KEGG   DISEASE: 低リン血症性くる病
エントリ  
H00214                                                             
名称    
低リン血症性くる病
  下位グループ
X連鎖優性低リン血症性くる病 [DS:H02143]
X連鎖劣性低リン血症性くる病 [DS:H02142]
常染色体優性低リン血症性くる病 [DS:H02141]
常染色体劣性低リン血症性くる病 [DS:H02139]
高カルシウム尿症を伴う遺伝性低リン血症性くる病 [DS:H02138]
概要    
Hypophosphataemic rickets, also known as vitamin D resistant rickets, is a group of genetic disorders characterized by defective reabsorption of inorganic phosphorus by the renal tubules resulting in hypophosphatemia and rickets associated with mineralization defect. Fibroblast growth factor-23 (FGF23) regulates phosphate reabsorption in the kidney and therefore plays an essential role in phosphate balance in humans. There is a host of defects that ultimately lead to excess FGF23 levels and thereby cause renal phosphate wasting and hypophosphatemic rickets.
カテゴリ  
先天性代謝異常症
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 05 内分泌, 栄養, 代謝の疾患
  代謝疾患
   代謝物質の吸収または輸送の疾患
    5C63  ビタミンまたは非タンパク質補因子の吸収または輸送の疾患
     H00214  低リン血症性くる病
パスウェイに基づく疾患分類 [BR:jp08402]
 内分泌系
  nt06325  ホルモンとサイトカインのシグナリング
   H00214  低リン血症性くる病
指定難病 [jp08407.html]
 H00214
パスウェイ 
hsa04928  Parathyroid hormone synthesis, secretion and action
ネットワーク
nt06325 Hormone/cytokine signaling
病因遺伝子 
(XLHR) PHEX [HSA:5251] [KO:K08636]
(XLRH) CLCN5 [HSA:1184] [KO:K05012]
(ADHR) FGF23 [HSA:8074] [KO:K22428]
(ARHR1) DMP1 [HSA:1758] [KO:K23328]
(ARHR2) ENPP1 [HSA:5167] [KO:K01513]
(HHRH) SLC34A3 [HSA:142680] [KO:K14683]
治療薬   
アルファカルシドール [DR:D01518]
リン酸二水素ナトリウム一水和物・無水リン酸水素二ナトリウム [DR:D08815]
リンク   
ICD-11: 5C63.22
ICD-10: E83.3
MeSH: D063730 D053098
OMIM: 307800 300554 193100 241520 613312 241530
文献    
  著者
Pettifor JM
  タイトル
What's new in hypophosphataemic rickets?
  雑誌
Eur J Pediatr 167:493-9 (2008)
DOI:10.1007/s00431-007-0662-1
文献    
  著者
de Menezes Filho H, de Castro LC, Damiani D
  タイトル
Hypophosphatemic rickets and osteomalacia.
  雑誌
Arq Bras Endocrinol Metabol 50:802-13 (2006)
DOI:10.1590/S0004-27302006000400025
文献    
PMID:7550339 (PHEX)
  タイトル
A gene (PEX) with homologies to endopeptidases is mutated in patients with X-linked hypophosphatemic rickets. The HYP Consortium.
  雑誌
Nat Genet 11:130-6 (1995)
DOI:10.1038/ng1095-130
文献    
PMID:8559248 (CLCN5)
  著者
Lloyd SE, Pearce SH, Fisher SE, Steinmeyer K, Schwappach B, Scheinman SJ, Harding B, Bolino A, Devoto M, Goodyer P, Rigden SP, Wrong O, Jentsch TJ, Craig IW, Thakker RV
  タイトル
A common molecular basis for three inherited kidney stone diseases.
  雑誌
Nature 379:445-9 (1996)
DOI:10.1038/379445a0
文献    
PMID:11062477 (FGF23)
  タイトル
Autosomal dominant hypophosphataemic rickets is associated with mutations in FGF23.
  雑誌
Nat Genet 26:345-8 (2000)
DOI:10.1038/81664
文献    
PMID:17033625 (DMP1)
  著者
Lorenz-Depiereux B, Bastepe M, Benet-Pages A, Amyere M, Wagenstaller J, Muller-Barth U, Badenhoop K, Kaiser SM, Rittmaster RS, Shlossberg AH, Olivares JL, Loris C, Ramos FJ, Glorieux F, Vikkula M, Juppner H, Strom TM
  タイトル
DMP1 mutations in autosomal recessive hypophosphatemia implicate a bone matrix protein in the regulation of phosphate homeostasis.
  雑誌
Nat Genet 38:1248-50 (2006)
DOI:10.1038/ng1868
文献    
PMID:20137772 (ENPP1)
  著者
Levy-Litan V, Hershkovitz E, Avizov L, Leventhal N, Bercovich D, Chalifa-Caspi V, Manor E, Buriakovsky S, Hadad Y, Goding J, Parvari R
  タイトル
Autosomal-recessive hypophosphatemic rickets is associated with an inactivation mutation in the ENPP1 gene.
  雑誌
Am J Hum Genet 86:273-8 (2010)
DOI:10.1016/j.ajhg.2010.01.010
文献    
PMID:16358215 (SLC34A3)
  著者
Lorenz-Depiereux B, Benet-Pages A, Eckstein G, Tenenbaum-Rakover Y, Wagenstaller J, Tiosano D, Gershoni-Baruch R, Albers N, Lichtner P, Schnabel D, Hochberg Z, Strom TM
  タイトル
Hereditary hypophosphatemic rickets with hypercalciuria is caused by mutations in the sodium-phosphate cotransporter gene SLC34A3.
  雑誌
Am J Hum Genet 78:193-201 (2006)
DOI:10.1086/499410
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