FGF23 and endothelial dysfunction: Interestingly, a recent study in patients with CKD demonstrated a link between levels of ADMA and fibroblast growth factor-23 (FGF-23), which by itself is also linked to markers of endothelial cell injury (Malyszko et al. 2014), in the development of endothelial dysfunction (Yilmaz et al. 2010).