Excess Phosphate Research Articles

12375 Rhabdomyolysis As A Cause Of PTH-independent Hypocalcemia In A Child With Acute Influenza Infection

Abstract Disclosure: S. Bhattarai: None. K. Halpin: None. Introduction: Hypocalcemia is characterized by low blood calcium level. Normal range for calcium for ages 12- 19-year is 8.5-10.6 mg/dli . Severe hypocalcemia is considered as serum calcium level of <7 mg/dl. Hypoparathyroidism, pseudohypoparathyroidism and Vitamin D deficiency are some of the most common causes encountered by pediatrician endocrinologists. Rhabdomyolysis with hypocalcemia and elevated PTH is a rare presentation that should be considered, particularly for children presenting with acute viral illness. We present a rare case of rhabdomyolysis associated with hypocalcemia not related to hypoparathyroidism. Case: A 12-year-old female presented to the ED with body ache, poor oral intake and vomiting. She was found to be influenza positive. Labs showed hypocalcemia (4.8 mg/dl). She had an undetectable 25-OH vitamin D level (<5 ng/ml) and elevated iPTH level (609 pg/ml). We discussed the possibility of her etiology of hypocalcemia as Vitamin D deficiency although her presentation was atypical at an older age with negative imaging for rickets, hyperphosphatemia (6.0 mg/dl), and normal ALP (334 unit/L). She did not have any phenotypic features of Albright’s hereditary osteodystrophy with normal renal function. She had elevated CK (4829 U/L) supporting rhabdomyolysis secondary to acute influenza as a cause of her hypocalcemia. Rhabdomyolysis, a known complication of influenza infection, causes cell membrane destruction which impairs the normal function of Na-K-ATPase channel leading to increase in intracellular sodium activating Na/Ca exchanger. This in turn causes influx of calcium intracellularly causing hypocalcemia. Additionally, any injury leads to high phosphorus release from cells due to its lysis. High phosphorus is also caused by reduced oxidative metabolism in muscles impairing phosphate use. This excess of phosphate then combines with calcium and causes calcium-phosphate complex in soft tissues. Hyperphosphatemia additionally inhibits 1 alpha hydroxylase limiting formation of calcitriol leading to hypocalcemia. iiConclusion: Our patient had severe hypocalcemia due to influenza-related rhabdomyolysis. Rhabdomyolysis is an important cause of hypocalcemia in children, especially with acute viral illness. Accordingly, it is also important to obtain serum electrolytes in patients presenting with rhabdomyolysis as hypocalcemia may lead to complications like seizures and cardiac arrhythmia. Endnotes:i Roizen, Jeffrey & Shah, Vipul & Levine, Michael & Carlow, Dean. (2013). Determination of Reference Intervals for Serum Total Calcium in the Vitamin D-Replete Pediatric Population. The Journal of clinical endocrinology and metabolism. 98. 10.1210/jc.2013-3105.ii Ding LN, Wang Y, Tian J, Ye LF, Chen S, Wu SM, Shang WB. Primary hypoparathyroidism accompanied by rhabdomyolysis induced by infection: A case report. World J Clin Cases. 2019 Oct 6;7(19) Presentation: 6/2/2024

Converting large-scale waste paper fibers into lanthanum-modified cellulose carbon aerogel adsorbents for efficient phosphorus removal

This study presents the synthesis of a novel lanthanum-modified cellulose-based carbon aerogel (La-CCA) from waste printing paper, aimed at addressing the issue of phosphate pollution in aquatic environments. The objective was to develop an effective and sustainable adsorbent to mitigate eutrophication caused by excess phosphates in water bodies. La-CCA exhibited a remarkable phosphate adsorption capacity, peaking at 44.32 mg/g under optimal conditions, demonstrating its efficiency as an adsorbent. The novelty of this work lies in the use of waste paper as a raw material, coupled with lanthanum modification, which enhanced adsorption performance through multiple mechanisms, including electrostatic interactions, ligand exchange, and inner-sphere complexation. The study also discussed the retention of the microfibrous structure of cellulose, contributing to the material’s stability and functionality. Comprehensive analyses including zeta potential, FTIR, and XPS elucidate the underlying adsorption mechanisms. La-CCA was demonstrated to be easily separable from solutions with minimal lanthanum leaching, particularly under conditions above pH 3.0, underscoring its potential for practical applications in phosphate removal from nutrient-enriched waters.

