Endocrinology Vol. 142, No. 9 3987-3995
Copyright © 2001 by The Endocrine Society
Cloning and Characterization of the Proximal Murine Phex Promoter
Shiguang Liu,
Rong Guo and
L. Darryl Quarles
Department of Medicine, Duke University Medical Center, Durham,
North Carolina 27710
Address all correspondence and requests for reprints to: L. D. Quarles, M.D., Duke University Medical Center, P.O. Box 3036, Durham, North Carolina 27710. E-mail: Quarl001{at}mc.duke.edu
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Abstract
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Phex is an endopetidase that regulates systemic
phosphate homeostasis. We investigated Phex gene
transcription by cloning and performing functional analysis of the 2736
bp of the 5' flanking region of the mouse Phex gene
containing its promoter. We identified a transcription start site, a
consensus TATA-box, and multiple potential cis-acting
regulator elements. To determine whether the promoter directs cell-type
restricted Phex expression, we transfected full-length
and 5'-deleted Phex luciferase reporter constructs into
various cell lines. Phex-expressing C5.18 chondrocytes
displayed the highest activity of the transfected Phex
promoter constructs compared with non-Phex-expressing
COS-7 cells, whereas promoter activity was intermediate in ROS 17/2.8
osteoblasts and maturation stage-dependent in MC3T3-E1 osteoblasts.
Analysis of sequential 5'-deletion mutants of the Phex
promoter in ROS 17/2.8 cells revealed bimodal activity, suggesting that
both positive and negative cis-acting regions may be
present. The chondrogenic factor SOX9 markedly stimulated
Phex promoter activity, whereas Cbfa1,
PTH, and 1,25(OH)2D3 had no effect. Our
findings are consistent with the predominant expression of
Phex in bone and cartilage. Additional studies will be
needed to confirm the regulatory regions in the Phex
promoter that function in a cell-restricted manner.
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Introduction
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PHEX IS A zinc metalloproteinase
whose physiologic function is to regulate unidentified substrates
controlling circulating phosphate concentrations and skeletal
mineralization (1, 2). Phex is expressed in the
skeleton, as well as in a limited number of other tissues including
lung, ovary, testis, parathyroid gland, and brain (3, 4, 5, 6).
Investigations of the hereditary diseases X-linked hypophosphatemia and
the Hyp mouse animal homologue, which have inactivating
Phex mutations, have provided insights into the complex
pathogenesis of phosphaturia and impaired skeletal mineralization
(1, 2, 7). It is likely that inactivating mutations of
Phex indirectly causes renal phosphate wasting and
hypophosphatemia by its failure to metabolize a putative
phosphate-regulating hormone, phosphatonin, that has not yet been
identified (2, 8, 9). In addition, Phex seems
to play a role in regulating skeletal mineralization independent of
hypophosphatemia, as evidenced by Phex expression in mature
osteoblasts (3, 5), the finding that the loss of
Phex function in osteoblasts derived from Hyp
mice causes an intrinsic defect in mineralization of extracellular
matrix in vitro (10, 11) and the partial rescue
of the phenotype by bone marrow transplantation (12).
Limited information is available regarding the regulation of
Phex. Given its role in systemic phosphate homeostasis and
skeletal mineralization, and the multitude of factors regulating
mineral ion homeostasis, such as age, sex, diet, PTH, and vitamin D, it
is likely that Phex expression is regulated
(2). Recent studies demonstrate that Phex
expression in bone is increased by IGF-I and down-regulated by PTH
administration and aging (13). Other studies indicate that
a low phosphorus diet increases Phex transcripts in the
pituitary gland but not in bone as assessed by semiquantitative RT-PCR
analysis (14). In the skeleton, Phex is one of
a group of cell-restricted genes that displays a late developmental
expression pattern in mineralizing bone and cartilage, where this
endopeptidase is predominantly expressed in mature osteoblasts and
hypertrophic chondrocytes that are involved in regulation
mineralization of extracellular matrix (3, 10, 15). Thus,
cell-type and/or tissue-specific factors are likely responsible for the
restricted pattern of Phex expression. Additional studies
are needed to characterize molecular mechanisms of cell-type and
tissue-specific expression of Phex and its regulation by
factors controlling mineral homeostasis. Identification and
characterization of the Phex gene promoter are important
steps in defining the role of transcriptional regulation of the
Phex gene.
