IU Indianapolis ScholarWorks :: Browsing by Subject "Phosphorus"

Browsing by Subject "Phosphorus"

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Associations between Intake of Calcium, Magnesium, and Phosphorus and Risk of Pancreatic Cancer: A Population-Based, Case-Control Study in Minnesota
(Cambridge UP, 2021) Fan, Hao; Yu, Yunpeng; Nan, Haocheng; Hoyt, Margaret; Reger, Michael K.; Prizment, Anna; Anderson, Kristin E.; Zhang, Jianjun; Epidemiology, School of Public Health
Experimental studies suggest that abnormal levels of calcium, magnesium, and phosphorus are implicated in pancreatic carcinogenesis. We investigated the associations between intakes of these minerals and the risk of pancreatic cancer in a case-control study conducted in 1994-1998. Cases of pancreatic cancer (n150) were recruited from all hospitals in the metropolitan area of the Twin Cities and Mayo Clinic, Minnesota. Controls (n459) were randomly selected from the general population and frequency matched to cases by age, sex, and race. All dietary variables were adjusted for energy intake using the residual method prior to data analysis. Logistic regression was performed to evaluate the associations between intake of three nutrients examined and the risk of pancreatic cancer. Total intake of calcium (936 vs. 1026 mg/day) and dietary intake of magnesium (315 vs. 331 mg/day) and phosphorus (1350 vs. 1402 mg/day) were significantly lower in cases than in controls. After adjustment for confounders, there were not significant associations of total and dietary intakes of calcium, magnesium, and phosphorus with the risk of pancreatic cancer. In addition, no significant interactions exist between intakes of these minerals and total fat on pancreatic cancer risk. In conclusion, the present study does not suggest that intakes of calcium, magnesium, and phosphorus were significantly associated with the risk of pancreatic cancer.
Attributes of Organic Phosphorus Exported from a Central Indiana Agricultural Watershed: Effects of Season and Hydrologic Flowpath
(2023-05) Pitcock, Rebecca Jo; Jacinthe, Pierre-Andre; Filippelli, Gabriel; Wang, Lixin
The export of phosphorus (P) from agricultural watersheds has been extensively investigated but monitoring efforts have generally focused on inorganic P (Pi or soluble reactive phosphorus [SRP]), the P fraction thought to be immediately available to algae. However, in settings where no-till management is implemented and organic matter accumulates on soil surface, the amount of organic P (Po) in agricultural drainage waters can be significant and may represent another important P source to fuel algal growth in receiving water bodies. From a 2018 monitoring study at a Central Indiana agricultural watershed, measured total P and SRP loss amounted to 1.22 and 0.17 kg P/ha/year, respectively, indicating that the bulk (84%) of P exported from that watershed was in organic form. Results also showed that tile drainage was the main pathway for P transport (96% of Po loss). In light of these observations, the bioavailability of Po in agricultural drainage waters was investigated in 2019, and the effect of hydrologic flow path (surface versus subsurface flow) on the biochemical attributes of Po was examined. In these assessments, the iron strip method and a suite of enzymatic assays were used to gain a better understanding of the chemical composition of the exported Po. Higher concentration of labile Po was consistently measured in tile discharge than in surface runoff (59% versus 38% of the total bioavailable P). Further, the concentration of EHP (enzymatically hydrolysable P), in the form of monoester, diester, and phytate compounds, was highest during the summer season, for both tile and surface pathways. This elevated bioavailability of Po during the summer is a concern because, in combination with favorable water temperature and solar radiation during that period, this could lead to enhanced Po mineralization and release of Pi, resulting in further algal proliferation and continued degradation of water quality. Considering the high prevalence of tile drainage in agricultural landscapes of the US Midwest, this finding underscores the need for further investigation of the impact of land management and climate on the speciation and bioavailability of Po in the region’s agricultural waters. Data available from: https://doi.org/10.7912/D2/40.
Carbon and Phosphorus Cycling in Arabian Sea Sediments across the Oxygen Minimum Zone
(Longdom Publishing, 2017-11-09) Filippelli, Gabriel M.; Cowie, Gregory L.; Earth and Environmental Sciences, School of Science
Several studies have focused on carbon, oxygen, and phosphorus dynamics across the modern oxygen minimum zone (OMZ) to constrain how signals of modern systems get “locked in” upon burial. In this study, a sequential phosphorus fractionation technique was applied to surficial and sub-surface sediments from stations at depths spanning the OMZ on the Pakistan margin of the Arabian Sea in order to test the oxygen-carbon-phosphorus connection in modern marine sediments. Some early diagenetic loss of phosphorus compared to organic carbon was observed, but a significant portion of the released phosphorus was retained by uptake on oxyhydroxides and by the formation of an authigenic phosphorus-bearing phase. This process is unaffected by station location relative to the OMZ, and results in an effective organic carbon-to-reactive-phosphorus sediment ratio that is close to the average observed for open-ocean sediments, regardless of bottom water oxygen content.