Metal-modified biochars prepared from blue algae and their ability of adsorbing phosphates from water and utilization as soil amendment

The problem of blue algae accumulation can be alleviated by utilizing blue algae as biomass for resource utilization, which can remove excess phosphates from water to alleviate eutrophication. Herein, Magnesium (Mg) and/or lanthanum (La) were used to modify biochar via high-temperature slow pyrolysis with blue algae as the raw biomass. These modified biochars exhibited abundant carbon (18.0%-50.3%), oxygen content (17.4%-49.1%), along with a high specific surface area (82.26-233.80 m2/g). The surface of metal-modified biochar was enriched with hydroxyl and carboxyl groups and metal elements were efficiently incorporated into biochars. Adsorption kinetic and isotherm experiments were conducted under the optimal pyrolysis temperature of 600 °C, pH of 6.0, and adsorbent dosage of 2.0g/L. The adsorption kinetics studies by metal-modified biochars for phosphate fitted well pseudo-second-order model Redlich-Peterson isotherm model. Biochar modified by Mg and La exhibited the highest removal efficiency (97.8%) for phosphate at adsorption equilibrium. The adsorption mechanism involved the electrostatic interaction between hydroxylated metal oxides and negatively charged phosphate ions and the precipitation of phosphate ions through chemical reactions with metal oxides in the solution. After phosphate adsorption, the pristine and metal-modified biochars derived from blue algae were applied as the soil amendment. Biochar adsorbed phosphate apparently improved the germination rate of seeds facilitated the height, width, weight, and chlorophyll content of vegetable seedlings, and induced oxidative stress, which proved that the biochar recovered after adsorption was a high-quality soil amendment. This study provides a new approach for the treatment of phosphate wastewater and the algae application.

Statins in the Cause and Prevention of Cancer: Confounding by Indication and Mediation by Rhabdomyolysis and Phosphate Toxicity.

Statins are drugs used in cardiovascular pharmacotherapy to decrease hypercholesterolemia and lower the risk of atherosclerosis. Statins also increase the risk of rhabdomyolysis, which is often minimized in comparison with large relative risk reductions of cardiovascular disease reported in clinical trials. By contrast, absolute risk reductions of cardiovascular disease are often clinically insignificant and unreported in statin clinical trials. Additionally, cytotoxic effects of statins inhibit cancer cell proliferation and reduce cancer risk, but other studies found that statins are carcinogenic. Due to an inverse association between incidence of cancer and atherosclerosis, the indication to prescribe statins likely biases the association of statins with cancer prevention. Dietary patterns associated with atherosclerosis and cancer contain inverse amounts of cholesterol and phosphate, an essential mineral that stimulates tumorigenesis. Accordingly, lower cancer risk is associated with high dietary cholesterol intake and increased risk of atherosclerosis. Furthermore, serum is exposed to excessive inorganic phosphate that could increase cancer risk as rhabdomyolysis induced by statins releases phosphate from skeletal muscle breakdown. Increased risk of comorbid conditions associated with statins may share the mediating factor of phosphate toxicity. More research is warranted on statins in the cause and prevention of cancer.

