Nutrient chapter

Phosphorus

Phosphorus. Species, exposure and limitations are retained in each linked claim.

114 recorded mechanisms · 12 availability situations · 12 preserved sources. Draft and verified records are labeled separately.

The mechanisms

What the sources say this nutrient does, one relationship at a time. Plain wording comes first; the technical statement follows.

  1. Raising extracellular phosphate inhibited CaSR activity through noncompetitive antagonism in the experimental system.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"}
    experimental_model
    CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments
    exposure
    Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion
    limitations
    Direct phosphate antagonism was tested separately from calcium regulation; concentrations and model are not dietary thresholds.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human CaSR expression system
    plain_language
    Phosphate can act on the calcium-sensing receptor itself, not only change how much calcium is present.
    primary_references
    [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    tissue_or_cell_type
    CaSR reporter cells and freshly isolated parathyroid cells/glands

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 438–449

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments · source_derived_draft · unverified_draft

    ### phosphorus-casr-antagonism Raising extracellular phosphate inhibited CaSR activity through noncompetitive antagonism in the experimental system. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Phosphate can act on the calcium-sensing receptor itself, not only change how much calcium is present. organism: Human CaSR expression system tissue_or_cell_type: CaSR reporter cells and freshly isolated parathyroid cells/glands experimental_model: CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments limitations: Direct phosphate antagonism was tested separately from calcium regulation; concentrations and model are not dietary thresholds. exposure: Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion evidence_span: {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"} [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    Complete structured claim and evidence
  2. Human MAT2A formed S-adenosylmethionine before rapid triphosphate hydrolysis and product release in the kinetic study.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"}
    experimental_model
    Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography
    exposure
    ATP/methionine reactions and PNPNP ligand complexes
    limitations
    Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human recombinant enzyme
    plain_language
    Making the methyl donor SAM is coupled to ATP-derived phosphate chemistry.
    primary_references
    [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    tissue_or_cell_type
    Purified MAT2A active site

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 633–644

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography · source_derived_draft · unverified_draft

    ### phosphorus-mat-sam Human MAT2A formed S-adenosylmethionine before rapid triphosphate hydrolysis and product release in the kinetic study. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Making the methyl donor SAM is coupled to ATP-derived phosphate chemistry. organism: Human recombinant enzyme tissue_or_cell_type: Purified MAT2A active site experimental_model: Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography limitations: Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand. exposure: ATP/methionine reactions and PNPNP ligand complexes evidence_span: {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"} [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    Complete structured claim and evidence
  3. Reported serum FGF23 decreased during low-phosphate feeding and increased after oral phosphate loading in healthy men.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/15613425.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2", "start_char": 0, "end_char": 1563, "text_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2"}
    experimental_model
    Controlled sequential dietary intervention
    exposure
    Five-day low-phosphate diet plus binder, then phosphate loading; calcium adjusted to minimize PTH changes
    limitations
    FGF23 assay form not resolved from the indexed abstract; circulating FGF23 result must not be read as a quantified cleavage ratio.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    object_scope
    FGF23 assay result; assay form unresolved from abstract
    organism
    Human
    plain_language
    Changing phosphorus exposure changed a hormone involved in phosphate handling.
    primary_references
    [phosphorus-p15613425] Fibroblast growth factor-23 relationship to dietary phosphate and renal phosphate handling in healthy young men. (2005). https://pubmed.ncbi.nlm.nih.gov/15613425/ DOI: 10.1210/jc.2004-1039
    tissue_or_cell_type
    29 healthy young men; serum hormones and renal handling

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 906–918

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Controlled sequential dietary intervention · source_derived_draft · unverified_draft

    ### phosphorus-diet-fgf23 Reported serum FGF23 decreased during low-phosphate feeding and increased after oral phosphate loading in healthy men. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Changing phosphorus exposure changed a hormone involved in phosphate handling. organism: Human tissue_or_cell_type: 29 healthy young men; serum hormones and renal handling experimental_model: Controlled sequential dietary intervention limitations: FGF23 assay form not resolved from the indexed abstract; circulating FGF23 result must not be read as a quantified cleavage ratio. exposure: Five-day low-phosphate diet plus binder, then phosphate loading; calcium adjusted to minimize PTH changes object_scope: FGF23 assay result; assay form unresolved from abstract evidence_span: {"source_cache": "artifacts/phosphorus-research/15613425.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2", "start_char": 0, "end_char": 1563, "text_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2"} [phosphorus-p15613425] Fibroblast growth factor-23 relationship to dietary phosphate and renal phosphate handling in healthy young men. (2005). https://pubmed.ncbi.nlm.nih.gov/15613425/ DOI: 10.1210/jc.2004-1039
    Complete structured claim and evidence
  4. Marked erythrocyte ATP depletion below 1 mmol/L cells was observed only when cellular Pi was below 0.3 mmol/L cells and plasma Pi below 0.35 mmol/L in this dataset.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"}
    experimental_model
    ICU erythrocyte measurements and normal-donor cell incubation
    exposure
    Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi
    limitations
    Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Severe phosphate depletion can accompany low red-cell ATP, but this study does not set a universal cutoff.
    primary_references
    [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    tissue_or_cell_type
    Red blood cells
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1063–1074

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ICU erythrocyte measurements and normal-donor cell incubation · source_derived_draft · unverified_draft

    ### phosphorus-rbc-atp-low Marked erythrocyte ATP depletion below 1 mmol/L cells was observed only when cellular Pi was below 0.3 mmol/L cells and plasma Pi below 0.35 mmol/L in this dataset. Condition category: biomarker_context nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Severe phosphate depletion can accompany low red-cell ATP, but this study does not set a universal cutoff. organism: Human tissue_or_cell_type: Red blood cells experimental_model: ICU erythrocyte measurements and normal-donor cell incubation limitations: Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints. exposure: Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi evidence_span: {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"} [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    Complete structured claim and evidence
  5. After low-phosphate feeding and an acute phosphate bolus, Slc34a2-null mice absorbed approximately 50% less phosphate than wild type.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"}
    experimental_model
    Inducible Slc34a2 knockout, balance measurements and isolated ileum transport
    exposure
    Knockout versus wild type; low-P diet followed by an acute phosphate bolus
    limitations
    Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    Removing the intestinal transporter reduced absorption under the specified feeding conditions.
    primary_references
    [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    tissue_or_cell_type
    Intestine and compensatory renal handling
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 230–241

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Slc34a2 knockout, balance measurements and isolated ileum transport · source_derived_draft · unverified_draft

    ### phosphorus-npt2b-absorption After low-phosphate feeding and an acute phosphate bolus, Slc34a2-null mice absorbed approximately 50% less phosphate than wild type. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing the intestinal transporter reduced absorption under the specified feeding conditions. organism: Mouse tissue_or_cell_type: Intestine and compensatory renal handling experimental_model: Inducible Slc34a2 knockout, balance measurements and isolated ileum transport limitations: Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates. exposure: Knockout versus wild type; low-P diet followed by an acute phosphate bolus evidence_span: {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"} [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    Complete structured claim and evidence
  6. Slc34a2-null mice excreted more phosphate in feces.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"}
    experimental_model
    Inducible Slc34a2 knockout, balance measurements and isolated ileum transport
    exposure
    Knockout versus wild type; low-P diet followed by an acute phosphate bolus
    limitations
    Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    More phosphorus left through the gut.
    primary_references
    [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    tissue_or_cell_type
    Intestine and compensatory renal handling
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 243–254

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Slc34a2 knockout, balance measurements and isolated ileum transport · source_derived_draft · unverified_draft

    ### phosphorus-npt2b-fecal Slc34a2-null mice excreted more phosphate in feces. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: More phosphorus left through the gut. organism: Mouse tissue_or_cell_type: Intestine and compensatory renal handling experimental_model: Inducible Slc34a2 knockout, balance measurements and isolated ileum transport limitations: Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates. exposure: Knockout versus wild type; low-P diet followed by an acute phosphate bolus evidence_span: {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"} [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    Complete structured claim and evidence
  7. Slc34a2-null mice excreted less phosphate in urine.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"}
    experimental_model
    Inducible Slc34a2 knockout, balance measurements and isolated ileum transport
    exposure
    Knockout versus wild type; low-P diet followed by an acute phosphate bolus
    limitations
    Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    The kidneys conserved phosphate when gut uptake was impaired.
    primary_references
    [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    tissue_or_cell_type
    Intestine and compensatory renal handling
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 256–267

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Slc34a2 knockout, balance measurements and isolated ileum transport · source_derived_draft · unverified_draft

    ### phosphorus-npt2b-urine Slc34a2-null mice excreted less phosphate in urine. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The kidneys conserved phosphate when gut uptake was impaired. organism: Mouse tissue_or_cell_type: Intestine and compensatory renal handling experimental_model: Inducible Slc34a2 knockout, balance measurements and isolated ileum transport limitations: Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates. exposure: Knockout versus wild type; low-P diet followed by an acute phosphate bolus evidence_span: {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"} [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    Complete structured claim and evidence
  8. Serum phosphate remained unchanged in the Slc34a2-null mice despite altered intestinal and urinary handling.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"}
    experimental_model
    Inducible Slc34a2 knockout, balance measurements and isolated ileum transport
    exposure
    Knockout versus wild type; low-P diet followed by an acute phosphate bolus
    limitations
    Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    A normal blood measurement did not mean the transport system was unchanged.
    primary_references
    [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    tissue_or_cell_type
    Intestine and compensatory renal handling
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 269–280

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Slc34a2 knockout, balance measurements and isolated ileum transport · source_derived_draft · unverified_draft

    ### phosphorus-npt2b-serum Serum phosphate remained unchanged in the Slc34a2-null mice despite altered intestinal and urinary handling. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A normal blood measurement did not mean the transport system was unchanged. organism: Mouse tissue_or_cell_type: Intestine and compensatory renal handling experimental_model: Inducible Slc34a2 knockout, balance measurements and isolated ileum transport limitations: Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates. exposure: Knockout versus wild type; low-P diet followed by an acute phosphate bolus evidence_span: {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"} [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    Complete structured claim and evidence
  9. The Slc34a2-null phenotype included reduced circulating FGF23.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"}
    experimental_model
    Inducible Slc34a2 knockout, balance measurements and isolated ileum transport
    exposure
    Knockout versus wild type; low-P diet followed by an acute phosphate bolus
    limitations
    Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    A phosphate-wasting hormone fell as part of the compensatory pattern.
    primary_references
    [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    tissue_or_cell_type
    Intestine and compensatory renal handling
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 282–293

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Slc34a2 knockout, balance measurements and isolated ileum transport · source_derived_draft · unverified_draft

    ### phosphorus-npt2b-fgf23 The Slc34a2-null phenotype included reduced circulating FGF23. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A phosphate-wasting hormone fell as part of the compensatory pattern. organism: Mouse tissue_or_cell_type: Intestine and compensatory renal handling experimental_model: Inducible Slc34a2 knockout, balance measurements and isolated ileum transport limitations: Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates. exposure: Knockout versus wild type; low-P diet followed by an acute phosphate bolus evidence_span: {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"} [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    Complete structured claim and evidence
  10. Renal NaPi-IIa protein expression increased in Slc34a2-null mice.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"}
    experimental_model
    Inducible Slc34a2 knockout, balance measurements and isolated ileum transport
    exposure
    Knockout versus wild type; low-P diet followed by an acute phosphate bolus
    limitations
    Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    The renal transporter increased while intestinal transport was absent.
    primary_references
    [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    tissue_or_cell_type
    Intestine and compensatory renal handling
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 295–306

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Slc34a2 knockout, balance measurements and isolated ileum transport · source_derived_draft · unverified_draft

    ### phosphorus-npt2b-npt2a Renal NaPi-IIa protein expression increased in Slc34a2-null mice. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The renal transporter increased while intestinal transport was absent. organism: Mouse tissue_or_cell_type: Intestine and compensatory renal handling experimental_model: Inducible Slc34a2 knockout, balance measurements and isolated ileum transport limitations: Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates. exposure: Knockout versus wild type; low-P diet followed by an acute phosphate bolus evidence_span: {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"} [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    Complete structured claim and evidence
  11. NaPi-IIb accounted for more than 90% of measured active phosphate absorption in isolated mouse ileum segments.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"}
    experimental_model
    Inducible Slc34a2 knockout, balance measurements and isolated ileum transport
    exposure
    Knockout versus wild type; low-P diet followed by an acute phosphate bolus
    limitations
    Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    This transporter dominated the active route in that assay; passive absorption is a separate route.
    primary_references
    [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    tissue_or_cell_type
    Intestine and compensatory renal handling

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 308–319

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Inducible Slc34a2 knockout, balance measurements and isolated ileum transport · source_derived_draft · unverified_draft

    ### phosphorus-npt2b-active NaPi-IIb accounted for more than 90% of measured active phosphate absorption in isolated mouse ileum segments. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: This transporter dominated the active route in that assay; passive absorption is a separate route. organism: Mouse tissue_or_cell_type: Intestine and compensatory renal handling experimental_model: Inducible Slc34a2 knockout, balance measurements and isolated ileum transport limitations: Fraction of active transport is not the fraction of total absorption in every diet or species. Normal serum phosphate can coexist with impaired intestinal entry because the kidney compensates. exposure: Knockout versus wild type; low-P diet followed by an acute phosphate bolus evidence_span: {"source_cache": "artifacts/phosphorus-research/19729436.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d", "start_char": 0, "end_char": 1402, "text_sha256": "db886399fafd3fc4da4c341765ec69ebb7948f4993e271ca6ee6855d8ba7616d"} [phosphorus-p19729436] Intestinal npt2b plays a major role in phosphate absorption and homeostasis. (2009). https://pubmed.ncbi.nlm.nih.gov/19729436/ DOI: 10.1681/asn.2009050559
    Complete structured claim and evidence
  12. Tenapanor inhibits intestinal NHE3, the sodium/hydrogen exchanger targeted in the phosphate-absorption study.

    Tenapanor → Human sodium/hydrogen exchanger 3 / SLC9A3 source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"}
    experimental_model
    Rodent physiology, human enteroid transport and healthy-volunteer intervention
    exposure
    Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days
    limitations
    Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human-derived intestinal epithelial system
    plain_language
    A sodium-handling protein can change how phosphate crosses the gut wall.
    primary_references
    [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    tissue_or_cell_type
    Intestinal epithelium; stool and urinary balance

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 321–332

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rodent physiology, human enteroid transport and healthy-volunteer intervention · source_derived_draft · unverified_draft

    ### phosphorus-tenapanor-nhe3 Tenapanor inhibits intestinal NHE3, the sodium/hydrogen exchanger targeted in the phosphate-absorption study. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A sodium-handling protein can change how phosphate crosses the gut wall. organism: Human-derived intestinal epithelial system tissue_or_cell_type: Intestinal epithelium; stool and urinary balance experimental_model: Rodent physiology, human enteroid transport and healthy-volunteer intervention limitations: Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score. exposure: Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days evidence_span: {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"} [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    Complete structured claim and evidence
  13. Tenapanor increased transepithelial electrical resistance in the human intestinal enteroid model.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"}
    experimental_model
    Rodent physiology, human enteroid transport and healthy-volunteer intervention
    exposure
    Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days
    limitations
    Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human-derived enteroids
    plain_language
    The epithelial barrier became less electrically conductive in this assay.
    primary_references
    [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    tissue_or_cell_type
    Intestinal epithelium; stool and urinary balance

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 334–345

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rodent physiology, human enteroid transport and healthy-volunteer intervention · source_derived_draft · unverified_draft

    ### phosphorus-tenapanor-teer Tenapanor increased transepithelial electrical resistance in the human intestinal enteroid model. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The epithelial barrier became less electrically conductive in this assay. organism: Human-derived enteroids tissue_or_cell_type: Intestinal epithelium; stool and urinary balance experimental_model: Rodent physiology, human enteroid transport and healthy-volunteer intervention limitations: Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score. exposure: Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days evidence_span: {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"} [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    Complete structured claim and evidence
  14. Tenapanor reduced paracellular phosphate permeability in the human intestinal enteroid model.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"}
    experimental_model
    Rodent physiology, human enteroid transport and healthy-volunteer intervention
    exposure
    Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days
    limitations
    Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human-derived enteroids
    plain_language
    Less phosphate crossed between the cells.
    primary_references
    [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    tissue_or_cell_type
    Intestinal epithelium; stool and urinary balance

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 347–358

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rodent physiology, human enteroid transport and healthy-volunteer intervention · source_derived_draft · unverified_draft

    ### phosphorus-tenapanor-pi Tenapanor reduced paracellular phosphate permeability in the human intestinal enteroid model. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Less phosphate crossed between the cells. organism: Human-derived enteroids tissue_or_cell_type: Intestinal epithelium; stool and urinary balance experimental_model: Rodent physiology, human enteroid transport and healthy-volunteer intervention limitations: Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score. exposure: Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days evidence_span: {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"} [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    Complete structured claim and evidence
  15. NHE3-deficient monolayers mimicked the phosphate phenotype and showed no further tenapanor effect on phosphate flux or TEER.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"}
    experimental_model
    Rodent physiology, human enteroid transport and healthy-volunteer intervention
    exposure
    Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days
    limitations
    Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human-derived enteroids
    plain_language
    When the drug’s target was missing, adding the drug no longer changed these measurements.
    primary_references
    [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    tissue_or_cell_type
    Intestinal epithelium; stool and urinary balance
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 360–371

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Rodent physiology, human enteroid transport and healthy-volunteer intervention · source_derived_draft · unverified_draft

    ### phosphorus-nhe3-null NHE3-deficient monolayers mimicked the phosphate phenotype and showed no further tenapanor effect on phosphate flux or TEER. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: When the drug’s target was missing, adding the drug no longer changed these measurements. organism: Human-derived enteroids tissue_or_cell_type: Intestinal epithelium; stool and urinary balance experimental_model: Rodent physiology, human enteroid transport and healthy-volunteer intervention limitations: Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score. exposure: Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days evidence_span: {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"} [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    Complete structured claim and evidence
  16. Tenapanor increased stool phosphorus in the four-day healthy-volunteer study.

    Tenapanor → Human stool phosphorus excretion source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"}
    experimental_model
    Rodent physiology, human enteroid transport and healthy-volunteer intervention
    exposure
    Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days
    limitations
    Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    More phosphorus was eliminated in stool.
    primary_references
    [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    tissue_or_cell_type
    Intestinal epithelium; stool and urinary balance

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 373–384

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    ### phosphorus-tenapanor-stool Tenapanor increased stool phosphorus in the four-day healthy-volunteer study. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: More phosphorus was eliminated in stool. organism: Human tissue_or_cell_type: Intestinal epithelium; stool and urinary balance experimental_model: Rodent physiology, human enteroid transport and healthy-volunteer intervention limitations: Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score. exposure: Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days evidence_span: {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"} [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    Complete structured claim and evidence
  17. Tenapanor decreased urinary phosphorus in the four-day healthy-volunteer study.

    Tenapanor → Urinary phosphate excretion source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"}
    experimental_model
    Rodent physiology, human enteroid transport and healthy-volunteer intervention
    exposure
    Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days
    limitations
    Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The urinary result was consistent with less intestinal absorption, not direct proof of renal-transporter inhibition.
    primary_references
    [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    tissue_or_cell_type
    Intestinal epithelium; stool and urinary balance

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 386–397

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    ### phosphorus-tenapanor-urine Tenapanor decreased urinary phosphorus in the four-day healthy-volunteer study. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The urinary result was consistent with less intestinal absorption, not direct proof of renal-transporter inhibition. organism: Human tissue_or_cell_type: Intestinal epithelium; stool and urinary balance experimental_model: Rodent physiology, human enteroid transport and healthy-volunteer intervention limitations: Tenapanor inhibits NHE3 rather than binding phosphate. TEER is an epithelial assay measure, not a direct clinical permeability score. exposure: Enteroid NHE3 perturbation; healthy volunteers 15 mg tenapanor twice daily for four days evidence_span: {"source_cache": "artifacts/phosphorus-research/30158152.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e", "start_char": 0, "end_char": 1701, "text_sha256": "6e6950931f538331a62ce1a6b35ba66ddf0a6bcaec7fe4b4f8f81e8fd952ee0e"} [phosphorus-p30158152] Inhibition of sodium/hydrogen exchanger 3 in the gastrointestinal tract by tenapanor reduces paracellular phosphate permeability. (2018). https://pubmed.ncbi.nlm.nih.gov/30158152/ DOI: 10.1126/scitranslmed.aam6474
    Complete structured claim and evidence
  18. PTH-(1–34) induced NaPi-IIa internalization in both wild-type and Nherf1-deficient mice.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/16987995.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc", "start_char": 0, "end_char": 1699, "text_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc"}
    experimental_model
    Receptor-fragment stimulation, knockout and signaling-bypass experiments
    exposure
    PTH-(1–34), apically selective PTH-(3–34), PKC/PKA pathway stimulation
    limitations
    Apical and basolateral receptor routes differ. Loss of one scaffold does not eliminate every PTH response.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    PTH could remove the transporter from the brush border even when one scaffold was absent.
    primary_references
    [phosphorus-p16987995] Defective coupling of apical PTH receptors to phospholipase C prevents internalization of the Na+-phosphate cotransporter NaPi-IIa in Nherf1-deficient mice. (2007). https://pubmed.ncbi.nlm.nih.gov/16987995/ DOI: 10.1152/ajpcell.00126.2006
    tissue_or_cell_type
    Renal proximal tubule brush-border membrane

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 399–410

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Receptor-fragment stimulation, knockout and signaling-bypass experiments · source_derived_draft · unverified_draft

    ### phosphorus-pth-internalization PTH-(1–34) induced NaPi-IIa internalization in both wild-type and Nherf1-deficient mice. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: PTH could remove the transporter from the brush border even when one scaffold was absent. organism: Mouse tissue_or_cell_type: Renal proximal tubule brush-border membrane experimental_model: Receptor-fragment stimulation, knockout and signaling-bypass experiments limitations: Apical and basolateral receptor routes differ. Loss of one scaffold does not eliminate every PTH response. exposure: PTH-(1–34), apically selective PTH-(3–34), PKC/PKA pathway stimulation evidence_span: {"source_cache": "artifacts/phosphorus-research/16987995.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc", "start_char": 0, "end_char": 1699, "text_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc"} [phosphorus-p16987995] Defective coupling of apical PTH receptors to phospholipase C prevents internalization of the Na+-phosphate cotransporter NaPi-IIa in Nherf1-deficient mice. (2007). https://pubmed.ncbi.nlm.nih.gov/16987995/ DOI: 10.1152/ajpcell.00126.2006
    Complete structured claim and evidence
  19. Apical PTH-receptor stimulation of PLC was impaired in Nherf1-deficient mice.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/16987995.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc", "start_char": 0, "end_char": 1699, "text_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc"}
    experimental_model
    Receptor-fragment stimulation, knockout and signaling-bypass experiments
    exposure
    PTH-(1–34), apically selective PTH-(3–34), PKC/PKA pathway stimulation
    limitations
    Apical and basolateral receptor routes differ. Loss of one scaffold does not eliminate every PTH response.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    The receptor needed its local signaling scaffold for this route.
    primary_references
    [phosphorus-p16987995] Defective coupling of apical PTH receptors to phospholipase C prevents internalization of the Na+-phosphate cotransporter NaPi-IIa in Nherf1-deficient mice. (2007). https://pubmed.ncbi.nlm.nih.gov/16987995/ DOI: 10.1152/ajpcell.00126.2006
    tissue_or_cell_type
    Renal proximal tubule brush-border membrane
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 412–423

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Receptor-fragment stimulation, knockout and signaling-bypass experiments · source_derived_draft · unverified_draft

    ### phosphorus-nherf-plc Apical PTH-receptor stimulation of PLC was impaired in Nherf1-deficient mice. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The receptor needed its local signaling scaffold for this route. organism: Mouse tissue_or_cell_type: Renal proximal tubule brush-border membrane experimental_model: Receptor-fragment stimulation, knockout and signaling-bypass experiments limitations: Apical and basolateral receptor routes differ. Loss of one scaffold does not eliminate every PTH response. exposure: PTH-(1–34), apically selective PTH-(3–34), PKC/PKA pathway stimulation evidence_span: {"source_cache": "artifacts/phosphorus-research/16987995.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc", "start_char": 0, "end_char": 1699, "text_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc"} [phosphorus-p16987995] Defective coupling of apical PTH receptors to phospholipase C prevents internalization of the Na+-phosphate cotransporter NaPi-IIa in Nherf1-deficient mice. (2007). https://pubmed.ncbi.nlm.nih.gov/16987995/ DOI: 10.1152/ajpcell.00126.2006
    Complete structured claim and evidence
  20. PTH-(3–34), used to stimulate apical receptors, failed to induce NaPi-IIa internalization in Nherf1-deficient mice.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/16987995.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc", "start_char": 0, "end_char": 1699, "text_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc"}
    experimental_model
    Receptor-fragment stimulation, knockout and signaling-bypass experiments
    exposure
    PTH-(1–34), apically selective PTH-(3–34), PKC/PKA pathway stimulation
    limitations
    Apical and basolateral receptor routes differ. Loss of one scaffold does not eliminate every PTH response.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    The isolated apical route failed, unlike the broader PTH-(1–34) stimulation.
    primary_references
    [phosphorus-p16987995] Defective coupling of apical PTH receptors to phospholipase C prevents internalization of the Na+-phosphate cotransporter NaPi-IIa in Nherf1-deficient mice. (2007). https://pubmed.ncbi.nlm.nih.gov/16987995/ DOI: 10.1152/ajpcell.00126.2006
    tissue_or_cell_type
    Renal proximal tubule brush-border membrane
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 425–436

