Scope of surface-modified molecular and nanomaterials in gel/liquid forms for developing mechanically flexible DSSCs/QDSSCs.

The advanced lifestyle of the human race involves heavy usage of various gadgets which require copious supplies of energy for uninterrupted functioning. Due to the ongoing depletion of fossil fuels and the accelerating demand for other energy resources, renewable energy sources, especially solar cells, are being extensively explored as viable alternatives. Flexible solar cells have recently emerged as an advanced member of the photovoltaic family; the flexibility and pliability of these photovoltaic materials are advantageous from a practical point of view. Conventional flexible solar cell materials, when dispersed in solvents, are usually volatile and create severe stability issues when incorporated in devices. Recently, non-volatile, less viscous functional molecular liquids/gels have been proposed as potential materials for use in foldable device applications. This perspective article discusses the scope of surface-modified non-volatile molecular and nanomaterials in liquid/gel forms in the manufacturing and deployment of flexible photovoltaics.

Emerging trends in sensors based on carbon nitride materials.

A new class of functional materials, carbon nitrides, has recently attracted the attention of researchers. Carbon nitride is a metal-free carbonaceous material, possessing a high N : C ratio with structure ranging from polymeric to graphitic form, constituting heptazine or triazine rings as structural motifs. It entered into the frame as a heterogeneous photocatalyst owing to its medium band gap, porosity, and high thermal and chemical inertness. Intensive research aimed towards exploring its inherent potentials has opened up a new area of study in the field of sensors; moreover, due to tunability of its electronic and optical properties, high stability, biocompatibility and low cost, it can be used in the area of sensing. In this review, we highlighted various strategies for the development of nanoscale morphological varieties of carbon nitrides and fabrication of sensors based on the luminescence properties of the carbon nitride materials. Herein, we exclusively envisioned new vistas for carbon nitrides as an imperative candidate for the fabrication of ideal sensors.

Theoretical Probing of Weak Anion-Cation Interactions in Certain Pyridinium-Based Ionic Liquid Ion Pairs and the Application of Molecular Electrostatic Potential in Their Ionic Crystal Density Determination: A Comparative Study Using Density Functional Approach.

A comprehensive study on the structure, nature of interaction, and properties of six ionic pairs of 1-butylpyridinium and 1-butyl-4-methylpyridinium cations in combination with tetrafluoroborate (BF4-), chloride (Cl-), and bromide (Br-) anions have been carried out using density functional theory (DFT). The anion-cation interaction energy (ΔEint), thermochemistry values, theoretical band gap, molecular orbital energy order, DFT-based chemical activity descriptors [chemical potential (µ), chemical hardness (η), and electrophilicity index (ω)], and distribution of density of states (DOS) of these ion pairs were investigated. The ascendancy of the -CH3 substituent at the fourth position of the 1-butylpyridinium cation ring on the values of ΔEint, theoretical band gap and chemical activity descriptors was evaluated. The ΔEint values were negative for all six ion pairs and were highest for Cl- containing ion pairs. The theoretical band gap value after -CH3 substitution increased from 3.78 to 3.96 eV (for Cl-) and from 2.74 to 2.88 eV (for Br-) and decreased from 4.9 to 4.89 eV (for BF4-). Ion pairs of BF4- were more susceptible to charge transfer processes as inferred from their significantly high η values and comparatively small difference in ω value after -CH3 substitution. The change in η and µ values due to the -CH3 substituent is negligibly small in all cases except for the ion pairs of Cl-. Critical-point (CP) analyses were carried out to investigate the AIM topological parameters at the interionic bond critical points (BCPs). The RDG isosurface analysis indicated that the anion-cation interaction was dominated by strong Hcat···Xani and Ccat···Xani interactions in ion pairs of Cl- and Br- whereas a weak van der Waal's effect dominated in ion pairs of BF4-. The molecular electrostatic potential (MESP)-based parameter ΔΔVmin measuring the anion-cation interaction strength showed a good linear correlation with ΔEint for all 1-butylpyridinium ion pairs (R2 = 0.9918). The ionic crystal density values calculated by using DFT-based MESP showed only slight variations from experimentally reported values.