Highly efficient removal of aqueous phosphate via iron-manganese fabricated biochar: Performance and mechanism

Biochar (BC) has emerged as a potential solution to phosphate removal from wastewater primarily resulting from global overuse of fertilizers. Further modification by embedment of iron (Fe)-manganese (Mn) oxides on BC can enhance phosphate removal; however, the modification method serves as a vital factor underlying distinctive removal performances and mechanisms, which have yet been systematically examined. Herein, two Fe–Mn modified BC, Fe/MnBC (comprised of Fe3O4 and MnO2) and Fe–MnBC (comprised of MnFe2O4), were comprehensively investigated for gaining insights into the unsolved perspectives. The results indicated that Fe–MnBC exhibited a markedly greater maximum phosphate adsorption capacity of 135.88 mg g−1 than that of Fe/MnBC with 17.93 mg g−1. The comparative results based on microstructure and spectroscopic analyses suggested that different Fe and Mn oxides were successfully loaded, which played a distinctive role in phosphate removal. Further characterizations unveiled that the key mechanisms for phosphate removal by Fe/MnBC are inner-sphere complexation and precipitation, while electrostatic interaction and outer-sphere complexation are the dominant mechanisms underlying the notable performance of Fe–MnBC. The delicately designed Fe–MnBC with special structure and property also enabled a superior regeneration capacity, which presented a promisingly high phosphate removal efficacy of over 81.34% after five cycles. These results enhance comprehension regarding the impact of biochar modification techniques on phosphate removal, offering positive indications for the remediation of excessive phosphate and other pollutant-containing water through feasible design and green chemicals.

Impaired Glucose Metabolism, Primary Cilium Defects, and Kidney Cystogenesis in Glycogen Storage Disease Type Ia.

Glycogen Storage Disease type Ia (GSDIa) is a rare metabolic disorder caused by mutations in the catalytic subunit of glucose-6 phosphatase (G6PC1). This leads to severe hypoglycemia and most young GSDIa patients develop CKD. The kidney pathology is characterized by the development of cysts, which typically occur at an advanced stage of CKD. To elucidate the molecular mechanisms responsible for cyst formation, we characterized renal metabolism, molecular pathways involved in cell proliferation and integrity primary cilium integrity, using mice in which G6pc1 was specifically deleted in the kidney from in utero stage. GSDIa mice exhibited renal fibrosis, high-inflammation, and cyst formation, leading to kidney dysfunction. In addition, the loss of G6PC1 led to the ectopic accumulation of glycogen and lipids in the kidneys, and a metabolic shift towards a Warburg-like metabolism. This metabolic adaptation was due to an excess of glucose-6 phosphate, which supports cell proliferation, driven by the MEK/ERK and AKT/mTOR pathways. Treatment of GSDIa mice with rapamycin, a target of the mTOR pathway, reduced cell proliferation and kidney damage. Our results also identified lipocalin 2 as a contributor to renal inflammation and an early biomarker of CKD progression in GSDIa mice. Its inactivation partially prevented kidney lesions in GSDIa. Importantly, primary cilium defects were observed in the kidneys of GSDIa mice. Metabolic adaptations due to glucose-6 phosphate accumulation in GSDIa renal tubules, towards a Warburg-like metabolism, appeared to promote cell proliferation and cyst formation in a similar manner to that observed in various cystic kidney diseases. This was associated with down-regulation of primary cilium gene expression and consequently, altered cilium morphology.

The Efficiency of Phosphate Removal via Shallow Wastewater Injection into a Saline Carbonate Aquifer.

Wastewater-derived phosphate contributes to eutrophication if the phosphate is not efficiently removed before it is discharged to surface waters. In the Florida Keys (USA), shallow injection of treated wastewater into saline limestone aquifers is a common mode of wastewater disposal. We assessed the possibility of efficient and permanent phosphate removal following injection at a wastewater treatment facility in Marathon, Florida. The concentrations of nutrients, dissolved ions, and anthropogenic compounds in groundwater and nearshore waters were monitored over two years, as was the progression of a patch of fluorescent dye emplaced by the wastewater injection well. The density contrast between the wastewater effluent and saline groundwater caused the effluent plume to buoy to the shallow subsurface near the injection well. Soluble reactive phosphorus (SRP) and sucralose were both detected in nearshore waters, indicating incomplete removal of contaminants. However, ∼75% of the SRP is removed from the plume in the first 10 days of transit by adsorption followed by a slower removal mechanism, bringing the P removal efficiency above 90%. A positive relationship between excess calcium and phosphate removal efficiency, together with high levels of calcium phosphate mineral supersaturation, supports calcite dissolution followed by calcium phosphate mineralization as this slower removal process.

