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Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease

  • Authors:
    • Ding Liu
    • Fang Yang
    • Sui Zhang
    • Zhiqiang Guo
    • Shuting Peng
  • View Affiliations / Copyright

    Affiliations: Department of Pediatrics, First Affiliated Hospital of Jinan University, Guangzhou, Guangdong 510630, P.R. China
    Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 390
    |
    Published online on: June 30, 2023
       https://doi.org/10.3892/etm.2023.12089
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Abstract

Fibroblast growth factor 23 (FGF23) is an important phosphaturic hormone, yet few studies have focused on FGF23 in children with primary nephrotic syndrome (PNS) and children who progressed to end‑stage renal disease (ESRD). This cross‑sectional study investigated the significance of changes in FGF23 levels in childhood PNS and children who progressed to ESRD. Of the 41 children included in the study, 17 had PNS with proteinuria and normal renal function (PNS group), 4 had ESRD (ESRD group), and 20 were healthy (control group). Following corticosteroid treatment, patients with PNS and proteinuria entered the remission phase. Serum levels of FGF23, phosphate, parathyroid hormone (PTH), 25‑hydroxyvitamin D (25‑OH‑D), and calcium were measured. It was found that FGF23 levels in the PNS and ESRD groups were higher than those in the control group, while serum 25‑OH‑D levels were lower. Serum PTH levels increased significantly in the ESRD group. In the control group, FGF23 levels were negatively correlated with serum PTH and positively correlated with serum 25‑OH‑D. FGF23 levels were positively correlated with serum calcium and corrected calcium levels in children with PNS during the remission phase. Increased FGF23 levels in children with PNS, particularly in children who progressed to ESRD. It was also confirmed that serum FGF23 levels begin to rise in children with PNS prior to Stage 1 chronic kidney disease. These findings indicated that increased FGF23 levels may be associated with the progression and severity of nephrosis in children, and that serum FGF23 levels were useful for early detection of abnormal mineral metabolism in children with PNS.
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Copy and paste a formatted citation
Spandidos Publications style
Liu D, Yang F, Zhang S, Guo Z and Peng S: Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease. Exp Ther Med 26: 390, 2023.
APA
Liu, D., Yang, F., Zhang, S., Guo, Z., & Peng, S. (2023). Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease. Experimental and Therapeutic Medicine, 26, 390. https://doi.org/10.3892/etm.2023.12089
MLA
Liu, D., Yang, F., Zhang, S., Guo, Z., Peng, S."Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease". Experimental and Therapeutic Medicine 26.2 (2023): 390.
Chicago
Liu, D., Yang, F., Zhang, S., Guo, Z., Peng, S."Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease". Experimental and Therapeutic Medicine 26, no. 2 (2023): 390. https://doi.org/10.3892/etm.2023.12089
Copy and paste a formatted citation
x
Spandidos Publications style
Liu D, Yang F, Zhang S, Guo Z and Peng S: Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease. Exp Ther Med 26: 390, 2023.
APA
Liu, D., Yang, F., Zhang, S., Guo, Z., & Peng, S. (2023). Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease. Experimental and Therapeutic Medicine, 26, 390. https://doi.org/10.3892/etm.2023.12089
MLA
Liu, D., Yang, F., Zhang, S., Guo, Z., Peng, S."Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease". Experimental and Therapeutic Medicine 26.2 (2023): 390.
Chicago
Liu, D., Yang, F., Zhang, S., Guo, Z., Peng, S."Significance of changes in FGF23 levels in childhood primary nephrotic syndrome and children who progress to end‑stage renal disease". Experimental and Therapeutic Medicine 26, no. 2 (2023): 390. https://doi.org/10.3892/etm.2023.12089
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