In tumor-induced osteomalacia, a rare syndrome characterizedby hypophosphatemia, hyperphosphaturia, low plasma 1,25-dihydroxyvitaminD concentrations, and osteomalacia,1,2,3,4,5 all biochemicaland pathological abnormalities disappear when the tumor is removed.Tumors associated with this syndrome are thought to secretea substance that inhibits the renal tubular reabsorption ofphosphate,1,2,3,4,5 but whether this factor interacts directlywith renal tubular cells is not known. We investigated the abilityof medium in which sclerosing hemangioma cells from a patientwith oncogenic osteomalacia were cultured to alter sodium-dependentphosphate transport in opossum-kidney epithelial cells. We foundthat the medium inhibited phosphate transport, without increasingcellular concentrations . . . [Full Text of this Article]
Case Report
Methods
Cell Culture
Measurement of Sodium-Dependent Phosphate, Alanine, and Glucose Cotransport
Treatment of Medium Obtained from Tumor-Cell Cultures
Assays
Tumor Implantation into Nude Mice
Statistical Analysis
Results
Discussion
Source Information
From the Nephrology Research Unit (Q.C., R.K.), the Neuroimmunology Research Laboratory (V.A.L.), the Section of Biostatistics (A.R.Z.), and the Departments of Medicine (S.F.H., R.K.), Neurology and Immunology (V.A.L.), and Laboratory Medicine and Pathology (P.C.K., G.G.K.), Mayo Clinic, Rochester, Minn.
Address reprint requests to Dr. Kumar at the Mayo Clinic, 200 First St., SW, 911A Guggenheim Bldg., Rochester, MN 55905.
Khosravi, A., Cutler, C. M., Kelly, M. H., Chang, R., Royal, R. E., Sherry, R. M., Wodajo, F. M., Fedarko, N. S., Collins, M. T.
(2007). Determination of the Elimination Half-Life of Fibroblast Growth Factor-23. J. Clin. Endocrinol. Metab.
92: 2374-2377
[Abstract][Full Text]
White, K. E., Larsson, T. E., Econs, M. J.
(2006). The Roles of Specific Genes Implicated as Circulating Factors Involved in Normal and Disordered Phosphate Homeostasis: Frizzled Related Protein-4, Matrix Extracellular Phosphoglycoprotein, and Fibroblast Growth Factor 23. Endocr. Rev.
27: 221-241
[Abstract][Full Text]
Berndt, T. J., Schiavi, S., Kumar, R.
(2005). "Phosphatonins" and the regulation of phosphorus homeostasis. Am. J. Physiol. Renal Physiol.
289: F1170-F1182
[Abstract][Full Text]
Jan de Beur, S. M.
(2005). Tumor-Induced Osteomalacia. JAMA
294: 1260-1267
[Abstract][Full Text]
Imel, E. A., Econs, M. J.
(2005). Fibroblast Growth Factor 23: Roles in Health and Disease. J. Am. Soc. Nephrol.
16: 2565-2575
[Full Text]
Yamashita, H., Yamazaki, Y., Hasegawa, H., Yamashita, T., Fukumoto, S., Shigematsu, T., Kazama, J. J., Fukagawa, M., Noguchi, S.
(2005). Fibroblast Growth Factor-23 in Patients with Graves' Disease before and after Antithyroid Therapy: Its Important Role in Serum Phosphate Regulation. J. Clin. Endocrinol. Metab.
90: 4211-4215
[Abstract][Full Text]
Berndt, T., Kumar, R.
(2005). The Phosphatonins and the Regulation of Phosphorus Homeostasis. IBMS BoneKEy
2: 5-16
[Full Text]
Bresler, D., Bruder, J., Mohnike, K., Fraser, W. D, Rowe, P. S N
(2004). Serum MEPE-ASARM-peptides are elevated in X-linked rickets (HYP): implications for phosphaturia and rickets. J Endocrinol
183: R1-R9
[Abstract][Full Text]
Rowe, P. S.N.
(2004). THE WRICKKENED PATHWAYS OF FGF23, MEPE AND PHEX. Crit. Rev. Oral Biol. Med.
15: 264-281
[Abstract][Full Text]
Nelson, A. E., Bligh, R. C., Mirams, M., Gill, A., Au, A., Clarkson, A., Juppner, H., Ruff, S., Stalley, P., Scolyer, R. A., Robinson, B. G., Mason, R. S., Bligh, P. C.
(2003). Fibroblast Growth Factor 23: A New Clinical Marker for Oncogenic Osteomalacia. J. Clin. Endocrinol. Metab.
88: 4088-4094
[Abstract][Full Text]
Azam, N., Zhang, M. Y. H., Wang, X., Tenenhouse, H. S., Portale, A. A.
