of sodium phosphate cotransporters in ectopic calcification requires further elucidation, taking into account their important role in the control of intracellular phosphate levels and the synthesis of ATP, the main source of extracellular pyrophosphate (a potent endogenous inhibitor of calcification). In this review, we discuss the roles of phosphate and pyrophosphate homeostasis in ectopic calcification, with a specific focus on phosphate transporters. We concentrate on the five known sodium-dependent phosphate transporters and review their localisation and regulation by external factors, and the effects observed in knockout studies and in naturally occurring mutations.

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Keywords

phosphate; ectopic calcification; pyrophosphate; transporters; ATP

About this article
Title

The role of sodium phosphate cotransporters in ectopic calcification

Journal

Endokrynologia Polska

Issue

Vol 70, No 6 (2019)

Article type

Review paper

Pages

496-503

Published online

2019-12-20

Page views

1534

Article views/downloads

961

DOI

10.5603/EP.a2019.0050

Pubmed

31891412

Bibliographic record

Endokrynol Pol 2019;70(6):496-503.

Keywords

phosphate
ectopic calcification
pyrophosphate
transporters
ATP

Authors

Sergio Gonzalo
Ricardo Villa-Bellosta

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