Laboratory for Molecular Diagnostics
Center for Nephrology and Metabolic Disorders
Moldiag Diseases Genes Support Contact

Disorders of the renal phosphate transporters

Renal phosphate transporters are sodium-coupled transporters located in the apical membrane of proximal tubular cells. They play an important role in phosphate regulation.

Pathogenesis

Under physiological conditions phosphate is filtered in excess, so the body needs to reclaim large amounts of phosphate to keep the body content stable (60-80%). This resorption is accomplished by renal phosphate transporters. Inactivation of those transporters may result in excessive urinary phosphate loss and bone destruction ensue.

Renal phosphate transporters are located in the proximal tubule. The figure below shows its distribution along the segments. While the transporter SLC34A1 can be found in all three segments the other two are localized in the first two segments only.

G cluster0 cluster1 Glomerulum cluster2 Proximal tubule cluster3 Loop of Henle l10 SLC34A1 g10 G l20 SLC34A3 g20 G l30 SLC20A2 g30 G p11 S2 g10->p11 p21 S2 g20->p21 p31 S2 g30->p31 p12 S3 p11->p12 p22 S3 p21->p22 p32 S3 p31->p32 p13 S3 p12->p13 p13->h11 p23 S3 p22->p23 p23->h21 p33 S3 p32->p33 p33->h31
Lokalisation der Phosphattransporter in der Niere

Under physiological conditions theTrasnporter SLC20A2 has no effect on phosphate handling as dysfunction can be easily compensated by the other two transporters. Therefore no mutation with bone or kidney phenotype is known so far. However, it seems plausible that variation in this gene too may contribute to a phenotype caused by mutations in other genes.

Systematic

Hypophosphatemic bone and kindney disease
Disorders of the renal phosphate transporters
Hypophosphatemic rickets with hypercalciuria
SLC34A3
Idiopathic basal ganglia calcification 1
SLC20A2
Nephrolithiasis/osteoporosis, hypophosphatemic, 1
SLC34A1
Nephrolithiasis/osteoporosis, hypophosphatemic, 2
SLC9A3R1
FGF23-induced hypophosphatemic rickets
Fanconi-type hypophosphatemic rickets
Hypophosphatemic rickets with hyperparathyroidism
Osteoglophonic dysplasia
Raine syndrome
X-linked dominant hypophosphatemic rickets

References:

1.

None (1958) [Familial symmetrical brain calcification].

external link
2.

Harrington MG et al. (1981) The significance of the incidental finding of basal ganglia calcification on computed tomography.

external link
3.

Puvanendran K et al. (1980) Idiopathic familial basal ganglia calcification associated with juvenile hypertension.

external link
4.

None (1995) Non-progressive familial idiopathic intracranial calcification: a family report.

external link
5.

Martinelli P et al. (1993) Familial idiopathic strio-pallido-dentate calcifications with late onset extrapyramidal syndrome.

external link
6.

Kobari M et al. (1997) Familial idiopathic brain calcification with autosomal dominant inheritance.

external link
7.

Manyam BV et al. (2001) Bilateral striopallidodentate calcinosis: clinical characteristics of patients seen in a registry.

external link
8.

Manyam BV et al. (2001) Parkinsonism associated with autosomal dominant bilateral striopallidodentate calcinosis.

external link
9.

None (1957) Familial calcification of the basal ganglia with response to parathormone.

external link
10.

Smits MG et al. (1983) Progressive idiopathic strio-pallido-dentate calcinosis (Fahr's disease) with autosomal recessive inheritance. Report of three siblings.

external link
11.

NICHOLS FL et al. (1961) Familial hypocalcemia, latent tetany and calcification of the basal ganglia. Report of a kindred.

external link
12.

BRUYN GW et al. () FAMILIAL BILATERAL VASCULAR CALCIFICATION IN THE CENTRAL NERVOUS SYSTEM.

external link
13.

None (1959) Familial calcification of the cerebral basal ganglia and its relation to hypoparathyroidism.

external link
14.

None (1951) Calcification of the corpus stiatum and dentate nuclei occurring in a family.

external link
15.

None (2005) What is and what is not 'Fahr's disease'.

external link
16.

Lester J et al. (2006) Diffuse intracranial calcinosis: Fahr disease.

external link
17.

Weisman DC et al. (2007) Density of the brain, decline of the mind: an atypical case of Fahr disease.

external link
18.

Yamada M et al. (2014) Evaluation of SLC20A2 mutations that cause idiopathic basal ganglia calcification in Japan.

external link
19.

Koller WC et al. (1979) Calcification of the basal ganglia: computerized tomography and clinical correlation.

external link
20.

Brodaty H et al. (2002) Familial idiopathic basal ganglia calcification (Fahr's disease) without neurological, cognitive and psychiatric symptoms is not linked to the IBGC1 locus on chromosome 14q.

external link
21.

Oliveira JR et al. (2004) Genetic heterogeneity in familial idiopathic basal ganglia calcification (Fahr disease).

external link
22.

Dai X et al. (2010) Identification of a novel genetic locus on chromosome 8p21.1-q11.23 for idiopathic basal ganglia calcification.

external link
23.

Wang C et al. (2012) Mutations in SLC20A2 link familial idiopathic basal ganglia calcification with phosphate homeostasis.

external link
24.

Hsu SC et al. (2013) Mutations in SLC20A2 are a major cause of familial idiopathic basal ganglia calcification.

external link
25.

Karim Z et al. (2008) NHERF1 mutations and responsiveness of renal parathyroid hormone.

external link
26.

Babbitt DP et al. (1969) Idiopathic familial cerebrovascular ferrocalcinosis (Fahr's disease) and review of differential diagnosis of intracranial calcification in children.

external link
27.

None (1979) Familial basal ganglia calcification and schizophreniform psychosis.

external link
28.

Geschwind DH et al. (1999) Identification of a locus on chromosome 14q for idiopathic basal ganglia calcification (Fahr disease).

external link
29.

Boller F et al. (1977) Familial idiopathic cerebral calcifications.

external link
30.

Flint J et al. (1992) Familial calcification of the basal ganglia: a case report and review of the literature.

external link
31.

Förstl H et al. (1992) Neurological disorders in 166 patients with basal ganglia calcification: a statistical evaluation.

external link
32.

Manyam BV et al. (1992) Bilateral striopallidodentate calcinosis: cerebrospinal fluid, imaging, and electrophysiological studies.

external link
33.

Ellie E et al. (1989) Familial idiopathic striopallidodentate calcifications.

external link
34.

Moskowitz MA et al. (1971) Familial calcification of the basal ganglions: a metabolic and genetic study.

external link
35.

Harati Y et al. (1984) Adult onset idiopathic familial brain calcifications.

external link
Update: Aug. 14, 2020
Copyright © 2005-2024 by Center for Nephrology and Metabolic Disorders, Dr. Mato Nagel, MD
Albert-Schweitzer-Ring 32, D-02943 Weißwasser, Germany, Tel.: +49-3576-287922, Fax: +49-3576-287944
Sitemap | Webmail | Disclaimer | Privacy Issues | Website Credits