In the current studies, we describe the cloning, sequencing, and
functional analysis of the murine Phex promoter. We found
that osteoblasts and chondrocytes express Phex endogenously
and have the trans-acting factors necessary to direct
transcription of the transfected Phex promoter. In contrast,
COS-7 cells lack the necessary transcriptional machinery needed for
Phex expression, suggesting that regulatory regions of the
murine Phex promoter may function in a cell-specific manner.
SOX9, a master regulatory factor for chondrocyte differentiation,
stimulated the promoter activity, whereas the osteoblastic
differentiation factor Cbfa1 had no effect on
Phex promoter activity. We failed to identify either
1,25(OH)2D3 or PTH
regulation of the transfected Phex promoter, suggesting any
effects of these agents on Phex may not be mediated by
transcriptional mechanisms or that the Phex promoter region
lacks the necessary regulatory elements.
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Materials and Methods
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Isolation of the murine Phex 5'-flanking region
A mouse 129 SVJ genomic library (Stratagene, La
Jolla, CA) was screened with a cDNA probe derived from mouse
Phex exon 1 (oligonucloeotides +432 to +547). The probe was
labeled with
-32P dCTP (800Ci/mmol) using a
random primer DNA labeling kit (Life Technologies, Inc.,
Grand Island, NY). Plaque lifting, prehybridization, hybridization,
washing of the filters, and autoradiography were performed by standard
methods. Nine positive clones were identified after screening 1 x
106 pfu at a density of 5 x
104 pfu/plate. Putative positive clones were
purified by secondary and tertiary rounds of screening. Restriction
digests with Nsi I and Southern blot analysis with the exon
1 cDNA probe identified two clones containing identical 5'-flanking
regions. A 12-kb fragment was released from this phage clone and
partially sequenced, revealing 1104 bp of intron 1, 674 bp exon 1, and
approximately 10.2 kb of the 5'-flanking sequence. This promoter
sequence has been entered in GenBank, accession number AF299334.
The promoter analysis program Neural Network Promoter Prediction
(http://www.fruitfly.org/seq_tools/promoter.html) was used to
predict the transcription start site. The promoter sequence was
analyzed by the Transcription Element Search System (TESS of the
Computational Biology and Informatics Laboratory, School of Medicine,
University of Pennsylvania,
http://agave.humgen.upenn.edu/tess/index.html) by using a 6-bp
minimum element size limit, a 5% mismatch allowance, a minimum
log-likelihood of homology of 10, and a secondary log-likelihood
density threshold of 1.6. Further analysis of the promoter sequence was
conduced using TFSEARCH
(http://pdap1.trc.rwcp.or.jp/research/db/TFSEARCH.html). In
addition, we used the sequence information from the mouse
Phex promoter and Blast analysis
(http://www.ncbi.nlm.nih.gov/BLAST/) to identify the
corresponding region of the human promoter (accession number Y10196)
(16). The respective regions of the mouse Phex
and human PHEX promoter were compared using TRES Transcription
Regulatory Element Search, a tool for Comparative Promoter Analysis
(http://www.bic.nus.edu.sg:8888/tres/) and BestFit
analysis.
RT-PCR analysis
RT-PCR was performed using a two-step RNA PCR kit
(Perkin-Elmer Corp., Branchburg, NJ). DNase-treated total
RNA (2.5 µg) was reverse transcribed into cDNA in a total volume of
50 µl with random primers. The RT reaction was incubated at 42 C for
15 min. The resulting cDNA was PCR amplified using various sets of
primers. Forward primers included Phex-22F
(5'-GGGACTAACACACTGAAAGAGT-3') and Phex+1F
(5'-AACTTTTGACGACGACAGTTCA-3'). The reverse primer was
Phex+697R (5'-GAAACTTAGGAGACCTTGAC-3'), located in exon 2.