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Receptor-fragment stimulation, knockout and signaling-bypass experiments · source_derived_draft · unverified_draft

    ### phosphorus-nherf-napi PTH-(3–34), used to stimulate apical receptors, failed to induce NaPi-IIa internalization in Nherf1-deficient mice. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The isolated apical route failed, unlike the broader PTH-(1–34) stimulation. organism: Mouse tissue_or_cell_type: Renal proximal tubule brush-border membrane experimental_model: Receptor-fragment stimulation, knockout and signaling-bypass experiments limitations: Apical and basolateral receptor routes differ. Loss of one scaffold does not eliminate every PTH response. exposure: PTH-(1–34), apically selective PTH-(3–34), PKC/PKA pathway stimulation evidence_span: {"source_cache": "artifacts/phosphorus-research/16987995.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc", "start_char": 0, "end_char": 1699, "text_sha256": "c5a055252ffc61da98e24d1de3a1733ee7aea678aded8cbdf071d18ad707d0bc"} [phosphorus-p16987995] Defective coupling of apical PTH receptors to phospholipase C prevents internalization of the Na+-phosphate cotransporter NaPi-IIa in Nherf1-deficient mice. (2007). https://pubmed.ncbi.nlm.nih.gov/16987995/ DOI: 10.1152/ajpcell.00126.2006
    Complete structured claim and evidence
  21. Pathophysiologic phosphate concentrations rapidly and reversibly increased PTH secretion from freshly isolated human parathyroid cells.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"}
    experimental_model
    CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments
    exposure
    Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion
    limitations
    Direct phosphate antagonism was tested separately from calcium regulation; concentrations and model are not dietary thresholds.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Human parathyroid cells responded directly to the phosphate challenge.
    primary_references
    [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    tissue_or_cell_type
    CaSR reporter cells and freshly isolated parathyroid cells/glands

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 451–462

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments · source_derived_draft · unverified_draft

    ### phosphorus-human-pth Pathophysiologic phosphate concentrations rapidly and reversibly increased PTH secretion from freshly isolated human parathyroid cells. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Human parathyroid cells responded directly to the phosphate challenge. organism: Human tissue_or_cell_type: CaSR reporter cells and freshly isolated parathyroid cells/glands experimental_model: CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments limitations: Direct phosphate antagonism was tested separately from calcium regulation; concentrations and model are not dietary thresholds. exposure: Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion evidence_span: {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"} [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    Complete structured claim and evidence
  22. The R62A CaSR construct lost the phosphate-induced receptor inhibition observed with wild-type receptor.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"}
    experimental_model
    CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments
    exposure
    Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion
    limitations
    R62A identity resolved in full text; not a common variant or a dietary model.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human CaSR construct
    plain_language
    Altering a specific receptor site removed the phosphate response.
    primary_references
    [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    tissue_or_cell_type
    CaSR reporter cells and freshly isolated parathyroid cells/glands
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 464–475

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments · source_derived_draft · unverified_draft

    ### phosphorus-casr-r62 The R62A CaSR construct lost the phosphate-induced receptor inhibition observed with wild-type receptor. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Altering a specific receptor site removed the phosphate response. organism: Human CaSR construct tissue_or_cell_type: CaSR reporter cells and freshly isolated parathyroid cells/glands experimental_model: CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments limitations: R62A identity resolved in full text; not a common variant or a dietary model. exposure: Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion evidence_span: {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"} [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    Complete structured claim and evidence
  23. The phosphate-induced PTH increase seen in wild-type mouse parathyroid glands was absent in Casr-knockout glands.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"}
    experimental_model
    CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments
    exposure
    Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion
    limitations
    Direct phosphate antagonism was tested separately from calcium regulation; concentrations and model are not dietary thresholds.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    The mouse glands needed CaSR for this response.
    primary_references
    [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    tissue_or_cell_type
    CaSR reporter cells and freshly isolated parathyroid cells/glands
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 477–488

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments · source_derived_draft · unverified_draft

    ### phosphorus-casr-mouse-null The phosphate-induced PTH increase seen in wild-type mouse parathyroid glands was absent in Casr-knockout glands. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The mouse glands needed CaSR for this response. organism: Mouse tissue_or_cell_type: CaSR reporter cells and freshly isolated parathyroid cells/glands experimental_model: CaSR expression/mutagenesis and isolated human/mouse parathyroid experiments limitations: Direct phosphate antagonism was tested separately from calcium regulation; concentrations and model are not dietary thresholds. exposure: Extracellular phosphate in pathophysiologic CKD ranges; R62A substitution and mouse Casr deletion evidence_span: {"source_cache": "artifacts/phosphorus-research/31619668.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d", "start_char": 0, "end_char": 1144, "text_sha256": "e4fe1ed7eb92175f99f446afa19fb184147ceed0413f3a6dffa85aa80927015d"} [phosphorus-p31619668] Phosphate acts directly on the calcium-sensing receptor to stimulate parathyroid hormone secretion. (2019). https://pubmed.ncbi.nlm.nih.gov/31619668/ DOI: 10.1038/s41467-019-12399-9
    Complete structured claim and evidence
  24. FAM20C directly phosphorylated FGF23 at Ser180 within its proteolytic processing motif.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/24706917.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be", "start_char": 0, "end_char": 1346, "text_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be"}
    experimental_model
    Recombinant processing and phosphorylation/glycosylation experiments
    exposure
    FAM20C, GalNAc-T3 and furin manipulation
    limitations
    Protein-modification control, not a claim that dietary phosphate directly phosphorylates FGF23. Construct scope is retained rather than assigning every result to intact human physiology.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Construct system; precise species not inferred from abstract
    plain_language
    A phosphate mark controls how this phosphate-regulating hormone is processed.
    primary_references
    [phosphorus-p24706917] Dynamic regulation of FGF23 by Fam20C phosphorylation, GalNAc-T3 glycosylation, and furin proteolysis. (2014). https://pubmed.ncbi.nlm.nih.gov/24706917/ DOI: 10.1073/pnas.1402218111
    tissue_or_cell_type
    Secretory protein processing

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 490–501

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant processing and phosphorylation/glycosylation experiments · source_derived_draft · unverified_draft

    ### phosphorus-fgf23-phosphorylation FAM20C directly phosphorylated FGF23 at Ser180 within its proteolytic processing motif. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A phosphate mark controls how this phosphate-regulating hormone is processed. organism: Construct system; precise species not inferred from abstract tissue_or_cell_type: Secretory protein processing experimental_model: Recombinant processing and phosphorylation/glycosylation experiments limitations: Protein-modification control, not a claim that dietary phosphate directly phosphorylates FGF23. Construct scope is retained rather than assigning every result to intact human physiology. exposure: FAM20C, GalNAc-T3 and furin manipulation evidence_span: {"source_cache": "artifacts/phosphorus-research/24706917.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be", "start_char": 0, "end_char": 1346, "text_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be"} [phosphorus-p24706917] Dynamic regulation of FGF23 by Fam20C phosphorylation, GalNAc-T3 glycosylation, and furin proteolysis. (2014). https://pubmed.ncbi.nlm.nih.gov/24706917/ DOI: 10.1073/pnas.1402218111
    Complete structured claim and evidence
  25. Ser180 phosphorylation inhibited GalNAc-T3-mediated O-glycosylation of FGF23.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/24706917.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be", "start_char": 0, "end_char": 1346, "text_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be"}
    experimental_model
    Recombinant processing and phosphorylation/glycosylation experiments
    exposure
    FAM20C, GalNAc-T3 and furin manipulation
    limitations
    Protein-modification control, not a claim that dietary phosphate directly phosphorylates FGF23. Construct scope is retained rather than assigning every result to intact human physiology.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Construct system; precise species not inferred from abstract
    plain_language
    The phosphate mark interfered with a competing sugar modification.
    primary_references
    [phosphorus-p24706917] Dynamic regulation of FGF23 by Fam20C phosphorylation, GalNAc-T3 glycosylation, and furin proteolysis. (2014). https://pubmed.ncbi.nlm.nih.gov/24706917/ DOI: 10.1073/pnas.1402218111
    tissue_or_cell_type
    Secretory protein processing

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 503–514

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant processing and phosphorylation/glycosylation experiments · source_derived_draft · unverified_draft

    ### phosphorus-fgf23-glycosylation Ser180 phosphorylation inhibited GalNAc-T3-mediated O-glycosylation of FGF23. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The phosphate mark interfered with a competing sugar modification. organism: Construct system; precise species not inferred from abstract tissue_or_cell_type: Secretory protein processing experimental_model: Recombinant processing and phosphorylation/glycosylation experiments limitations: Protein-modification control, not a claim that dietary phosphate directly phosphorylates FGF23. Construct scope is retained rather than assigning every result to intact human physiology. exposure: FAM20C, GalNAc-T3 and furin manipulation evidence_span: {"source_cache": "artifacts/phosphorus-research/24706917.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be", "start_char": 0, "end_char": 1346, "text_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be"} [phosphorus-p24706917] Dynamic regulation of FGF23 by Fam20C phosphorylation, GalNAc-T3 glycosylation, and furin proteolysis. (2014). https://pubmed.ncbi.nlm.nih.gov/24706917/ DOI: 10.1073/pnas.1402218111
    Complete structured claim and evidence
  26. FAM20C-dependent FGF23 phosphorylation promoted furin cleavage and hormone inactivation.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/24706917.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be", "start_char": 0, "end_char": 1346, "text_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be"}
    experimental_model
    Recombinant processing and phosphorylation/glycosylation experiments
    exposure
    FAM20C, GalNAc-T3 and furin manipulation
    limitations
    Protein-modification control, not a claim that dietary phosphate directly phosphorylates FGF23. Construct scope is retained rather than assigning every result to intact human physiology.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Construct system; precise species not inferred from abstract
    plain_language
    Changing the hormone’s processing reduced the amount of intact active signal.
    primary_references
    [phosphorus-p24706917] Dynamic regulation of FGF23 by Fam20C phosphorylation, GalNAc-T3 glycosylation, and furin proteolysis. (2014). https://pubmed.ncbi.nlm.nih.gov/24706917/ DOI: 10.1073/pnas.1402218111
    tissue_or_cell_type
    Secretory protein processing

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 516–527

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant processing and phosphorylation/glycosylation experiments · source_derived_draft · unverified_draft

    ### phosphorus-fgf23-cleavage FAM20C-dependent FGF23 phosphorylation promoted furin cleavage and hormone inactivation. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Changing the hormone’s processing reduced the amount of intact active signal. organism: Construct system; precise species not inferred from abstract tissue_or_cell_type: Secretory protein processing experimental_model: Recombinant processing and phosphorylation/glycosylation experiments limitations: Protein-modification control, not a claim that dietary phosphate directly phosphorylates FGF23. Construct scope is retained rather than assigning every result to intact human physiology. exposure: FAM20C, GalNAc-T3 and furin manipulation evidence_span: {"source_cache": "artifacts/phosphorus-research/24706917.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be", "start_char": 0, "end_char": 1346, "text_sha256": "7ccd1d1a23c74c980009e67ac6b0feafa3c30c28a99d8b240bef93bcc4cf29be"} [phosphorus-p24706917] Dynamic regulation of FGF23 by Fam20C phosphorylation, GalNAc-T3 glycosylation, and furin proteolysis. (2014). https://pubmed.ncbi.nlm.nih.gov/24706917/ DOI: 10.1073/pnas.1402218111
    Complete structured claim and evidence
  27. SLC25A3 supplies inorganic phosphate to the mitochondrial matrix for aerobic ATP synthesis; the family study localized the defect to the muscle-expressed isoform.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/17273968.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2", "start_char": 0, "end_char": 805, "text_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2"}
    experimental_model
    Human family genetics, mitochondrial functional assay and yeast complementation
    exposure
    Two siblings with homozygous SLC25A3 exon-3A c.215G>A, p.Gly72Glu
    limitations
    Isoform- and tissue-specific inherited transport defect; normal dietary phosphorus cannot be assumed to repair the carrier.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human; yeast functional complementation
    plain_language
    Phosphate must enter the mitochondrion before it can support ATP production.
    primary_references
    [phosphorus-p17273968] Mitochondrial phosphate-carrier deficiency: a novel disorder of oxidative phosphorylation. (2007). https://pubmed.ncbi.nlm.nih.gov/17273968/ DOI: 10.1086/511788
    tissue_or_cell_type
    Muscle compared with fibroblasts
    transport_effect
    raises Recorded as supplying inorganic phosphate to the matrix.
    transport_pool
    the mitochondrial matrix Recorded as supplying inorganic phosphate to the matrix.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 529–540

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human family genetics, mitochondrial functional assay and yeast complementation · source_derived_draft · unverified_draft

    ### phosphorus-mitochondrial-entry SLC25A3 supplies inorganic phosphate to the mitochondrial matrix for aerobic ATP synthesis; the family study localized the defect to the muscle-expressed isoform. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Phosphate must enter the mitochondrion before it can support ATP production. organism: Human; yeast functional complementation tissue_or_cell_type: Muscle compared with fibroblasts experimental_model: Human family genetics, mitochondrial functional assay and yeast complementation limitations: Isoform- and tissue-specific inherited transport defect; normal dietary phosphorus cannot be assumed to repair the carrier. exposure: Two siblings with homozygous SLC25A3 exon-3A c.215G>A, p.Gly72Glu evidence_span: {"source_cache": "artifacts/phosphorus-research/17273968.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2", "start_char": 0, "end_char": 805, "text_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2"} [phosphorus-p17273968] Mitochondrial phosphate-carrier deficiency: a novel disorder of oxidative phosphorylation. (2007). https://pubmed.ncbi.nlm.nih.gov/17273968/ DOI: 10.1086/511788
    Complete structured claim and evidence
  28. Intact muscle mitochondria from the affected siblings showed deficient ATP synthesis.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/17273968.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2", "start_char": 0, "end_char": 805, "text_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2"}
    experimental_model
    Human family genetics, mitochondrial functional assay and yeast complementation
    exposure
    Two siblings with homozygous SLC25A3 exon-3A c.215G>A, p.Gly72Glu
    limitations
    Isoform- and tissue-specific inherited transport defect; normal dietary phosphorus cannot be assumed to repair the carrier.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human; yeast functional complementation
    plain_language
    The defect appeared in the tissue using the affected carrier isoform.
    primary_references
    [phosphorus-p17273968] Mitochondrial phosphate-carrier deficiency: a novel disorder of oxidative phosphorylation. (2007). https://pubmed.ncbi.nlm.nih.gov/17273968/ DOI: 10.1086/511788
    tissue_or_cell_type
    Muscle compared with fibroblasts
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 542–553

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human family genetics, mitochondrial functional assay and yeast complementation · source_derived_draft · unverified_draft

    ### phosphorus-slc25a3-muscle Intact muscle mitochondria from the affected siblings showed deficient ATP synthesis. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The defect appeared in the tissue using the affected carrier isoform. organism: Human; yeast functional complementation tissue_or_cell_type: Muscle compared with fibroblasts experimental_model: Human family genetics, mitochondrial functional assay and yeast complementation limitations: Isoform- and tissue-specific inherited transport defect; normal dietary phosphorus cannot be assumed to repair the carrier. exposure: Two siblings with homozygous SLC25A3 exon-3A c.215G>A, p.Gly72Glu evidence_span: {"source_cache": "artifacts/phosphorus-research/17273968.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2", "start_char": 0, "end_char": 805, "text_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2"} [phosphorus-p17273968] Mitochondrial phosphate-carrier deficiency: a novel disorder of oxidative phosphorylation. (2007). https://pubmed.ncbi.nlm.nih.gov/17273968/ DOI: 10.1086/511788
    Complete structured claim and evidence
  29. Fibroblast mitochondrial ATP synthesis was preserved, correlating with use of the alternative exon-3B isoform.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/17273968.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2", "start_char": 0, "end_char": 805, "text_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2"}
    experimental_model
    Human family genetics, mitochondrial functional assay and yeast complementation
    exposure
    Two siblings with homozygous SLC25A3 exon-3A c.215G>A, p.Gly72Glu
    limitations
    Isoform- and tissue-specific inherited transport defect; normal dietary phosphorus cannot be assumed to repair the carrier.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human; yeast functional complementation
    plain_language
    A preserved result in fibroblasts did not rule out the muscle defect.
    primary_references
    [phosphorus-p17273968] Mitochondrial phosphate-carrier deficiency: a novel disorder of oxidative phosphorylation. (2007). https://pubmed.ncbi.nlm.nih.gov/17273968/ DOI: 10.1086/511788
    tissue_or_cell_type
    Muscle compared with fibroblasts
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 555–566

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human family genetics, mitochondrial functional assay and yeast complementation · source_derived_draft · unverified_draft

    ### phosphorus-slc25a3-fibroblast Fibroblast mitochondrial ATP synthesis was preserved, correlating with use of the alternative exon-3B isoform. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A preserved result in fibroblasts did not rule out the muscle defect. organism: Human; yeast functional complementation tissue_or_cell_type: Muscle compared with fibroblasts experimental_model: Human family genetics, mitochondrial functional assay and yeast complementation limitations: Isoform- and tissue-specific inherited transport defect; normal dietary phosphorus cannot be assumed to repair the carrier. exposure: Two siblings with homozygous SLC25A3 exon-3A c.215G>A, p.Gly72Glu evidence_span: {"source_cache": "artifacts/phosphorus-research/17273968.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2", "start_char": 0, "end_char": 805, "text_sha256": "ff20a374b5c0a96a013cb9dd52c86c9dcc63d157e35e8aac58266dd26da9c0a2"} [phosphorus-p17273968] Mitochondrial phosphate-carrier deficiency: a novel disorder of oxidative phosphorylation. (2007). https://pubmed.ncbi.nlm.nih.gov/17273968/ DOI: 10.1086/511788
    Complete structured claim and evidence
  30. Diet-induced hypophosphatemic mice had approximately 50% lower basal and insulin-stimulated muscle ATP synthetic flux.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"}
    experimental_model
    31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments
    exposure
    Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case
    limitations
    ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    In this mouse experiment, phosphate shortage limited the measured ATP-making flux.
    primary_references
    [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    tissue_or_cell_type
    Skeletal muscle
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 568–579

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    ### phosphorus-diet-atp Diet-induced hypophosphatemic mice had approximately 50% lower basal and insulin-stimulated muscle ATP synthetic flux. Condition category: nutrient_deficiency nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: In this mouse experiment, phosphate shortage limited the measured ATP-making flux. organism: Mouse tissue_or_cell_type: Skeletal muscle experimental_model: 31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments limitations: ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold. exposure: Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case evidence_span: {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"} [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    Complete structured claim and evidence
  31. NaPi-IIa-knockout mice had approximately 50% lower plasma phosphate and muscle ATP synthetic flux than controls.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"}
    experimental_model
    31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments
    exposure
    Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case
    limitations
    ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    A kidney transport defect affected a measurement in muscle.
    primary_references
    [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    tissue_or_cell_type
    Skeletal muscle
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 581–592

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    ### phosphorus-napi2a-atp NaPi-IIa-knockout mice had approximately 50% lower plasma phosphate and muscle ATP synthetic flux than controls. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A kidney transport defect affected a measurement in muscle. organism: Mouse tissue_or_cell_type: Skeletal muscle experimental_model: 31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments limitations: ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold. exposure: Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case evidence_span: {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"} [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    Complete structured claim and evidence
  32. Restoring plasma phosphate normalized muscle ATP synthetic flux in both mouse hypophosphatemia models.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"}
    experimental_model
    31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments
    exposure
    Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case
    limitations
    ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    The reduced flux was reversible when phosphate availability was restored.
    primary_references
    [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    tissue_or_cell_type
    Skeletal muscle

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 594–605

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    ### phosphorus-mouse-atp-rescue Restoring plasma phosphate normalized muscle ATP synthetic flux in both mouse hypophosphatemia models. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The reduced flux was reversible when phosphate availability was restored. organism: Mouse tissue_or_cell_type: Skeletal muscle experimental_model: 31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments limitations: ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold. exposure: Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case evidence_span: {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"} [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    Complete structured claim and evidence
  33. The patient with SLC34A3-associated chronic hypophosphatemia had approximately 50% lower serum phosphate and muscle ATP synthetic flux.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"}
    experimental_model
    31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments
    exposure
    Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case
    limitations
    ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The study found a similar pattern in one person with inherited renal phosphate wasting.
    primary_references
    [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    tissue_or_cell_type
    Skeletal muscle
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 607–618

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    ### phosphorus-human-atp-defect The patient with SLC34A3-associated chronic hypophosphatemia had approximately 50% lower serum phosphate and muscle ATP synthetic flux. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The study found a similar pattern in one person with inherited renal phosphate wasting. organism: Human tissue_or_cell_type: Skeletal muscle experimental_model: 31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments limitations: ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold. exposure: Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case evidence_span: {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"} [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    Complete structured claim and evidence
  34. After oral phosphate repletion normalized serum phosphate, measured muscle ATP synthetic flux normalized in the single patient.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"}
    experimental_model
    31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments
    exposure
    Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case
    limitations
    ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Correcting the shortage restored the measured flux in this individual.
    primary_references
    [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    tissue_or_cell_type
    Skeletal muscle

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 620–631

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    ### phosphorus-human-atp-rescue After oral phosphate repletion normalized serum phosphate, measured muscle ATP synthetic flux normalized in the single patient. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Correcting the shortage restored the measured flux in this individual. organism: Human tissue_or_cell_type: Skeletal muscle experimental_model: 31P-MRS ATP-flux measurements, repletion and cellular/mitochondrial experiments limitations: ATP synthetic flux is not ATP pool size or direct proof that all measured flux is mitochondrial oxidative phosphorylation. One human case cannot define a population threshold. exposure: Diet-induced low phosphate, NaPi-IIa knockout, phosphate repletion; one SLC34A3-associated human case evidence_span: {"source_cache": "artifacts/phosphorus-research/27338702.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe", "start_char": 0, "end_char": 1786, "text_sha256": "634bc9a26ebb8d6a911692bcb98a05432db2bc08455c0a02f1ef5e4b953150fe"} [phosphorus-p27338702] Hypophosphatemia promotes lower rates of muscle ATP synthesis. (2016). https://pubmed.ncbi.nlm.nih.gov/27338702/ DOI: 10.1096/fj.201600473r
    Complete structured claim and evidence
  35. After SAM formation, MAT2A rapidly hydrolyzed the beta–gamma bond of triphosphate and released phosphate and pyrophosphate.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"}
    experimental_model
    Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography
    exposure
    ATP/methionine reactions and PNPNP ligand complexes
    limitations
    Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human recombinant enzyme
    plain_language
    ATP’s phosphate chain is processed into two separately tracked products.
    primary_references
    [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    tissue_or_cell_type
    Purified MAT2A active site

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 646–657

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography · source_derived_draft · unverified_draft

    ### phosphorus-mat-pi After SAM formation, MAT2A rapidly hydrolyzed the beta–gamma bond of triphosphate and released phosphate and pyrophosphate. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: ATP’s phosphate chain is processed into two separately tracked products. organism: Human recombinant enzyme tissue_or_cell_type: Purified MAT2A active site experimental_model: Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography limitations: Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand. exposure: ATP/methionine reactions and PNPNP ligand complexes evidence_span: {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"} [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    Complete structured claim and evidence
  36. Two Mg2+ ions chelated the alpha- and gamma-phosphoryl groups of PNPNP in the human MAT2A structure.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"}
    experimental_model
    Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography
    exposure
    ATP/methionine reactions and PNPNP ligand complexes
    limitations
    Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human recombinant enzyme
    plain_language
    Magnesium helped position the experimental phosphate-chain mimic at the enzyme site.
    primary_references
    [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    tissue_or_cell_type
    Purified MAT2A active site

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 659–670

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography · source_derived_draft · unverified_draft

    ### phosphorus-mat-magnesium Two Mg2+ ions chelated the alpha- and gamma-phosphoryl groups of PNPNP in the human MAT2A structure. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Magnesium helped position the experimental phosphate-chain mimic at the enzyme site. organism: Human recombinant enzyme tissue_or_cell_type: Purified MAT2A active site experimental_model: Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography limitations: Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand. exposure: ATP/methionine reactions and PNPNP ligand complexes evidence_span: {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"} [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    Complete structured claim and evidence
  37. The beta-phosphoryl oxygen of the MAT2A-bound PNPNP ligand contacted the essential potassium ion.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"}
    experimental_model
    Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography
    exposure
    ATP/methionine reactions and PNPNP ligand complexes
    limitations
    Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human recombinant enzyme
    plain_language
    Potassium and magnesium had distinct contacts in the same phosphate-handling active site.
    primary_references
    [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    tissue_or_cell_type
    Purified MAT2A active site

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 672–683

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography · source_derived_draft · unverified_draft