Cerium-based sorbent with 100% Ce(III) and high dispersion for enhanced phosphate removal from wastewater

Under the double pressure of eutrophication and phosphorus deficiency, there is an urgent need to remove excess phosphate from wastewater efficiently. Preparing cerium-based materials with excellent application potential inevitably leads to Ce(III) oxidation to Ce(IV), which reduces the phosphate adsorption effect and restricts its development. To solve this problem, we introduced a protective agent and successfully synthesised cerium-modified activated carbon sorbent containing 100 % Ce(III) during the synthesis process. Compared with CeAC without a protecting agent, CeAC-A contained more Ce(III) (100 %) and exchange groups (–OH accounted for 82.76 %), achieving an adsorption capacity of up to 448.57 mg-P/g Ce, improving of 4.3 times. At the same time, the size of the cerium active component was reduced from the micron level to the nanometer level, and the mass transfer rate was significantly improved. In addition, with the enormous specific surface area and well-developed pore structure of activated carbon, it showed high dispersibility, with P/Ce molar ratio as high as 2.03, which is 1.1–4.8 times higher than other cerium-based adsorbents. Phosphate was removed primarily through electrostatic attraction and ligand exchange. In treating municipal wastewater with complex water quality, CeAC-A showed strong selectivity, a wide range of adaptability and easy repeat regeneration, making it a promising adsorbent for phosphate uptake from wastewater.

Enhancing water resistance in magnesium oxychloride cement modified with sodium dihydrogen phosphate at low MgO concentrations

Phosphate ions significantly enhance the water resistance of magnesium oxychloride cement (MOC). In this study, MOC was prepared with a MgO/MgCl2 molar ratio of 7 and a H2O/MgCl2 molar ratio of 12, while varying the dosage of sodium dihydrogen phosphate. The aim was to observe the microstructural changes in 5Mg(OH)2·MgCl2·8H2O (Phase 5) crystals and the macroscopic mechanical properties before and after immersion. The research found that phosphate ions increase the content of air-cured Phase 5 and reduce the formation of Mg(OH)2 by lowering the required Mg2+ concentration for Phase 5 production. However, excessive phosphate ions can damage the crystal structure of Phase 5, leading to a decrease in MOC strength. An appropriate amount of phosphate ions increases the output of Phase 5, resulting in a highly dense microstructure, which significantly improves the water resistance of MOC. Additionally, this enhances the pore structure of MOC, making the overall structure more compact and resistant to water penetration. This research offers valuable theoretical insights into Phase 5 crystal variations during air curing and water-immersion damage under low Mg2+ concentrations.

Microbial remineralization processes during postspring-bloom with excess phosphate available in the northern Baltic Sea.

The phosphorus (P) concentration is increasing in parts of the Baltic Sea following the spring bloom. The fate of this excess P-pool is an open question, and here we investigate the role of microbial degradation processes in the excess P assimilation phase. During a 17-day-long mesocosm experiment in the southwest Finnish archipelago, we examined nitrogen, phosphorus, and carbon acquiring extracellular enzyme activities in three size fractions (<0.2, 0.2-3, and >3µm), bacterial abundance, production, community composition, and its predicted metabolic functions. The mesocosms received carbon (C) and nitrogen (N) amendments individually and in combination (NC) to distinguish between heterotrophic and autotrophic processes. Alkaline phosphatase activity occurred mainly in the dissolved form and likely contributed to the excess phosphate conditions together with grazing. At the beginning of the experiment, peptidolytic and glycolytic enzymes were mostly produced by free-living bacteria. However, by the end of the experiment, the NC-treatment induced a shift in peptidolytic and glycolytic activities and degradation of phosphomonoesters toward the particle-associated fraction, likely as a consequence of higher substrate availability. This would potentially promote retention of nutrients in the surface as opposed to sedimentation, but direct sedimentation measurements are needed to verify this hypothesis.

