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Review
. 2025 Apr;88(1):1-13.
doi: 10.1007/s12020-024-04092-9. Epub 2024 Nov 11.

Phosphate metabolism: its impact on disorders of mineral metabolism

Maisa Monseff Rodrigues da Silva  1 , John P Bilezikian  2 , Francisco J A de Paula  3
Affiliations
Review

Phosphate metabolism: its impact on disorders of mineral metabolism

Maisa Monseff Rodrigues da Silva et al. Endocrine. 2025 Apr.

Abstract

Regulatory molecules typically work cooperatively to ensure the efficient functioning of hormonal systems. Examples include LH and FSH in reproductive biology, insulin and glucagon in glucose metabolism. Similarly, calcium and phosphorus are important regulators of skeletal homeostasis. In the circulation, these molecules are under the control of PTH, 1,25(OHD), and FGF23. In turn, these hormones depend upon a mutual and complex interplay among themselves. For example, alterations in calcium metabolism influence phosphorus homeostasis, as occurs in primary hyperparathyroidism (PHPT). Not as well recognized is the influence that abnormalities in phosphorus metabolism can have on calcium homeostasis. In this review, we call attention to the impact that abnormalities in phosphorus can have on calcium metabolism.

Keywords: Calcium; FGF23; PTH; Phosphorus; Rickets; vitamin D.

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Conflict of interest statement

Compliance with ethical standards. Conflict of interest: The authors declare no conflict of interest.

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