    ### phosphorus-mat-potassium The beta-phosphoryl oxygen of the MAT2A-bound PNPNP ligand contacted the essential potassium ion. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Potassium and magnesium had distinct contacts in the same phosphate-handling active site. organism: Human recombinant enzyme tissue_or_cell_type: Purified MAT2A active site experimental_model: Human MAT2A kinetics, isotope exchange and inhibitor-bound crystallography limitations: Phosphoryl chemistry is not evidence that phosphate supplements boost methylation. Metal contacts were resolved with an experimental ATP-site ligand. exposure: ATP/methionine reactions and PNPNP ligand complexes evidence_span: {"source_cache": "artifacts/phosphorus-research/33656855.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38", "start_char": 0, "end_char": 1520, "text_sha256": "1d45073f7187a06cfb9b2d630f94fa651239f0a9a5ae353b37d9af90750f2f38"} [phosphorus-p33656855] Mechanism and Inhibition of Human Methionine Adenosyltransferase 2A. (2021). https://pubmed.ncbi.nlm.nih.gov/33656855/ DOI: 10.1021/acs.biochem.0c00998
    Complete structured claim and evidence
  38. Changing pyrophosphate-mimicking nucleotide leaving groups altered POLB chemical-step kinetics in a base-pair-dependent manner.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/24580380.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ffa6a3c6ccf9f3a9d52240080160bfcf00d832210168f91b7ac0b9a39be30a2", "start_char": 0, "end_char": 1081, "text_sha256": "7ffa6a3c6ccf9f3a9d52240080160bfcf00d832210168f91b7ac0b9a39be30a2"}
    experimental_model
    dNTP leaving-group analogue kinetics
    exposure
    Beta/gamma pyrophosphate-mimicking dNTP analogues across matched and mismatched base pairs
    limitations
    Chemistry with designed nucleotide analogues, not a measurement of dietary phosphorus and DNA repair; no free-phosphate-to-DNA shortcut is asserted.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Purified DNA polymerase beta; construct species unresolved in the inspected text
    plain_language
    The nucleotide’s phosphate-chain chemistry is part of DNA synthesis fidelity, not merely structural packaging.
    primary_references
    [phosphorus-p24580380] Transition state in DNA polymerase β catalysis: rate-limiting chemistry altered by base-pair configuration. (2014). https://pubmed.ncbi.nlm.nih.gov/24580380/ DOI: 10.1021/bi500101z
    tissue_or_cell_type
    Purified enzyme–primer–template system

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 685–696

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · dNTP leaving-group analogue kinetics · source_derived_draft · unverified_draft

    ### phosphorus-dna-phosphate-chemistry Changing pyrophosphate-mimicking nucleotide leaving groups altered POLB chemical-step kinetics in a base-pair-dependent manner. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The nucleotide’s phosphate-chain chemistry is part of DNA synthesis fidelity, not merely structural packaging. organism: Purified DNA polymerase beta; construct species unresolved in the inspected text tissue_or_cell_type: Purified enzyme–primer–template system experimental_model: dNTP leaving-group analogue kinetics limitations: Chemistry with designed nucleotide analogues, not a measurement of dietary phosphorus and DNA repair; no free-phosphate-to-DNA shortcut is asserted. exposure: Beta/gamma pyrophosphate-mimicking dNTP analogues across matched and mismatched base pairs evidence_span: {"source_cache": "artifacts/phosphorus-research/24580380.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "7ffa6a3c6ccf9f3a9d52240080160bfcf00d832210168f91b7ac0b9a39be30a2", "start_char": 0, "end_char": 1081, "text_sha256": "7ffa6a3c6ccf9f3a9d52240080160bfcf00d832210168f91b7ac0b9a39be30a2"} [phosphorus-p24580380] Transition state in DNA polymerase β catalysis: rate-limiting chemistry altered by base-pair configuration. (2014). https://pubmed.ncbi.nlm.nih.gov/24580380/ DOI: 10.1021/bi500101z
    Complete structured claim and evidence
  39. Human CCTbeta expression increased CCT activity and cellular CDP-choline accumulation in COS-7 cells.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/9593753.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45", "start_char": 0, "end_char": 1766, "text_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45"}
    experimental_model
    Human isoform cloning and COS-7 expression studies
    exposure
    CCTbeta transfection and catalytic assays with lipid regulators
    limitations
    Expression-system findings; maximum activity required lipid regulators. Do not generalize the early clone to every subsequently described splice variant.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human PCYT1B expressed in African-green-monkey-derived COS-7 cells
    plain_language
    A separately identified enzyme activates the phosphocholine building block.
    primary_references
    [phosphorus-p9593753] Cloning and characterization of a second human CTP:phosphocholine cytidylyltransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9593753/ DOI: 10.1074/jbc.273.22.14022
    tissue_or_cell_type
    Cytoplasm and phospholipid biosynthesis

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 698–709

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human isoform cloning and COS-7 expression studies · source_derived_draft · unverified_draft

    ### phosphorus-pcyt-cdp Human CCTbeta expression increased CCT activity and cellular CDP-choline accumulation in COS-7 cells. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A separately identified enzyme activates the phosphocholine building block. organism: Human PCYT1B expressed in African-green-monkey-derived COS-7 cells tissue_or_cell_type: Cytoplasm and phospholipid biosynthesis experimental_model: Human isoform cloning and COS-7 expression studies limitations: Expression-system findings; maximum activity required lipid regulators. Do not generalize the early clone to every subsequently described splice variant. exposure: CCTbeta transfection and catalytic assays with lipid regulators evidence_span: {"source_cache": "artifacts/phosphorus-research/9593753.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45", "start_char": 0, "end_char": 1766, "text_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45"} [phosphorus-p9593753] Cloning and characterization of a second human CTP:phosphocholine cytidylyltransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9593753/ DOI: 10.1074/jbc.273.22.14022
    Complete structured claim and evidence
  40. Human CCTbeta expression enhanced radiolabeling of phosphatidylcholine in COS-7 cells.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/9593753.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45", "start_char": 0, "end_char": 1766, "text_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45"}
    experimental_model
    Human isoform cloning and COS-7 expression studies
    exposure
    CCTbeta transfection and catalytic assays with lipid regulators
    limitations
    Expression-system findings; maximum activity required lipid regulators. Do not generalize the early clone to every subsequently described splice variant.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human PCYT1B expressed in African-green-monkey-derived COS-7 cells
    plain_language
    The pathway feeds a phosphorus-containing membrane lipid; it is distinct from free phosphate transport.
    primary_references
    [phosphorus-p9593753] Cloning and characterization of a second human CTP:phosphocholine cytidylyltransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9593753/ DOI: 10.1074/jbc.273.22.14022
    tissue_or_cell_type
    Cytoplasm and phospholipid biosynthesis

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 711–722

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human isoform cloning and COS-7 expression studies · source_derived_draft · unverified_draft

    ### phosphorus-pcyt-lipid Human CCTbeta expression enhanced radiolabeling of phosphatidylcholine in COS-7 cells. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The pathway feeds a phosphorus-containing membrane lipid; it is distinct from free phosphate transport. organism: Human PCYT1B expressed in African-green-monkey-derived COS-7 cells tissue_or_cell_type: Cytoplasm and phospholipid biosynthesis experimental_model: Human isoform cloning and COS-7 expression studies limitations: Expression-system findings; maximum activity required lipid regulators. Do not generalize the early clone to every subsequently described splice variant. exposure: CCTbeta transfection and catalytic assays with lipid regulators evidence_span: {"source_cache": "artifacts/phosphorus-research/9593753.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45", "start_char": 0, "end_char": 1766, "text_sha256": "6ed2c0c0ceaa7eb2efb90c66565bae51b71023f77cdd0224159fd9814e3b7d45"} [phosphorus-p9593753] Cloning and characterization of a second human CTP:phosphocholine cytidylyltransferase. (1998). https://pubmed.ncbi.nlm.nih.gov/9593753/ DOI: 10.1074/jbc.273.22.14022
    Complete structured claim and evidence
  41. XPR1 was identified as a binding partner of the phosphate-uptake transporter PiT1.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"}
    experimental_model
    Protein interaction, localization and phosphate-challenge cell experiments
    exposure
    Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge
    limitations
    Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human cultured HCT116, U2OS and Saos-2 systems
    plain_language
    The phosphate exit system can physically connect to the entry system.
    primary_references
    [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    tissue_or_cell_type
    Cellular phosphate uptake/export and LAMP1-positive puncta

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 724–735

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Protein interaction, localization and phosphate-challenge cell experiments · source_derived_draft · unverified_draft

    ### phosphorus-xpr1-pit1 XPR1 was identified as a binding partner of the phosphate-uptake transporter PiT1. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The phosphate exit system can physically connect to the entry system. organism: Human cultured HCT116, U2OS and Saos-2 systems tissue_or_cell_type: Cellular phosphate uptake/export and LAMP1-positive puncta experimental_model: Protein interaction, localization and phosphate-challenge cell experiments limitations: Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement. exposure: Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge evidence_span: {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"} [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    Complete structured claim and evidence
  42. XPR1 localized to a subset of intracellular LAMP1-positive puncta designated XLPVs.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"}
    experimental_model
    Protein interaction, localization and phosphate-challenge cell experiments
    exposure
    Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge
    limitations
    Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human cultured HCT116, U2OS and Saos-2 systems
    plain_language
    Some of the control system operated in an intracellular compartment.
    primary_references
    [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    tissue_or_cell_type
    Cellular phosphate uptake/export and LAMP1-positive puncta

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 737–748

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Protein interaction, localization and phosphate-challenge cell experiments · source_derived_draft · unverified_draft

    ### phosphorus-xpr1-location XPR1 localized to a subset of intracellular LAMP1-positive puncta designated XLPVs. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Some of the control system operated in an intracellular compartment. organism: Human cultured HCT116, U2OS and Saos-2 systems tissue_or_cell_type: Cellular phosphate uptake/export and LAMP1-positive puncta experimental_model: Protein interaction, localization and phosphate-challenge cell experiments limitations: Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement. exposure: Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge evidence_span: {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"} [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    Complete structured claim and evidence
  43. In the challenge model, InsP8-dependent XPR1 regulation first adjusted phosphate efflux.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"}
    experimental_model
    Protein interaction, localization and phosphate-challenge cell experiments
    exposure
    Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge
    limitations
    Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human cultured HCT116, U2OS and Saos-2 systems
    plain_language
    An inositol pyrophosphate signal changed phosphate export.
    primary_references
    [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    tissue_or_cell_type
    Cellular phosphate uptake/export and LAMP1-positive puncta

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 750–761

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Protein interaction, localization and phosphate-challenge cell experiments · source_derived_draft · unverified_draft

    ### phosphorus-ip8-export In the challenge model, InsP8-dependent XPR1 regulation first adjusted phosphate efflux. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: An inositol pyrophosphate signal changed phosphate export. organism: Human cultured HCT116, U2OS and Saos-2 systems tissue_or_cell_type: Cellular phosphate uptake/export and LAMP1-positive puncta experimental_model: Protein interaction, localization and phosphate-challenge cell experiments limitations: Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement. exposure: Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge evidence_span: {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"} [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    Complete structured claim and evidence
  44. The study reported later XPR1-dependent modulation of PiT1 turnover, resetting phosphate uptake after the earlier efflux response.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"}
    experimental_model
    Protein interaction, localization and phosphate-challenge cell experiments
    exposure
    Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge
    limitations
    Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human cultured HCT116, U2OS and Saos-2 systems
    plain_language
    Changing transporter turnover adjusted how much phosphate entered later.
    primary_references
    [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    tissue_or_cell_type
    Cellular phosphate uptake/export and LAMP1-positive puncta

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 763–774

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Protein interaction, localization and phosphate-challenge cell experiments · source_derived_draft · unverified_draft

    ### phosphorus-ip8-uptake The study reported later XPR1-dependent modulation of PiT1 turnover, resetting phosphate uptake after the earlier efflux response. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Changing transporter turnover adjusted how much phosphate entered later. organism: Human cultured HCT116, U2OS and Saos-2 systems tissue_or_cell_type: Cellular phosphate uptake/export and LAMP1-positive puncta experimental_model: Protein interaction, localization and phosphate-challenge cell experiments limitations: Temporal regulatory model in cultured cells; endogenous InsP8 signaling is not equivalent to taking an inositol or phytate supplement. exposure: Genetic manipulation and pharmacological mimic of phosphate homeostatic challenge evidence_span: {"source_cache": "artifacts/phosphorus-research/38833370.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78", "start_char": 0, "end_char": 1103, "text_sha256": "5c093accfcc7194268c0fbd19d3ee39aae4206e9b2feed48b76b2a95eee33b78"} [phosphorus-p38833370] Homeostatic coordination of cellular phosphate uptake and efflux requires an organelle-based receptor for the inositol pyrophosphate IP8. (2024). https://pubmed.ncbi.nlm.nih.gov/38833370/ DOI: 10.1016/j.celrep.2024.114316
    Complete structured claim and evidence
  45. Elevated extracellular phosphate induced concentration-dependent mineral deposition in human aortic smooth-muscle cultures; 1.4 mmol/L control cultures did not mineralize.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/11009570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291", "start_char": 0, "end_char": 1607, "text_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291"}
    experimental_model
    Concentration-response calcification in cultured aortic smooth muscle
    exposure
    Media phosphate 1.4 mmol/L versus elevated concentrations; phosphonoformic-acid inhibition
    limitations
    Culture mineralization is not a clinical intake threshold; the inhibitor does not establish one universally necessary transporter isoform.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    High phosphate promoted mineral deposition in this cell model.
    primary_references
    [phosphorus-p11009570] Phosphate regulation of vascular smooth muscle cell calcification. (2000). https://pubmed.ncbi.nlm.nih.gov/11009570/ DOI: 10.1161/01.res.87.7.e10
    tissue_or_cell_type
    Aortic smooth-muscle-cell matrix

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 776–787

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Concentration-response calcification in cultured aortic smooth muscle · source_derived_draft · unverified_draft

    ### phosphorus-vascular-mineralization Elevated extracellular phosphate induced concentration-dependent mineral deposition in human aortic smooth-muscle cultures; 1.4 mmol/L control cultures did not mineralize. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: High phosphate promoted mineral deposition in this cell model. organism: Human tissue_or_cell_type: Aortic smooth-muscle-cell matrix experimental_model: Concentration-response calcification in cultured aortic smooth muscle limitations: Culture mineralization is not a clinical intake threshold; the inhibitor does not establish one universally necessary transporter isoform. exposure: Media phosphate 1.4 mmol/L versus elevated concentrations; phosphonoformic-acid inhibition evidence_span: {"source_cache": "artifacts/phosphorus-research/11009570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291", "start_char": 0, "end_char": 1607, "text_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291"} [phosphorus-p11009570] Phosphate regulation of vascular smooth muscle cell calcification. (2000). https://pubmed.ncbi.nlm.nih.gov/11009570/ DOI: 10.1161/01.res.87.7.e10
    Complete structured claim and evidence
  46. Elevated phosphate increased osteocalcin and Cbfa1/RUNX2 expression in cultured human aortic smooth-muscle cells.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/11009570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291", "start_char": 0, "end_char": 1607, "text_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291"}
    experimental_model
    Concentration-response calcification in cultured aortic smooth muscle
    exposure
    Media phosphate 1.4 mmol/L versus elevated concentrations; phosphonoformic-acid inhibition
    limitations
    Culture mineralization is not a clinical intake threshold; the inhibitor does not establish one universally necessary transporter isoform.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The cells increased markers associated with a bone-forming program.
    primary_references
    [phosphorus-p11009570] Phosphate regulation of vascular smooth muscle cell calcification. (2000). https://pubmed.ncbi.nlm.nih.gov/11009570/ DOI: 10.1161/01.res.87.7.e10
    tissue_or_cell_type
    Aortic smooth-muscle-cell matrix

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 789–800

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Concentration-response calcification in cultured aortic smooth muscle · source_derived_draft · unverified_draft

    ### phosphorus-vascular-program Elevated phosphate increased osteocalcin and Cbfa1/RUNX2 expression in cultured human aortic smooth-muscle cells. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The cells increased markers associated with a bone-forming program. organism: Human tissue_or_cell_type: Aortic smooth-muscle-cell matrix experimental_model: Concentration-response calcification in cultured aortic smooth muscle limitations: Culture mineralization is not a clinical intake threshold; the inhibitor does not establish one universally necessary transporter isoform. exposure: Media phosphate 1.4 mmol/L versus elevated concentrations; phosphonoformic-acid inhibition evidence_span: {"source_cache": "artifacts/phosphorus-research/11009570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291", "start_char": 0, "end_char": 1607, "text_sha256": "b677e361792cc961c217b0437e58c9d5f54b3c0953b539a61c2b2bb732e51291"} [phosphorus-p11009570] Phosphate regulation of vascular smooth muscle cell calcification. (2000). https://pubmed.ncbi.nlm.nih.gov/11009570/ DOI: 10.1161/01.res.87.7.e10
    Complete structured claim and evidence
  47. Aortic medial PiT2 mRNA increased approximately twofold after smooth-muscle PiT1 deletion.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"}
    experimental_model
    Smooth-muscle-specific knockout and transporter compensation experiments
    exposure
    Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue
    limitations
    Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    The backup transporter increased when the first transporter was absent.
    primary_references
    [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    tissue_or_cell_type
    Vascular smooth muscle
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 802–813

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Smooth-muscle-specific knockout and transporter compensation experiments · source_derived_draft · unverified_draft

    ### phosphorus-pit2-compensation Aortic medial PiT2 mRNA increased approximately twofold after smooth-muscle PiT1 deletion. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The backup transporter increased when the first transporter was absent. organism: Mouse tissue_or_cell_type: Vascular smooth muscle experimental_model: Smooth-muscle-specific knockout and transporter compensation experiments limitations: Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport. exposure: Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue evidence_span: {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"} [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    Complete structured claim and evidence
  48. PiT1 deletion did not reduce aortic calcification in the mouse CKD/phosphate-loading model.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"}
    experimental_model
    Smooth-muscle-specific knockout and transporter compensation experiments
    exposure
    Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue
    limitations
    Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    Removing PiT1 alone did not protect these mice from calcification.
    primary_references
    [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    tissue_or_cell_type
    Vascular smooth muscle
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 815–826

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Smooth-muscle-specific knockout and transporter compensation experiments · source_derived_draft · unverified_draft

    ### phosphorus-pit1-null-calcification PiT1 deletion did not reduce aortic calcification in the mouse CKD/phosphate-loading model. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing PiT1 alone did not protect these mice from calcification. organism: Mouse tissue_or_cell_type: Vascular smooth muscle experimental_model: Smooth-muscle-specific knockout and transporter compensation experiments limitations: Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport. exposure: Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue evidence_span: {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"} [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    Complete structured claim and evidence
  49. PiT2 knockdown reduced phosphate uptake in PiT1-deficient mouse vascular smooth-muscle cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"}
    experimental_model
    Smooth-muscle-specific knockout and transporter compensation experiments
    exposure
    Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue
    limitations
    Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    Removing the backup reduced uptake.
    primary_references
    [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    tissue_or_cell_type
    Vascular smooth muscle
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 828–839

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Smooth-muscle-specific knockout and transporter compensation experiments · source_derived_draft · unverified_draft

    ### phosphorus-pit2-knockdown-uptake PiT2 knockdown reduced phosphate uptake in PiT1-deficient mouse vascular smooth-muscle cells. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing the backup reduced uptake. organism: Mouse tissue_or_cell_type: Vascular smooth muscle experimental_model: Smooth-muscle-specific knockout and transporter compensation experiments limitations: Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport. exposure: Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue evidence_span: {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"} [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    Complete structured claim and evidence
  50. PiT2 knockdown reduced phosphate-induced calcification in PiT1-deficient mouse vascular smooth-muscle cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"}
    experimental_model
    Smooth-muscle-specific knockout and transporter compensation experiments
    exposure
    Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue
    limitations
    Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Mouse
    plain_language
    Removing the backup also reduced mineral deposition.
    primary_references
    [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    tissue_or_cell_type
    Vascular smooth muscle
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 841–852

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Smooth-muscle-specific knockout and transporter compensation experiments · source_derived_draft · unverified_draft

    ### phosphorus-pit2-knockdown-mineral PiT2 knockdown reduced phosphate-induced calcification in PiT1-deficient mouse vascular smooth-muscle cells. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Removing the backup also reduced mineral deposition. organism: Mouse tissue_or_cell_type: Vascular smooth muscle experimental_model: Smooth-muscle-specific knockout and transporter compensation experiments limitations: Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport. exposure: Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue evidence_span: {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"} [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    Complete structured claim and evidence
  51. PiT2 overexpression restored phosphate uptake and phosphate-induced calcification in human PiT1-deficient vascular smooth-muscle cells.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"}
    experimental_model
    Smooth-muscle-specific knockout and transporter compensation experiments
    exposure
    Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue
    limitations
    Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The human-cell rescue supported a backup role for PiT2.
    primary_references
    [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    tissue_or_cell_type
    Vascular smooth muscle
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 854–865

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Smooth-muscle-specific knockout and transporter compensation experiments · source_derived_draft · unverified_draft

    ### phosphorus-human-pit2-rescue PiT2 overexpression restored phosphate uptake and phosphate-induced calcification in human PiT1-deficient vascular smooth-muscle cells. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The human-cell rescue supported a backup role for PiT2. organism: Human tissue_or_cell_type: Vascular smooth muscle experimental_model: Smooth-muscle-specific knockout and transporter compensation experiments limitations: Loss of one transporter can be masked by another. This refines a single-transporter model without proving every calcification pathway requires transport. exposure: Mouse CKD plus dietary phosphate loading; PiT2 knockdown or expression rescue evidence_span: {"source_cache": "artifacts/phosphorus-research/23968976.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9", "start_char": 0, "end_char": 1852, "text_sha256": "6704ac0400a286d5137384f4339dd6dffb0061a41a121b6c72a0b23353cbc6f9"} [phosphorus-p23968976] Sodium-dependent phosphate cotransporters and phosphate-induced calcification of vascular smooth muscle cells: redundant roles for PiT-1 and PiT-2. (2013). https://pubmed.ncbi.nlm.nih.gov/23968976/ DOI: 10.1161/atvbaha.113.302249
    Complete structured claim and evidence
  52. The study linked phosphate entry into mitochondria to increased hydrogen-peroxide production in the FGFR1 activation pathway.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/42247296.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76", "start_char": 0, "end_char": 1041, "text_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76"}
    experimental_model
    Osteosarcoma-cell signaling with in-vivo tumor experiments
    exposure
    Elevated phosphate challenges and receptor activation experiments
    limitations
    New 2026 mechanism in tumor models; blood-Pi/tumor-growth association is not proof that dietary phosphorus causes human cancer. No specific transporter or oxidized residue number is invented from the abstract.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Osteosarcoma cellular and animal systems; precise species not fully resolved from abstract
    plain_language
    Mitochondrial phosphate handling fed a redox signal in these tumor models.
    primary_references
    [phosphorus-p42247296] Unconventional activation of the proto-oncogene FGFR1 by extracellular phosphate via H2O2-mediated kinase oxidation. (2026). https://pubmed.ncbi.nlm.nih.gov/42247296/ DOI: 10.1016/j.celrep.2026.117504
    tissue_or_cell_type
    Plasma-membrane/mitochondrial phosphate handling and FGFR1 signaling

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 867–878

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Osteosarcoma-cell signaling with in-vivo tumor experiments · source_derived_draft · unverified_draft

    ### phosphorus-pi-mito-peroxide The study linked phosphate entry into mitochondria to increased hydrogen-peroxide production in the FGFR1 activation pathway. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Mitochondrial phosphate handling fed a redox signal in these tumor models. organism: Osteosarcoma cellular and animal systems; precise species not fully resolved from abstract tissue_or_cell_type: Plasma-membrane/mitochondrial phosphate handling and FGFR1 signaling experimental_model: Osteosarcoma-cell signaling with in-vivo tumor experiments limitations: New 2026 mechanism in tumor models; blood-Pi/tumor-growth association is not proof that dietary phosphorus causes human cancer. No specific transporter or oxidized residue number is invented from the abstract. exposure: Elevated phosphate challenges and receptor activation experiments evidence_span: {"source_cache": "artifacts/phosphorus-research/42247296.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76", "start_char": 0, "end_char": 1041, "text_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76"} [phosphorus-p42247296] Unconventional activation of the proto-oncogene FGFR1 by extracellular phosphate via H2O2-mediated kinase oxidation. (2026). https://pubmed.ncbi.nlm.nih.gov/42247296/ DOI: 10.1016/j.celrep.2026.117504
    Complete structured claim and evidence
  53. The phosphate-associated hydrogen-peroxide burst oxidized critical cysteine and methionine residues of FGFR1.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/42247296.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76", "start_char": 0, "end_char": 1041, "text_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76"}
    experimental_model
    Osteosarcoma-cell signaling with in-vivo tumor experiments
    exposure
    Elevated phosphate challenges and receptor activation experiments
    limitations
    New 2026 mechanism in tumor models; blood-Pi/tumor-growth association is not proof that dietary phosphorus causes human cancer. No specific transporter or oxidized residue number is invented from the abstract.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Osteosarcoma cellular and animal systems; precise species not fully resolved from abstract
    plain_language
    A redox change reached the receptor protein.
    primary_references
    [phosphorus-p42247296] Unconventional activation of the proto-oncogene FGFR1 by extracellular phosphate via H2O2-mediated kinase oxidation. (2026). https://pubmed.ncbi.nlm.nih.gov/42247296/ DOI: 10.1016/j.celrep.2026.117504
    tissue_or_cell_type
    Plasma-membrane/mitochondrial phosphate handling and FGFR1 signaling

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 880–891

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Osteosarcoma-cell signaling with in-vivo tumor experiments · source_derived_draft · unverified_draft

    ### phosphorus-peroxide-fgfr The phosphate-associated hydrogen-peroxide burst oxidized critical cysteine and methionine residues of FGFR1. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A redox change reached the receptor protein. organism: Osteosarcoma cellular and animal systems; precise species not fully resolved from abstract tissue_or_cell_type: Plasma-membrane/mitochondrial phosphate handling and FGFR1 signaling experimental_model: Osteosarcoma-cell signaling with in-vivo tumor experiments limitations: New 2026 mechanism in tumor models; blood-Pi/tumor-growth association is not proof that dietary phosphorus causes human cancer. No specific transporter or oxidized residue number is invented from the abstract. exposure: Elevated phosphate challenges and receptor activation experiments evidence_span: {"source_cache": "artifacts/phosphorus-research/42247296.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76", "start_char": 0, "end_char": 1041, "text_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76"} [phosphorus-p42247296] Unconventional activation of the proto-oncogene FGFR1 by extracellular phosphate via H2O2-mediated kinase oxidation. (2026). https://pubmed.ncbi.nlm.nih.gov/42247296/ DOI: 10.1016/j.celrep.2026.117504
    Complete structured claim and evidence
  54. FGFR1 oxidation promoted receptor activation and downstream signaling in the phosphate-sensing tumor-model experiments.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/42247296.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76", "start_char": 0, "end_char": 1041, "text_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76"}
    experimental_model
    Osteosarcoma-cell signaling with in-vivo tumor experiments
    exposure
    Elevated phosphate challenges and receptor activation experiments
    limitations
    New 2026 mechanism in tumor models; blood-Pi/tumor-growth association is not proof that dietary phosphorus causes human cancer. No specific transporter or oxidized residue number is invented from the abstract.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Osteosarcoma cellular and animal systems; precise species not fully resolved from abstract
    plain_language
    Phosphate triggered receptor signaling through an indirect chemical route.
    primary_references
    [phosphorus-p42247296] Unconventional activation of the proto-oncogene FGFR1 by extracellular phosphate via H2O2-mediated kinase oxidation. (2026). https://pubmed.ncbi.nlm.nih.gov/42247296/ DOI: 10.1016/j.celrep.2026.117504
    tissue_or_cell_type
    Plasma-membrane/mitochondrial phosphate handling and FGFR1 signaling

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 893–904

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Osteosarcoma-cell signaling with in-vivo tumor experiments · source_derived_draft · unverified_draft

    ### phosphorus-fgfr-activation FGFR1 oxidation promoted receptor activation and downstream signaling in the phosphate-sensing tumor-model experiments. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Phosphate triggered receptor signaling through an indirect chemical route. organism: Osteosarcoma cellular and animal systems; precise species not fully resolved from abstract tissue_or_cell_type: Plasma-membrane/mitochondrial phosphate handling and FGFR1 signaling experimental_model: Osteosarcoma-cell signaling with in-vivo tumor experiments limitations: New 2026 mechanism in tumor models; blood-Pi/tumor-growth association is not proof that dietary phosphorus causes human cancer. No specific transporter or oxidized residue number is invented from the abstract. exposure: Elevated phosphate challenges and receptor activation experiments evidence_span: {"source_cache": "artifacts/phosphorus-research/42247296.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76", "start_char": 0, "end_char": 1041, "text_sha256": "a8d4221d8a5c56a5937ab8262e3ece5ed87692cb876ddcc0a08e7f68b66a9b76"} [phosphorus-p42247296] Unconventional activation of the proto-oncogene FGFR1 by extracellular phosphate via H2O2-mediated kinase oxidation. (2026). https://pubmed.ncbi.nlm.nih.gov/42247296/ DOI: 10.1016/j.celrep.2026.117504
    Complete structured claim and evidence
  55. Diet-related FGF23 changes correlated inversely with maximal tubular phosphate reabsorption and calcitriol, and positively with urinary phosphate excretion.