PCR was performed with thermal cycling parameters of 94 C for 30 sec,
60 C for 30 sec, and 72 C for 60 sec for 35 cycles, followed by a final
extension at 72 C for 7 min. For evaluation of Phex
expression in different cell lines, we used the forward primer
Phex+1866F (5'-AATTGATTGAGGGTGTTCGC-3') and the reverse
primer Phex+2943R (5'-ACCCAAATAATGAAAATGCA-3). For RT-PCR
analysis of 4 and 9-d-old MC3T3-E1 osteoblasts, we used
Phex-specific primers Phex+1419F
(5'-TTGGCAAAAGTTGGCTATCCAG-3') and Phex+965R
(5'-TATCCATTTCCTGTAAGCCC-3') as described previously (3).
Samples without RT treatment were analyzed as controls. For evaluation
of SOX9 expression, we used the forward primer
5'-ATCTGAAGAAGGAGGAGCGAG-3' and the reverse primer
5'-TCAGAAGTCTCCAGAGCTTG-3', which are to regions conserved across
species including mouse and primates (17).
Glyceraldehyde-3-phosphate dehydrogenase (G3PDH) or mouse
ß-actin were amplified as controls for the amounts and integrity of
RNA in the PCR reactions. RT-PCR products were identified by
autoradiography using radiolabeled Phex and ß-actin cDNA
probes as described previously (3) or by ethidium bromide
staining.
RNase protection analysis
RNase protection assays were used to estimate the
Phex mRNA transcription start site. The riboprobe (-130,
+132) consisted of a 262-bp fragment of the mouse Phex
subcloned into pBSK(-) (Stratagene). Single-stranded
antisense radiolabeled RNA probes were transcribed from
BamHI linearized Phex 262/pBSK(-) using T7 RNA
polymerase and [32P-]UTP (NEN Life Science Products, Boston, MA). The riboprobe was purified
on a 6% polyacrylamide gel. RNase protection assays were conducted
using the RPA III kit (Ambion, Inc., Austin, TX). Twenty
micrograms of total RNA from each cell line and the labeled riboprobe
(100,000 cpm) were precipitated, redissolved in 10 µl Hybridization
III Buffer and incubated overnight at 42 C. Products were digested with
RNase A/RNase T1 mix (1:100 dilution) for 30 min, and the protected RNA
fragments were separated on a 5% denaturing polyacrylamide gel. The
resultant products were assessed by autoradiography using BioMax MS
film at -70 C.
Cell culture
ROS17/2.8 osteoblasts were grown in a 1:1 mixture of DMEM and
Nutrient Mixture F-12 (Life Technologies, Inc.), as
described previously (18). The MC3T3-E1 osteoblast cell
line was grown in
-MEM (Life Technologies, Inc.) and
was grown in
-MEM supplemented with 0.13 mM ascorbic
acid and 5 mM ß-glycerol phosphate for differentiation,
as described previously (18). COS-7 cells were maintained
in DMEM (Life Technologies, Inc.) (19). C5.18
chondrocytes (20) were provided by Dr. Jane E. Aubin
(University of Toronto, Toronto, Canada) and maintained in
-MEM
containing 15% FBS. All cell lines, except C5.18, were supplemented
with 10% (vol/vol) FBS. All cultures were supplemented with 100
µg/ml penicillin and streptomycin and cultured in a humidified
incubator with 5% CO2 at a temperature of 37
C.
Preparation of constructs
To generate the Phex reporter gene constructs, 2790
bp of the genomic fragment from -2736 to +54 of Phex was
amplified with PCR SuperMix High Fidelity (Life Technologies, Inc.) using a set of primers (-2736 F,
5'-GGGGTACCGCCAGTGGGGTCTTGTATGT; +54 R,
5'-GGGGTACCAGATTTCTGCTATGACAGCC), and the resultant product was
subcloned into KpnI site of pGL2-Basic vector named
p2736Phex-luc. Sequentially, 5'-deletion with different
primers generated constructs from -2736 to -22, including
p1606Phex-luc with primer -1606 F,
5'-GGGGTACCATGCATTTGCTGTCACATAT; p964Phex-luc with primer -964 F,
5'-GGGGTACCTGGTTAAGATATGTTAGG; p472Phex-luc with primer
-472 F, 5'-GGGGTACCCTTAATCCTCAGGAAGCT; p178Phex-luc with
primer -178 F, 5'-GGGGTACCAGTTCCAGTCCAAACCATCA;
p130Phex-luc with primer -130 F, 5'-
GGGGTACCTTGCACTGCAATGGACTATG; and p22 F with primer
-22 F, 5'-GGGGTACC- GGGACTAACACACTGAAAGAGT. We used the
previously described SOX9 (21) and the Cbfa1
mammalian expression constructs (22).
