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Abstracts & Posters

Vol. 1 No. S1 (2025): Special Issue: 2025 Geisel Research Poster Night

FGF23 Drives Progressive Bone Loss During CKD: Longitudinal Endocrine, MicroCT, and Histomorphometry Evidence

Submitted
10 December 2025
Published
27-12-2025

Abstract

Chronic kidney disease (CKD) causes early skeletal deterioration through disruptions in mineral metabolism, including elevations in fibroblast growth factor-23 (FGF23). Using longitudinal analyses of wild-type, Col4a3−/− CKD, and DMP1-overexpressing mice aged 8–23 weeks, this study evaluated endocrine changes, bone microarchitecture, and histomorphometric markers. CKD mice exhibited rising FGF23, parathyroid hormone, phosphate, and blood urea nitrogen levels in parallel with trabecular and cortical bone loss and suppressed osteoblast activity. Notably, DMP1 overexpression delayed or rescued many of these skeletal defects independent of kidney function, indicating a bone-intrinsic protective mechanism. Findings suggest that excessive FGF23 may act locally within bone to impair mineralization and that DMP1 may counteract this effect. This work clarifies temporal relationships between CKD progression and skeletal decline and identifies potential therapeutic targets within bone–kidney endocrine pathways.

References

  1. References are available on the poster PDF.