    Phosphorus → Renal phosphate reabsorption source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/15613425.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2", "start_char": 0, "end_char": 1563, "text_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2"}
    experimental_model
    Controlled sequential dietary intervention
    exposure
    Five-day low-phosphate diet plus binder, then phosphate loading; calcium adjusted to minimize PTH changes
    limitations
    Phosphate intake and calcium/binder cointerventions are explicit; correlation of hormones with renal handling does not independently prove each mediator.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The hormone, kidney and vitamin D responses moved together during the intervention.
    primary_references
    [phosphorus-p15613425] Fibroblast growth factor-23 relationship to dietary phosphate and renal phosphate handling in healthy young men. (2005). https://pubmed.ncbi.nlm.nih.gov/15613425/ DOI: 10.1210/jc.2004-1039
    tissue_or_cell_type
    29 healthy young men; serum hormones and renal handling

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 920–931

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Controlled sequential dietary intervention · source_derived_draft · unverified_draft

    ### phosphorus-diet-renal-feedback Diet-related FGF23 changes correlated inversely with maximal tubular phosphate reabsorption and calcitriol, and positively with urinary phosphate excretion. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The hormone, kidney and vitamin D responses moved together during the intervention. organism: Human tissue_or_cell_type: 29 healthy young men; serum hormones and renal handling experimental_model: Controlled sequential dietary intervention limitations: Phosphate intake and calcium/binder cointerventions are explicit; correlation of hormones with renal handling does not independently prove each mediator. exposure: Five-day low-phosphate diet plus binder, then phosphate loading; calcium adjusted to minimize PTH changes evidence_span: {"source_cache": "artifacts/phosphorus-research/15613425.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2", "start_char": 0, "end_char": 1563, "text_sha256": "4a8c4110b9c57e9f8f54305eb77abb80dd90253fc99e2f5aa21a4a3f129983c2"} [phosphorus-p15613425] Fibroblast growth factor-23 relationship to dietary phosphate and renal phosphate handling in healthy young men. (2005). https://pubmed.ncbi.nlm.nih.gov/15613425/ DOI: 10.1210/jc.2004-1039
    Complete structured claim and evidence
  56. Serum phosphate rose from 1.11 to 1.32 mmol/L during the higher-phosphate/calcium regimen.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"}
    experimental_model
    Paired 36-hour dietary interventions
    exposure
    Low/high phosphate and calcium diets, separated by a week
    limitations
    Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The combined dietary change raised the blood phosphate measurement.
    primary_references
    [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    tissue_or_cell_type
    Ten healthy adults; serial serum measurements and 24-hour urine

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 933–944

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Paired 36-hour dietary interventions · source_derived_draft · unverified_draft

    ### phosphorus-mixed-diet-pi Serum phosphate rose from 1.11 to 1.32 mmol/L during the higher-phosphate/calcium regimen. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The combined dietary change raised the blood phosphate measurement. organism: Human tissue_or_cell_type: Ten healthy adults; serial serum measurements and 24-hour urine experimental_model: Paired 36-hour dietary interventions limitations: Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter. exposure: Low/high phosphate and calcium diets, separated by a week evidence_span: {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"} [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    Complete structured claim and evidence
  57. Intact FGF23 rose from 33 to 37 ng/L during the higher-phosphate/calcium regimen.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"}
    experimental_model
    Paired 36-hour dietary interventions
    exposure
    Low/high phosphate and calcium diets, separated by a week
    limitations
    Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The active hormone concentration also increased.
    primary_references
    [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    tissue_or_cell_type
    Ten healthy adults; serial serum measurements and 24-hour urine

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 946–957

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Paired 36-hour dietary interventions · source_derived_draft · unverified_draft

    ### phosphorus-mixed-diet-fgf23 Intact FGF23 rose from 33 to 37 ng/L during the higher-phosphate/calcium regimen. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The active hormone concentration also increased. organism: Human tissue_or_cell_type: Ten healthy adults; serial serum measurements and 24-hour urine experimental_model: Paired 36-hour dietary interventions limitations: Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter. exposure: Low/high phosphate and calcium diets, separated by a week evidence_span: {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"} [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    Complete structured claim and evidence
  58. Urinary phosphate rose from 21.6 to 28.8 mmol/day during the higher-phosphate/calcium regimen.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"}
    experimental_model
    Paired 36-hour dietary interventions
    exposure
    Low/high phosphate and calcium diets, separated by a week
    limitations
    Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The kidneys excreted more phosphate.
    primary_references
    [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    tissue_or_cell_type
    Ten healthy adults; serial serum measurements and 24-hour urine

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 959–970

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Paired 36-hour dietary interventions · source_derived_draft · unverified_draft

    ### phosphorus-mixed-diet-urine Urinary phosphate rose from 21.6 to 28.8 mmol/day during the higher-phosphate/calcium regimen. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The kidneys excreted more phosphate. organism: Human tissue_or_cell_type: Ten healthy adults; serial serum measurements and 24-hour urine experimental_model: Paired 36-hour dietary interventions limitations: Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter. exposure: Low/high phosphate and calcium diets, separated by a week evidence_span: {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"} [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    Complete structured claim and evidence
  59. PTH declined during the higher-phosphate/calcium regimen even while FGF23 increased.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"}
    experimental_model
    Paired 36-hour dietary interventions
    exposure
    Low/high phosphate and calcium diets, separated by a week
    limitations
    Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Changing calcium alongside phosphate produced a different PTH pattern than a phosphate-only cell challenge.
    primary_references
    [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    tissue_or_cell_type
    Ten healthy adults; serial serum measurements and 24-hour urine

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 972–983

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Paired 36-hour dietary interventions · source_derived_draft · unverified_draft

    ### phosphorus-mixed-diet-pth PTH declined during the higher-phosphate/calcium regimen even while FGF23 increased. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Changing calcium alongside phosphate produced a different PTH pattern than a phosphate-only cell challenge. organism: Human tissue_or_cell_type: Ten healthy adults; serial serum measurements and 24-hour urine experimental_model: Paired 36-hour dietary interventions limitations: Both calcium and phosphate changed; phosphate alone cannot be assigned the full effect. Timing and circadian variation matter. exposure: Low/high phosphate and calcium diets, separated by a week evidence_span: {"source_cache": "artifacts/phosphorus-research/21030580.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e", "start_char": 0, "end_char": 1603, "text_sha256": "e51a1cd580ac4ea7b0232f65c73ac0814df6bff655bf7bd6d0d82f7f9f21a33e"} [phosphorus-p21030580] Effects of dietary phosphate and calcium intake on fibroblast growth factor-23. (2011). https://pubmed.ncbi.nlm.nih.gov/21030580/ DOI: 10.2215/cjn.04730510
    Complete structured claim and evidence
  60. The vegetarian diet produced lower serum phosphorus than the meat diet after one week.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/21183586.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660", "start_char": 0, "end_char": 1667, "text_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660"}
    experimental_model
    Randomized-order crossover feeding trial
    exposure
    Seven-day vegetarian and meat diets with equivalent nutrients prepared by research staff
    limitations
    Small short-term CKD study; food source/form matters, but the trial does not isolate one phytate mechanism or establish that all plant phosphate is unabsorbed.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Equal listed nutrients did not produce identical blood phosphorus responses.
    primary_references
    [phosphorus-p21183586] Vegetarian compared with meat dietary protein source and phosphorus homeostasis in chronic kidney disease. (2011). https://pubmed.ncbi.nlm.nih.gov/21183586/ DOI: 10.2215/cjn.05040610
    tissue_or_cell_type
    Nine people with CKD; mean eGFR 32 mL/min

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 985–996

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized-order crossover feeding trial · source_derived_draft · unverified_draft

    ### phosphorus-plant-diet-pi The vegetarian diet produced lower serum phosphorus than the meat diet after one week. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Equal listed nutrients did not produce identical blood phosphorus responses. organism: Human tissue_or_cell_type: Nine people with CKD; mean eGFR 32 mL/min experimental_model: Randomized-order crossover feeding trial limitations: Small short-term CKD study; food source/form matters, but the trial does not isolate one phytate mechanism or establish that all plant phosphate is unabsorbed. exposure: Seven-day vegetarian and meat diets with equivalent nutrients prepared by research staff evidence_span: {"source_cache": "artifacts/phosphorus-research/21183586.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660", "start_char": 0, "end_char": 1667, "text_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660"} [phosphorus-p21183586] Vegetarian compared with meat dietary protein source and phosphorus homeostasis in chronic kidney disease. (2011). https://pubmed.ncbi.nlm.nih.gov/21183586/ DOI: 10.2215/cjn.05040610
    Complete structured claim and evidence
  61. The vegetarian diet produced lower FGF23 than the meat diet after one week.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/21183586.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660", "start_char": 0, "end_char": 1667, "text_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660"}
    experimental_model
    Randomized-order crossover feeding trial
    exposure
    Seven-day vegetarian and meat diets with equivalent nutrients prepared by research staff
    limitations
    Small short-term CKD study; food source/form matters, but the trial does not isolate one phytate mechanism or establish that all plant phosphate is unabsorbed.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The hormone response also depended on the food source.
    primary_references
    [phosphorus-p21183586] Vegetarian compared with meat dietary protein source and phosphorus homeostasis in chronic kidney disease. (2011). https://pubmed.ncbi.nlm.nih.gov/21183586/ DOI: 10.2215/cjn.05040610
    tissue_or_cell_type
    Nine people with CKD; mean eGFR 32 mL/min

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 998–1009

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized-order crossover feeding trial · source_derived_draft · unverified_draft

    ### phosphorus-plant-diet-fgf23 The vegetarian diet produced lower FGF23 than the meat diet after one week. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The hormone response also depended on the food source. organism: Human tissue_or_cell_type: Nine people with CKD; mean eGFR 32 mL/min experimental_model: Randomized-order crossover feeding trial limitations: Small short-term CKD study; food source/form matters, but the trial does not isolate one phytate mechanism or establish that all plant phosphate is unabsorbed. exposure: Seven-day vegetarian and meat diets with equivalent nutrients prepared by research staff evidence_span: {"source_cache": "artifacts/phosphorus-research/21183586.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660", "start_char": 0, "end_char": 1667, "text_sha256": "c1361f250bd0c2febcef675ba888387b4f2ea0b81b171150734d8f148982a660"} [phosphorus-p21183586] Vegetarian compared with meat dietary protein source and phosphorus homeostasis in chronic kidney disease. (2011). https://pubmed.ncbi.nlm.nih.gov/21183586/ DOI: 10.2215/cjn.05040610
    Complete structured claim and evidence
  62. Ferric carboxymaltose-associated intact-FGF23 elevation accompanied lower circulating calcitriol in the substudy.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30518682.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d", "start_char": 0, "end_char": 2381, "text_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d"}
    experimental_model
    Randomized iron-formulation comparison with physiological substudy
    exposure
    One trial course of ferric carboxymaltose or ferumoxytol; follow-up five weeks
    limitations
    Formulation-specific drug effect, not dietary iron. FGF23 was associated with the downstream changes; the exact reason the formulations differ was not settled.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The phosphate-wasting pattern also reduced active vitamin D.
    primary_references
    [phosphorus-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    tissue_or_cell_type
    Iron-deficiency anemia; n=1997 parent trial, n=185 substudy
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1011–1022

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized iron-formulation comparison with physiological substudy · source_derived_draft · unverified_draft

    ### phosphorus-iron-calcitriol Ferric carboxymaltose-associated intact-FGF23 elevation accompanied lower circulating calcitriol in the substudy. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The phosphate-wasting pattern also reduced active vitamin D. organism: Human tissue_or_cell_type: Iron-deficiency anemia; n=1997 parent trial, n=185 substudy experimental_model: Randomized iron-formulation comparison with physiological substudy limitations: Formulation-specific drug effect, not dietary iron. FGF23 was associated with the downstream changes; the exact reason the formulations differ was not settled. exposure: One trial course of ferric carboxymaltose or ferumoxytol; follow-up five weeks evidence_span: {"source_cache": "artifacts/phosphorus-research/30518682.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d", "start_char": 0, "end_char": 2381, "text_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d"} [phosphorus-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    Complete structured claim and evidence
  63. The ferric-carboxymaltose substudy found lower calcium accompanying the intact-FGF23 rise.

    Ferric carboxymaltose → Serum calcium concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30518682.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d", "start_char": 0, "end_char": 2381, "text_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d"}
    experimental_model
    Randomized iron-formulation comparison with physiological substudy
    exposure
    One trial course of ferric carboxymaltose or ferumoxytol; follow-up five weeks
    limitations
    Formulation-specific drug effect, not dietary iron. FGF23 was associated with the downstream changes; the exact reason the formulations differ was not settled.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Calcium regulation was affected along with phosphate.
    primary_references
    [phosphorus-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    tissue_or_cell_type
    Iron-deficiency anemia; n=1997 parent trial, n=185 substudy
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1024–1035

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized iron-formulation comparison with physiological substudy · source_derived_draft · unverified_draft

    ### phosphorus-iron-calcium The ferric-carboxymaltose substudy found lower calcium accompanying the intact-FGF23 rise. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Calcium regulation was affected along with phosphate. organism: Human tissue_or_cell_type: Iron-deficiency anemia; n=1997 parent trial, n=185 substudy experimental_model: Randomized iron-formulation comparison with physiological substudy limitations: Formulation-specific drug effect, not dietary iron. FGF23 was associated with the downstream changes; the exact reason the formulations differ was not settled. exposure: One trial course of ferric carboxymaltose or ferumoxytol; follow-up five weeks evidence_span: {"source_cache": "artifacts/phosphorus-research/30518682.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d", "start_char": 0, "end_char": 2381, "text_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d"} [phosphorus-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    Complete structured claim and evidence
  64. PTH increased in the ferric-carboxymaltose-associated phosphate-wasting cascade.

    Ferric carboxymaltose → Serum PTH concentration source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/30518682.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d", "start_char": 0, "end_char": 2381, "text_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d"}
    experimental_model
    Randomized iron-formulation comparison with physiological substudy
    exposure
    One trial course of ferric carboxymaltose or ferumoxytol; follow-up five weeks
    limitations
    Formulation-specific drug effect, not dietary iron. FGF23 was associated with the downstream changes; the exact reason the formulations differ was not settled.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The parathyroid response added another hormone affecting renal phosphate handling.
    primary_references
    [phosphorus-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    tissue_or_cell_type
    Iron-deficiency anemia; n=1997 parent trial, n=185 substudy
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1037–1048

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized iron-formulation comparison with physiological substudy · source_derived_draft · unverified_draft

    ### phosphorus-iron-pth PTH increased in the ferric-carboxymaltose-associated phosphate-wasting cascade. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The parathyroid response added another hormone affecting renal phosphate handling. organism: Human tissue_or_cell_type: Iron-deficiency anemia; n=1997 parent trial, n=185 substudy experimental_model: Randomized iron-formulation comparison with physiological substudy limitations: Formulation-specific drug effect, not dietary iron. FGF23 was associated with the downstream changes; the exact reason the formulations differ was not settled. exposure: One trial course of ferric carboxymaltose or ferumoxytol; follow-up five weeks evidence_span: {"source_cache": "artifacts/phosphorus-research/30518682.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d", "start_char": 0, "end_char": 2381, "text_sha256": "e1d37261355eedeff60d9715e7eb88b6718641ed868c5b3ab64fceaf62c15e6d"} [phosphorus-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    Complete structured claim and evidence
  65. After serum phosphorus rose from 0.55 to 1.33 mmol/L, mean stimulated transdiaphragmatic pressure increased from 9.75 to 17.25 cm H2O.

    Experimental context and source evidence
    availability_state
    biomarker_context Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/3860734.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "cf061281363419c0833fd3b160950e7f4c1a57ebeef46f3b73a0ad30f3b7f7e1", "start_char": 0, "end_char": 1400, "text_sha256": "cf061281363419c0833fd3b160950e7f4c1a57ebeef46f3b73a0ad30f3b7f7e1"}
    experimental_model
    Before/after phosphate correction with phrenic-nerve stimulation
    exposure
    Historical protocol: 10 mmol phosphorus as KH2PO4 infused over four hours
    limitations
    Small uncontrolled physiological experiment; potassium was also administered. Not a general infusion recommendation or proof of one intracellular mediator.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Correcting the low phosphate measurement accompanied stronger diaphragm contractions in these patients.
    primary_references
    [phosphorus-p3860734] Effect of hypophosphatemia on diaphragmatic contractility in patients with acute respiratory failure. (1985). https://pubmed.ncbi.nlm.nih.gov/3860734/ DOI: 10.1056/nejm198508153130705
    tissue_or_cell_type
    Eight ventilated patients with acute respiratory failure
    trigger_kind
    biomarker_context Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1050–1061

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Before/after phosphate correction with phrenic-nerve stimulation · source_derived_draft · unverified_draft

    ### phosphorus-diaphragm-rescue After serum phosphorus rose from 0.55 to 1.33 mmol/L, mean stimulated transdiaphragmatic pressure increased from 9.75 to 17.25 cm H2O. Condition category: biomarker_context nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Correcting the low phosphate measurement accompanied stronger diaphragm contractions in these patients. organism: Human tissue_or_cell_type: Eight ventilated patients with acute respiratory failure experimental_model: Before/after phosphate correction with phrenic-nerve stimulation limitations: Small uncontrolled physiological experiment; potassium was also administered. Not a general infusion recommendation or proof of one intracellular mediator. exposure: Historical protocol: 10 mmol phosphorus as KH2PO4 infused over four hours evidence_span: {"source_cache": "artifacts/phosphorus-research/3860734.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "cf061281363419c0833fd3b160950e7f4c1a57ebeef46f3b73a0ad30f3b7f7e1", "start_char": 0, "end_char": 1400, "text_sha256": "cf061281363419c0833fd3b160950e7f4c1a57ebeef46f3b73a0ad30f3b7f7e1"} [phosphorus-p3860734] Effect of hypophosphatemia on diaphragmatic contractility in patients with acute respiratory failure. (1985). https://pubmed.ncbi.nlm.nih.gov/3860734/ DOI: 10.1056/nejm198508153130705
    Complete structured claim and evidence
  66. No dependence of erythrocyte 2,3-DPG concentration on cellular Pi was detected in the ICU dataset.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"}
    experimental_model
    ICU erythrocyte measurements and normal-donor cell incubation
    exposure
    Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi
    limitations
    Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    A lower phosphate measurement did not automatically mean lower 2,3-DPG.
    primary_references
    [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    tissue_or_cell_type
    Red blood cells

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1076–1087

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ICU erythrocyte measurements and normal-donor cell incubation · source_derived_draft · unverified_draft

    ### phosphorus-rbc-dpg-null No dependence of erythrocyte 2,3-DPG concentration on cellular Pi was detected in the ICU dataset. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A lower phosphate measurement did not automatically mean lower 2,3-DPG. organism: Human tissue_or_cell_type: Red blood cells experimental_model: ICU erythrocyte measurements and normal-donor cell incubation limitations: Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints. exposure: Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi evidence_span: {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"} [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    Complete structured claim and evidence
  67. Raising incubation Pi from 1 to 5 mmol/L increased normal-donor erythrocyte lactate production from 2.09 to 3.11 mmol/hour/L cells.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"}
    experimental_model
    ICU erythrocyte measurements and normal-donor cell incubation
    exposure
    Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi
    limitations
    Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    More phosphate accelerated the measured glycolytic output in this cell preparation.
    primary_references
    [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    tissue_or_cell_type
    Red blood cells

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1089–1100

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ICU erythrocyte measurements and normal-donor cell incubation · source_derived_draft · unverified_draft

    ### phosphorus-rbc-lactate Raising incubation Pi from 1 to 5 mmol/L increased normal-donor erythrocyte lactate production from 2.09 to 3.11 mmol/hour/L cells. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: More phosphate accelerated the measured glycolytic output in this cell preparation. organism: Human tissue_or_cell_type: Red blood cells experimental_model: ICU erythrocyte measurements and normal-donor cell incubation limitations: Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints. exposure: Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi evidence_span: {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"} [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    Complete structured claim and evidence
  68. The 1-versus-5 mmol/L Pi incubation changed erythrocyte glycolytic output without a significant ATP-concentration change.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"}
    experimental_model
    ICU erythrocyte measurements and normal-donor cell incubation
    exposure
    Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi
    limitations
    Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    A faster flux did not necessarily make the ATP pool larger.
    primary_references
    [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    tissue_or_cell_type
    Red blood cells

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1102–1113

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ICU erythrocyte measurements and normal-donor cell incubation · source_derived_draft · unverified_draft

    ### phosphorus-rbc-atp-buffered The 1-versus-5 mmol/L Pi incubation changed erythrocyte glycolytic output without a significant ATP-concentration change. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A faster flux did not necessarily make the ATP pool larger. organism: Human tissue_or_cell_type: Red blood cells experimental_model: ICU erythrocyte measurements and normal-donor cell incubation limitations: Observed ranges are not universal thresholds; ATP concentration, ATP synthetic flux and 2,3-DPG are separate endpoints. exposure: Plasma Pi 0.1–4.2 mmol/L in patients; normal-donor cells incubated at 1 or 5 mmol/L Pi evidence_span: {"source_cache": "artifacts/phosphorus-research/4042545.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43", "start_char": 0, "end_char": 1711, "text_sha256": "474d2b2722565fa0e4c2f0ddf4a332715ce176f9325b9af5c22027bd6ac93e43"} [phosphorus-p4042545] Phosphate metabolism in erythrocytes of critically ill patients. (1985). https://pubmed.ncbi.nlm.nih.gov/4042545/ DOI: 10.1042/cs0690435
    Complete structured claim and evidence
  69. Serum phosphate fell after surgery and during glucose infusion, particularly with continuous glucose administration.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/2741619.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30", "start_char": 0, "end_char": 1180, "text_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30"}
    experimental_model
    Randomized postoperative glucose-infusion timing study
    exposure
    Equal daily glucose supplied continuously versus in five-hour infusions
    limitations
    Acute redistribution and postoperative hypophosphatemia are not synonymous with severe whole-body phosphate depletion.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    A glucose load can lower the blood phosphate measurement in this clinical context.
    primary_references
    [phosphorus-p2741619] Postoperative and glucose-induced hypophosphatemia in relation to adenosine triphosphate and 2,3-diphosphoglycerate in erythrocytes. (1989). https://pubmed.ncbi.nlm.nih.gov/2741619/
    tissue_or_cell_type
    Patients after elective colonic surgery; serum and red cells