Copper oxide nanoparticles in an epoxy network: microstructure, chain confinement and mechanical behaviour.

Copper oxide nanoparticles (nCOPs) having octahedral morphology, synthesized through hydrazine reduction reaction were employed to formulate an epoxy based novel nanocomposite. The synthesis of copper oxide nanoparticles was carried out in polyethylene glycol medium to enhance their interfacial adhesion with the epoxy matrix. The extent of conservation of the crystalline nature and octahedral morphology of the nCOP in its epoxy nanocomposites was confirmed by X-ray diffraction and electron microscopy analysis. The mechanical properties including tensile, impact, fracture toughness and surface hardness of epoxy-nCOP nanocomposites were evaluated as a function of nCOP content. The maximum enhancement in strength, modulus, impact strength, fracture toughness and surface hardness of epoxy-nCOP nanocomposites was observed for 5 phr nCOP content. This may be due to the strong interaction between the nCOP and epoxy chains at this composition arising from its fairly uniform dispersion. A quantitative measurement of constrained epoxy chains immobilized by the nCOP octahedra was carried out using dynamic mechanical analysis. The enhancement in the storage modulus is related to the amount of the added nCOP as well as the volume of the constrained epoxy chains in the proximity of nCOP. The behaviour of epoxy-nCOP nanocomposites in this study has been explained by proposing a mechanism based on the distribution of nCOP domains in the epoxy matrix and the existing volume of constrained epoxy chains.

MoS2-Based Nanocomposites for Photocatalytic Hydrogen Evolution and Carbon Dioxide Reduction.

Photocatalysis is a facile and sustainable approach for energy conversion and environmental remediation by generating solar fuels from water splitting. Due to their two-dimensional (2D) layered structure and excellent physicochemical properties, molybdenum disulfide (MoS2) has been effectively utilized in photocatalytic H2 evolution reaction (HER) and CO2 reduction. The photocatalytic efficiency of MoS2 greatly depends on the active edge sites present in their layered structure. Modifications like reducing the layer numbers, creating defective structures, and adopting different morphologies produce more unsaturated S atoms as active edge sites. Hence, MoS2 acts as a cocatalyst in nanocomposites/heterojunctions to facilitate the photogenerated electron transfer. This review highlights the role of MoS2 as a cocatalyst for nanocomposites in H2 evolution reaction and CO2 reduction. The H2 evolution activity has been described comprehensively as binary (with metal oxide, carbonaceous materials, metal sulfides, and metal-organic frameworks) and ternary composites of MoS2. Photocatalytic CO2 reduction is a more complex and challenging process that demands an efficient light-responsive semiconductor catalyst to tackle the thermodynamic and kinetic factors. Photocatalytic reduction of CO2 using MoS2 is an emerging topic and would be a cost-effective substitute for noble catalysts. Herein, we also exclusively envisioned the possibility of layered MoS2 and its composites in this area. This review is expected to furnish an understanding of the diverse roles of MoS2 in solar fuel generation, thus endorsing an interest in utilizing this unique layered structure to create nanostructures for future energy applications.

Polymeric Carbon Nitride/Iron Oxide Composites: A Novel Class of Catalysts with Reduced Metal Content for Ammonium Perchlorate Thermal Decomposition.