(2003). Disordered Regulation of Renal 25-Hydroxyvitamin D-1{alpha}-Hydroxylase Gene Expression by Phosphorus in X-Linked Hypophosphatemic (Hyp) Mice. Endocrinology
144: 3463-3468
[Abstract][Full Text]
Jan De Beur, S. M., Levine, M. A.
(2002). Molecular Pathogenesis of Hypophosphatemic Rickets. J. Clin. Endocrinol. Metab.
87: 2467-2473
[Full Text]
Seufert, J., Ebert, K., Muller, J., Eulert, J., Hendrich, C., Werner, E., Schutze, N., Schulz, G., Kenn, W., Richtmann, H., Palitzsch, K.-D., Jakob, F.
(2001). Octreotide Therapy for Tumor-Induced Osteomalacia. NEJM
345: 1883-1888
[Full Text]
Einhorn, T. A., Nielsen, G. P.
(2001). Case 1-2001- A 26-Year-Old Man with a Mass in the Knee. NEJM
344: 124-131
[Full Text]
Williams, C P, Child, D F, Hudson, P R, Davies, G K, Davies, M G, John, R, Anandaram, P S, De Bolla, A R
(2001). Why oral calcium supplements may reduce renal stone disease: report of a clinical pilot study. J. Clin. Pathol.
54: 54-62
[Abstract][Full Text]
Clunie, G. P. R., Fox, P. E., Stamp, T. C. B.
(2000). Four cases of acquired hypophosphataemic ('oncogenic') osteomalacia. Problems of diagnosis, treatment and long-term management. Rheumatology (Oxford)
39: 1415-1421
[Full Text]
ROWE, P S N
(2000). The molecular background to hypophosphataemic rickets. Arch. Dis. Child.
83: 192-194
[Full Text]
Roig-Vilaseca, D., Moragues-Pastor, C., Nolla-Sole, J. M., Roig-Escofet, D.
(2000). Reflex sympathetic dystrophy in hypophosphataemic osteomalacia with femoral neck fracture: a case report. Rheumatology (Oxford)
39: 439-441
[Abstract][Full Text]
Yeung, S. J., McCutcheon, I. E., Schultz, P., Gagel, R. F.
(2000). Use of Long-Term Intravenous Phosphate Infusion in the Palliative Treatment of Tumor-Induced Osteomalacia. J. Clin. Endocrinol. Metab.
85: 549-555
[Abstract][Full Text]
Prehn, J. L., Landers, C. J., Targan, S. R.
(1999). A Soluble Factor Produced by Lamina Propria Mononuclear Cells Is Required for TNF-{alpha} Enhancement of IFN-{gamma} Production by T Cells. J. Immunol.
163: 4277-4283
[Abstract][Full Text]
Scheinman, S. J., Guay-Woodford, L. M., Thakker, R. V., Warnock, D. G.
(1999). Genetic Disorders of Renal Electrolyte Transport. NEJM
340: 1177-1187
[Full Text]
Dixon, P. H., Christie, P. T., Wooding, C., Trump, D., Grieff, M., Holm, I., Gertner, J. M., Schmidtke, J., Shah, B., Shaw, N., Smith, C., Tau, C., Schlessinger, D., Whyte, M. P., Thakker, R. V.
(1998). Mutational Analysis of PHEX Gene in X-Linked Hypophosphatemia. J. Clin. Endocrinol. Metab.
83: 3615-3623
[Abstract][Full Text]
Lipman, M. L., Panda, D., Bennett, H. P. J., Henderson, J. E., Shane, E., Shen, Y., Goltzman, D., Karaplis, A. C.
(1998). Cloning of Human PEX cDNA. EXPRESSION, SUBCELLULAR LOCALIZATION, AND ENDOPEPTIDASE ACTIVITY. J. Biol. Chem.
273: 13729-13737
[Abstract][Full Text]
Guise, T. A., Mundy, G. R.
(1998). Cancer and Bone. Endocr. Rev.
19: 18-54
[Abstract][Full Text]
Econs, M. J., Francis, F.
(1997). Positional cloning of the PEX gene: new insights into the pathophysiology of X-linked hypophosphatemic rickets. Am. J. Physiol. Renal Physiol.
273: F489-F498
[Abstract][Full Text]
Cotton, G. E., Kumar, R., Hodgson, S. F.
(1994). Oncogenic Osteomalacia. NEJM
331: 1023-1023
[Full Text]
Econs, M. J., Drezner, M. K.
(1994). Tumor-Induced Osteomalacia -- Unveiling a New Hormone. NEJM
330: 1679-1681
[Full Text]
Shimada, T., Mizutani, S., Muto, T., Yoneya, T., Hino, R., Takeda, S., Takeuchi, Y., Fujita, T., Fukumoto, S., Yamashita, T.
(2001). Cloning and characterization of FGF23 as a causative factor of tumor-induced osteomalacia. Proc. Natl. Acad. Sci. USA
98: 6500-6505
[Abstract][Full Text]