Effect of Cholecalciferol therapy on serum FGF23 in vitamin D deficient patients: a randomized clinical trial

J Endocrinol Invest. 2018 Mar;41(3):299-306. doi: 10.1007/s40618-017-0739-2. Epub 2017 Aug 9.

Abstract

Introduction: Fibroblast growth factor-23 plays an important role in regulating systemic phosphate homeostasis, and vitamin D metabolism. However, the effect of Cholecalciferol therapy on FGF23 serum level in patients with vitamin D deficiency has not been studied, yet.

Materials and methods: This is a double-blind, randomized clinical trial on 119 vitamin D deficient patients in 2016. Biochemical variables of treatment and placebo groups were analyzed after 12 weeks of 50,000 IU of Cholecalciferol vs. placebo therapy once a week, by SPSS18.

Results: After Cholecalciferol therapy, delta of serum PTH in treatment group was less than the controls (P < 0.001). However, delta values of serum 25(OH)D3, 1,25(OH)2D3 and FGF23 in vitamin D treated group were more than the placebo-treated ones (P < 0.001, P = 0.002, and P = 0.04, respectively). Moreover, FGF23 serum level in treatment group was associated with serum calcium (P = 0.005, r = -0.256), and serum 1,25(OH)2D3 (P < 0.001, r = 0.529).

Conclusions: We propose that in these patients 1,25(OH)2D3 has a positive association with serum FGF23, and hypostasized that serum calcium might be a down regulator of serum FGF23.

Keywords: 1,25(OH)2D3; Cholecalciferol; FGF23; Vitamin D deficiency.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Biomarkers / blood*
  • Bone Density Conservation Agents / administration & dosage*
  • Calcium / blood
  • Case-Control Studies
  • Cholecalciferol / administration & dosage*
  • Double-Blind Method
  • Female
  • Fibroblast Growth Factor-23
  • Fibroblast Growth Factors / blood*
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Parathyroid Hormone / blood
  • Prognosis
  • Vitamin D / blood
  • Vitamin D Deficiency / blood*
  • Vitamin D Deficiency / drug therapy
  • Vitamin D Deficiency / pathology
  • Young Adult

Substances

  • Biomarkers
  • Bone Density Conservation Agents
  • FGF23 protein, human
  • Parathyroid Hormone
  • Vitamin D
  • Cholecalciferol
  • Fibroblast Growth Factors
  • Fibroblast Growth Factor-23
  • Calcium