A better understanding of the effectiveness of placed phosphorus fertilisation with struvite for silage maize: A pot experiment

Struvite is emerging as a circular, slow-release phosphorus (P) fertiliser. However, its effectiveness for crops and its impact on soil P tests still remain largely unclear. We analysed the effectiveness of struvite as a row fertiliser in a pot experiment with maize in a sandy soil and a loamy soil, both exhibiting a low agronomic soil P status. Maize was seeded in both soils, amended with either granular struvite or water-soluble di-ammonium phosphate (DAP) as row fertilisers. A positive control received an excess of sodium phosphate, mixed homogeneously through both soils; a negative control did not receive additional P. We measured the agronomic maize performance at the end of the vegetative growth stage (V10) and assessed the suitability of two established agronomic soil P tests (i.e. P-CaCl2 and P-AL) to predict plant-available P in the soils amended with struvite. Furthermore, we performed an additional batch experiment to better understand the dissolution dynamics of struvite during a prolonged period of extraction of soil in 0.01 M CaCl2. Placed struvite application led to a lower performance of maize in comparison to DAP in terms of biomass production as well as P uptake (53 and 71 % lower, respectively). Yet the agronomic performance of struvite in general was higher than the performance of the negative control, confirming the potential of struvite as an emerging P fertiliser. Surprisingly, both soils fertilised with struvite showed a significantly higher soil P test than any other P treatment in our pot experiment. This was an artefact due to the dissolution of residual struvite granules during the soil extraction procedures. These results call for a reconsideration of how to interpret P-CaCl2 and P-AL as a basis for P fertiliser recommendations for soils receiving struvite as a P fertiliser.

Spontaneous Tumor Regression and Reversion: Insights and Associations with Reduced Dietary Phosphate.

Tumors that spontaneously shrink from unknown causes in tumor regression, and that return to normal cells in tumor reversion, are phenomena with the potential to contribute new knowledge and novel therapies for cancer patient survival. Tumorigenesis is associated with dysregulated phosphate metabolism and an increased transport of phosphate into tumor cells, potentially mediated by phosphate overload from excessive dietary phosphate intake, a significant problem in Western societies. This paper proposes that reduced dietary phosphate overload and reregulated phosphate metabolism may reverse an imbalance of kinases and phosphatases in cell signaling and cellular proliferation, thereby activating autophagy in tumor regression and reversion. Dietary phosphate can also be reduced by sickness-associated anorexia, fasting-mimicking diets, and other diets low in phosphate, all of which have been associated with tumor regression. Tumor reversion has also been demonstrated by transplanting cancer cells into a healthy microenvironment, plausibly associated with normal cellular phosphate concentrations. Evidence also suggests that the sequestration and containment of excessive phosphate within encapsulated tumors is protective in cancer patients, preventing the release of potentially lethal amounts of phosphate into the general circulation. Reducing dietary phosphate overload has the potential to provide a novel, safe, and effective reversion therapy for cancer patients, and further research is warranted.

Enzymatic Hydrolysis of Salmon Frame Proteins Using a Sequential Batch Operational Strategy: An Improvement in Water-Holding Capacity.

The meat industry uses phosphates to improve the water-holding capacity (WHC) of meat products, although excess phosphates can be harmful to human health. In this sense, protein hydrolysates offer an alternative with scientific evidence of improved WHCs. Salmon frames, a byproduct rich in protein, must be processed for recovery. Enzymatic technology allows these proteins to be extracted from muscle, and the sequential batch strategy significantly increases protein nitrogen extraction. This study focused on evaluating the WHC of protein hydrolysates from salmon frames obtained through double- and triple-sequential batches compared to conventional hydrolysis. Hydrolysis was carried out for 3 h at 55 °C with 13 mAU of subtilisin per gram of salmon frames. The WHC of each hydrolysate was measured as the cooking loss using concentrations that varied from 0 to 5% (w/w) in the meat matrix. Compared with those obtained through conventional hydrolysis, the hydrolysates obtained through the strategy of double- and triple-sequence batches demonstrated a 55% and 51% reduction in cooking loss, respectively, when they were applied from 1% by weight in the meat matrix. It is essential to highlight that all hydrolysates had a significantly lower cooking loss (p ≤ 0.05) than that of the positive control (sodium tripolyphosphate [STPP]) at its maximum allowable limit when applied at a concentration of 5% in the meat matrix. These results suggest that the sequential batch strategy represents a promising alternative for further improving the WHC of hydrolysates compared to conventional hydrolysis. It may serve as a viable substitute for polyphosphates.

