| Literature DB >> 18449174 |
Keith A Hruska1, Suresh Mathew, Richard Lund, Ping Qiu, Raymond Pratt.
Abstract
Observational studies have determined hyperphosphatemia to be a cardiovascular risk factor in chronic kidney disease. Mechanistic studies have elucidated that hyperphosphatemia is a direct stimulus to vascular calcification, which is one cause of morbid cardiovascular events contributing to the excess mortality of chronic kidney disease. This review describes the pathobiology of hyperphosphatemia that develops as a consequence of positive phosphate balance in chronic kidney disease and the mechanisms by which hyperphosphatemia acts on neointimal vascular cells that are stimulated to mineralize in chronic kidney disease. The characterization of hyperphosphatemia of chronic kidney disease as a distinct syndrome in clinical medicine with unique disordered skeletal remodeling, heterotopic mineralization and cardiovascular morbidity is presented.Entities:
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Year: 2008 PMID: 18449174 PMCID: PMC2735026 DOI: 10.1038/ki.2008.130
Source DB: PubMed Journal: Kidney Int ISSN: 0085-2538 Impact factor: 10.612