Abstract
Phosphate is a multivalent ion critical for a variety of physiological functions including bone formation, which occurs rapidly in the developing infant. In order to ensure maximal bone mineralization, young animals must maintain a positive phosphate balance. To accomplish this, intestinal absorption and renal phosphate reabsorption are greater in suckling and young animals relative to adults. This review discusses the known intestinal and renal adaptations that occur in young animals in order to achieve a positive phosphate balance. Additionally, we discuss the ontogenic changes in phosphotropic endocrine signalling as it pertains to intestinal and renal phosphate handling, including several endocrine factors not always considered in the traditional dogma of phosphotropic endocrine signalling, such as growth hormone, triiodothyronine, and glucocorticoids. Finally, a proposed model of how these factors may contribute to achieving a positive phosphate balance during development is proposed.
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Abbreviations
- AA:
-
Arachidonic acid
- ALP:
-
Alkaline phosphatase
- BBMV:
-
Brush-border membrane vesicles
- CVD:
-
Cardiovascular disease
- FGF23:
-
Fibroblast growth factor 23
- GH:
-
Growth hormone
- NaPiIIa:
-
Sodium-phosphate cotransporter isoform IIa
- NaPiIIb:
-
Sodium-phosphate cotransporter isoform IIb
- NaPiIIc:
-
Sodium-phosphate cotransporter isoform IIc
- NHE3:
-
Sodium hydrogen exchanger isoform III
- Pi:
-
Phosphate
- PLA2:
-
Phospholipase A2
- PTH:
-
Parathyroid hormone
- T3:
-
Triiodothyronine
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Acknowledgments
Research in the Alexander laboratory is funded by grants from the Women and Children’s Health Research Institute, which is supported by the Stollery Children’s Hospital Foundation, the Canadian Institutes of Health Research, the Kidney Foundation of Canada and the National Sciences and Engineering Research Council of Canada. Dr. Alexander is a Stollery Science laboratory Distinguished Researcher and the Canada Research Chair in Renal Epithelial Transport Physiology.
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MacDonald, T., Saurette, M., Beggs, M.R., Todd Alexander, R. (2020). Developmental Changes in Phosphate Homeostasis. In: Pedersen, S.H.F. (eds) Reviews of Physiology, Biochemistry and Pharmacology. Reviews of Physiology, Biochemistry and Pharmacology, vol 179. Springer, Cham. https://doi.org/10.1007/112_2020_52
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