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1115–1126

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized postoperative glucose-infusion timing study · source_derived_draft · unverified_draft

    ### phosphorus-glucose-pi Serum phosphate fell after surgery and during glucose infusion, particularly with continuous glucose administration. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: A glucose load can lower the blood phosphate measurement in this clinical context. organism: Human tissue_or_cell_type: Patients after elective colonic surgery; serum and red cells experimental_model: Randomized postoperative glucose-infusion timing study limitations: Acute redistribution and postoperative hypophosphatemia are not synonymous with severe whole-body phosphate depletion. exposure: Equal daily glucose supplied continuously versus in five-hour infusions evidence_span: {"source_cache": "artifacts/phosphorus-research/2741619.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30", "start_char": 0, "end_char": 1180, "text_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30"} [phosphorus-p2741619] Postoperative and glucose-induced hypophosphatemia in relation to adenosine triphosphate and 2,3-diphosphoglycerate in erythrocytes. (1989). https://pubmed.ncbi.nlm.nih.gov/2741619/
    Complete structured claim and evidence
  70. The postoperative and glucose-associated serum phosphate reductions were not accompanied by reduced red-cell ATP.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/2741619.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30", "start_char": 0, "end_char": 1180, "text_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30"}
    experimental_model
    Randomized postoperative glucose-infusion timing study
    exposure
    Equal daily glucose supplied continuously versus in five-hour infusions
    limitations
    Acute redistribution and postoperative hypophosphatemia are not synonymous with severe whole-body phosphate depletion.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Blood phosphate fell while the measured red-cell ATP pool remained preserved.
    primary_references
    [phosphorus-p2741619] Postoperative and glucose-induced hypophosphatemia in relation to adenosine triphosphate and 2,3-diphosphoglycerate in erythrocytes. (1989). https://pubmed.ncbi.nlm.nih.gov/2741619/
    tissue_or_cell_type
    Patients after elective colonic surgery; serum and red cells

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1128–1139

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized postoperative glucose-infusion timing study · source_derived_draft · unverified_draft

    ### phosphorus-glucose-atp-null The postoperative and glucose-associated serum phosphate reductions were not accompanied by reduced red-cell ATP. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Blood phosphate fell while the measured red-cell ATP pool remained preserved. organism: Human tissue_or_cell_type: Patients after elective colonic surgery; serum and red cells experimental_model: Randomized postoperative glucose-infusion timing study limitations: Acute redistribution and postoperative hypophosphatemia are not synonymous with severe whole-body phosphate depletion. exposure: Equal daily glucose supplied continuously versus in five-hour infusions evidence_span: {"source_cache": "artifacts/phosphorus-research/2741619.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30", "start_char": 0, "end_char": 1180, "text_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30"} [phosphorus-p2741619] Postoperative and glucose-induced hypophosphatemia in relation to adenosine triphosphate and 2,3-diphosphoglycerate in erythrocytes. (1989). https://pubmed.ncbi.nlm.nih.gov/2741619/
    Complete structured claim and evidence
  71. The serum phosphate reductions were not accompanied by reduced red-cell 2,3-DPG.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/2741619.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30", "start_char": 0, "end_char": 1180, "text_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30"}
    experimental_model
    Randomized postoperative glucose-infusion timing study
    exposure
    Equal daily glucose supplied continuously versus in five-hour infusions
    limitations
    Acute redistribution and postoperative hypophosphatemia are not synonymous with severe whole-body phosphate depletion.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The oxygen-affinity regulator did not automatically fall with serum phosphate.
    primary_references
    [phosphorus-p2741619] Postoperative and glucose-induced hypophosphatemia in relation to adenosine triphosphate and 2,3-diphosphoglycerate in erythrocytes. (1989). https://pubmed.ncbi.nlm.nih.gov/2741619/
    tissue_or_cell_type
    Patients after elective colonic surgery; serum and red cells

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1141–1152

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized postoperative glucose-infusion timing study · source_derived_draft · unverified_draft

    ### phosphorus-glucose-dpg-null The serum phosphate reductions were not accompanied by reduced red-cell 2,3-DPG. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The oxygen-affinity regulator did not automatically fall with serum phosphate. organism: Human tissue_or_cell_type: Patients after elective colonic surgery; serum and red cells experimental_model: Randomized postoperative glucose-infusion timing study limitations: Acute redistribution and postoperative hypophosphatemia are not synonymous with severe whole-body phosphate depletion. exposure: Equal daily glucose supplied continuously versus in five-hour infusions evidence_span: {"source_cache": "artifacts/phosphorus-research/2741619.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30", "start_char": 0, "end_char": 1180, "text_sha256": "62051650a8db9312feacd99776a0a1bc2b55587b371ede554ae61fbdf335de30"} [phosphorus-p2741619] Postoperative and glucose-induced hypophosphatemia in relation to adenosine triphosphate and 2,3-diphosphoglycerate in erythrocytes. (1989). https://pubmed.ncbi.nlm.nih.gov/2741619/
    Complete structured claim and evidence
  72. Days alive after ICU discharge did not differ significantly: 44.8 versus 39.9 days, estimated difference 4.9 days (95% CI −2.3 to 13.6), p=0.19.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/26597128.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6", "start_char": 0, "end_char": 2574, "text_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6"}
    experimental_model
    Multicenter randomized clinical management trial
    exposure
    Protocolized caloric restriction versus continued standard feeding during electrolyte replacement; 60-day follow-up
    limitations
    Management-strategy trial, not isolated phosphate supplementation. Primary composite endpoint was nonsignificant; component results must retain that context.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The trial’s primary composite outcome was not statistically significant.
    primary_references
    [phosphorus-p26597128] Restricted versus continued standard caloric intake during the management of refeeding syndrome in critically ill adults: a randomised, parallel-group, multicentre, single-blind controlled trial. (2015). https://pubmed.ncbi.nlm.nih.gov/26597128/ DOI: 10.1016/s2213-2600(15)00418-x
    tissue_or_cell_type
    339 critically ill adults developing refeeding syndrome within 72 hours of nutrition

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1154–1165

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Multicenter randomized clinical management trial · source_derived_draft · unverified_draft

    ### phosphorus-refeeding-primary Days alive after ICU discharge did not differ significantly: 44.8 versus 39.9 days, estimated difference 4.9 days (95% CI −2.3 to 13.6), p=0.19. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The trial’s primary composite outcome was not statistically significant. organism: Human tissue_or_cell_type: 339 critically ill adults developing refeeding syndrome within 72 hours of nutrition experimental_model: Multicenter randomized clinical management trial limitations: Management-strategy trial, not isolated phosphate supplementation. Primary composite endpoint was nonsignificant; component results must retain that context. exposure: Protocolized caloric restriction versus continued standard feeding during electrolyte replacement; 60-day follow-up evidence_span: {"source_cache": "artifacts/phosphorus-research/26597128.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6", "start_char": 0, "end_char": 2574, "text_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6"} [phosphorus-p26597128] Restricted versus continued standard caloric intake during the management of refeeding syndrome in critically ill adults: a randomised, parallel-group, multicentre, single-blind controlled trial. (2015). https://pubmed.ncbi.nlm.nih.gov/26597128/ DOI: 10.1016/s2213-2600(15)00418-x
    Complete structured claim and evidence
  73. A component analysis found 149/164 participants alive at day 60 with restriction versus 128/163 with standard feeding, p=0.002.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/26597128.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6", "start_char": 0, "end_char": 2574, "text_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6"}
    experimental_model
    Multicenter randomized clinical management trial
    exposure
    Protocolized caloric restriction versus continued standard feeding during electrolyte replacement; 60-day follow-up
    limitations
    Management-strategy trial, not isolated phosphate supplementation. Primary composite endpoint was nonsignificant; component results must retain that context.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The survival component favored the supervised strategy, while the primary composite remained nonsignificant.
    primary_references
    [phosphorus-p26597128] Restricted versus continued standard caloric intake during the management of refeeding syndrome in critically ill adults: a randomised, parallel-group, multicentre, single-blind controlled trial. (2015). https://pubmed.ncbi.nlm.nih.gov/26597128/ DOI: 10.1016/s2213-2600(15)00418-x
    tissue_or_cell_type
    339 critically ill adults developing refeeding syndrome within 72 hours of nutrition

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1167–1178

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Multicenter randomized clinical management trial · source_derived_draft · unverified_draft

    ### phosphorus-refeeding-survival A component analysis found 149/164 participants alive at day 60 with restriction versus 128/163 with standard feeding, p=0.002. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The survival component favored the supervised strategy, while the primary composite remained nonsignificant. organism: Human tissue_or_cell_type: 339 critically ill adults developing refeeding syndrome within 72 hours of nutrition experimental_model: Multicenter randomized clinical management trial limitations: Management-strategy trial, not isolated phosphate supplementation. Primary composite endpoint was nonsignificant; component results must retain that context. exposure: Protocolized caloric restriction versus continued standard feeding during electrolyte replacement; 60-day follow-up evidence_span: {"source_cache": "artifacts/phosphorus-research/26597128.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6", "start_char": 0, "end_char": 2574, "text_sha256": "0324ddb02d92a61886682e682350e42356a4596c93e3ff60d23860163c6c1aa6"} [phosphorus-p26597128] Restricted versus continued standard caloric intake during the management of refeeding syndrome in critically ill adults: a randomised, parallel-group, multicentre, single-blind controlled trial. (2015). https://pubmed.ncbi.nlm.nih.gov/26597128/ DOI: 10.1016/s2213-2600(15)00418-x
    Complete structured claim and evidence
  74. Burosumab binds and inhibits FGF23, the phosphate-wasting hormone targeted in the XLH trial.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"}
    experimental_model
    Randomized double-blind placebo-controlled phase 3 trial
    exposure
    Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis
    limitations
    FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The treatment targets the hormone driving phosphate loss, rather than only adding phosphate.
    primary_references
    [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    tissue_or_cell_type
    134 symptomatic adults with X-linked hypophosphatemia

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1180–1191

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized double-blind placebo-controlled phase 3 trial · source_derived_draft · unverified_draft

    ### phosphorus-burosumab-target Burosumab binds and inhibits FGF23, the phosphate-wasting hormone targeted in the XLH trial. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The treatment targets the hormone driving phosphate loss, rather than only adding phosphate. organism: Human tissue_or_cell_type: 134 symptomatic adults with X-linked hypophosphatemia experimental_model: Randomized double-blind placebo-controlled phase 3 trial limitations: FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation. exposure: Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis evidence_span: {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"} [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    Complete structured claim and evidence
  75. Across dosing-interval midpoints, 94.1% on burosumab versus 7.6% on placebo attained mean serum phosphate above the lower limit of normal.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"}
    experimental_model
    Randomized double-blind placebo-controlled phase 3 trial
    exposure
    Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis
    limitations
    FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Blocking the wasting signal substantially improved the phosphate measurement.
    primary_references
    [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    tissue_or_cell_type
    134 symptomatic adults with X-linked hypophosphatemia
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1193–1204

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized double-blind placebo-controlled phase 3 trial · source_derived_draft · unverified_draft

    ### phosphorus-burosumab-phosphate Across dosing-interval midpoints, 94.1% on burosumab versus 7.6% on placebo attained mean serum phosphate above the lower limit of normal. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Blocking the wasting signal substantially improved the phosphate measurement. organism: Human tissue_or_cell_type: 134 symptomatic adults with X-linked hypophosphatemia experimental_model: Randomized double-blind placebo-controlled phase 3 trial limitations: FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation. exposure: Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis evidence_span: {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"} [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    Complete structured claim and evidence
  76. At week 24, 43.1% of baseline active fractures were fully healed with burosumab versus 7.7% with placebo.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"}
    experimental_model
    Randomized double-blind placebo-controlled phase 3 trial
    exposure
    Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis
    limitations
    FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The trial also showed a tissue-level healing benefit.
    primary_references
    [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    tissue_or_cell_type
    134 symptomatic adults with X-linked hypophosphatemia
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1206–1217

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    ### phosphorus-burosumab-fractures At week 24, 43.1% of baseline active fractures were fully healed with burosumab versus 7.7% with placebo. Condition category: machinery_impairment nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The trial also showed a tissue-level healing benefit. organism: Human tissue_or_cell_type: 134 symptomatic adults with X-linked hypophosphatemia experimental_model: Randomized double-blind placebo-controlled phase 3 trial limitations: FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation. exposure: Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis evidence_span: {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"} [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    Complete structured claim and evidence
  77. The WOMAC stiffness endpoint significantly improved versus placebo in the week-24 analysis.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"}
    experimental_model
    Randomized double-blind placebo-controlled phase 3 trial
    exposure
    Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis
    limitations
    FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Stiffness improved in the treated XLH group.
    primary_references
    [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    tissue_or_cell_type
    134 symptomatic adults with X-linked hypophosphatemia

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1219–1230

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    ### phosphorus-burosumab-stiffness The WOMAC stiffness endpoint significantly improved versus placebo in the week-24 analysis. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Stiffness improved in the treated XLH group. organism: Human tissue_or_cell_type: 134 symptomatic adults with X-linked hypophosphatemia experimental_model: Randomized double-blind placebo-controlled phase 3 trial limitations: FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation. exposure: Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis evidence_span: {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"} [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    Complete structured claim and evidence
  78. Worst pain and physical function did not achieve significance after the trial’s multiplicity adjustment.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"}
    experimental_model
    Randomized double-blind placebo-controlled phase 3 trial
    exposure
    Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis
    limitations
    FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    Not every symptom endpoint showed a reliable benefit.
    primary_references
    [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    tissue_or_cell_type
    134 symptomatic adults with X-linked hypophosphatemia

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1232–1243

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Randomized double-blind placebo-controlled phase 3 trial · source_derived_draft · unverified_draft

    ### phosphorus-burosumab-pain-null Worst pain and physical function did not achieve significance after the trial’s multiplicity adjustment. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: Not every symptom endpoint showed a reliable benefit. organism: Human tissue_or_cell_type: 134 symptomatic adults with X-linked hypophosphatemia experimental_model: Randomized double-blind placebo-controlled phase 3 trial limitations: FGF23-mediated inherited disease, not simple nutritional deficiency. Pain and function outcomes require multiplicity-adjusted interpretation. exposure: Burosumab 1 mg/kg or placebo every four weeks; week-24 analysis evidence_span: {"source_cache": "artifacts/phosphorus-research/29947083.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e", "start_char": 0, "end_char": 2327, "text_sha256": "c1b305f00a7b9a569ccd197728d942ebbf55f9eaa164a95086d69a34608d3c4e"} [phosphorus-p29947083] A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults With X-Linked Hypophosphatemia: Week 24 Primary Analysis. (2018). https://pubmed.ncbi.nlm.nih.gov/29947083/ DOI: 10.1002/jbmr.3475
    Complete structured claim and evidence
  79. Higher reported phosphate intake was associated with lower resting ATP synthesis (r=−0.62, p=0.03) in the 13-person pilot.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/38482570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f", "start_char": 0, "end_char": 2164, "text_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f"}
    experimental_model
    Small cross-sectional diet-recall and 31P-MRS association study
    exposure
    24-hour dietary recall normalized to energy; calf-muscle MRS at rest/exercise
    limitations
    Observational pilot with n=13, not a controlled excess-phosphate intervention. The source uses a phosphocreatinine wording error; PCr is represented as phosphocreatine.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    More reported dietary phosphorus did not imply better energetics; this association does not establish causation.
    primary_references
    [phosphorus-p38482570] Association between dietary phosphate intake and skeletal muscle energetics in adults without cardiovascular disease. (2024). https://pubmed.ncbi.nlm.nih.gov/38482570/ DOI: 10.1152/japplphysiol.00818.2023
    tissue_or_cell_type
    Thirteen adults without cardiopulmonary disease

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1245–1256

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Small cross-sectional diet-recall and 31P-MRS association study · source_derived_draft · unverified_draft

    ### phosphorus-high-intake-atp-association Higher reported phosphate intake was associated with lower resting ATP synthesis (r=−0.62, p=0.03) in the 13-person pilot. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: More reported dietary phosphorus did not imply better energetics; this association does not establish causation. organism: Human tissue_or_cell_type: Thirteen adults without cardiopulmonary disease experimental_model: Small cross-sectional diet-recall and 31P-MRS association study limitations: Observational pilot with n=13, not a controlled excess-phosphate intervention. The source uses a phosphocreatinine wording error; PCr is represented as phosphocreatine. exposure: 24-hour dietary recall normalized to energy; calf-muscle MRS at rest/exercise evidence_span: {"source_cache": "artifacts/phosphorus-research/38482570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f", "start_char": 0, "end_char": 2164, "text_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f"} [phosphorus-p38482570] Association between dietary phosphate intake and skeletal muscle energetics in adults without cardiovascular disease. (2024). https://pubmed.ncbi.nlm.nih.gov/38482570/ DOI: 10.1152/japplphysiol.00818.2023
    Complete structured claim and evidence
  80. Higher reported phosphate intake was associated with greater exercise-related phosphocreatine depletion in the pilot.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/phosphorus-research/38482570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f", "start_char": 0, "end_char": 2164, "text_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f"}
    experimental_model
    Small cross-sectional diet-recall and 31P-MRS association study
    exposure
    24-hour dietary recall normalized to energy; calf-muscle MRS at rest/exercise
    limitations
    Observational pilot with n=13, not a controlled excess-phosphate intervention. The source uses a phosphocreatinine wording error; PCr is represented as phosphocreatine.
    nutrient_topic
    Phosphorus research collection; topical membership is not evidence of a direct dietary effect. · Phosphorus
    organism
    Human
    plain_language
    The phosphocreatine response also differed with reported intake.
    primary_references
    [phosphorus-p38482570] Association between dietary phosphate intake and skeletal muscle energetics in adults without cardiovascular disease. (2024). https://pubmed.ncbi.nlm.nih.gov/38482570/ DOI: 10.1152/japplphysiol.00818.2023
    tissue_or_cell_type
    Thirteen adults without cardiopulmonary disease

    Phosphorus: metabolism, signaling and nutrient connections (2026-09-17) · lines 1258–1269

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Small cross-sectional diet-recall and 31P-MRS association study · source_derived_draft · unverified_draft

    ### phosphorus-high-intake-pcr Higher reported phosphate intake was associated with greater exercise-related phosphocreatine depletion in the pilot. Condition category: normal nutrient_topic: Phosphorus research collection; topical membership is not evidence of a direct dietary effect. plain_language: The phosphocreatine response also differed with reported intake. organism: Human tissue_or_cell_type: Thirteen adults without cardiopulmonary disease experimental_model: Small cross-sectional diet-recall and 31P-MRS association study limitations: Observational pilot with n=13, not a controlled excess-phosphate intervention. The source uses a phosphocreatinine wording error; PCr is represented as phosphocreatine. exposure: 24-hour dietary recall normalized to energy; calf-muscle MRS at rest/exercise evidence_span: {"source_cache": "artifacts/phosphorus-research/38482570.abstract.txt", "locator": "Primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f", "start_char": 0, "end_char": 2164, "text_sha256": "11f6599b477ce87228e00e4d562eb0c70615dceebb82a983188e9b0fcd8e730f"} [phosphorus-p38482570] Association between dietary phosphate intake and skeletal muscle energetics in adults without cardiovascular disease. (2024). https://pubmed.ncbi.nlm.nih.gov/38482570/ DOI: 10.1152/japplphysiol.00818.2023
    Complete structured claim and evidence
  81. SLC34A3 mutations segregated with renal phosphate wasting and hypophosphatemic rickets in the studied families.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/sodium-research/16358215.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb", "start_char": 0, "end_char": 1515, "text_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb"}
    experimental_model
    Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria
    exposure
    SLC34A3 disease-associated mutations in five families
    limitations
    Genotype–phenotype evidence supports a primary renal defect; downstream calcitriol/calcium pattern is observed, not a dietary sodium intervention.
    nutrient_topic
    Sodium research collection; topical membership is not evidence of a direct dietary effect. · Sodium
    organism
    Human
    plain_language
    The kidney’s sodium/phosphate transporter is important for retaining phosphate.
    primary_references
    [sodium-p16358215] Hereditary hypophosphatemic rickets with hypercalciuria is caused by mutations in the sodium-phosphate cotransporter gene SLC34A3. (2006). https://pubmed.ncbi.nlm.nih.gov/16358215/ DOI: 10.1086/499410
    tissue_or_cell_type
    Renal proximal tubule and systemic mineral phenotype
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Sodium: gradients, nutrient transport, fluid regulation and loss states (2026-09-17) · lines 668–679

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria · source_derived_draft · unverified_draft

    ### sodium-napi2c-phosphate SLC34A3 mutations segregated with renal phosphate wasting and hypophosphatemic rickets in the studied families. Condition category: machinery_impairment nutrient_topic: Sodium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The kidney’s sodium/phosphate transporter is important for retaining phosphate. organism: Human tissue_or_cell_type: Renal proximal tubule and systemic mineral phenotype experimental_model: Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria limitations: Genotype–phenotype evidence supports a primary renal defect; downstream calcitriol/calcium pattern is observed, not a dietary sodium intervention. exposure: SLC34A3 disease-associated mutations in five families evidence_span: {"source_cache": "artifacts/sodium-research/16358215.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb", "start_char": 0, "end_char": 1515, "text_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb"} [sodium-p16358215] Hereditary hypophosphatemic rickets with hypercalciuria is caused by mutations in the sodium-phosphate cotransporter gene SLC34A3. (2006). https://pubmed.ncbi.nlm.nih.gov/16358215/ DOI: 10.1086/499410
    Complete structured claim and evidence
  82. The HHRH phenotype included elevated circulating 1,25-dihydroxyvitamin D with normal or low-normal FGF23.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/sodium-research/16358215.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb", "start_char": 0, "end_char": 1515, "text_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb"}
    experimental_model
    Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria
    exposure
    SLC34A3 disease-associated mutations in five families
    limitations
    Genotype–phenotype evidence supports a primary renal defect; downstream calcitriol/calcium pattern is observed, not a dietary sodium intervention.
    nutrient_topic
    Sodium research collection; topical membership is not evidence of a direct dietary effect. · Sodium
    organism
    Human
    plain_language
    A phosphate-handling defect can change the vitamin D environment.
    primary_references
    [sodium-p16358215] Hereditary hypophosphatemic rickets with hypercalciuria is caused by mutations in the sodium-phosphate cotransporter gene SLC34A3. (2006). https://pubmed.ncbi.nlm.nih.gov/16358215/ DOI: 10.1086/499410
    tissue_or_cell_type
    Renal proximal tubule and systemic mineral phenotype
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Sodium: gradients, nutrient transport, fluid regulation and loss states (2026-09-17) · lines 681–692

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria · source_derived_draft · unverified_draft

    ### sodium-napi2c-calcitriol The HHRH phenotype included elevated circulating 1,25-dihydroxyvitamin D with normal or low-normal FGF23. Condition category: machinery_impairment nutrient_topic: Sodium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A phosphate-handling defect can change the vitamin D environment. organism: Human tissue_or_cell_type: Renal proximal tubule and systemic mineral phenotype experimental_model: Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria limitations: Genotype–phenotype evidence supports a primary renal defect; downstream calcitriol/calcium pattern is observed, not a dietary sodium intervention. exposure: SLC34A3 disease-associated mutations in five families evidence_span: {"source_cache": "artifacts/sodium-research/16358215.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb", "start_char": 0, "end_char": 1515, "text_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb"} [sodium-p16358215] Hereditary hypophosphatemic rickets with hypercalciuria is caused by mutations in the sodium-phosphate cotransporter gene SLC34A3. (2006). https://pubmed.ncbi.nlm.nih.gov/16358215/ DOI: 10.1086/499410
    Complete structured claim and evidence
  83. The sodium/phosphate-transporter-associated HHRH phenotype included hypercalciuria.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/sodium-research/16358215.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb", "start_char": 0, "end_char": 1515, "text_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb"}
    experimental_model
    Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria
    exposure
    SLC34A3 disease-associated mutations in five families
    limitations
    Genotype–phenotype evidence supports a primary renal defect; downstream calcitriol/calcium pattern is observed, not a dietary sodium intervention.
    nutrient_topic
    Sodium research collection; topical membership is not evidence of a direct dietary effect. · Sodium
    organism
    Human
    plain_language
    This phosphate disorder can also increase calcium loss into urine.
    primary_references
    [sodium-p16358215] Hereditary hypophosphatemic rickets with hypercalciuria is caused by mutations in the sodium-phosphate cotransporter gene SLC34A3. (2006). https://pubmed.ncbi.nlm.nih.gov/16358215/ DOI: 10.1086/499410
    tissue_or_cell_type
    Renal proximal tubule and systemic mineral phenotype
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Sodium: gradients, nutrient transport, fluid regulation and loss states (2026-09-17) · lines 694–705

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria · source_derived_draft · unverified_draft

    ### sodium-napi2c-calcium The sodium/phosphate-transporter-associated HHRH phenotype included hypercalciuria. Condition category: machinery_impairment nutrient_topic: Sodium research collection; topical membership is not evidence of a direct dietary effect. plain_language: This phosphate disorder can also increase calcium loss into urine. organism: Human tissue_or_cell_type: Renal proximal tubule and systemic mineral phenotype experimental_model: Mapping and sequencing in families with hereditary hypophosphatemic rickets with hypercalciuria limitations: Genotype–phenotype evidence supports a primary renal defect; downstream calcitriol/calcium pattern is observed, not a dietary sodium intervention. exposure: SLC34A3 disease-associated mutations in five families evidence_span: {"source_cache": "artifacts/sodium-research/16358215.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb", "start_char": 0, "end_char": 1515, "text_sha256": "876374dd0624cf69b89f3f5b17e5be423d7d9a0358f135add88f2493314d2ceb"} [sodium-p16358215] Hereditary hypophosphatemic rickets with hypercalciuria is caused by mutations in the sodium-phosphate cotransporter gene SLC34A3. (2006). https://pubmed.ncbi.nlm.nih.gov/16358215/ DOI: 10.1086/499410
    Complete structured claim and evidence
  84. Two daily calcitriol injections increased active phosphate transport in wild-type mouse jejunum.