The ever-growing number of space launches triggering an enormous release of metallic dead weight into the atmosphere has become a global concern. Despite technological advancements, the inclusion of environmental concerns in space research has become the need of the hour. Here, we report the impact of iron oxide (Fe2O3)-doped polymeric carbon nitride (gCN) composites with varying metal contents (namely, GF1, GF2, and GF3 with iron contents of 0.1, 0.25, and 2 mmol, respectively) as a new class of catalysts for ammonium perchlorate (AP) thermolysis. Morphology studies revealed the dendritic morphology of the synthesized Fe2O3, and X-ray photoelectron spectroscopy (XPS) analysis confirmed the effective interaction between Fe2O3 and gCN in the composites. Among all of the synthesized composites, GF2 shows superior catalytic competence toward AP decomposition by amalgamating the double-stage decomposition process into a single stage followed by a considerable decrease in the decomposition temperature. The kinetic parameters calculated for the thermal decomposition of AP with and without catalysts using the KAS method substantiated the above results by significantly reducing the activation energy from 173.2 to 151.7 kJ/mol. Later, thermogravimetric and mass-spectrometric (TG-MS) analysis gives a clear idea about the catalytic efficiency of the synthesized catalyst GF2 toward AP decomposition from the accelerated emission of decomposition products NO, NO2, Cl, HCl, Cl2, and N2O in the presence of GF2. In a nutshell, gCN/Fe2O3 will open up new horizons in the field of synthesis of new catalytic systems with minimal metal content for composite solid propellants.

Flexible Nano-TiO2 Sheets Exhibiting Excellent Photocatalytic and Photovoltaic Properties by Controlled Silane Functionalization-Exploring the New Prospects of Wastewater Treatment and Flexible DSSCs.

TiO2 nanoparticles surface-modified with silane moieties, which can be directly coated on a flexible substrate without the requirement of any binder materials and postsintering processes, are synthesized and characterized using X-ray diffraction, Fourier transform infrared spectroscopy, scanning electron microscopy, Brunauer-Emmett-Teller, X-ray photoelectron spectroscopy, Raman spectroscopy, photoluminescence spectroscopy, time-correlated single-photon counting, and transmission electron microscopy. The viability of the prepared surface-modified TiO2 (M-TiO2) sheets as a catalyst for the photo-induced degradation of a model dye, methylene blue, was checked using UV-visible absorption spectroscopy. The data suggest that, compared to unmodified TiO2, M-TiO2 sheets facilitate better dye-degradation, which leads to a remarkable photocatalytic activity that results in more than 95% degradation of the dye in the first 10 min and more than 99% of the degradation in the first 50 min of the photocatalytic experiments. We also demonstrate that M-TiO2 can be recycled with negligible reduction in photocatalytic activity. Further, the photovoltaic properties of the developed M-TiO2 sheets were assessed using UV-visible absorption spectroscopy, electrochemical impedance spectroscopy (EIS), and photochronoamperometry. Dye-sensitized solar cells (DSSC) fabricated using M-TiO2 as the photoanode exhibited a photoconversion efficiency of 4.1% under direct sunlight. These experiments suggested that M-TiO2 sheets show enhanced photovoltaic properties compared to unmodified TiO2 sheets, and that, when N-719 dye is incorporated, the dye-TiO2 interaction is more favorable for M-TiO2 than bare TiO2. The simple solution processing method demonstrated in this paper rendered a highly flexible photoanode made of M-TiO2 with superior charge-separation efficiency to an electrode made of bare TiO2. We propose that our findings on the photovoltaic properties of M-TiO2 open up arenas of further improvement and a wide scope for the large-scale production of flexible DSSCs on plastic substrates at room temperature in a cost-effective way.

Cardiovascular risk factors in chronic kidney disease: does phosphate qualify?

Risk factors for disease states are rigorously defined. This analysis considers the definition of a risk factor as applied to the question of whether the serum phosphorus level is a risk factor for cardiovascular disease. Observational studies strongly suggest that phosphorus is associated with cardiovascular risk, and definitive prospective animal studies are supportive. A plausible mechanism of action has been discovered demonstrating that phosphorus stimulates osteoblastic transition of cells in the neointima of atherosclerotic plaques, which, if prevented, blocks vascular calcification. However, prospective studies demonstrating that modulation of the putative risk factor affects clinical outcomes are lacking, and phosphorus, as yet, does not qualify as a cardiovascular risk factor. This is a clarion call for additional research.

Carbon Nitride Quantum Dot-Embedded Poly(vinyl alcohol) Transparent Thin Films for Greenish-Yellow Light-Emitting Diodes.