A case of calciphylaxis in a patient with hypoparathyroidism and normal renal function
(American Association of Clinical Endocrinologists, 2014-06-01) Erdel, Blake L.; Juneja, Rattan; Evans-Molina, Carmella; Department of Medicine, IU School of Medicine
OBJECTIVE: To present the case of a patient with a history of thyroid cancer, postsurgical hypoparathyroidism, chronic calcitriol use, and normal renal function who presented with painful skin lesions secondary to calciphylaxis. METHODS: We describe the history, biochemistry, histopathology, evaluation, and management of this patient. RESULTS: A 47-year-old female with hypoparathyroidism, chronically treated with calcitriol and calcium, presented with exquisitely painful skin ulcerations. Four months prior to the onset of symptoms, she had initiated warfarin therapy for atrial fibrillation. Review of laboratory data from the past year revealed elevated calcium and phosphorus levels. A diagnosis of calciphylaxis was made based upon pathologic evaluation of a skin biopsy. Management included titration of calcitriol and calcium to maintain serum calcium and phosphate levels in the low-normal range. Sodium thiosulfate was administered at a dose of 25 mg intravenously 3 times a week with some resolution in the patient's pain. Unfortunately, the patient battled recurrent bacteremia and sepsis, presumably related to her calciphylaxis wounds, and ultimately succumbed to complications from sepsis. CONCLUSION: Although calciphylaxis is typically associated with renal insufficiency and secondary hyperparathyroidism, we highlight the case of a patient with normal renal function and hypoparathyroidism. Patients treated with chronic calcitriol should have serum calcium and phosphorus monitored closely and may benefit from non-calcium-based phosphate binders if hyperphosphatemia becomes unavoidable. This is especially important in the presence of other risk factors for calciphylaxis, including warfarin use.
CKD–Mineral and Bone Disorder: Core Curriculum 2011
(Elsevier, 2011) Moorthi, Ranjani N.; Moe, Sharon M.; Medicine, School of Medicine
Dietary Phosphorus Levels Influence Protein-Derived Uremic Toxin Production in Nephrectomized Male Rats
(MDPI, 2024-06-08) Cladis, Dennis P.; Burstad, Kendal M.; Biruete, Annabel; Jannasch, Amber H.; Cooper, Bruce R.; Hill Gallant, Kathleen M.; Nutrition and Dietetics, School of Health and Human Sciences
Gut microbiota-derived uremic toxins (UT) accumulate in patients with chronic kidney disease (CKD). Dietary phosphorus and protein restriction are common in CKD treatment, but the relationship between dietary phosphorus, a key nutrient for the gut microbiota, and protein-derived UT is poorly studied. Thus, we explored the relationship between dietary phosphorus and serum UT in CKD rats. For this exploratory study, we used serum samples from a larger study on the effects of dietary phosphorus on intestinal phosphorus absorption in nephrectomized (Nx, n = 22) or sham-operated (sham, n = 18) male Sprague Dawley rats. Rats were randomized to diet treatment groups of low or high phosphorus (0.1% or 1.2% w/w, respectively) for 1 week, with serum trimethylamine oxide (TMAO), indoxyl sulfate (IS), and p-cresol sulfate (pCS) analyzed by LC-MS. Nx rats had significantly higher levels of serum TMAO, IS, and pCS compared to sham rats (all p < 0.0001). IS showed a significant interaction between diet and CKD status, where serum IS was higher with the high-phosphorus diet in both Nx and sham rats, but to a greater extent in the Nx rats. Serum TMAO (p = 0.24) and pCS (p = 0.34) were not affected by dietary phosphorus levels. High dietary phosphorus intake for 1 week results in higher serum IS in both Nx and sham rats. The results of this exploratory study indicate that reducing dietary phosphorus intake in CKD may have beneficial effects on UT accumulation.
Effect of Soil Type and Fertilizer Application Timing on Phosphorus Leaching From Gypsum-Treated Agricultural Soils
(2020-12) Cox, Kristiana; Jacinthe, Pierre-Andre; Wang, Lixin; Gilhooly, William P., III
Phosphorus is an essential plant nutrient and an important contributor to the eutrophication of aquatic ecosystems. Studies have shown that gypsum (CaSO4∙H2O) applications can potentially reduce phosphorus export from agricultural fields. Most studies have examined the effect of gypsum application rates on treatment effectiveness, but limited research has been conducted to determine how the timing of gypsum application can affect soil phosphorus mobility and phosphorus leaching. A greenhouse experiment was conducted to address this question and further our understanding of the effect of gypsum addition on soil phosphorus chemistry. For the experiment, two soil types with different background phosphorus levels (low P, high P), and three different time intervals between gypsum and phosphorus fertilizer application (2, 28 and 56 days) were applied. A total of 18 soil columns (L: 15 cm; diam: 10 cm) packed with sieved soil were treated with gypsum (3.9 g) and separated into three sets corresponding to each of the phosphorus application times. An equal number of columns not treated with gypsum were also included to serve as controls. Phosphorus fertilizer (0.34 mg P cm-1) was added as KH2PO4 solution. Rainwater (58 mL) was applied every 2-4 days to generate leachate that was collected and analyzed for ortho-P, total P, and SO4-2. At the end of each time series, the set of soil columns were sliced into 2-4 cm increments, and water extractable and bicarbonate extractable phosphorus (Olsen-P) was determined to examine downward phosphorus movement. Results of the study showed that Olsen-P levels were not affected by the gypsum treatment, indicating no interference of gypsum treatment with the P-supplying capacity of soils. The gypsum treatment reduced water-extractable P levels in the high-P soil, but treatment effect was not significant in the low-P soil. Likewise, in the high-P soil, gypsum treatment resulted in leachate ortho-P reduction during the second and third period of collection. For the low-P soil, there was no significant reduction in ortho-P. Overall, these results indicated that the beneficial effect of gypsum on phosphorus export from agricultural fields is dependent on soil-P status and time interval between gypsum amendment and P fertilizer application.