    Calcitriol → Active intestinal phosphate absorption source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Vitamin D–calcium–phosphate regulation.
    evidence_locator
    Abstract: reported experimental results
    evidence_scope
    D3 active metabolite or VDR machinery experiment; not a direct D2-versus-D3 comparison.
    experimental_model
    Wild-type and intestinal Slc34a2-deleted mice; active versus paracellular intestinal phosphate transport assays
    exposure
    Intraperitoneal calcitriol once daily for 2 days; dose not specified in the retrieved abstract.
    limitations
    Stimulation was segment-specific: increased transporter protein in ileum did not establish the same active-flux response there. No human dietary-dose inference.
    nutrient
    Vitamin D2 and D3 · Vitamin D2 and D3
    nutrient_topic
    Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin D2 and D3
    organism
    Mus musculus
    plain_language
    Active vitamin D increased the intestine’s sodium-coupled phosphate uptake in the responsive segment.
    primary_references
    [vdm-hernando2021] 1,25(OH)2 vitamin D3 stimulates active phosphate transport but not paracellular phosphate absorption in mouse intestine. (2021). https://pubmed.ncbi.nlm.nih.gov/33200827/ DOI: 10.1113/jp280345
    tissue_or_cell_type
    Jejunum

    Vitamin D2 and D3: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 665–679

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Wild-type and intestinal Slc34a2-deleted mice; active versus paracellular intestinal phosphate transport assays · source_derived_draft · unverified_draft

    ### vdm-calcitriol-increases-jejunal-phosphate-transport Two daily calcitriol injections increased active phosphate transport in wild-type mouse jejunum. Condition category: normal nutrient_topic: Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Active vitamin D increased the intestine’s sodium-coupled phosphate uptake in the responsive segment. organism: Mus musculus tissue_or_cell_type: Jejunum experimental_model: Wild-type and intestinal Slc34a2-deleted mice; active versus paracellular intestinal phosphate transport assays limitations: Stimulation was segment-specific: increased transporter protein in ileum did not establish the same active-flux response there. No human dietary-dose inference. exposure: Intraperitoneal calcitriol once daily for 2 days; dose not specified in the retrieved abstract. cross_nutrient: Vitamin D–calcium–phosphate regulation. evidence_locator: Abstract: reported experimental results nutrient: Vitamin D2 and D3 evidence_scope: D3 active metabolite or VDR machinery experiment; not a direct D2-versus-D3 comparison. [vdm-hernando2021] 1,25(OH)2 vitamin D3 stimulates active phosphate transport but not paracellular phosphate absorption in mouse intestine. (2021). https://pubmed.ncbi.nlm.nih.gov/33200827/ DOI: 10.1113/jp280345
    Complete structured claim and evidence
  85. The two-day calcitriol regimen did not detectably increase paracellular phosphate flux in the mouse intestine.

    Calcitriol → Paracellular intestinal phosphate flux source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Vitamin D–calcium–phosphate regulation.
    evidence_locator
    Abstract: reported experimental results
    evidence_scope
    D3 active metabolite or VDR machinery experiment; not a direct D2-versus-D3 comparison.
    experimental_model
    Wild-type and intestinal Slc34a2-deleted mice; active versus paracellular intestinal phosphate transport assays
    exposure
    Intraperitoneal calcitriol once daily for 2 days; dose not specified in the retrieved abstract.
    limitations
    A negative result for this assay and regimen does not exclude other doses, durations, species or intestinal segments.
    nutrient
    Vitamin D2 and D3 · Vitamin D2 and D3
    nutrient_topic
    Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin D2 and D3
    organism
    Mus musculus
    plain_language
    The measured phosphate response involved transport through cells; the route between cells did not show the same increase.
    primary_references
    [vdm-hernando2021] 1,25(OH)2 vitamin D3 stimulates active phosphate transport but not paracellular phosphate absorption in mouse intestine. (2021). https://pubmed.ncbi.nlm.nih.gov/33200827/ DOI: 10.1113/jp280345
    tissue_or_cell_type
    Intestinal epithelium

    Vitamin D2 and D3: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 681–695

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Wild-type and intestinal Slc34a2-deleted mice; active versus paracellular intestinal phosphate transport assays · source_derived_draft · unverified_draft

    ### vdm-calcitriol-no-detected-paracellular-phosphate-response The two-day calcitriol regimen did not detectably increase paracellular phosphate flux in the mouse intestine. Condition category: normal nutrient_topic: Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. plain_language: The measured phosphate response involved transport through cells; the route between cells did not show the same increase. organism: Mus musculus tissue_or_cell_type: Intestinal epithelium experimental_model: Wild-type and intestinal Slc34a2-deleted mice; active versus paracellular intestinal phosphate transport assays limitations: A negative result for this assay and regimen does not exclude other doses, durations, species or intestinal segments. exposure: Intraperitoneal calcitriol once daily for 2 days; dose not specified in the retrieved abstract. cross_nutrient: Vitamin D–calcium–phosphate regulation. evidence_locator: Abstract: reported experimental results nutrient: Vitamin D2 and D3 evidence_scope: D3 active metabolite or VDR machinery experiment; not a direct D2-versus-D3 comparison. [vdm-hernando2021] 1,25(OH)2 vitamin D3 stimulates active phosphate transport but not paracellular phosphate absorption in mouse intestine. (2021). https://pubmed.ncbi.nlm.nih.gov/33200827/ DOI: 10.1113/jp280345
    Complete structured claim and evidence
  86. Recombinant FGF23 reduced renal NaPi-IIa mRNA and protein abundance in the acute rodent injection study.

    Experimental context and source evidence
    cross_nutrient
    Vitamin D–calcium–phosphate regulation.
    evidence_locator
    Abstract: reported experimental results
    evidence_scope
    D3 active metabolite or VDR machinery experiment; not a direct D2-versus-D3 comparison.
    experimental_model
    Single recombinant FGF23 injection in rodents; renal transcript/protein and serum phosphate measurements
    exposure
    Single recombinant FGF23 injection; serum phosphate reduction was first observed at 9 hours; dose not recovered in the primary abstract.
    limitations
    Transporter abundance is not itself a flux measurement. Lack of a PTH rise and parathyroidectomized-rat responses support a PTH-independent action in this experiment.
    nutrient
    Vitamin D2 and D3 · Vitamin D2 and D3
    nutrient_topic
    Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin D2 and D3
    organism
    Mus musculus; Rattus norvegicus
    plain_language
    FGF23 reduced a kidney transporter that normally helps retain phosphate.
    primary_references
    [vdm-shimada2004] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis. (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/jbmr.0301264
    tissue_or_cell_type
    Kidney

    Vitamin D2 and D3: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 745–759

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Single recombinant FGF23 injection in rodents; renal transcript/protein and serum phosphate measurements · source_derived_draft · unverified_draft

    ### vdm-fgf23-reduces-renal-napi2a Recombinant FGF23 reduced renal NaPi-IIa mRNA and protein abundance in the acute rodent injection study. Condition category: normal nutrient_topic: Vitamin D2 and D3 research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 reduced a kidney transporter that normally helps retain phosphate. organism: Mus musculus; Rattus norvegicus tissue_or_cell_type: Kidney experimental_model: Single recombinant FGF23 injection in rodents; renal transcript/protein and serum phosphate measurements limitations: Transporter abundance is not itself a flux measurement. Lack of a PTH rise and parathyroidectomized-rat responses support a PTH-independent action in this experiment. exposure: Single recombinant FGF23 injection; serum phosphate reduction was first observed at 9 hours; dose not recovered in the primary abstract. cross_nutrient: Vitamin D–calcium–phosphate regulation. evidence_locator: Abstract: reported experimental results nutrient: Vitamin D2 and D3 evidence_scope: D3 active metabolite or VDR machinery experiment; not a direct D2-versus-D3 comparison. [vdm-shimada2004] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis. (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/jbmr.0301264
    Complete structured claim and evidence
  87. Recombinant FGF23 raises renal CYP24A1 mRNA as circulating calcitriol declines.

    Experimental context and source evidence
    experimental_model
    Recombinant FGF23 injections in normal and parathyroidectomized rodents
    limitations
    Acute rodent transcript response; does not quantify human calcium balance.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus; Rattus norvegicus
    plain_language
    FGF23 increases vitamin D inactivation machinery.
    primary_references
    [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    tissue_or_cell_type
    Kidney

    Calcium: mechanism-first literature curation (2026-09-17) · lines 102–111

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant FGF23 injections in normal and parathyroidectomized rodents · source_derived_draft · unverified_draft

    ### fgf23-increases-cyp24a1-expression Recombinant FGF23 raises renal CYP24A1 mRNA as circulating calcitriol declines. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 increases vitamin D inactivation machinery. organism: Mus musculus; Rattus norvegicus tissue_or_cell_type: Kidney experimental_model: Recombinant FGF23 injections in normal and parathyroidectomized rodents limitations: Acute rodent transcript response; does not quantify human calcium balance. [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    Complete structured claim and evidence
  88. Recombinant FGF23 lowers renal CYP27B1 mRNA before the fall in serum phosphate.

    Experimental context and source evidence
    experimental_model
    Recombinant FGF23 injections in normal and parathyroidectomized rodents
    limitations
    Injection study; transcript change is not direct enzyme inhibition.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus; Rattus norvegicus
    plain_language
    FGF23 restrains a vitamin D activation enzyme.
    primary_references
    [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    tissue_or_cell_type
    Kidney

    Calcium: mechanism-first literature curation (2026-09-17) · lines 91–100

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Recombinant FGF23 injections in normal and parathyroidectomized rodents · source_derived_draft · unverified_draft

    ### fgf23-reduces-cyp27b1-expression Recombinant FGF23 lowers renal CYP27B1 mRNA before the fall in serum phosphate. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 restrains a vitamin D activation enzyme. organism: Mus musculus; Rattus norvegicus tissue_or_cell_type: Kidney experimental_model: Recombinant FGF23 injections in normal and parathyroidectomized rodents limitations: Injection study; transcript change is not direct enzyme inhibition. [shimada2004injection] FGF-23 is a potent regulator of vitamin D metabolism and phosphate homeostasis (2004). https://pubmed.ncbi.nlm.nih.gov/15040831/ DOI: 10.1359/JBMR.0301264
    Complete structured claim and evidence
  89. Alpha-Klotho cooperates with FGFR1(IIIc) to confer high-affinity binding and signaling by FGF23.

    Experimental context and source evidence
    experimental_model
    Renal homogenates, receptor-reconstitution cell assays and anti-Klotho antibody in mice
    limitations
    Specifically FGFR1(IIIc) reconstitution; not all FGFR1 splice forms are equivalent.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mammalian cell systems; Mus musculus
    plain_language
    FGF23 needs a suitable receptor partnership.
    primary_references
    [urakawa2006] Klotho converts canonical FGF receptor into a specific receptor for FGF23 (2006). https://pubmed.ncbi.nlm.nih.gov/17086194/ DOI: 10.1038/nature05315
    tissue_or_cell_type
    Kidney receptor system

    Calcium: mechanism-first literature curation (2026-09-17) · lines 113–122

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Renal homogenates, receptor-reconstitution cell assays and anti-Klotho antibody in mice · source_derived_draft · unverified_draft

    ### klotho-fgfr1-fgf23-receptor Alpha-Klotho cooperates with FGFR1(IIIc) to confer high-affinity binding and signaling by FGF23. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: FGF23 needs a suitable receptor partnership. organism: Mammalian cell systems; Mus musculus tissue_or_cell_type: Kidney receptor system experimental_model: Renal homogenates, receptor-reconstitution cell assays and anti-Klotho antibody in mice limitations: Specifically FGFR1(IIIc) reconstitution; not all FGFR1 splice forms are equivalent. [urakawa2006] Klotho converts canonical FGF receptor into a specific receptor for FGF23 (2006). https://pubmed.ncbi.nlm.nih.gov/17086194/ DOI: 10.1038/nature05315
    Complete structured claim and evidence
  90. Human PHOSPHO1 also hydrolyzes phosphocholine, producing inorganic phosphate and choline.

    Experimental context and source evidence
    experimental_model
    Purified-enzyme substrate assay
    limitations
    This reaction uses magnesium-dependent machinery; calcium is the eventual mineral constituent, not the demonstrated phosphatase cofactor.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    A second phospholipid-headgroup metabolite can supply phosphate.
    primary_references
    [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    tissue_or_cell_type
    Recombinant enzyme

    Calcium: mechanism-first literature curation (2026-09-17) · lines 908–917

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified-enzyme substrate assay · source_derived_draft · unverified_draft

    ### phospho1-phosphocholine-hydrolysis Human PHOSPHO1 also hydrolyzes phosphocholine, producing inorganic phosphate and choline. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A second phospholipid-headgroup metabolite can supply phosphate. organism: Homo sapiens tissue_or_cell_type: Recombinant enzyme experimental_model: Purified-enzyme substrate assay limitations: This reaction uses magnesium-dependent machinery; calcium is the eventual mineral constituent, not the demonstrated phosphatase cofactor. [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    Complete structured claim and evidence
  91. Human PHOSPHO1 hydrolyzes phosphoethanolamine, releasing inorganic phosphate and ethanolamine; the enzyme requires Mg2+ in the assay.

    Experimental context and source evidence
    experimental_model
    Purified-enzyme substrate assay
    limitations
    Catalytic capacity does not quantify phosphate supply in vivo; Pi denotes pH-dependent protonation states.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    PHOSPHO1 can release phosphate from a membrane-headgroup metabolite.
    primary_references
    [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    tissue_or_cell_type
    Recombinant enzyme; mineralizing-cell context

    Calcium: mechanism-first literature curation (2026-09-17) · lines 897–906

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified-enzyme substrate assay · source_derived_draft · unverified_draft

    ### phospho1-phosphoethanolamine-hydrolysis Human PHOSPHO1 hydrolyzes phosphoethanolamine, releasing inorganic phosphate and ethanolamine; the enzyme requires Mg2+ in the assay. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: PHOSPHO1 can release phosphate from a membrane-headgroup metabolite. organism: Homo sapiens tissue_or_cell_type: Recombinant enzyme; mineralizing-cell context experimental_model: Purified-enzyme substrate assay limitations: Catalytic capacity does not quantify phosphate supply in vivo; Pi denotes pH-dependent protonation states. [roberts2004] Human PHOSPHO1 exhibits high specific phosphoethanolamine and phosphocholine phosphatase activities (2004). https://pubmed.ncbi.nlm.nih.gov/15175005/ DOI: 10.1042/BJ20040511
    Complete structured claim and evidence
  92. ALPL/TNAP hydrolyzes extracellular pyrophosphate to inorganic phosphate, reducing an inhibitor of matrix mineralization.

    Experimental context and source evidence
    compartment_description
    Extracellular matrix and vesicle surface
    experimental_model
    Genetic and ex vivo pyrophosphate/mineralization experiments
    limitations
    Pi and PPi labels pool protonation states; this is not evidence that calcium activates TNAP.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    TNAP removes a local brake on calcium phosphate crystal growth.
    primary_references
    [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    tissue_or_cell_type
    Osteoblast matrix and matrix vesicles

    Calcium: mechanism-first literature curation (2026-09-17) · lines 931–941

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Genetic and ex vivo pyrophosphate/mineralization experiments · source_derived_draft · unverified_draft

    ### alpl-pyrophosphate-hydrolysis ALPL/TNAP hydrolyzes extracellular pyrophosphate to inorganic phosphate, reducing an inhibitor of matrix mineralization. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: TNAP removes a local brake on calcium phosphate crystal growth. organism: Mus musculus tissue_or_cell_type: Osteoblast matrix and matrix vesicles experimental_model: Genetic and ex vivo pyrophosphate/mineralization experiments limitations: Pi and PPi labels pool protonation states; this is not evidence that calcium activates TNAP. compartment_description: Extracellular matrix and vesicle surface [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    Complete structured claim and evidence
  93. ENPP1 converts extracellular ATP into AMP and PPi; ANKH-expressing cells lacking ENPP1 released ATP without the accompanying PPi accumulation.

    ATP → Inorganic pyrophosphate source_derived_draftungraded
    Experimental context and source evidence
    compartment_description
    Extracellular space
    experimental_model
    ENPP1-proficient versus deficient cells
    limitations
    Other ectonucleotidases compete for ATP; PPi is not synonymous with orthophosphate.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    An extracellular enzyme converts exported ATP into a mineralization inhibitor.
    primary_references
    [szeri2022] The mineralization regulator ANKH mediates cellular efflux of ATP, not pyrophosphate (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC9098669/ DOI: 10.1002/jbmr.4528
    tissue_or_cell_type
    HEK293 extracellular medium

    Calcium: mechanism-first literature curation (2026-09-17) · lines 1012–1022

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ENPP1-proficient versus deficient cells · source_derived_draft · unverified_draft

    ### enpp1-atp-to-pyrophosphate ENPP1 converts extracellular ATP into AMP and PPi; ANKH-expressing cells lacking ENPP1 released ATP without the accompanying PPi accumulation. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: An extracellular enzyme converts exported ATP into a mineralization inhibitor. organism: Homo sapiens tissue_or_cell_type: HEK293 extracellular medium experimental_model: ENPP1-proficient versus deficient cells limitations: Other ectonucleotidases compete for ATP; PPi is not synonymous with orthophosphate. compartment_description: Extracellular space [szeri2022] The mineralization regulator ANKH mediates cellular efflux of ATP, not pyrophosphate (2022). https://pmc.ncbi.nlm.nih.gov/articles/PMC9098669/ DOI: 10.1002/jbmr.4528
    Complete structured claim and evidence
  94. In Alpl-deficient mice and osteoblast preparations, excess pyrophosphate accompanied poor mineralization; removing Enpp1 normalized pyrophosphate and improved mineral deposition.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    experimental_model
    Single versus combined Alpl/Enpp1 knockout
    limitations
    The genetic rescue supports local PPi control; it is not a calcium-supplement experiment.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Mus musculus
    plain_language
    Mineral formation depends on controlling an inhibitor as well as supplying calcium.
    primary_references
    [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    tissue_or_cell_type
    Bone and cultured osteoblast matrix
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Calcium: mechanism-first literature curation (2026-09-17) · lines 943–952

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Single versus combined Alpl/Enpp1 knockout · source_derived_draft · unverified_draft

    ### pyrophosphate-restrains-mineral-deposition In Alpl-deficient mice and osteoblast preparations, excess pyrophosphate accompanied poor mineralization; removing Enpp1 normalized pyrophosphate and improved mineral deposition. Condition category: machinery_impairment nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Mineral formation depends on controlling an inhibitor as well as supplying calcium. organism: Mus musculus tissue_or_cell_type: Bone and cultured osteoblast matrix experimental_model: Single versus combined Alpl/Enpp1 knockout limitations: The genetic rescue supports local PPi control; it is not a calcium-supplement experiment. [hessle2002] Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization (2002). https://pmc.ncbi.nlm.nih.gov/articles/PMC123160/ DOI: 10.1073/pnas.142063399
    Complete structured claim and evidence
  95. Human enamel crystallites have an apatite lattice containing calcium and phosphate, with heterogeneous magnesium, sodium, fluoride and carbonate substitutions.

    Experimental context and source evidence
    experimental_model
    Atomic-scale imaging and correlative spectroscopy
    limitations
    A structural tissue study; it does not test dietary calcium intake or enamel regeneration.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Homo sapiens
    plain_language
    Tooth enamel is built from chemically varied calcium phosphate crystals.
    primary_references
    [derocher2020] Chemical gradients in human enamel crystallites (2020). https://pmc.ncbi.nlm.nih.gov/articles/PMC8290891/ DOI: 10.1038/s41586-020-2433-3
    tissue_or_cell_type
    Dental enamel

    Calcium: mechanism-first literature curation (2026-09-17) · lines 886–895

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Atomic-scale imaging and correlative spectroscopy · source_derived_draft · unverified_draft

    ### enamel-calcium-in-substituted-apatite Human enamel crystallites have an apatite lattice containing calcium and phosphate, with heterogeneous magnesium, sodium, fluoride and carbonate substitutions. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: Tooth enamel is built from chemically varied calcium phosphate crystals. organism: Homo sapiens tissue_or_cell_type: Dental enamel experimental_model: Atomic-scale imaging and correlative spectroscopy limitations: A structural tissue study; it does not test dietary calcium intake or enamel regeneration. [derocher2020] Chemical gradients in human enamel crystallites (2020). https://pmc.ncbi.nlm.nih.gov/articles/PMC8290891/ DOI: 10.1038/s41586-020-2433-3
    Complete structured claim and evidence
  96. Amorphous calcium phosphate in newly forming zebrafish fin bone and increasing crystallinity with maturation support an amorphous-precursor model.

    Experimental context and source evidence
    compartment_description
    Bone extracellular matrix
    experimental_model
    Spatial maturation series and extracted-particle crystallization
    limitations
    The proposed sequence is not direct tracking of every mineral particle in living human bone.
    nutrient_topic
    Calcium research collection; topical membership is not evidence of a direct dietary effect. · Calcium
    organism
    Danio rerio
    plain_language
    A disordered calcium phosphate phase may precede organized bone crystals.
    primary_references
    [mahamid2008] Amorphous calcium phosphate is a major component of the forming fin bones of zebrafish: Indications for an amorphous precursor phase (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2529085/ DOI: 10.1073/pnas.0803354105
    tissue_or_cell_type
    Growing fin-ray bone

    Calcium: mechanism-first literature curation (2026-09-17) · lines 874–884

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Spatial maturation series and extracted-particle crystallization · source_derived_draft · unverified_draft

    ### bone-amorphous-mineral-precursor-hypothesis Amorphous calcium phosphate in newly forming zebrafish fin bone and increasing crystallinity with maturation support an amorphous-precursor model. Condition category: normal nutrient_topic: Calcium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A disordered calcium phosphate phase may precede organized bone crystals. organism: Danio rerio tissue_or_cell_type: Growing fin-ray bone experimental_model: Spatial maturation series and extracted-particle crystallization limitations: The proposed sequence is not direct tracking of every mineral particle in living human bone. compartment_description: Bone extracellular matrix [mahamid2008] Amorphous calcium phosphate is a major component of the forming fin bones of zebrafish: Indications for an amorphous precursor phase (2008). https://pmc.ncbi.nlm.nih.gov/articles/PMC2529085/ DOI: 10.1073/pnas.0803354105
    Complete structured claim and evidence
  97. Magnesium deprivation decreased renal slc34a1-mrna abundance in the 21-day rat experiment.

    Magnesium → SLC34A1 mRNA source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    Magnesium -> vitamin D/phosphate handling; transcript-level evidence.
    experimental_model
    Mg-free versus 0.05% Mg diet.
    limitations
    mRNA endpoint; no transporter flux or obligatory enzyme-bound Mg inference.
    nutrient_topic
    Magnesium research collection; topical membership is not evidence of a direct dietary effect. · Magnesium
    organism
    Rattus norvegicus
    plain_language
    The message for one phosphate-reabsorbing transporter fell.
    primary_references
    [mg-matsuzaki2013] Magnesium deficiency regulates vitamin D metabolizing enzymes and type II sodium-phosphate cotransporter mRNA expression in rats (2013). https://pubmed.ncbi.nlm.nih.gov/23816829/ DOI: 10.1684/mrh.2013.0341
    tissue_or_cell_type
    Rat kidney
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Magnesium: cross-nutrient mechanisms and deficiency (2026-09-17) · lines 1406–1416

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mg-free versus 0.05% Mg diet. · source_derived_draft · unverified_draft

    ### mg-deficiency-napi2a-transcript Magnesium deprivation decreased renal slc34a1-mrna abundance in the 21-day rat experiment. Condition category: nutrient_deficiency nutrient_topic: Magnesium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The message for one phosphate-reabsorbing transporter fell. organism: Rattus norvegicus tissue_or_cell_type: Rat kidney experimental_model: Mg-free versus 0.05% Mg diet. limitations: mRNA endpoint; no transporter flux or obligatory enzyme-bound Mg inference. cross_nutrient: Magnesium -> vitamin D/phosphate handling; transcript-level evidence. [mg-matsuzaki2013] Magnesium deficiency regulates vitamin D metabolizing enzymes and type II sodium-phosphate cotransporter mRNA expression in rats (2013). https://pubmed.ncbi.nlm.nih.gov/23816829/ DOI: 10.1684/mrh.2013.0341
    Complete structured claim and evidence
  98. Magnesium deprivation decreased renal slc34a3-mrna abundance in the 21-day rat experiment.

