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·인용수 39
·2020
High-phytate/low-calcium diet is a risk factor for crystal nephropathies, renal phosphate wasting, and bone loss
Ok‐Hee Kim, Carmen J. Booth, Han Seok Choi, Jin Wook Lee, Jinku Kang, June Hur, Woo Jin Jung, Yunshin Jung, Hyung Jin Choi, Hyeonjin Kim, Joong‐Hyuck Auh, Jung Wan Kim, Ji-Young Cha, Young Jae Lee, Cheol-Soon Lee, Cheolsoo Choi, YunJae Jung, Jun‐Young Yang, Seung‐Soon Im, Dae Ho Lee, Sun Wook Cho, Young‐Bum Kim, Kyong Soo Park, Young Joo Park, Byung‐Chul Oh
IF 8.14eLife
초록

Phosphate overload contributes to mineral bone disorders that are associated with crystal nephropathies. Phytate, the major form of phosphorus in plant seeds, is known as an indigestible and of negligible nutritional value in humans. However, the mechanism and adverse effects of high-phytate intake on Ca<sup>2+</sup> and phosphate absorption and homeostasis are unknown. Here, we show that excessive intake of phytate along with a low-Ca<sup>2+</sup> diet fed to rats contributed to the development of crystal nephropathies, renal phosphate wasting, and bone loss through tubular dysfunction secondary to dysregulation of intestinal calcium and phosphate absorption. Moreover, Ca<sup>2+</sup> supplementation alleviated the detrimental effects of excess dietary phytate on bone and kidney through excretion of undigested Ca<sup>2+</sup>-phytate, which prevented a vicious cycle of intestinal phosphate overload and renal phosphate wasting while improving intestinal Ca<sup>2+</sup> bioavailability. Thus, we demonstrate that phytate is digestible without a high-Ca<sup>2+</sup> diet and is a risk factor for phosphate overloading and for the development of crystal nephropathies and bone disease.

키워드
EndocrinologyInternal medicinePhosphateCalciumBioavailabilityKidney diseaseExcretionWastingChemistryKidney
타입
article
IF / 인용수
8.14 / 39
게재 연도
2020

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