Recently, freestanding polymer thin films encapsulated with nanostructures have attracted the significant attention of the scientific community due to their promising application in portable optoelectronic devices. In this research contribution, we have fabricated a freestanding polymer thin film of poly(vinyl alcohol) (PVA) encapsulated with carbon nitride quantum dots (CN-QDs) using the casting method, for the first time. The PVA polymer matrix provides mechanical support as well as dispersion of the CN-QDs preventing its solid-state quenching. From UV-visible spectra, it is revealed that optical transparency decreases with an increase in the concentration of CN-QDs within the PVA polymeric thin film. Such kind of decrease in optical transparency is one of the crucial factors for the optical concert of a nanomaterial. Interestingly, we have optimized the synthesis protocol to retain 40% transparency of the thin film by incorporating 10 wt % CN-QDs along with PVA without deteriorating its optical behavior. It is observed that when CN-QDs are embedded in the PVA matrix, emission becomes independent of excitation wavelength and is localized in the 510-530 nm region of the spectrum. Thus, the films exhibit excellent greenish-yellow emission when excited at 420 nm with the Commission Internationale de l'èclairage (CIE) coordinates (0.39, 0.46) and a correlated color temperature (CCT) of 4105 K. These excellent optoelectronic properties make them a promising candidate for practical phosphor applications. In a nutshell, this study demonstrates a promising way to exhibit the luminescence potential of freestanding polymer/CN-QD films in CN-QD-based solid-state lighting systems.

Shape-Memory Polymer Nanocomposites of Poly(ε-caprolactone) with the Polystyrene-block-polybutadiene-block-polystyrene-tri-block Copolymer Encapsulated with Metal Oxides.

Shape-memory polymer composite (SMPC) blends with thermo-responsive shape memorizing capability have received increasing interest and have been a grooming research area due to their various potential applications. In this work, we report three thermo-responsive SMPCs derived from poly(ε-caprolactone) (PCL) and the polystyrene-block-polybutadiene-block-polystyrene-tri-block copolymer (SBS) encapsulated with CuO, Fe2O3, and CuFe2O4, namely, SMPC-CuO, SMPC-Fe 2 O 3 , and SMPC-CuFe 2 O 4 , respectively. We have also synthesized the neat shape-memory polymer matrix SMP in the context of the effect of the metal oxide encapsulates on the shape-memory property. Neat SBS rubber and PCL are used as the polymer-elastomer blend matrix to form SMP. The objective of this study is to understand the effect of these three metal oxide nanofillers encapsulated within the SMP matrix and their thermal, mechanical, and shape-memory properties. Morphological, thermal, mechanical, and shape-memory properties of the prepared SMPCs are completely characterized. It is revealed that the addition of nano-metallic-oxide fillers into the polymeric matrix significantly improved the overall properties of SMPCs. The tensile test confirmed that SMPC-CuFe 2 O 4 possesses a high tensile modulus and is found to be very rigid when compared to other SMPCs. The shape fixing property is found in the increasing order as follows: SMPC-CuO > SMPC-Fe 2 O 3 > SMP > SMPC-CuFe 2 O 4 . The better thermal, mechanical, and shape-memory performances were shown by the SMPC-Fe 2 O 3 composite, and thus, it can be considered as the better shape-memory polymer nanocomposite among all others. An optimum storage modulus was attained by SMPC-Fe 2 O 3 among the SMPCs. More interestingly, we have developed a microvalve actuator system using SMPC-Fe 2 O 3 , which could be useful for promising microsystem applications.

Ag/AgCl@MIL-88A(Fe) heterojunction ternary composites: towards the photocatalytic degradation of organic pollutants.