The use of Carica papaya seeds as bio coagulant for laundry wastewater treatment

The study aims to analyze the effectiveness of wastewater treatment by using Carica papaya seeds as bio coagulants to diminish total suspended solids (TSS) and excess phosphate. This method has some advantages because it does not use chemical materials, is simple to apply, and is safe for the environment and human health. The wastewater samples were taken from an active laundry site in Palembang City, South Sumatra Province of Indonesia. The study found that the best dosage of coagulant was 3 g for the wastewater samples. The pH and BOD parameters showed slight changes after treatment, with pH 7.63–7.19 and 33–27 mg/L values, respectively. The TSS removal efficiency ranged from 9.3 to 15.6%, while the COD and phosphate removals were obtained from 11.7 to 39.3% and 56.3 to 68.4%, respectively. The treated TSS, COD, and phosphate concentrations have met the Indonesian domestic wastewater quality standard and environmental protection organization (EPO) guidelines. In addition, the statistical analysis and t-test showed significant differences (p < 0.05) for before and after treatment data of all parameters. The ANOVA test showed significant differences (p < 0.05) for all parameters among the three treatments. Overall, the study indicated that C. papaya seeds are promising materials that are eco-friendly and useful to treat laundry wastewater.

The Effect of HCl Activator on PET Adsorbent to Reduce Phosphate Content in Laundry Waste

&lt;strong&gt;Abstract.&lt;/strong&gt; Plastic waste is waste that cannot be decomposed so it will cause serious problems to the environment. The National Waste Management Information System (SIPSN) reported that in 2020 plastic waste was found to be 17.2% of the total waste collected. Several types of plastic can become porous charcoal through the heating process in a furnace so that it can be used as an adsorbent for liquid waste from the laundry industry. Laundry liquid waste containing excess phosphate will disrupt the environment such as eutrophication. This research aims to determine the effect of the HCL activator on carbon from polyethylene terephthalate (PET) plastic bottle waste to reduce phosphate levels in liquid laundry waste. This research uses varying concentrations of HCl as a carbon activator, namely 1M, 5M, and 10M. The activated carbon is added to the liquid laundry waste and stirred at a speed of 100 rpm. Phosphate content analysis was carried out using a spectrophotometer in liquid laundry waste before and after the adsorption process and BET (Brunauer-Emmet-Teller) analysis on activated carbon with activator HCL 10 M. The greatest decrease in phosphate levels was 10 M HCL concentration of 52.87%, with a carbon surface area of 203.1222 m&lt;sup&gt;2&lt;/sup&gt;/g and a particle size of 29.53 nm. The adsorption capacity of activated carbon with a 10 M activator is 0.1499 mg/g

Lanthanum‐calcium bimetallic-modified attapulgite- chitosan hydrogel beads for efficient phosphate removal from water: Performance evaluation, mechanistic and life cycle assessment

