n. 1,25-dihydroxycholecalciferol: the final and most metabolically active form of vitamin D3. It is formed in the kidney by the addition of two hydroxy (?OH) groups to the basic vitamin D molecule, which itself is produced in the skin from 7-dehydrocholesterol or ingested in certain foods. Calcitriol is given to raise blood calcium levels in patients with severe kidney disease and to treat postmenopausal osteoporosis. It is also used as an ointment to treat psoriasis.
fibroblast growth factor 23: a hormone that is central to phosphate homeostasis. It is synthesized by osteoblasts and osteoclasts in response to high phosphate intake, hyperphosphataemia, or an increase in serum *calcitriol concentration. It inhibits phosphate reabsorption by the proximal tubule of the kidney and stimulates 24-hydroxylase, the enzyme that converts calcitriol and its precursor, 25-hydroxy vitamin D, into inactive metabolites. It may also have a negative effect on parathyroid hormone synthesis.... fgf23