The efficient utilization of solar energy has received tremendous interest due to the increasing environmental and energy concerns. The present paper discusses the efficient integration of a plasmonic photocatalyst (Ag/AgCl) with an iron-based metal-organic framework (MIL-88A(Fe)) for boosting the visible light photoreactivity of MIL-88A(Fe). Two composites of Ag/AgCl@MIL-88A(Fe), namely MAG-1 and MAG-2 (stoichiometric ratio of Fe to Ag is 5 : 1 and 2 : 1), were successfully synthesized via facile in situ hydrothermal methods followed by UV reduction. The synthesized composite materials are characterized by FTIR, PXRD, UVDRS, PL, FESEM/EDX, TEM and BET analyses. The Ag/AgCl@MIL-88A(Fe) (MAG-2) hybrid system shows excellent photocatalytic activity for the degradation of p-nitrophenol (PNP), rhodamine B (RhB), and methylene blue (MB) under sunlight. We found that 91% degradation of PNP in 80 min, 99% degradation of RhB in 70 min and 94% degradation of MB in 70 min have taken place by using MAG-2 as a catalyst under sunlight. The superior activity of Ag/AgCl@MIL-88A(Fe) (MAG-2) is attributed to the synergistic effects from the surface plasmon resonance (SPR) of Ag NPs and the electron transfer from MIL-88A(Fe) to Ag nanoparticles for effective separation of electron-hole pairs. Furthermore, the mechanism of degradation of PNP, RhB and MB is proposed by analyzing the electron transfer pathway in Ag/AgCl@MIL-88A(Fe).

Low cost, high efficiency flexible supercapacitor electrodes made from areca nut husk nanocellulose and silver nanoparticle embedded polyaniline.

Energy storage is a key aspect in the smooth functioning of the numerous gadgets that aid easy maneuvering through modern life. Supercapacitors that store energy faradaically have recently emerged as potential inventions for which mechanical flexibility is an absolute requirement for their future applications. Flexible supercapacitors based on nanocellulose extracted from easily available waste materials via low cost methods have recently garnered great attention. In the present work, we discuss the construction of flexible, binder-free supercapacitive electrodes using nanocellulose extracted from locally available areca nut husks and polyaniline embedded with silver nanoparticles. The prepared electrodes were characterized using SEM, TEM, XRD, FTIR, EDX and electrochemical characterization techniques such as CV, galvanostatic charge-discharge, chronoamperometry and EIS. A specific capacitance of 780 F g-1 was obtained for the silver nanoparticle embedded polyaniline-nanocellulose (Ag-PANI-NC) substrate supported electrodes, which is ∼4.2 times greater than that of bare polyaniline-nanocellulose electrodes. We attributed this enhancement to a lowering of the activation energy barrier of correlated electron hopping among localized defect states in the composite matrix by the Ag nanoparticles. An energy density value of 15.64 W h kg-1 and a power density of 244.8 W kg-1 were obtained for the prepared electrodes. It was observed that the Ag-PANI-NC based electrode can retain ∼98% of its specific capacitance upon recovery from mechanical bending to extreme degrees.

Cardiovascular risk in chronic kidney disease (CKD): the CKD-mineral bone disorder (CKD-MBD).

Recent advances in our understanding of the excess mortality of chronic kidney disease (CKD) due to cardiovascular complications, obtained through observational studies, demonstrate that vascular calcification and hyperphosphatemia are major cardiovascular risk factors. Mechanistic studies demonstrate that these two risk factors are related and that hyperphosphatemia directly stimulates vascular calcification. The role of hyperphosphatemia in stimulating vascular calcification in CKD is associated with a block to the skeletal reservoir function in phosphate balance due to excess bone resorption. This has led to the realization that renal osteodystrophy is linked to vascular calcification by disordered mineral homeostasis (phosphate) and that a multiorgan system fails in CKD, leading to cardiovascular mortality. In children with renal disease, the multiorgan system fails, just as in adults, but the outcomes have been less well studied, and perceptions of differences from adults are possibly incorrect. Vascular calcification and cardiovascular mortality are less prevalent among pediatric patients, but they are present. However, CKD-induced vascular disease causes stiffness of the arterial tree causing, in turn, systolic hypertension and left ventricular hypertrophy as early manifestations of the same pathology in the adult. Because of the role of the skeleton in these outcomes, renal osteodystrophy has been renamed as the CKD mineral bone disorder (CKD-MBD). This review, which focuses on the pediatric patient population, describes our current state of knowledge with regards to the pathophysiology of the CKD-MBD, including the new discoveries related to early stages of CKD. As a new necessity, cardiovascular function issues are incorporated into the CKD-MBD, and new advances in our knowledge of this critical component of the disorder will lead to improved outcomes in CKD.