Phosphorus is a critical factor in the control of eutrophication. We developed a three-dimensional porous, bimetallic-modified adsorbent La-Ca-CS/ATP to remove excess phosphate from water. Langmuir model showed that the theoretical adsorption capacity of La-Ca-CS/ATP was up to 123 mg P/g. The amount of La and Ca leached by La-Ca-CS/ATP was small, and the adsorption of 36.08 mg P/g was maintained during the five cycles of La-Ca-CS/ATP. The La-Ca-CS/ATP adsorption mechanism mainly involved surface precipitation, ligand exchange, electrostatic attraction, and inner-sphere complexation. Molecular dynamics demonstrated that La and Ca had complementary effects on binding sites and energy barriers within the range of 0.5–0.7 nm and 1.2–2 nm, enhancing the adsorption effect of La-Ca-CS/ATP. The life cycle assessment results showed that adding calcium could help reduce the environmental impact of lanthanum and chitosan. The production of La-Ca-CS/ATP adsorbed 73.88 P mg/g and emitted 24.73 kg CO2 eq, which was less than other adsorbents.

Efficient removal and recovery of phosphate from wastewater by nano-CaO2/BFS sorbent and its potential as a slow-release phosphate fertilizer

Facing the dual pressure of eutrophication control and global phosphorus scarcity, the efficient removal and recovery of phosphate from wastewater has attracted growing attention in recent years. Herein, an efficient nanocomposite (nCaO2-BFS) was successfully synthesized through a facile coprecipitation method by loading nano-calcium peroxide (nCaO2) onto blast furnace slags (BFS) and used for phosphate removal and recovery from wastewater. Based on the preliminary screening of as-prepared nCaO2-BFS sorbents regarding phosphate removal efficiency, the nCaO2-BFS nanocomposite prepared with a CaCl2-to-BFS mass ratio of 0.6:1, NH3·H2O amount of 20 mL, and H2O2 amount of 12 mL was selected for further characterization and phosphate elimination. Results showed that the developed nCaO2-BFS sorbent exhibits a superior adsorption capacity of 67.48 mg·g-1, a broadly applicable pH range from 4 to 10, and strong selectivity for phosphate in the presence of competing anions including Cl-, NO3-, SO42-, HCO3-, and CO32-. Mechanistically, surface precipitation and inner-sphere complexation via ligand exchange were identified as the primary sorption mechanism for nCaO2-BFS in capturing phosphate. The plant growth test confirmed that the phosphate-laden nCaO2-BFS sorbent could be used as a slow-release fertilizer to promote the growth of Brassica rapa L. Therefore, applying nCaO2-BFS appears to be a promising method for remediating excessive phosphate and recovering the non-renewable phosphorus resource.

Phosphate sensing in health and disease.

Disruptions of phosphate homeostasis are associated with a multitude of diseases with insufficient treatments. Our knowledge regarding the mechanisms underlying metazoan phosphate homeostasis and sensing is limited. Here, we highlight four major advancements in this field during the last 12-18 months. First, kidney glycolysis senses filtered phosphate, which results in the release of glycerol 3-phosphate (G-3-P). Circulating G-3-P then stimulates synthesis of the phosphaturic hormone fibroblast growth factor 23 in bone. Second, the liver serves as a postprandial phosphate reservoir to limit serum phosphate excursions. It senses phosphate ingestion and triggers renal excretion of excess phosphate through a nerve-dependent mechanism. Third, phosphate-starvation in cells massively induces the phosphate transporters SLC20A1/PiT1 and SLC20A2/PiT2, implying direct involvement of cellular phosphate sensing. Under basal phosphate-replete conditions, PiT1 is produced but immediately destroyed, which suggests a novel mechanism for the regulation of PiT1 abundance. Fourth, Drosophila melanogaster intestinal cells contain novel organelles called PXo bodies that limit intracellular phosphate excursions. Phosphate starvation leads to PXo body dissolution, which triggers midgut proliferation. These studies have opened novel avenues to dissect the mechanisms that govern metazoan phosphate sensing and homeostasis with the potential to identify urgently needed therapeutic targets.

High glucose promotes osteogenic differentiation of human lens epithelial cells through hypoxia-inducible factor (HIF) activation.

