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Original Article
Brief Report
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Volume 330:1645-1649 June 9, 1994 Number 23
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Inhibition of Renal Phosphate Transport by a Tumor Product in a Patient with Oncogenic Osteomalacia
Qiang Cai, Stephen F. Hodgson, Pai C. Kao, Vanda A. Lennon, George G. Klee, Alan R. Zinsmiester, and Rajiv Kumar

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In tumor-induced osteomalacia, a rare syndrome characterized by hypophosphatemia, hyperphosphaturia, low plasma 1,25-dihydroxyvitamin D concentrations, and osteomalacia,1,2,3,4,5 all biochemical and pathological abnormalities disappear when the tumor is removed. Tumors associated with this syndrome are thought to secrete a substance that inhibits the renal tubular reabsorption of phosphate,1,2,3,4,5 but whether this factor interacts directly with renal tubular cells is not known. We investigated the ability of medium in which sclerosing hemangioma cells from a patient with oncogenic osteomalacia were cultured to alter sodium-dependent phosphate transport in opossum-kidney epithelial cells. We found that the medium inhibited phosphate transport, without increasing cellular 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.

References


Related Letters:

Oncogenic Osteomalacia
Cotton G. E., Kumar R., Hodgson S. F.
Extract | Full Text  
N Engl J Med 1994; 331:1023, Oct 13, 1994. Correspondence

Computer-Based Diagnostic Systems
Lehmann E. D., Yolton R. L., Berner E. S., Webster G. D., Shugerman A. A.
Extract | Full Text  
N Engl J Med 1994; 331:1023-1024, Oct 13, 1994. Correspondence

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