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Kidney Int. 2009 May;75(9):890-7. doi: 10.1038/ki.2008.644. Epub 2009 Jan 14.

The emerging role of phosphate in vascular calcification.

Author information

1
Department of Bioengineering, University of Washington, Seattle, Washington 98195, USA. ceci@u.washington.edu

Abstract

Vascular calcification is recognized as a major contributor to cardiovascular disease (CVD) in end stage renal disease (ESRD) patients. Susceptibility to vascular calcification is genetically determined and actively regulated by diverse inducers and inhibitors. One of these inducers, hyperphosphatemia, promotes vascular calcification and is a nontraditional risk factor for CVD mortality in ESRD patients. Vascular smooth muscle cells (SMCs) respond to elevated phosphate levels by undergoing an osteochondrogenic phenotype change and mineralizing their extracellular matrix through a mechanism requiring sodium-dependent phosphate cotransporters. Disease states and cytokines can increase expression of sodium-dependent phosphate cotransporters in SMCs, thereby increasing susceptibility to calcification even at phosphate concentrations that are in the normal range.

PMID:
19145240
PMCID:
PMC2807740
DOI:
10.1038/ki.2008.644
[Indexed for MEDLINE]
Free PMC Article

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