CKD accelerates development of neointimal hyperplasia in arteriovenous fistulas.

Arteriovenous (AV) access failure resulting from venous neointimal hyperplasia is a major cause of morbidity in patients with ESRD. To understand the role of chronic kidney disease (CKD) in the development of neointimal hyperplasia, we created AV fistulae (common carotid artery to jugular vein in an end-to-side anastomosis) in mice with or without CKD (renal ablation or sham operation). At 2 and 3 wk after operation, neointimal hyperplasia at the site of the AV anastomosis increased 2-fold in animals with CKD compared with controls, but cellular proliferation in the neointimal hyperplastic lesions did not significantly differ between the groups, suggesting that the enhanced neointimal hyperplasia in the setting of CKD may be secondary to a migratory phenotype of vascular smooth muscle cells (VSMC). In ex vivo migration assays, aortic VSMC harvested from mice with CKD migrated significantly greater than VSMC harvested from control mice. Moreover, animals with CKD had higher serum levels of osteopontin, which stimulates VSMC migration. When we treated animals with bone morphogenic protein-7, which promotes VSMC differentiation, before creation of the AV anastomosis, the effect of CKD on the development of neointimal hyperplasia was eliminated. In summary, CKD accelerates development of neointimal hyperplasia at the anastomotic site of an AV fistula, and administration of bone morphogenic protein-7 neutralizes this effect.

Lattice Inclusion of Copper Ions in Ammonium Perchlorate through Co-crystallization: Impact on Lattice, Physical, and Thermal Characteristics.

Ammonium perchlorate (AP) is an important oxidizer extensively used in composite solid propellants. Any alterations in the lattice configuration of AP could bring in a dramatic change in its physical, thermal, and ballistic characteristics though the basic thermodynamic properties could remain unaltered. In this work, we attempt to dope AP with copper nitrate through co-crystallization and examine its impact on the lattice, physical, and thermal characteristics. The effect of copper ion on the crystal morphology, bulk density, friability, moisture content, and the decomposition behavior is compared with normal propellant-grade AP. The incorporation of copper ion into AP resulted in an increase in bulk density and aspect ratio and a marginal decrease in the average particle size. The shape factor remained intact. The presence of copper ion remarkably decreased both the low- and high-temperature decomposition and reduced the activation energy for both stages, confirming the catalytic nature of copper-doped AP.

The pathogenesis of vascular calcification in the chronic kidney disease mineral bone disorder: the links between bone and the vasculature.

Considerable scientific progress in the pathogenesis of vascular calcification that has accrued in recent years is reviewed in this article. Factors regulating mesenchymal cell differentiation and their role in the neointimal calcification of atherosclerosis and the vascular media calcification observed in chronic kidney disease and diabetes are discussed, as is the role of bone regulatory proteins in bone mineralization and vascular calcification. This includes recent studies related to fetuin-A, and the discovery of a new circulating hormone involved in regulating phosphate homeostasis and sensing skeletal hydroxyapatite precipitation. Finally, the relationship between skeletal mineralization and vascular mineralization is discussed in terms of their links, especially through serum phosphate concentrations.

Vitamin D receptor activators can protect against vascular calcification.