    Magnesium → SLC34A3 mRNA source_derived_draftungraded
    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    cross_nutrient
    Magnesium -> vitamin D/phosphate handling; transcript-level evidence.
    experimental_model
    Mg-free versus 0.05% Mg diet.
    limitations
    mRNA endpoint; no transporter flux or obligatory enzyme-bound Mg inference.
    nutrient_topic
    Magnesium research collection; topical membership is not evidence of a direct dietary effect. · Magnesium
    organism
    Rattus norvegicus
    plain_language
    A second phosphate-transporter message also fell.
    primary_references
    [mg-matsuzaki2013] Magnesium deficiency regulates vitamin D metabolizing enzymes and type II sodium-phosphate cotransporter mRNA expression in rats (2013). https://pubmed.ncbi.nlm.nih.gov/23816829/ DOI: 10.1684/mrh.2013.0341
    tissue_or_cell_type
    Rat kidney
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Magnesium: cross-nutrient mechanisms and deficiency (2026-09-17) · lines 1418–1428

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Mg-free versus 0.05% Mg diet. · source_derived_draft · unverified_draft

    ### mg-deficiency-napi2c-transcript Magnesium deprivation decreased renal slc34a3-mrna abundance in the 21-day rat experiment. Condition category: nutrient_deficiency nutrient_topic: Magnesium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A second phosphate-transporter message also fell. organism: Rattus norvegicus tissue_or_cell_type: Rat kidney experimental_model: Mg-free versus 0.05% Mg diet. limitations: mRNA endpoint; no transporter flux or obligatory enzyme-bound Mg inference. cross_nutrient: Magnesium -> vitamin D/phosphate handling; transcript-level evidence. [mg-matsuzaki2013] Magnesium deficiency regulates vitamin D metabolizing enzymes and type II sodium-phosphate cotransporter mRNA expression in rats (2013). https://pubmed.ncbi.nlm.nih.gov/23816829/ DOI: 10.1684/mrh.2013.0341
    Complete structured claim and evidence
  99. Recombinant human TPK1 catalyzes thiamine diphosphorylation with ATP and Mg2+.

    Thiamine (vitamin B1) → Thiamine diphosphate source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Magnesium availability supports vitamin B1 activation or cofactor use in the specified preparation; this does not establish a dietary threshold or universal treatment failure.
    experimental_model
    Purified His-tagged recombinant human TPK1, steady-state kinetics and mutations.
    limitations
    Assay chemistry; no clinical response measured.
    nutrient_topic
    Magnesium research collection; topical membership is not evidence of a direct dietary effect. · Magnesium
    organism
    Homo sapiens
    plain_language
    The enzyme uses ATP to convert vitamin B1 into its diphosphate cofactor.
    primary_references
    [onozuka-2003-tpk1] Steady-state kinetics and mutational studies of recombinant human thiamin pyrophosphokinase (2003). https://pubmed.ncbi.nlm.nih.gov/12953792/ DOI: 10.3177/jnsv.49.156
    tissue_or_cell_type
    Purified recombinant enzyme

    Magnesium: cross-nutrient mechanisms and deficiency (2026-09-17) · lines 481–491

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified His-tagged recombinant human TPK1, steady-state kinetics and mutations. · source_derived_draft · unverified_draft

    ### mg-tpk1-thiamine-to-thdp Recombinant human TPK1 catalyzes thiamine diphosphorylation with ATP and Mg2+. Condition category: normal nutrient_topic: Magnesium research collection; topical membership is not evidence of a direct dietary effect. plain_language: The enzyme uses ATP to convert vitamin B1 into its diphosphate cofactor. organism: Homo sapiens tissue_or_cell_type: Purified recombinant enzyme experimental_model: Purified His-tagged recombinant human TPK1, steady-state kinetics and mutations. limitations: Assay chemistry; no clinical response measured. cross_nutrient: Magnesium availability supports vitamin B1 activation or cofactor use in the specified preparation; this does not establish a dietary threshold or universal treatment failure. [onozuka-2003-tpk1] Steady-state kinetics and mutational studies of recombinant human thiamin pyrophosphokinase (2003). https://pubmed.ncbi.nlm.nih.gov/12953792/ DOI: 10.3177/jnsv.49.156
    Complete structured claim and evidence
  100. Kinase kinetic experiments identified MgATP as the preferred phosphate-donor complex under the reported physiological assay conditions.

    Magnesium-ATP complex → Pyridoxal kinase / PDXK source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Magnesium-B6 activation chemistry.
    evidence_location
    Indexed abstract and publisher abstract; human enzyme findings only
    experimental_model
    Purified recombinant human and E. coli pyridoxal kinases.
    exposure
    MgATP versus ZnATP kinetic comparisons.
    limitations
    Metal preference depends on assay conditions and does not prove magnesium supplementation improves B6 status.
    nutrient_topic
    Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. · Vitamin B6
    organism
    Homo sapiens
    plain_language
    Magnesium helps supply ATP to B6 activation.
    primary_references
    [disalvo2004] Expression, purification, and kinetic constants for human and Escherichia coli pyridoxal kinases. (2004). https://pubmed.ncbi.nlm.nih.gov/15249053/ DOI: 10.1016/j.pep.2004.04.021
    tissue_or_cell_type
    Purified human enzyme

    Vitamin B6: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 189–201

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Purified recombinant human and E. coli pyridoxal kinases. · source_derived_draft · unverified_draft

    ### b6-transport-pdxk-mgatp Kinase kinetic experiments identified MgATP as the preferred phosphate-donor complex under the reported physiological assay conditions. Condition category: normal nutrient_topic: Vitamin B6 research collection; topical membership is not evidence of a direct dietary effect. plain_language: Magnesium helps supply ATP to B6 activation. organism: Homo sapiens tissue_or_cell_type: Purified human enzyme experimental_model: Purified recombinant human and E. coli pyridoxal kinases. limitations: Metal preference depends on assay conditions and does not prove magnesium supplementation improves B6 status. exposure: MgATP versus ZnATP kinetic comparisons. evidence_location: Indexed abstract and publisher abstract; human enzyme findings only cross_nutrient: Magnesium-B6 activation chemistry. [disalvo2004] Expression, purification, and kinetic constants for human and Escherichia coli pyridoxal kinases. (2004). https://pubmed.ncbi.nlm.nih.gov/15249053/ DOI: 10.1016/j.pep.2004.04.021
    Complete structured claim and evidence
  101. The NAD+-dependent rat MTHFD2L assay also requires phosphate in the presence of magnesium.

    Experimental context and source evidence
    cross_nutrient
    Direct magnesium/phosphate requirement in folate oxidation.
    experimental_model
    Cofactor omission/addition assays
    exposure
    Assay conditions described in the linked primary study.
    limitations
    No dietary magnesium threshold follows from these assays.
    nutrient_topic
    Folate and folic acid research collection; topical membership is not evidence of a direct dietary effect. · Folate (vitamin B9)
    organism
    Rattus norvegicus
    plain_language
    Phosphate is another required partner in the NAD-linked reaction.
    primary_references
    [shin-2014] Mitochondrial MTHFD2L is a dual redox cofactor-specific methylenetetrahydrofolate dehydrogenase/methenyltetrahydrofolate cyclohydrolase expressed in both adult and embryonic tissues (2014). https://pubmed.ncbi.nlm.nih.gov/24733394/ DOI: 10.1074/jbc.m114.555573
    tissue_or_cell_type
    Cell-free

    Folate and folic acid: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1321–1332

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cofactor omission/addition assays · source_derived_draft · unverified_draft

    ### rat-mthfd2l-phosphate-nad-requirement The NAD+-dependent rat MTHFD2L assay also requires phosphate in the presence of magnesium. Condition category: normal nutrient_topic: Folate and folic acid research collection; topical membership is not evidence of a direct dietary effect. plain_language: Phosphate is another required partner in the NAD-linked reaction. organism: Rattus norvegicus tissue_or_cell_type: Cell-free experimental_model: Cofactor omission/addition assays limitations: No dietary magnesium threshold follows from these assays. exposure: Assay conditions described in the linked primary study. cross_nutrient: Direct magnesium/phosphate requirement in folate oxidation. [shin-2014] Mitochondrial MTHFD2L is a dual redox cofactor-specific methylenetetrahydrofolate dehydrogenase/methenyltetrahydrofolate cyclohydrolase expressed in both adult and embryonic tissues (2014). https://pubmed.ncbi.nlm.nih.gov/24733394/ DOI: 10.1074/jbc.m114.555573
    Complete structured claim and evidence
  102. Inorganic phosphate inhibits the NADP+-dependent dehydrogenase activity of rat MTHFD2L.

    Experimental context and source evidence
    cross_nutrient
    Direct magnesium/phosphate requirement in folate oxidation.
    experimental_model
    Cofactor omission/addition assays
    exposure
    Assay conditions described in the linked primary study.
    limitations
    No dietary magnesium threshold follows from these assays.
    nutrient_topic
    Folate and folic acid research collection; topical membership is not evidence of a direct dietary effect. · Folate (vitamin B9)
    organism
    Rattus norvegicus
    plain_language
    The same phosphate has the opposite effect with the alternative electron carrier.
    primary_references
    [shin-2014] Mitochondrial MTHFD2L is a dual redox cofactor-specific methylenetetrahydrofolate dehydrogenase/methenyltetrahydrofolate cyclohydrolase expressed in both adult and embryonic tissues (2014). https://pubmed.ncbi.nlm.nih.gov/24733394/ DOI: 10.1074/jbc.m114.555573
    tissue_or_cell_type
    Cell-free

    Folate and folic acid: mechanisms, deficiency and nutrient interactions (2026-09-17) · lines 1334–1345

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cofactor omission/addition assays · source_derived_draft · unverified_draft

    ### rat-mthfd2l-phosphate-nadp-inhibition Inorganic phosphate inhibits the NADP+-dependent dehydrogenase activity of rat MTHFD2L. Condition category: normal nutrient_topic: Folate and folic acid research collection; topical membership is not evidence of a direct dietary effect. plain_language: The same phosphate has the opposite effect with the alternative electron carrier. organism: Rattus norvegicus tissue_or_cell_type: Cell-free experimental_model: Cofactor omission/addition assays limitations: No dietary magnesium threshold follows from these assays. exposure: Assay conditions described in the linked primary study. cross_nutrient: Direct magnesium/phosphate requirement in folate oxidation. [shin-2014] Mitochondrial MTHFD2L is a dual redox cofactor-specific methylenetetrahydrofolate dehydrogenase/methenyltetrahydrofolate cyclohydrolase expressed in both adult and embryonic tissues (2014). https://pubmed.ncbi.nlm.nih.gov/24733394/ DOI: 10.1074/jbc.m114.555573
    Complete structured claim and evidence
  103. Creatine kinase catalyzes reversible phosphoryl transfer between ATP and creatine to form ADP and phosphocreatine.

    Torpedo californica creatine kinase → Creatine source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/creatine-research/12437342.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "291edd82015566452fe1b1321454a1df644a4c6da705fda90e8e369ea6ab53a1", "start_char": 0, "end_char": 1625, "text_sha256": "291edd82015566452fe1b1321454a1df644a4c6da705fda90e8e369ea6ab53a1"}
    experimental_model
    X-ray structure of a creatine kinase transition-state analogue complex
    exposure
    ADP, magnesium, nitrate and creatine complex at 2.1 angstrom resolution
    limitations
    Nitrate models the transferring phosphoryl group; it is not declared a physiological substrate. Structural magnesium dependence does not establish benefit from extra oral magnesium.
    nutrient_topic
    Creatine research collection; topical membership is not evidence of a direct dietary effect. · Creatine
    organism
    Torpedo californica enzyme
    plain_language
    Creatine can temporarily hold a phosphate group and return it to ADP when ATP must be regenerated.
    primary_references
    [creatine-p12437342] The 2.1 A structure of Torpedo californica creatine kinase complexed with the ADP-Mg(2+)-NO(3)(-)-creatine transition-state analogue complex. (2002). https://pubmed.ncbi.nlm.nih.gov/12437342/ DOI: 10.1021/bi026655p
    tissue_or_cell_type
    Purified creatine kinase

    Creatine: synthesis, transport, phosphocreatine energetics and nutrient interactions (2026-09-17) · lines 334–345

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · X-ray structure of a creatine kinase transition-state analogue complex · source_derived_draft · unverified_draft

    ### creatine-ck-reversible-phosphate Creatine kinase catalyzes reversible phosphoryl transfer between ATP and creatine to form ADP and phosphocreatine. Condition category: normal nutrient_topic: Creatine research collection; topical membership is not evidence of a direct dietary effect. plain_language: Creatine can temporarily hold a phosphate group and return it to ADP when ATP must be regenerated. organism: Torpedo californica enzyme tissue_or_cell_type: Purified creatine kinase experimental_model: X-ray structure of a creatine kinase transition-state analogue complex limitations: Nitrate models the transferring phosphoryl group; it is not declared a physiological substrate. Structural magnesium dependence does not establish benefit from extra oral magnesium. exposure: ADP, magnesium, nitrate and creatine complex at 2.1 angstrom resolution evidence_span: {"source_cache": "artifacts/creatine-research/12437342.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "291edd82015566452fe1b1321454a1df644a4c6da705fda90e8e369ea6ab53a1", "start_char": 0, "end_char": 1625, "text_sha256": "291edd82015566452fe1b1321454a1df644a4c6da705fda90e8e369ea6ab53a1"} [creatine-p12437342] The 2.1 A structure of Torpedo californica creatine kinase complexed with the ADP-Mg(2+)-NO(3)(-)-creatine transition-state analogue complex. (2002). https://pubmed.ncbi.nlm.nih.gov/12437342/ DOI: 10.1021/bi026655p
    Complete structured claim and evidence
  104. SLC25A3 supported copper transport in heterologous assays and reconstituted liposomes.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/copper-research/29237729.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "d4dd7c6b3cafb3923a0baab088fd82b08e087b7ec8f5fd26ee8b2bad114d54c1", "start_char": 0, "end_char": 1292, "text_sha256": "d4dd7c6b3cafb3923a0baab088fd82b08e087b7ec8f5fd26ee8b2bad114d54c1"}
    experimental_model
    Carrier perturbation, yeast complementation, bacterial transport and reconstituted liposomes
    exposure
    SLC25A3 loss or reconstitution; extracellular copper addition
    limitations
    The study established copper transport and COX dependence; later export findings extend rather than negate this work. Rescue conditions differ between experiments.
    nutrient_topic
    Copper research collection; topical membership is not evidence of a direct dietary effect. · Copper
    organism
    Human and mouse cells; heterologous yeast and Lactococcus assays
    plain_language
    The mitochondrial phosphate carrier also moves copper.
    primary_references
    [copper-p29237729] The mammalian phosphate carrier SLC25A3 is a mitochondrial copper transporter required for cytochrome c oxidase biogenesis. (2018). https://pubmed.ncbi.nlm.nih.gov/29237729/ DOI: 10.1074/jbc.ra117.000265
    tissue_or_cell_type
    Inner mitochondrial membrane
    transport_effect
    depends Transport supported in heterologous assays and liposomes, with no direction recorded.
    transport_pool
    the mitochondrial matrix Transport supported in heterologous assays and liposomes, with no direction recorded.

    Copper: transport, cuproenzymes, deficiency, excess and nutrient interactions (2026-09-17) · lines 520–531

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Carrier perturbation, yeast complementation, bacterial transport and reconstituted liposomes · source_derived_draft · unverified_draft

    ### copper-slc25a3-copper-carrier SLC25A3 supported copper transport in heterologous assays and reconstituted liposomes. Condition category: normal nutrient_topic: Copper research collection; topical membership is not evidence of a direct dietary effect. plain_language: The mitochondrial phosphate carrier also moves copper. organism: Human and mouse cells; heterologous yeast and Lactococcus assays tissue_or_cell_type: Inner mitochondrial membrane experimental_model: Carrier perturbation, yeast complementation, bacterial transport and reconstituted liposomes limitations: The study established copper transport and COX dependence; later export findings extend rather than negate this work. Rescue conditions differ between experiments. exposure: SLC25A3 loss or reconstitution; extracellular copper addition evidence_span: {"source_cache": "artifacts/copper-research/29237729.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "d4dd7c6b3cafb3923a0baab088fd82b08e087b7ec8f5fd26ee8b2bad114d54c1", "start_char": 0, "end_char": 1292, "text_sha256": "d4dd7c6b3cafb3923a0baab088fd82b08e087b7ec8f5fd26ee8b2bad114d54c1"} [copper-p29237729] The mammalian phosphate carrier SLC25A3 is a mitochondrial copper transporter required for cytochrome c oxidase biogenesis. (2018). https://pubmed.ncbi.nlm.nih.gov/29237729/ DOI: 10.1074/jbc.ra117.000265
    Complete structured claim and evidence
  105. Ferric carboxymaltose increased biologically active FGF23 in the substudy; the mean within-person increase at the week-two peak was approximately 303%, versus 10% with ferumoxytol.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/iron-research/30518682.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257", "start_char": 0, "end_char": 2371, "text_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257"}
    experimental_model
    Double-blind randomized comparison with physiological substudy
    exposure
    One treatment course of ferric carboxymaltose versus ferumoxytol; five-week follow-up
    limitations
    Formulation-specific pharmacological effect, not dietary iron or all intravenous iron. Trial funded by ferumoxytol manufacturer; mineral associations support but do not individually prove every causal arrow.
    nutrient_topic
    Iron research collection; topical membership is not evidence of a direct dietary effect. · Iron
    organism
    1997 adults with iron-deficiency anemia; 185 in substudy
    plain_language
    The treatment changed a hormone that controls phosphate handling.
    primary_references
    [iron-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    tissue_or_cell_type
    Blood and renal phosphate handling
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Iron: absorption, trafficking, iron-dependent enzymes and nutrient interactions (2026-09-17) · lines 953–964

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Double-blind randomized comparison with physiological substudy · source_derived_draft · unverified_draft

    ### iron-fcm-intact-fgf23 Ferric carboxymaltose increased biologically active FGF23 in the substudy; the mean within-person increase at the week-two peak was approximately 303%, versus 10% with ferumoxytol. Condition category: nutrient_deficiency nutrient_topic: Iron research collection; topical membership is not evidence of a direct dietary effect. plain_language: The treatment changed a hormone that controls phosphate handling. organism: 1997 adults with iron-deficiency anemia; 185 in substudy tissue_or_cell_type: Blood and renal phosphate handling experimental_model: Double-blind randomized comparison with physiological substudy limitations: Formulation-specific pharmacological effect, not dietary iron or all intravenous iron. Trial funded by ferumoxytol manufacturer; mineral associations support but do not individually prove every causal arrow. exposure: One treatment course of ferric carboxymaltose versus ferumoxytol; five-week follow-up evidence_span: {"source_cache": "artifacts/iron-research/30518682.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257", "start_char": 0, "end_char": 2371, "text_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257"} [iron-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    Complete structured claim and evidence
  106. Phosphate below 2.0 mg/dL occurred in 50.8% with ferric carboxymaltose versus 0.9% with ferumoxytol; low phosphate persisted at five weeks in 29.1% versus none.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/iron-research/30518682.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257", "start_char": 0, "end_char": 2371, "text_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257"}
    experimental_model
    Double-blind randomized comparison with physiological substudy
    exposure
    One treatment course of ferric carboxymaltose versus ferumoxytol; five-week follow-up
    limitations
    Formulation-specific pharmacological effect, not dietary iron or all intravenous iron. Trial funded by ferumoxytol manufacturer; mineral associations support but do not individually prove every causal arrow.
    nutrient_topic
    Iron research collection; topical membership is not evidence of a direct dietary effect. · Iron
    organism
    1997 adults with iron-deficiency anemia; 185 in substudy
    plain_language
    The phosphate risk depended strongly on the iron formulation.
    primary_references
    [iron-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    tissue_or_cell_type
    Blood and renal phosphate handling
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Iron: absorption, trafficking, iron-dependent enzymes and nutrient interactions (2026-09-17) · lines 940–951

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Double-blind randomized comparison with physiological substudy · source_derived_draft · unverified_draft

    ### iron-fcm-phosphate-frequency Phosphate below 2.0 mg/dL occurred in 50.8% with ferric carboxymaltose versus 0.9% with ferumoxytol; low phosphate persisted at five weeks in 29.1% versus none. Condition category: nutrient_deficiency nutrient_topic: Iron research collection; topical membership is not evidence of a direct dietary effect. plain_language: The phosphate risk depended strongly on the iron formulation. organism: 1997 adults with iron-deficiency anemia; 185 in substudy tissue_or_cell_type: Blood and renal phosphate handling experimental_model: Double-blind randomized comparison with physiological substudy limitations: Formulation-specific pharmacological effect, not dietary iron or all intravenous iron. Trial funded by ferumoxytol manufacturer; mineral associations support but do not individually prove every causal arrow. exposure: One treatment course of ferric carboxymaltose versus ferumoxytol; five-week follow-up evidence_span: {"source_cache": "artifacts/iron-research/30518682.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257", "start_char": 0, "end_char": 2371, "text_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257"} [iron-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    Complete structured claim and evidence
  107. The rise in active FGF23 was associated with increased renal phosphate wasting and hypophosphatemia.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/iron-research/30518682.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257", "start_char": 0, "end_char": 2371, "text_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257"}
    experimental_model
    Double-blind randomized comparison with physiological substudy
    exposure
    One treatment course of ferric carboxymaltose versus ferumoxytol; five-week follow-up
    limitations
    Formulation-specific pharmacological effect, not dietary iron or all intravenous iron. Trial funded by ferumoxytol manufacturer; mineral associations support but do not individually prove every causal arrow.
    nutrient_topic
    Iron research collection; topical membership is not evidence of a direct dietary effect. · Iron
    organism
    1997 adults with iron-deficiency anemia; 185 in substudy
    plain_language
    More phosphate was being lost through the kidneys as the hormone rose.
    primary_references
    [iron-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    tissue_or_cell_type
    Blood and renal phosphate handling
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Iron: absorption, trafficking, iron-dependent enzymes and nutrient interactions (2026-09-17) · lines 966–977

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Double-blind randomized comparison with physiological substudy · source_derived_draft · unverified_draft

    ### iron-fgf23-phosphate-loss The rise in active FGF23 was associated with increased renal phosphate wasting and hypophosphatemia. Condition category: nutrient_deficiency nutrient_topic: Iron research collection; topical membership is not evidence of a direct dietary effect. plain_language: More phosphate was being lost through the kidneys as the hormone rose. organism: 1997 adults with iron-deficiency anemia; 185 in substudy tissue_or_cell_type: Blood and renal phosphate handling experimental_model: Double-blind randomized comparison with physiological substudy limitations: Formulation-specific pharmacological effect, not dietary iron or all intravenous iron. Trial funded by ferumoxytol manufacturer; mineral associations support but do not individually prove every causal arrow. exposure: One treatment course of ferric carboxymaltose versus ferumoxytol; five-week follow-up evidence_span: {"source_cache": "artifacts/iron-research/30518682.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257", "start_char": 0, "end_char": 2371, "text_sha256": "489945718bb05c0630fd563dc5a6da0874e80685717ab06ceedfefc38d172257"} [iron-p30518682] Randomized trial of intravenous iron-induced hypophosphatemia. (2018). https://pubmed.ncbi.nlm.nih.gov/30518682/ DOI: 10.1172/jci.insight.124486
    Complete structured claim and evidence
  108. Hypophosphatemia occurred in 7.9% versus 75.0% in trial A and 8.1% versus 73.7% in trial B with derisomaltose versus carboxymaltose.

    Experimental context and source evidence
    availability_state
    nutrient_deficiency Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/iron-research/32016310.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "883aac76c40012cb98ac88924e33b33f4985d356302929b8b26931c1869e2f0a", "start_char": 0, "end_char": 2731, "text_sha256": "883aac76c40012cb98ac88924e33b33f4985d356302929b8b26931c1869e2f0a"}
    experimental_model
    Two open-label randomized trials
    exposure
    Ferric derisomaltose 1000 mg once versus ferric carboxymaltose 750 mg twice; 35 days
    limitations
    Formulation and total regimen differed; no fracture endpoint or identical risk in all populations is inferred.
    nutrient_topic
    Iron research collection; topical membership is not evidence of a direct dietary effect. · Iron
    organism
    245 adults, predominantly women, without reduced kidney function
    plain_language
    A second pair of trials also found that iron formulations differed in their phosphate effects.
    primary_references
    [iron-p32016310] Effects of Iron Isomaltoside vs Ferric Carboxymaltose on Hypophosphatemia in Iron-Deficiency Anemia: Two Randomized Clinical Trials. (2020). https://pubmed.ncbi.nlm.nih.gov/32016310/ DOI: 10.1001/jama.2019.22450
    tissue_or_cell_type
    Serum phosphate
    trigger_kind
    nutrient_deficiency Imported condition classification; unverified.