Transient transfection and reporter assays
Transient transfection experiments were performed using the
TransFast Reagent (Promega Corp., Madison, WI) as
described previously (22). Briefly, cells were plated at a
density of 1.5 x 105 cells/well in 6-well
plates 16 h before transfection. We used 1.0 µg Phex
promoter constructs and 0.25 µg pSV ß-galactosidase, and in
cotransfection experiments we added 0.5 µg SOX9 or Cbfa1
expression constructs. Luciferase activity was measured using the
Luciferase Assay Kit (Promega Corp.). ß-
Galactosidase activity was measured by ß-Galactosidase Enzyme
Assay System (Promega Corp.). For the transient
transfection studies, the luciferase activity was normalized by
ß-galactosidase activity by dividing luciferase activity by ß-gal.
The relative luciferase activity was then calculated by dividing the
normalized luciferase activity by that obtained with the empty
pGL2-Basic vector. We observed higher ß-gal activity in Cos-7 cells,
but this did not influence the relative comparisons between cell lines.
For stable transfection studies in MC3T3-E1 osteoblasts, the luciferase
activity was normalized for cell number by dividing luciferase activity
by DNA content. The relative luciferase activity was then calculated by
dividing the normalized luciferase activity by that obtained with the
MC3T3-E cells stably transfected with the empty pGL2-Basic vector. For
the stimulation studies, cells were incubated in serum-free medium
containing 0.1%BSA for 24 h before adding different concentration
of various reagents, including PTH 134, forskolin,
12-O-tetradecanoylphorbol-13-acetate (TPA;
Sigma, St. Louis, MO), and
1,25(OH)2D3, as described
previously (17). We previously have determined the
concentration of PTH and forskolin to stimulate cAMP and the
concentration of TPA to stimulate PKC activity in osteoblasts (data not
shown).
Stable transfection of MC3T3-E1 with Phex promoter/luciferase
reporter construct
Stable transfection of MC3T3-E1 was performed by a pooled
protocol as described previously (18). MC3T3 cells were
cotransfected with p2736Phex-luc and pSV2-neo in a 15:1 molecular
ratio. Transfectants were selected in the presence of 700 µg/ml G418
for 14 d. The cells were plated in
-MEM complemented with
ascorbic acid and ß-glycerol phosphate. The luciferase activities
were measured on different days using the Luciferase Assay Kit
(Promega Corp.). Total DNA content was determined using
Picogreen dsDNA Quantitation Reagent and Kits (Molecular Probes, Inc., Eugene, OR).
Statistical analysis
We evaluated differences between groups by one-way ANOVA.
All values are expressed as mean ± SEM. All
computations were performed using the Statgraphic statistical graphics
system (STSC, Inc., Rockville, MD).
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Results
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Isolation and cloning of the mouse Phex promoter and its 5'
untranslated region (UTR)
At the time we initiated our studies the Phex promoter
had not been isolated or cloned and the full extent of the 5' UTR had
not been defined. To locate the Phex promoter, we isolated
and cloned the region of the mouse Phex gene containing exon
1 and upstream sequences (Fig. 1
). RT-PCR
and RNase protection analysis (Fig. 2
)
demonstrated that exon 1 contains 556 bp of the 5' UTR and evidence for
TATA- containing promoter in the 2736 bp of upstream sequence (Fig. 1
). Using computer prediction programs, we initially located the
putative transcription start site 556 bp upstream of the ATG in exon 1.