Effects of Excessive Dietary Phosphorus Intake on Bone Health
(Springer Nature, 2017-10) Vorland, Colby J.; Stremke, Elizabeth R.; Moorthi, Ranjani N.; Gallant, Kathleen M. Hill; Medicine, School of Medicine
PURPOSE OF REVIEW: The purpose of this review is to provide an overview of dietary phosphorus, its sources, recommended intakes, and its absorption and metabolism in health and in chronic kidney disease and to discuss recent findings in this area with a focus on the effects of inorganic phosphate additives in bone health. RECENT FINDINGS: Recent findings show that increasing dietary phosphorus through inorganic phosphate additives has detrimental effects on bone and mineral metabolism in humans and animals. There is new data supporting an educational intervention to limit phosphate additives in patients with chronic kidney disease to control serum phosphate. The average intake of phosphorus in the USA is well above the recommended dietary allowance. Inorganic phosphate additives, which are absorbed at a high rate, account for a substantial and likely underestimated portion of this excessive intake. These additives have negative effects on bone metabolism and present a prime opportunity to lower total phosphorus intake in the USA. Further evidence is needed to confirm whether lowering dietary phosphorus intake would have beneficial effects to improve fracture risk.
Feasibility and comparison of 3D modified rosette ultra-short echo time (PETALUTE) with conventional weighted acquisition in 31P-MRSI
(Springer Nature, 2025-02-22) Bozymski, Brian; Shen, Xin; Özen, Ali; Chiew, Mark; Thomas, M. Albert; Clarke, William T.; Sawiak, Stephen; Dydak, Ulrike; Emir, Uzay; Radiology and Imaging Sciences, School of Medicine
Phosphorus-31 magnetic resonance spectroscopic imaging (31P-MRSI) provides valuable non-invasivein vivoinformation on tissue metabolism but is burdened by poor sensitivity and prolonged scan duration. Ultra-short echo time (UTE) acquisitions minimize signal loss when probing signals with relatively short spin-spin relaxation time (T2), while also preventing first-order dephasing. Here, a three-dimensional (3D) UTE sequence with a rosette k-space trajectory (PETALUTE) is applied to 31P-MRSI at 3T. Conventional weighted MRSI employs highly regular Cartesian k-space sampling, susceptible to substantial artifacts when accelerated via undersampling. In contrast, this novel sequence's "petal-like" pattern offers incoherent sampling more suitable for compressed sensing (CS). These results showcase the competitive performance of PETALUTE against conventional weighted 31P-MRSI with simulation, phantom, and in vivo leg muscle comparisons.
FGF23 and Associated Disorders of Phosphate Wasting
(YS Medical Media, 2019-09-01) Gohil, Anisha; Imel, Erik A.; Pediatrics, School of Medicine
Fibroblast growth factor 23 (FGF23), one of the endocrine fibroblast growth factors, is a principal regulator in the maintenance of serum phosphorus concentration. Binding to its cofactor αKlotho and a fibroblast growth factor receptor is essential for its activity. Its regulation and interaction with other factors in the bone-parathyroid-kidney axis is complex. FGF23 reduces serum phosphorus concentration through decreased reabsorption of phosphorus in the kidney and by decreasing 1,25 dihydroxyvitamin D (1,25(OH)2D) concentrations. Various FGF23-mediated disorders of renal phosphate wasting share similar clinical and biochemical features. The most common of these is X-linked hypophosphatemia (XLH). Additional disorders of FGF23 excess include autosomal dominant hypophosphatemic rickets, autosomal recessive hypophosphatemic rickets, fibrous dysplasia, and tumor-induced osteomalacia. Treatment is challenging, requiring careful monitoring and titration of dosages to optimize effectiveness and to balance side effects. Conventional therapy for XLH and other disorders of FGF23-mediated hypophosphatemia involves multiple daily doses of oral phosphate salts and active vitamin D analogs, such as calcitriol or alfacalcidol. Additional treatments may be used to help address side effects of conventional therapy such as thiazides to address hypercalciuria or nephrocalcinosis, and calcimimetics to manage hyperparathyroidism. The recent development and approval of an anti-FGF23 antibody, burosumab, for use in XLH provides a novel treatment option.

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