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JCI online ahead of print table of contents for Feb. 24, 2014
Date:2/24/2014

Clinical trial assesses anti-FGF23 for treating X-linked hypophosphatemia

X-linked hypophosphatemia (XLH) is a heritable form of rickets that results from mutations in the gene encoding the phosphate regulating endopeptidase (PHEX). Unlike diet-associated forms of rickets, XLH cannot be ameliorated by vitamin D ingestion. XLH patients have increased serum levels of FGF23, which decreases both inorganic phosphate (Pi) and the activated form of vitamin D. In this issue of the Journal of Clinical Investigation, Thomas Carpenter and colleagues at Yale University evaluated the effectiveness and safety of an anti-FGF23 antibody (KRN23) in a small cohort of XLH patients. A single dose of KRN23 administered intravenously (i.v.) or subcutaneously (s.c.) improved renal phosphate reabsorption, and increased serum Pi and activated vitamin D concentrations, and s.c. administration provided benefit for a longer duration than i.v. dosing. These findings, along with a favorable safety profile, indicate that KRN23 should be further evaluated for use in XLH patients.

TITLE:
Randomized trial of the anti-FGF23 antibody KRN23 in X-linked hypophosphatemia

AUTHOR CONTACT:
Thomas Carpenter
Dept. Of Pediatrics (Endocrinology), New Haven, CT, USA
Phone: 203-785-6526; Fax: 203-737-4290; E-mail: thomas.carpenter@yale.edu

View this article at: http://www.jci.org/articles/view/72829


Altered glycosylation patterns protect tumors from NK cells

Compared to other diseased cells, malignant tumor cells often exhibit modified surface glycosylation patterns, potentially altering recognition by host immune cells. Natural killer (NK) cells are sentinels of cancer immunosurveillanc system and express multiple receptors that allow for discrimination b
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Journal of Clinical Investigation
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