We performed RNase protection to confirm the location of the
transcription start site (Fig. 2A
). Using a riboprobe (-130, +132),
which contained 262 oligonucleotides overlapping the putative start
site, we identified a single 132 bp protected fragment in both mature
MC3T3-E1 and TM-Ob osteoblasts. To provide additional evidence for the
location of the transcription start site, we performed RT-PCR using
intron-spanning primers flanking the initiation sites and RNA derived
from differentiated, Phex-expressing MC3T3-E1 osteoblasts
(Fig. 2B
). Forward primer +1 F in combination with the reverse primer
+697 R in exon 2 generated the predicted size product. In contrast, the
upstream primer -22 F in combination with +697 R did not amplify any
product, indicating that transcription initiation begins in the segment
flanked by primers -22 F and +1 F (Fig. 2B
). Consistent with the
designated start site, we found a consensus TATA-box at position -32
to -23 from the transcription start site (Fig. 1
).

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Figure 1. Nucleotide sequence of the 5'-flanking region of
the Phex gene. The sequence encompasses 3410 bp of the
5'-flanking region of the Phex gene. The transcription
start site based on RNase protection and RT-PCR analysis (Fig. 2 ) is
shown by an arrow. Consensus cis-acting
elements for known transcription factors conserved between mouse and
human are underlined. The sequence is
numbered relative to the transcription start site.
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Figure 2. Determination of the transcription start site of
the mouse Phex gene. A, RNase protection was performed
with 20 µg total RNA hybridized to 32P-labeled 327-bp
riboprobe complementary to nucleotide from -130 to +132. The
approximate position of the 5' ends was estimated by the size of the
protected fragment. B, RT-PCR mapping was performed with total RNA
derived from mature MC3T3-E1 osteoblasts. The reverse primer,
Phex+697R in exon 2 was used in combination with
respective forward primers Phex -22F,
Phex +1F. The position of the forward primers relative
to the transcription start site is shown in Fig. 1 . +RT, with RT; -RT,
without RT.
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We used the mouse Phex promoter sequence to search for
homologies in the corresponding 5'-flanking region of the human
Phex gene that has recently been sequenced
(16). The overall homology was 71% over the 2736-bp
region corresponding to the mouse Phex promoter. In
addition, we found five nearly identical regions between the 2736 bp of
the mouse Phex promoter and the 5'-flanking region of the
human PHEX gene. These include an identity of 96% over the first 182
bp from the transcription start site (position -182 to +1) and regions
exhibiting more than 82% identity at positions -2425 to -2233 (192
bp), -1959 to -1906 (53 bp), -1317 to -1267 (50 bp), and -541 to
-491 (37 bp) of the mouse promoter. In addition, we observed in both
human and mouse sequence many conserved consensus elements including a
GRE at position -2634 (23); several SRY sites at
positions -2340, -2199, -700, -468, -388, and -313
(24); GATA-1 at positions -2402, -1920, and -166
(25); AP1 at position -673 (26); MZF1 at
position -1909 (27); HMG box at position -1900
(28); E-box at position -1934 (29); EF1
repressor at position -1643; Bcd at the position -1573
(30); AP-4 at position -1263 (31); NF-Y at
position -1057 (32); C/EBP at position -928
(33); C-Rel at position -897 (34); Lmo2
complex at position -625 (35); Nkx-2.5 at position -143
(36); Skn-1 at position -94 (37); GATA-2 at
position -58 (38); and a TATA box at position -32
(39). We also observed several putative
cis-acting elements in the mouse sequence that were not
conserved with the corresponding human 5'-flanking region, including a
possible AML-1a binding site at position -277 (40).
Cell specificity and abundance of Phex mRNA
Before proceeding with the functional analysis of the 5'-flanking
region of the Phex gene, we identified
Phex-expressing and -nonexpressing cells. By RNase
protection analysis we confirmed the osteoblast expression and
differentiation stage dependency of Phex expression (Fig. 2A
and Fig. 3
). We detected a high level of
Phex expression by RNase protection assay in mature
MC3T3-E1(14 d of culture) and TM-Ob (15 d of culture) osteoblasts, but
failed to detect Phex transcripts in NIH3T3 fibroblasts and
undifferentiated TM-Ob cells cultured for 5 d. Using RT-PCR
analysis, we detected Phex transcripts in differentiated
MC3T3-E1 osteoblasts, C5.18 chondrocytes and ROS17/2.8 osteosarcoma
cells, but not in COS-7 cells (Fig. 3
).