An apparent conflict exists between observational studies that suggest that vitamin D receptor (VDR) activators provide a survival advantage for patients with ESRD and other studies that suggest that they cause vascular calcification. In an effort to explain this discrepancy, we studied the effects of the VDR activators calcitriol and paricalcitol on aortic calcification in a mouse model of chronic kidney disease (CKD)-stimulated atherosclerotic cardiovascular mineralization. At dosages sufficient to correct secondary hyperparathyroidism, calcitriol and paricalcitol were protective against aortic calcification, but higher dosages stimulated aortic calcification. At protective dosages, the VDR activators reduced osteoblastic gene expression in the aorta, which is normally increased in CKD, perhaps explaining this inhibition of aortic calcification. Interpreting the results obtained using this model, however, is complicated by the adynamic bone disorder; both calcitriol and paricalcitol stimulated osteoblast surfaces and rates of bone formation. Therefore, the skeletal actions of the VDR activators may have contributed to their protection against aortic calcification. We conclude that low, clinically relevant dosages of calcitriol and paricalcitol may protect against CKD-stimulated vascular calcification.

The mechanism of phosphorus as a cardiovascular risk factor in CKD.

Hyperphosphatemia and vascular calcification have emerged as cardiovascular risk factors among those with chronic kidney disease. This study examined the mechanism by which phosphorous stimulates vascular calcification, as well as how controlling hyperphosphatemia affects established calcification. In primary cultures of vascular smooth muscle cells derived from atherosclerotic human aortas, activation of osteoblastic events, including increased expression of bone morphogenetic protein 2 (BMP-2) and the transcription factor RUNX2, which normally play roles in skeletal morphogenesis, was observed. These changes, however, did not lead to matrix mineralization until the phosphorus concentration of the media was increased; phosphorus stimulated expression of osterix, a second critical osteoblast transcription factor. Knockdown of osterix with small interference RNA (siRNA) or antagonism of BMP-2 with noggin prevented matrix mineralization in vitro. Similarly, vascular BMP-2 and RUNX2 were upregulated in atherosclerotic mice, but significant mineralization occurred only after the induction of renal dysfunction, which led to hyperphosphatemia and increased aortic expression of osterix. Administration of oral phosphate binders or intraperitoneal BMP-7 decreased expression of osterix and aortic mineralization. It is concluded that, in chronic kidney disease, hyperphosphatemia stimulates an osteoblastic transcriptional program in the vasculature, which is mediated by osterix activation in cells of the vascular tunica media and neointima.

Hyperphosphatemia of chronic kidney disease.

Observational studies have determined hyperphosphatemia to be a cardiovascular risk factor in chronic kidney disease. Mechanistic studies have elucidated that hyperphosphatemia is a direct stimulus to vascular calcification, which is one cause of morbid cardiovascular events contributing to the excess mortality of chronic kidney disease. This review describes the pathobiology of hyperphosphatemia that develops as a consequence of positive phosphate balance in chronic kidney disease and the mechanisms by which hyperphosphatemia acts on neointimal vascular cells that are stimulated to mineralize in chronic kidney disease. The characterization of hyperphosphatemia of chronic kidney disease as a distinct syndrome in clinical medicine with unique disordered skeletal remodeling, heterotopic mineralization and cardiovascular morbidity is presented.

Osteoporosis and cardiovascular disease: lessons from chronic kidney disease.

Osteoporosis is a common complication of chronic kidney disease (CKD), and the latter is a major risk factor for cardiovascular mortality. Recent studies have elucidated some of the mechanisms by which CKD is a cardiovascular risk, and they relate to osteoporosis. Thus, the mechanisms of CKD induced cardiovascular risk provide valuable insight into the relationship between cardiovascular disease and osteoporosis, and they are reviewed here. Observational studies have determined hyperphosphatemia to be a cardiovascular risk factor in chronic kidney disease. Mechanistic studies have elucidated that hyperphosphatemia is a direct stimulus to vascular calcification, which is one cause of morbid cardiovascular events contributing to the excess mortality of chronic kidney disease. Hyperphosphatemia in chronic kidney is due to failure of excretion by the kidneys and excess bone resorption. It stimulates vascular cells to mineralize atherosclerotic plaques through osteoblastic processes. Hyperphosphatemia in chronic kidney disease is a distinct syndrome characterized by disordered skeletal remodeling, heterotopic mineralization and cardiovascular morbidity. The heterotopic mineralization stimulated by CKD is relevant to osteoporosis.