    Iron: absorption, trafficking, iron-dependent enzymes and nutrient interactions (2026-09-17) · lines 992–1003

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Two open-label randomized trials · source_derived_draft · unverified_draft

    ### iron-fdi-fcm-comparison Hypophosphatemia occurred in 7.9% versus 75.0% in trial A and 8.1% versus 73.7% in trial B with derisomaltose versus carboxymaltose. Condition category: nutrient_deficiency nutrient_topic: Iron research collection; topical membership is not evidence of a direct dietary effect. plain_language: A second pair of trials also found that iron formulations differed in their phosphate effects. organism: 245 adults, predominantly women, without reduced kidney function tissue_or_cell_type: Serum phosphate experimental_model: Two open-label randomized trials limitations: Formulation and total regimen differed; no fracture endpoint or identical risk in all populations is inferred. exposure: Ferric derisomaltose 1000 mg once versus ferric carboxymaltose 750 mg twice; 35 days evidence_span: {"source_cache": "artifacts/iron-research/32016310.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "883aac76c40012cb98ac88924e33b33f4985d356302929b8b26931c1869e2f0a", "start_char": 0, "end_char": 2731, "text_sha256": "883aac76c40012cb98ac88924e33b33f4985d356302929b8b26931c1869e2f0a"} [iron-p32016310] Effects of Iron Isomaltoside vs Ferric Carboxymaltose on Hypophosphatemia in Iron-Deficiency Anemia: Two Randomized Clinical Trials. (2020). https://pubmed.ncbi.nlm.nih.gov/32016310/ DOI: 10.1001/jama.2019.22450
    Complete structured claim and evidence
  109. InsP8 bound the XPR1 N-terminal region with a reported dissociation constant of 180 nM.

    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/inositol-research/32019887.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18", "start_char": 0, "end_char": 2004, "text_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18"}
    experimental_model
    Binding, knockout and rescue experiments
    exposure
    PPIP5K or XPR1 deletion, kinase rescue and pyrophosphate analog delivery
    limitations
    Cell assays establish a transport-regulation mechanism, not benefits of oral inositol or increased bone mineralization.
    nutrient_topic
    Inositol research collection; topical membership is not evidence of a direct dietary effect. · Inositol (stereoisomer family)
    organism
    Human cultured cells including Saos-2 osteosarcoma cells
    plain_language
    A specific inositol pyrophosphate binds the phosphate-export machinery.
    primary_references
    [ino-p32019887] Control of XPR1-dependent cellular phosphate efflux by InsP8 is an exemplar for functionally-exclusive inositol pyrophosphate signaling. (2020). https://pubmed.ncbi.nlm.nih.gov/32019887/ DOI: 10.1073/pnas.1908830117
    tissue_or_cell_type
    Cellular phosphate transport

    Inositol: synthesis, signaling, mineral interactions and conditional deficiency (2026-09-17) · lines 873–884

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Binding, knockout and rescue experiments · source_derived_draft · unverified_draft

    ### ino-xpr1-ip8 InsP8 bound the XPR1 N-terminal region with a reported dissociation constant of 180 nM. Condition category: normal nutrient_topic: Inositol research collection; topical membership is not evidence of a direct dietary effect. plain_language: A specific inositol pyrophosphate binds the phosphate-export machinery. organism: Human cultured cells including Saos-2 osteosarcoma cells tissue_or_cell_type: Cellular phosphate transport experimental_model: Binding, knockout and rescue experiments limitations: Cell assays establish a transport-regulation mechanism, not benefits of oral inositol or increased bone mineralization. exposure: PPIP5K or XPR1 deletion, kinase rescue and pyrophosphate analog delivery evidence_span: {"source_cache": "artifacts/inositol-research/32019887.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18", "start_char": 0, "end_char": 2004, "text_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18"} [ino-p32019887] Control of XPR1-dependent cellular phosphate efflux by InsP8 is an exemplar for functionally-exclusive inositol pyrophosphate signaling. (2020). https://pubmed.ncbi.nlm.nih.gov/32019887/ DOI: 10.1073/pnas.1908830117
    Complete structured claim and evidence
  110. PPIP5K knockout reduced XPR1-dependent phosphate efflux; wild-type PPIP5K1 rescued efflux whereas kinase-dead PPIP5K1 did not.

    Experimental context and source evidence
    availability_state
    machinery_impairment Imported condition classification; unverified.
    evidence_span
    {"source_cache": "artifacts/inositol-research/32019887.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18", "start_char": 0, "end_char": 2004, "text_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18"}
    experimental_model
    Binding, knockout and rescue experiments
    exposure
    PPIP5K or XPR1 deletion, kinase rescue and pyrophosphate analog delivery
    limitations
    Cell assays establish a transport-regulation mechanism, not benefits of oral inositol or increased bone mineralization.
    nutrient_topic
    Inositol research collection; topical membership is not evidence of a direct dietary effect. · Inositol (stereoisomer family)
    organism
    Human cultured cells including Saos-2 osteosarcoma cells
    plain_language
    The exporter needed the signal-generating activity, not simply the presence of the protein.
    primary_references
    [ino-p32019887] Control of XPR1-dependent cellular phosphate efflux by InsP8 is an exemplar for functionally-exclusive inositol pyrophosphate signaling. (2020). https://pubmed.ncbi.nlm.nih.gov/32019887/ DOI: 10.1073/pnas.1908830117
    tissue_or_cell_type
    Cellular phosphate transport
    trigger_kind
    machinery_impairment Imported condition classification; unverified.

    Inositol: synthesis, signaling, mineral interactions and conditional deficiency (2026-09-17) · lines 886–897

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Binding, knockout and rescue experiments · source_derived_draft · unverified_draft

    ### ino-ppip5k-export PPIP5K knockout reduced XPR1-dependent phosphate efflux; wild-type PPIP5K1 rescued efflux whereas kinase-dead PPIP5K1 did not. Condition category: machinery_impairment nutrient_topic: Inositol research collection; topical membership is not evidence of a direct dietary effect. plain_language: The exporter needed the signal-generating activity, not simply the presence of the protein. organism: Human cultured cells including Saos-2 osteosarcoma cells tissue_or_cell_type: Cellular phosphate transport experimental_model: Binding, knockout and rescue experiments limitations: Cell assays establish a transport-regulation mechanism, not benefits of oral inositol or increased bone mineralization. exposure: PPIP5K or XPR1 deletion, kinase rescue and pyrophosphate analog delivery evidence_span: {"source_cache": "artifacts/inositol-research/32019887.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18", "start_char": 0, "end_char": 2004, "text_sha256": "bb7637b9a327b1cba07716bbed5da8a3f32a3ac00c9fff70d23ada1a736d3d18"} [ino-p32019887] Control of XPR1-dependent cellular phosphate efflux by InsP8 is an exemplar for functionally-exclusive inositol pyrophosphate signaling. (2020). https://pubmed.ncbi.nlm.nih.gov/32019887/ DOI: 10.1073/pnas.1908830117
    Complete structured claim and evidence
  111. In the presence of InsP6 and phosphate, human XPR1-KIDINS220 adopted an outward-open structure; InsP6 occupied SPX and juxtamembrane regions.

    Phytic acid / phytate → Human XPR1-KIDINS220 complex source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/inositol-research/40128258.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "4765253840f684d5dafa834980e3fea9edc5d7419379b4a27ccf1090f081ce00", "start_char": 0, "end_char": 1071, "text_sha256": "4765253840f684d5dafa834980e3fea9edc5d7419379b4a27ccf1090f081ce00"}
    experimental_model
    Cryo-EM and functional mutagenesis
    exposure
    InsP6 and phosphate binding
    limitations
    This paper tests InsP6 despite pyrophosphate wording in its title. It does not establish that dietary phytate reaches this intracellular site or overrides InsP8 selectivity in other assays.
    nutrient_topic
    Inositol research collection; topical membership is not evidence of a direct dietary effect. · Inositol (stereoisomer family)
    organism
    Human proteins
    plain_language
    An intracellular inositol phosphate helped stabilize an open exporter complex.
    primary_references
    [ino-p40128258] Synergistic activation of the human phosphate exporter XPR1 by KIDINS220 and inositol pyrophosphate. (2025). https://pubmed.ncbi.nlm.nih.gov/40128258/ DOI: 10.1038/s41467-025-58200-y
    tissue_or_cell_type
    XPR1-KIDINS220 transport complex

    Inositol: synthesis, signaling, mineral interactions and conditional deficiency (2026-09-17) · lines 925–936

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Cryo-EM and functional mutagenesis · source_derived_draft · unverified_draft

    ### ino-xpr1-ins-p6 In the presence of InsP6 and phosphate, human XPR1-KIDINS220 adopted an outward-open structure; InsP6 occupied SPX and juxtamembrane regions. Condition category: normal nutrient_topic: Inositol research collection; topical membership is not evidence of a direct dietary effect. plain_language: An intracellular inositol phosphate helped stabilize an open exporter complex. organism: Human proteins tissue_or_cell_type: XPR1-KIDINS220 transport complex experimental_model: Cryo-EM and functional mutagenesis limitations: This paper tests InsP6 despite pyrophosphate wording in its title. It does not establish that dietary phytate reaches this intracellular site or overrides InsP8 selectivity in other assays. exposure: InsP6 and phosphate binding evidence_span: {"source_cache": "artifacts/inositol-research/40128258.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "4765253840f684d5dafa834980e3fea9edc5d7419379b4a27ccf1090f081ce00", "start_char": 0, "end_char": 1071, "text_sha256": "4765253840f684d5dafa834980e3fea9edc5d7419379b4a27ccf1090f081ce00"} [ino-p40128258] Synergistic activation of the human phosphate exporter XPR1 by KIDINS220 and inositol pyrophosphate. (2025). https://pubmed.ncbi.nlm.nih.gov/40128258/ DOI: 10.1038/s41467-025-58200-y
    Complete structured claim and evidence
  112. Adding phytate to matched-Mg bread meals reduced fractional apparent Mg absorption in a dose-dependent pattern.

    Experimental context and source evidence
    cross_nutrient
    Dietary phytate -> magnesium uptake; mineral content and fractional absorption are distinct.
    experimental_model
    Two human crossover stable-isotope studies, 8-9 adults each.
    exposure
    1.49 mmol phytate: 32.5% to 13.0%; 0.75 mmol: 32.2% to 24.0%; 3.6 mmol Mg per meal.
    limitations
    Absorption is measured; mineral complexation was not isolated. Does not show that whole grains are net Mg-poor.
    nutrient_topic
    Magnesium research collection; topical membership is not evidence of a direct dietary effect. · Magnesium
    organism
    Homo sapiens
    plain_language
    A food component can reduce how much magnesium reaches the body from a meal.
    primary_references
    [mg-bohn2004] Phytic acid added to white-wheat bread inhibits fractional apparent magnesium absorption in humans (2004). https://pubmed.ncbi.nlm.nih.gov/14985216/ DOI: 10.1093/ajcn/79.3.418
    tissue_or_cell_type
    Human intestinal absorption estimated by fecal isotope recovery

    Magnesium: cross-nutrient mechanisms and deficiency (2026-09-17) · lines 1602–1613

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Two human crossover stable-isotope studies, 8-9 adults each. · source_derived_draft · unverified_draft

    ### mg-phytate-lowers-absorption Adding phytate to matched-Mg bread meals reduced fractional apparent Mg absorption in a dose-dependent pattern. Condition category: normal nutrient_topic: Magnesium research collection; topical membership is not evidence of a direct dietary effect. plain_language: A food component can reduce how much magnesium reaches the body from a meal. organism: Homo sapiens tissue_or_cell_type: Human intestinal absorption estimated by fecal isotope recovery experimental_model: Two human crossover stable-isotope studies, 8-9 adults each. limitations: Absorption is measured; mineral complexation was not isolated. Does not show that whole grains are net Mg-poor. cross_nutrient: Dietary phytate -> magnesium uptake; mineral content and fractional absorption are distinct. exposure: 1.49 mmol phytate: 32.5% to 13.0%; 0.75 mmol: 32.2% to 24.0%; 3.6 mmol Mg per meal. [mg-bohn2004] Phytic acid added to white-wheat bread inhibits fractional apparent magnesium absorption in humans (2004). https://pubmed.ncbi.nlm.nih.gov/14985216/ DOI: 10.1093/ajcn/79.3.418
    Complete structured claim and evidence
  113. At added phytate-P levels of 0, 25, 50, 75, 100, 140, 175 and 250 mg, mean zinc absorption was 22%, 16%, 14%, 11%, 7%, 7%, 7% and 6%. Reductions were significant from 50 mg phytate-P in these meals.

    Phytic acid / phytate → Intestinal zinc absorption source_derived_draftungraded
    Experimental context and source evidence
    cross_nutrient
    Zinc (absorbed_nutrient); Calcium (meal_context)
    evidence_location
    Indexed primary abstract.
    evidence_span
    {"source_cache": "artifacts/zinc-clinical-sources/hallberg2006.abstract.txt", "locator": "Primary indexed abstract; complete local file", "file_sha256": "3a8556f5e4076009ed9adbf018205c8a3b2d0aaae43cccc866dc6be0271451d4", "utf8_bytes": 1603}
    experimental_model
    Human dual-radioisotope meal study: 40 subjects, 105 meals
    exposure
    Wheat-roll meals contained 3.1 mg zinc and 266 mg calcium; added sodium phytate supplied 0–250 mg phytate phosphorus.
    limitations
    Phytate-P mass is phosphorus mass, not total phytate mass. Seven-day calcium retention and zinc absorption are distinct endpoints; meal-specific significance levels are not universal thresholds.
    nutrient_topic
    Zinc research collection; topical membership is not evidence of a direct dietary effect. · Zinc
    organism
    Homo sapiens
    plain_language
    Increasing phytate progressively reduced zinc uptake in the test meal.
    primary_references
    [zn-clin-hallberg2006] Absorption of zinc and retention of calcium: dose-dependent inhibition by phytate. (2006). https://pubmed.ncbi.nlm.nih.gov/16632176/ DOI: 10.1016/j.jtemb.2006.01.003
    tissue_or_cell_type
    Intestinal zinc absorption and whole-body calcium retention

    Zinc: transport, enzyme loading, deficiency and nutrient interactions (2026-09-17) · lines 1287–1300

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Human dual-radioisotope meal study: 40 subjects, 105 meals · source_derived_draft · unverified_draft

    ### zn-clin-phytate-gradient At added phytate-P levels of 0, 25, 50, 75, 100, 140, 175 and 250 mg, mean zinc absorption was 22%, 16%, 14%, 11%, 7%, 7%, 7% and 6%. Reductions were significant from 50 mg phytate-P in these meals. Condition category: normal nutrient_topic: Zinc research collection; topical membership is not evidence of a direct dietary effect. plain_language: Increasing phytate progressively reduced zinc uptake in the test meal. organism: Homo sapiens tissue_or_cell_type: Intestinal zinc absorption and whole-body calcium retention experimental_model: Human dual-radioisotope meal study: 40 subjects, 105 meals limitations: Phytate-P mass is phosphorus mass, not total phytate mass. Seven-day calcium retention and zinc absorption are distinct endpoints; meal-specific significance levels are not universal thresholds. exposure: Wheat-roll meals contained 3.1 mg zinc and 266 mg calcium; added sodium phytate supplied 0–250 mg phytate phosphorus. cross_nutrient: Zinc (absorbed_nutrient); Calcium (meal_context) evidence_location: Indexed primary abstract. evidence_span: {"source_cache": "artifacts/zinc-clinical-sources/hallberg2006.abstract.txt", "locator": "Primary indexed abstract; complete local file", "file_sha256": "3a8556f5e4076009ed9adbf018205c8a3b2d0aaae43cccc866dc6be0271451d4", "utf8_bytes": 1603} [zn-clin-hallberg2006] Absorption of zinc and retention of calcium: dose-dependent inhibition by phytate. (2006). https://pubmed.ncbi.nlm.nih.gov/16632176/ DOI: 10.1016/j.jtemb.2006.01.003
    Complete structured claim and evidence
  114. Adding sodium phytate to otherwise phytate-free wheat rolls inhibited iron absorption in a dose-dependent manner.

    Phytic acid / phytate → Nonheme iron absorption source_derived_draftungraded
    Experimental context and source evidence
    evidence_span
    {"source_cache": "artifacts/inositol-research/2911999.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a5b0473a7a412eec5479259c7214b462fa6cfcc5948a6dae68db636de4e76f24", "start_char": 0, "end_char": 943, "text_sha256": "a5b0473a7a412eec5479259c7214b462fa6cfcc5948a6dae68db636de4e76f24"}
    experimental_model
    Paired radioisotope meal-absorption study
    exposure
    Wheat rolls with increasing sodium phytate
    limitations
    Luminal phytate/InsP6 exposure is distinct from free myo-inositol and intracellular InsP6 signaling.
    nutrient_topic
    Inositol research collection; topical membership is not evidence of a direct dietary effect. · Inositol (stereoisomer family)
    organism
    Homo sapiens
    plain_language
    The six-phosphate form in food can reduce absorption of iron from that meal.
    primary_references
    [ino-p2911999] Iron absorption in man: ascorbic acid and dose-dependent inhibition by phytate. (1989). https://pubmed.ncbi.nlm.nih.gov/2911999/ DOI: 10.1093/ajcn/49.1.140
    tissue_or_cell_type
    Intestinal iron absorption

    Inositol: synthesis, signaling, mineral interactions and conditional deficiency (2026-09-17) · lines 1159–1170

    AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · Paired radioisotope meal-absorption study · source_derived_draft · unverified_draft

    ### ino-phytate-iron Adding sodium phytate to otherwise phytate-free wheat rolls inhibited iron absorption in a dose-dependent manner. Condition category: normal nutrient_topic: Inositol research collection; topical membership is not evidence of a direct dietary effect. plain_language: The six-phosphate form in food can reduce absorption of iron from that meal. organism: Homo sapiens tissue_or_cell_type: Intestinal iron absorption experimental_model: Paired radioisotope meal-absorption study limitations: Luminal phytate/InsP6 exposure is distinct from free myo-inositol and intracellular InsP6 signaling. exposure: Wheat rolls with increasing sodium phytate evidence_span: {"source_cache": "artifacts/inositol-research/2911999.abstract.txt", "locator": "Exact primary indexed abstract; zero-based, end-exclusive Unicode character offsets", "file_sha256": "a5b0473a7a412eec5479259c7214b462fa6cfcc5948a6dae68db636de4e76f24", "start_char": 0, "end_char": 943, "text_sha256": "a5b0473a7a412eec5479259c7214b462fa6cfcc5948a6dae68db636de4e76f24"} [ino-p2911999] Iron absorption in man: ascorbic acid and dose-dependent inhibition by phytate. (1989). https://pubmed.ncbi.nlm.nih.gov/2911999/ DOI: 10.1093/ajcn/49.1.140
    Complete structured claim and evidence

Availability and dependencies

Each situation shows the normal role first, then what the sources report under a specific condition. A shortfall in the diet, a fault in the machinery, and a low blood reading are kept separate because they are not the same thing.

When intestinal phosphate transport is reduced

Condition: machinery_impairment · Experimental inducible Slc34a2 deletion.

Normal role: NaPi-IIb contributes to active intestinal phosphate uptake.

Recorded consequence: Intestinal absorption falls while renal conservation can preserve serum phosphate.

Scope: Mouse intestinal and renal physiology

When the drug target NHE3 is absent

Condition: machinery_impairment · NHE3-deficient enteroid monolayers.

Normal role: NHE3 inhibition alters epithelial resistance and phosphate flux.

Recorded consequence: Tenapanor adds no further effect on TEER or phosphate flux.

Scope: Human intestinal enteroid model

When an apical PTH signal loses its scaffold

Condition: machinery_impairment · Experimental Nherf1 deletion.

Normal role: Apical PTH receptors can couple through NHERF1 to PLC and transporter internalization.

Recorded consequence: Apically selective PTH signaling is impaired, while other stimulation routes can still internalize NaPi-IIa.

Scope: Mouse renal proximal tubule

When CaSR phosphate sensing is disrupted

Condition: machinery_impairment · R62 mutation in the receptor or experimental Casr loss in mouse glands.

Normal role: Phosphate inhibits CaSR activity and increases PTH secretion in the tested system.

Recorded consequence: The phosphate-induced receptor inhibition or glandular secretory response is lost.

Scope: Receptor constructs and isolated mouse glands

When mitochondrial phosphate entry fails

Condition: machinery_impairment · Homozygous Gly72Glu in the muscle-expressed exon-3A isoform.

Normal role: SLC25A3 supplies matrix phosphate for ATP synthesis.

Recorded consequence: Muscle mitochondrial ATP synthesis was deficient, whereas fibroblast ATP synthesis was preserved.

Scope: Two affected human siblings; tissue assays

When dietary phosphate restriction lowers muscle ATP flux

Condition: nutrient_deficiency · Experimentally induced dietary hypophosphatemia.

Normal role: Adequate phosphate availability supports muscle ATP synthetic flux.

Recorded consequence: Measured muscle ATP synthetic flux fell and normalized after phosphate restoration.

Scope: Mouse low-phosphate feeding study

When renal phosphate wasting limits muscle energetics

Condition: machinery_impairment · NaPi-IIa knockout in mice or SLC34A3-associated renal wasting in one human.

Normal role: Renal reabsorption helps maintain phosphate available to muscle.

Recorded consequence: Low phosphate and low ATP synthetic flux improved after phosphate repletion.

Scope: Mouse genetics and one human clinical investigation

When one phosphate transporter compensates for another

Condition: machinery_impairment · Smooth-muscle Slc20a1 deletion, with or without PiT2 suppression.

Normal role: PiT-family transport supports phosphate uptake in vascular smooth muscle.

Recorded consequence: PiT2 can preserve phosphate uptake and calcification; removing the backup reduces both.

Scope: Mouse vascular smooth muscle and human cell rescue

When iron treatment increases phosphate loss

Condition: machinery_impairment · Ferric carboxymaltose-associated rise in intact FGF23.

Normal role: Renal conservation and calcitriol help maintain phosphate balance.

Recorded consequence: Renal phosphate wasting occurs alongside lower calcitriol/calcium and higher PTH.

Scope: Human randomized trial and physiological substudy

When hypophosphatemia accompanies weak diaphragm contraction

Condition: biomarker_context · Low measured serum phosphorus during acute respiratory failure.

Normal role: Diaphragm contraction depends on adequate cellular energetics and excitation.

Recorded consequence: Stimulated diaphragm pressure improved after phosphate correction in the study.

Scope: Eight ventilated patients

When very low phosphate accompanies red-cell ATP depletion

Condition: biomarker_context · Very low plasma and erythrocyte inorganic phosphate in ICU samples.

Normal role: Red cells regulate ATP and organic phosphate pools.

Recorded consequence: Marked ATP depletion was confined to the low-Pi samples in this observational dataset.

Scope: Human ICU erythrocytes

When excess FGF23 drives phosphate loss

Condition: machinery_impairment · PHEX-associated XLH with excess FGF23.

Normal role: Renal handling maintains circulating phosphate for tissue use.

Recorded consequence: FGF23 blockade improves the serum phosphate endpoint and fracture healing in the trial.

Scope: Adults with XLH

The sources

Every document behind this chapter is preserved word for word. Open one to read it in full with its recorded conflicts marked in place.

  • Calcium: mechanism-first literature curation (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Copper: transport, cuproenzymes, deficiency, excess and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Creatine: synthesis, transport, phosphocreatine energetics and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Folate and folic acid: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Inositol: synthesis, signaling, mineral interactions and conditional deficiency (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Iron: absorption, trafficking, iron-dependent enzymes and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Magnesium: cross-nutrient mechanisms and deficiency (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Phosphorus: metabolism, signaling and nutrient connections (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Sodium: gradients, nutrient transport, fluid regulation and loss states (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin B6: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Vitamin D2 and D3: mechanisms, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source
  • Zinc: transport, enzyme loading, deficiency and nutrient interactions (2026-09-17)AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · unverified_draftRead preserved source

Recorded disagreements

Where two sources say different things, both are kept and the difference is explained. You can discuss a disagreement or propose a mechanism that might account for it.

  • ANKH-associated PPi: earlier transport interpretation versus extracellular ATP conversionEarly cellular PPi redistribution and oocyte PPi uptake supported direct-transport interpretations; later ENPP1 deletion separated ATP release from PPi appearance. Research comparison category: mechanism_and_model_difference.Read the recorded disagreement

Open questions in this collection

Questions the curators could not answer from the sources in front of them, kept here with the reason each one is still open. These are gaps in this collection, not findings or proof that no one has studied them.

  • How much phosphate moves by each intestinal route at a particular human intake?Active-transporter contributions depend on species, intake and method; a mouse active-flux percentage is not a universal human total-absorption percentage.
  • What dietary phosphate exposure optimizes long-term outcomes across different kidney-function states?Small diet studies and cell experiments cannot provide one universal intake target; the 13-person energy study was observational.
  • When does an acute low serum phosphate result indicate harmful intracellular depletion rather than transient redistribution?The postoperative and ICU red-cell studies show that ATP and 2,3-DPG do not invariably track serum phosphate.
  • How do InsP6 and InsP8 contributions to XPR1 differ across native tissues and preparation conditions?Keep the respective binding, cell-rescue and KIDINS220 structure evidence without inventing an exclusive ligand assignment.
  • What explains the formulation-specific FGF23 effect of intravenous iron in every patient?The randomized outcomes and downstream cascade are documented; one unifying upstream processing mechanism is not established by these trials.
  • How broadly does the 2026 phosphate–mitochondrial peroxide–FGFR1 mechanism apply outside the tested tumor systems?This new mechanism does not establish a dietary phosphorus–cancer causal effect in humans.
  • Which human intracellular phosphate measurements best identify a tissue energy limitation?Serum phosphate, ATP concentration, ATP synthetic flux and compartmental transport can diverge.
  • Does nutritional phosphate repletion materially alter thiamine, B6 or folate enzyme function in phosphate-depleted humans?The shared enzymology is real, but linked experiments do not demonstrate a universal failure or rescue of vitamin repletion.

Chapters are assembled from supplied drafts and curated literature summaries. Statements remain unverified against the primary studies, and the ledger is not medical advice.

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