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Figure 3. RT-PCR analysis of Phex mRNA
expression in various cell lines. RT-PCR was performed with 2.5 µg
total RNA from MC3T3-E1, C5.18, ROS 17/2.8, and COS-7 cells. MC3T3-E1
cells were induced to differentiate by 14 d of culture in -MEM
containing ascorbic acid and ß-glycerol phosphate.
Phex was amplified by PCR using the forward primer
+1866F and the reverse primer +2943R (top). A 1.1-kb
product was amplified from 14-d-old MC3T3-E1, C5.18, and ROS17/2.8
osteoblasts. No product was amplified from COS-7 cells. G3PDH primers,
which amplify a 0.9-kb product, were used as controls for RNA integrity
(bottom). +RT, with RT; -RT, without RT.
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Functional characterization of the Phex promoter in ROS17/2.8
osteoblasts
To begin to examine the transcription of the Phex gene,
we evaluated serial deletions of Phex-luc promoter
constructs in ROS17/2.8 osteosarcoma cells (Fig. 4
). Progressive 5'-deletion mutations of
the promoter revealed a bimodal pattern of functional activity in
transiently transfected ROS17/2.8 cells (Fig. 4
). The full-length
promoter construct (-2736/+54) was active in ROS 17/2.8 cells, and
displayed a progressive reduction in promoter activity as the
5'-deletion mutations approached 1606 bp, relative to the transcription
start site. Further deletions from 1606 to 946 bp, however, lead to an
increase in promoter activity that exceed that of the full-length
promoter. Successive deletions from -946 bp lead to a progressive
reduction in promoter activity in ROS17/2.8 cells, resulting in a near
complete ablation with -22/+54 construct.

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Figure 4. Function analysis of 5' deletion mutants of the
mouse Phex promoter-luciferase chimeric gene by DNA
transient transfection experiments. Activity of deletion mutants of the
Phex-luc constructs were assessed in ROS 17/2.8 cells
that express the Phex (Fig. 3 ). The promoter/reporter
construct, p2736Phex-luc, consists of sequence -2736 to
+54 subcloned into the pGL2-Basic vector. Deletions were generated by
PCR as described in Materials and Methods. In DNA
transfection experiments, successive deletions of
Phex-luc from -2336 to -472 decreased the level of
expression 40%, whereas deletions from -130 to -22 abolished
activity, indicating critical cis-acting elements are
present between -947 and -472, as well as between -130 and -22.
Luciferase activity is relative to pGL2-Basic vector alone and
expressed as a ratio to ß-galactosidase activity to correct for
transfection efficiency. Values represent the mean ±
SEM of a minimum of three separate transfection
experiments. Values sharing the same superscript are not
significantly different at P < 0.05.
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Cell-restricted activity of the 2.7 kb and 946 bp Phex promoter
constructs
Phex transgene constructs containing 946 bp and 2736 bp
of upstream sequence (p946Phex-luc and
p2736Phex-luc) were further tested to define the DNA
regulatory regions that might direct the tissue-specific expression of
Phex (Fig. 5
). Because
Phex is strongly expressed in osteoblasts and chondrocytes
but is not expressed in COS-7 cells, these two Phex promoter
constructs were transiently transfected into these three different cell
lines. The full-length promoter construct (-2763/+54) was expressed to
a higher extent (approximately 3-fold) in C5.18 chondrocytes compared
with COS-7 cells. The expression was also significantly greater in ROS
17/2.8 osteosarcoma cells compared with COS-7 cells, but was
quantitatively less than expected from the level of Phex mRNA in
osteoblasts (Fig. 3
). In all three cell lines, the overall activity of
the (2736/+54) construct was lower than that observed with the
truncated promoter construct (-946/+54). Indeed, deletion of the
initial 1789 bp of the promoter resulted in nearly a 3-fold increase in
promoter activity in C5.18 chondrocytes and nearly a 2-fold activity in
ROS17/2.8 osteosarcoma cells and COS-7 cells. These findings suggest
that the distal region of the promoter from -946 to -2736 contains
inhibitory elements and the proximal 946 bp of the promoter has
regulatory elements that contribute to the differential expression of
Phex between osteoblasts, chondrocytes and nonosteoblastic
cell lines. The results in COS-7 cells need to be interpreted with
caution, because they may not simply reflect the nonosteoblastic
phenotype of the cells, but the effects of their expression of SV40 T
antigen.

