Deborah M Mitchell1, Harald Jüppner. 1. Pediatric Endocrinology, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Abstract
PURPOSE OF REVIEW: Regulation of calcium and phosphorus levels in the fetus and neonate is critical for proper bone development and mineralization. RECENT FINDINGS: Parathyroid hormone-related peptide plays an important role in transferring calcium across the placenta into the fetal circulation. In contrast, the factors controlling placental phosphate transport have not yet been explored, and numerous studies have indicated that maternal and childhood vitamin D deficiency continues to be a significant clinical concern. SUMMARY: The molecular basis for mineral ion homeostasis in the fetus and child remains incompletely understood. More attention must be paid to identifying and treating maternal, neonatal, and childhood vitamin D deficiency.
PURPOSE OF REVIEW: Regulation of calcium and phosphorus levels in the fetus and neonate is critical for proper bone development and mineralization. RECENT FINDINGS:Parathyroid hormone-related peptide plays an important role in transferring calcium across the placenta into the fetal circulation. In contrast, the factors controlling placental phosphate transport have not yet been explored, and numerous studies have indicated that maternal and childhood vitamin Ddeficiency continues to be a significant clinical concern. SUMMARY: The molecular basis for mineral ion homeostasis in the fetus and child remains incompletely understood. More attention must be paid to identifying and treating maternal, neonatal, and childhood vitamin Ddeficiency.
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