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The process of pulmonary fibrosis leads to alveolar damage, characterized by excessive fibroblast proliferation and collagen deposition, resulting in lung tissue sclerosis (Hesse et al., 2022).Emphysema, as one of the main phenotypes of chronic obstructive pulmonary disease (COPD), involves the core pathological mechanism of abnormal distal airspace dilation in the terminal bronchioles, accompanied by alveolar wall destruction

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Regulation of phosphate homeostasis by PTH, Vitamin D, and FGF23