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Figure 5. Function analysis of the murine
Phex promoter in different cell lines: evidence for
positive and negative regulators. We compared constructs
p2736Phex-luc and p946Phex-luc that,
respectively, contain 2790 bp and 946 bp of the 5'-flanking portion of
the Phex gene inserted immediately upstream from the
firefly luciferase in pGL2-Basic. One microgram of
pPhex-luc and 0.25 µg pSV ß-galactosidase were
cotransfected into cells using TransFast reagent. The luciferase
activity was normalized by ß-galactosidase activity and expressed
relative to the pGL2-basic vector. The p946Phex-luc
construct demonstrated greater activity in C5.18 chondrocytes and
ROS17/2.8 osteoblasts compared with
non-Phex-expressing COS-7 cells. This suggests the
presence of elements in the Phex promoter directing
cell-restricted expression as well as nonspecific elements directing
high-expression in COS-7 cells. In contrast, the
p2736Phex-luc construct expressed less activity in all
cell types, but maintained the relative greater activity in
Phex-expressing chondrocytes compared with osteoblasts
and COS-7 cells. The values represent the mean ± SEM
of three separate transfections. Values sharing the same
superscript are not significantly different at
P < 0.05.
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SOX9 enhances Phex promoter activity
Because of the high levels of expression of chondrocytes, we
tested the effect of transcription factors regulating chondrogenesis on
Phex promoter activity. SOX9 is a transcription factor that
plays a key role in chondrogenesis (21). To examine
whether SOX9 regulates the transcriptional activity of the
Phex gene, the full-length Phex promoter
construct (-2736/+54) was cotransfected with a SOX9 expression vector
into ROS17/2.8 cells(Fig. 6A
). SOX9
overexpression in C5.18 chondrocytes, ROS17/2.8 osteosarcoma cells, and
COS-7 cells enhanced by approximately 6-, 4-, and 3-fold, respectively,
the transcriptional activity of the full-length Phex
promoter. In contrast, SOX9 failed to stimulate activity above the
control plasmid using the (-946/+54) construct (Fig. 6B
). These
observations suggest that SOX9 may regulate Phex gene
transcription through upstream SRY-like elements, possibly at positions
-2340, and -2199 (23). Additional studies will be needed
to confirm the importance of the putative SRY sites and identify the
transcription factors that bind to them. Other factors also are likely
to be involved in mediating the preferential expression of
Phex in chondrocytes. Indeed, SOX9 mRNA was detected in all
three cell lines (Fig. 6C
), but its ability to up-regulate promoter
activity was greatest in chondrocytes. In addition, the unexpected high
activity of the Phex promoter in COS-7 cells may be
explained by their high level of endogenous SOX9 transcripts.

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Figure 6. Effect of SOX9 on Phex promoter
activity and expression of SOX9 in various cell lines. A and B, The
effect of the chondrocyte differentiation factor SOX9 on
Phex promoter activity in various cell lines. C5.18, ROS
17/2.8, or COS-7 cells were cotransfected with the SOX9 expression
construct or the empty vector (pcDNA3.1) along with
p2736Phex-luc (A) or p946Phex-luc (B), as
described in Materials and Methods. Overexpression of
SOX9 resulted in an increase in activity of the full-length
Phex promoter construct in all cell lines, but not in
the truncated p946Phex-luc construct, consistent with
the presence of putative SRY-like elements between 946 and 2736 (Fig. 1 ). C, RT-PCR analysis of SOX9 expression. Total RNA derived from the
indicated cell lines was RT-PCR using a primer pair capable of
amplifying SOX9 from both rodent and primate species. We identified the
predicted size product in C5.18, ROS17/2.8 and COS-7 cells. +RT, with
RT; -RT, without RT. G3PDH primers that amplify a 0.9-kb product were
used as controls for RNA integrity (bottom).
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Failure of other factors to regulate the Phex promoter
We performed additional studies evaluating the effects of
Cbfa1, PTH, calcium, forskolin,
1,25(OH)2D3, phosphorus,
and TPA on either Phex promoter construct (-2736/+54) in
ROS17/2.8 cells. In contrast to the potent stimulation by SOX9 (Fig. 6
), none of these factors stimulated Phex promoter activity
(data not shown). In particular, we observed no stimulation by
cotransfecting the Cbfa1 expression plasmid
(22) with the Phex promoter, whereas this
Cbfa1 expression plasmid has been previously used by us to
stimulate an osteocalcin promoter construct (22).
