Direct and indirect effects of fibroblast growth factor 23 on the heart

Fibroblast growth factor (FGF)23 is a bone-derived phosphotropic hormone that regulates phosphate and mineral homeostasis. Recent studies have provided evidence that a high plasma concentration of FGF23 is associated with cardiac disease, including left ventricular hypertrophy (LVH), heart failure,...

Full description

Bibliographic Details
Main Authors: Toshiaki Nakano, Hiroshi Kishimoto, Masanori Tokumoto
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1059179/full
_version_ 1797895368021639168
author Toshiaki Nakano
Toshiaki Nakano
Hiroshi Kishimoto
Masanori Tokumoto
author_facet Toshiaki Nakano
Toshiaki Nakano
Hiroshi Kishimoto
Masanori Tokumoto
author_sort Toshiaki Nakano
collection DOAJ
description Fibroblast growth factor (FGF)23 is a bone-derived phosphotropic hormone that regulates phosphate and mineral homeostasis. Recent studies have provided evidence that a high plasma concentration of FGF23 is associated with cardiac disease, including left ventricular hypertrophy (LVH), heart failure, atrial fibrillation, and cardiac death. Experimental studies have shown that FGF23 activates fibroblast growth factor receptor 4 (FGFR4)/phospholipase Cγ/calcineurin/nuclear factor of activated T-cells signaling in cardiomyocytes and induces cardiac hypertrophy in rodents. Activation of FGFR4 by FGF23 normally requires the co-receptor α-klotho, and klotho-independent signaling occurs only under conditions characterized by extremely high FGF23 concentrations. Recent studies have demonstrated that FGF23 activates the renin-angiotensin-aldosterone system (RAAS) and induces LVH, at least in part as a result of lower vitamin D activation. Moreover, crosstalk between FGF23 and RAAS results in the induction of cardiac hypertrophy and fibrosis. In this review, we summarize the results of studies regarding the relationships between FGF23 and cardiac events, and describe the potential direct and indirect mechanisms whereby FGF23 induces LVH.
first_indexed 2024-04-10T07:24:25Z
format Article
id doaj.art-bf1dc357267a476096c3230761fda3a3
institution Directory Open Access Journal
issn 1664-2392
language English
last_indexed 2024-04-10T07:24:25Z
publishDate 2023-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Endocrinology
spelling doaj.art-bf1dc357267a476096c3230761fda3a32023-02-24T09:09:42ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-02-011410.3389/fendo.2023.10591791059179Direct and indirect effects of fibroblast growth factor 23 on the heartToshiaki Nakano0Toshiaki Nakano1Hiroshi Kishimoto2Masanori Tokumoto3Center for Cohort Studies, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Nephrology, Fukuoka Red Cross Hospital, Fukuoka, JapanFibroblast growth factor (FGF)23 is a bone-derived phosphotropic hormone that regulates phosphate and mineral homeostasis. Recent studies have provided evidence that a high plasma concentration of FGF23 is associated with cardiac disease, including left ventricular hypertrophy (LVH), heart failure, atrial fibrillation, and cardiac death. Experimental studies have shown that FGF23 activates fibroblast growth factor receptor 4 (FGFR4)/phospholipase Cγ/calcineurin/nuclear factor of activated T-cells signaling in cardiomyocytes and induces cardiac hypertrophy in rodents. Activation of FGFR4 by FGF23 normally requires the co-receptor α-klotho, and klotho-independent signaling occurs only under conditions characterized by extremely high FGF23 concentrations. Recent studies have demonstrated that FGF23 activates the renin-angiotensin-aldosterone system (RAAS) and induces LVH, at least in part as a result of lower vitamin D activation. Moreover, crosstalk between FGF23 and RAAS results in the induction of cardiac hypertrophy and fibrosis. In this review, we summarize the results of studies regarding the relationships between FGF23 and cardiac events, and describe the potential direct and indirect mechanisms whereby FGF23 induces LVH.https://www.frontiersin.org/articles/10.3389/fendo.2023.1059179/fullFGF23HeartLeft ventricle hypertrophyFGFR4cardiac event
spellingShingle Toshiaki Nakano
Toshiaki Nakano
Hiroshi Kishimoto
Masanori Tokumoto
Direct and indirect effects of fibroblast growth factor 23 on the heart
Frontiers in Endocrinology
FGF23
Heart
Left ventricle hypertrophy
FGFR4
cardiac event
title Direct and indirect effects of fibroblast growth factor 23 on the heart
title_full Direct and indirect effects of fibroblast growth factor 23 on the heart
title_fullStr Direct and indirect effects of fibroblast growth factor 23 on the heart
title_full_unstemmed Direct and indirect effects of fibroblast growth factor 23 on the heart
title_short Direct and indirect effects of fibroblast growth factor 23 on the heart
title_sort direct and indirect effects of fibroblast growth factor 23 on the heart
topic FGF23
Heart
Left ventricle hypertrophy
FGFR4
cardiac event
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1059179/full
work_keys_str_mv AT toshiakinakano directandindirecteffectsoffibroblastgrowthfactor23ontheheart
AT toshiakinakano directandindirecteffectsoffibroblastgrowthfactor23ontheheart
AT hiroshikishimoto directandindirecteffectsoffibroblastgrowthfactor23ontheheart
AT masanoritokumoto directandindirecteffectsoffibroblastgrowthfactor23ontheheart