RT Journal Article T1 Pharmacological interactions of phosphate binders. T2 Interacciones farmacológicas de los captores del fósforo. A1 Bover Sanjuan, Jordi A1 Navarro-Gonzalez, Juan Francisco A1 Arenas, M Dolores A1 Torregrosa, Jose-Vicente A1 Tamargo Menendez, Juan A1 de Francisco, Angel Luis Martin A1 Gonzalez-Parra, Emilio A1 Lloret Cora, M Jesus A1 Sanchez Alvarez, J Emilio A1 Martin-Malo, Alejandro A1 Molina Vila, Pablo A1 Bajo, M Auxiliadora A1 DaSilva Santos, Iara K1 Phosphates K1 Fibroblast growth factor-23 K1 Aging, premature K1 Electronic mail K1 Renal insufficiency, chronic AB The use of phosphate binders is one of basic elements in the treatment of CKD-MBD (“Chronic Kidney Disease-Mineral and Bone Disorder”). It has been well known for decades that phosphate reten tion through direct and indirect mechanisms, contributes to the generation and progression of secondary hyperparathy roidism (SHP) and renal osteodystrophy in chronic kidney disease (CKD).1,2 In fact, phosphate retention blocks all DOI of original article: https://doi.org/10.1016/j.nefro.2018.05.003. ∗ Corresponding author. E-mail address: jbover@fundacio-puigvert.es (J. Bover Sanjuán). hormonal counter-regulatory mechanisms, increases skeletal resistance to PTH and is considered a central factor in the and systemic alterations such as the decrease in calcitriol, increase in fibroblast growth factor-23 (FGF-23), cardiovascular calcifications, premature aging and the high morbi-mortality of these patients.2,3 For all this, phosphate has been considered as “the silent killer” of patients with CKD PB Elsevier YR 2018 FD 2018-07-07 LK http://hdl.handle.net/10668/13229 UL http://hdl.handle.net/10668/13229 LA en LA es NO Bover Sanjuán J, Navarro-González JF, Arenas MD, Torregrosa JV, Tamargo Menéndez J, de Francisco ALM, et al. Pharmacological interactions of phosphate binders. Nefrologia (Engl Ed). 2018 Nov-Dec;38(6):573-578. English, Spanish DS RISalud RD Apr 8, 2025