Cataract, a leading cause of blindness, is characterised by lens opacification. Type 2 diabetes is associated with a two- tofivefold higher prevalence of cataracts. The risk of cataract formation increases with the duration of diabetes and the severity of hyperglycaemia. Hydroxyapatite deposition is present in cataractous lenses that could be the consequence of osteogenic differentiation and calcification of lens epithelial cells (LECs). We hypothesised that hyperglycaemia might promote the osteogenic differentiation of human LECs (HuLECs). Osteogenic medium (OM) containing excess phosphate and calcium with normal (1 g/L) or high (4.5 g/L) glucose was used to induce HuLEC calcification. High glucose accelerated and intensified OM-induced calcification of HuLECs, which was accompanied by hyperglycaemia-induced upregulation of the osteogenic markers Runx2, Sox9, alkaline phosphataseand osteocalcin, as well as nuclear translocation of Runx2. High glucose-induced calcification was abolished in Runx2-deficient HuLECs. Additionally, high glucose stabilised the regulatory alpha subunits of hypoxia-inducible factor 1 (HIF-1), triggered nuclear translocation of HIF-1αand increased the expression of HIF-1 target genes. Gene silencing of HIF-1α or HIF-2α attenuated hyperglycaemia-induced calcification of HuLECs, while hypoxia mimetics (desferrioxamine, CoCl2) enhanced calcification of HuLECs under normal glucose conditions. Overall, this study suggests that high glucose promotes HuLEC calcification via Runx2 and the activation of the HIF-1 signalling pathway. These findings may provide new insights into the pathogenesis of diabetic cataracts, shedding light on potential factors for intervention to treat this sight-threatening condition.

Excess phosphate promotes SARS‑CoV‑2 N protein‑induced NLRP3 inflammasome activation via the SCAP‑SREBP2 signaling pathway.

Hyperphosphatemia or severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) infection can promote cardiovascular adverse events in patients with chronic kidney disease. Hyperphosphatemia is associated with elevated inflammation and sterol regulatory element binding protein 2 (SREBP2) activation, but the underlying mechanisms in SARS‑CoV‑2 that are related to cardiovascular disease remain unclear. The present study aimed to elucidate the role of excess inorganic phosphate (PI) in SARS‑CoV‑2 N protein‑induced NLRP3 inflammasome activation and the underlying mechanisms in vascular smooth muscle cells (VSMCs). The expression levels of SARS‑CoV‑2 N protein, SREBP cleavage‑activating protein (SCAP), mature N‑terminal SREBP2, NLRP3, procaspase‑1, cleaved caspase‑1, IL‑1β and IL‑18 were examined by western blotting. The expression levels of SREBP2, HMG‑CoA reductase, HMGCS1, low density lipoprotein receptor, proprotein convertase subtilisin/kexin type 9 (PCSK9), SREBP1c, fatty acid synthase, stearyl coenzyme A desaturase 1, acetyl‑CoA carboxylase α and ATP‑citrate lyase were determined by reverse transcription‑quantitative PCR. The translocation of SCAP or NLRP3 from the endoplasmic reticulum to the Golgi was detected by confocal microscopy. The results showed that excess PI promoted SCAP‑SREBP and NLRP3 complex translocation to the Golgi, potentially leading to NLRP3 inflammasome activation and lipogenic gene expression. Furthermore, PI amplified SARS‑CoV‑2 N protein‑induced inflammation via the SCAP‑SREBP pathway, which facilitates NLRP3 inflammasome assembly and activation. Inhibition of phosphate uptake with phosphonoformate sodium alleviated NLRP3 inflammasome activation and reduced SREBP‑mediated lipogenic gene expression in VSMCs stimulated with PI and with SARS‑CoV‑2 N protein overexpression. Inhibition of SREBP2 or small interfering RNA‑induced silencing of SREBP2 effectively suppressed the effect of PI and SARS‑CoV‑2 N protein on NLRP3 inflammasome activation and lipogenic gene expression. In conclusion, the present study identified that PI amplified SARS‑CoV‑2 N protein‑induced NLRP3 inflammasome activation and lipogenic gene expression via the SCAP‑SREBP signaling pathway.