Similarly, 1,25(OH)2D3 at
concentrations that stimulated an osteocalcin promoter construct failed
to stimulate the Phex promoter construct in ROS17/2.8 (Fig. 7
) or MC3T3-E1 osteoblasts. PTH at
concentration ranging from 5100 nM as well as
the addition of calcium to the media at concentrations ranging from
15 mM also failed to stimulate Phex
promoter activity in ROS17/2.8 cells (data not shown). Finally, neither
stimulation of cAMP by forskolin at a dose ranging from
10-7 to 10-5M, or activation of PKC by treatment of cells
with TPA at concentrations of 0.16 µM and 1.6
µM stimulated the Phex promoter
construct in MC3T3-E1 osteoblasts (data not shown).

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|
Figure 7. Effect of 1,25-(OH)2D3 on
the Phex promoter fragment. ROS 17/2.8 cells were
transiently transfected with either p2736Phex-luc
(solid bars) or the rat osteocalcin promoter
p637Oc-luc (hatched bars) containing a
vitamin D response element (VDRE). One microgram of DNA from each
reporter plasmid was used for each transfection experiment in ROS
17/2.8 cells. In each case, cells were treated with either
10-10 M or 10-8 M
1,25-(OH) 2D3 or with vehicle for 24 h
before harvest. We observed a dose-dependent effect of
1,25-(OH)2D3 to increase luciferase activity in
ROS17/2.8 cells transfected with p637Oc-luc, but with
p1606Phex-luc, consistent with the absence of a VDRE in
the Phex promoter (Fig. 1 ). Data represent relative
luciferase activity expressed as the mean ± SEM of at
least three independent transfection experiments. Values not sharing
the same superscript are significantly different at
P < 0.05.
|
|
Developmental Stage-specific Transcriptional up-regulation of the
Phex promoter in MC3T3-E1 cells
Different stages of maturation were accomplished by growing
MC3T3-E1 cells in media containing serum with supplemented with
ascorbic acid and ß-glycerol phosphate for various time periods
(18). To confirm the maturational up-regulation of
Phex expression, we evaluated Phex promoter
activity in stably transfected MC3T3-E1 osteoblasts after 4 and 9
d of culture (Fig. 8A
). We found that
Phex promoter activity relative to the empty vector alone
increased during this maturation period, paralleling the culture
duration dependent up-regulation of endogenous Phex mRNA in
these cells (Fig. 8B
).

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|
Figure 8. Analysis of Phex promoter activity
and mRNA expression in MC3T3-E1 osteoblasts. A, MC3T3-E1 cells were
stably transfected with the p2736Phex-luc or the
pGL2-Basic vector and cultured in the presence of ascorbic acid and
ß-glycerol phosphate for up to 9 d to induce differentiation.
Luciferase activity (corrected for DNA content and the activity of the
empty vector) significantly increased as a function of osteoblastic
maturation. Values represent the mean ± SEM of three
separate determinations. B, RT-PCR of Phex in MC3T3-E1
osteoblasts at different developmental stages. Phex was
amplified using primers predicted to generate a 566-bp
Phex fragment (arrow). A 245-bp region of
ß-actin was amplified at each day point as an internal control for
RNA amount and integrity (arrow, bottom
panel). Phex mRNA increased in 9-d-old compared
with 4-d-old osteoblasts consistent with the observed increase in
Phex promoter activity (A). -/+RT, absence and presence
of RT, respectively.
|
|
 |
Discussion
|
|---|
To initiate studies directed at identifying pathways regulating
Phex expression, we have isolated, sequenced, and
characterized the functional activity of the murine Phex
promoter in chondrocytes, osteoblasts, and COS-7 cells. A single
transcription start site was mapped, and a promoter construct
containing up to 2736 bp of the 5'-flanking sequence was identified and
shown to display functional activity in cells expressing
Phex endogenously. The promoter region that we identified is
the same as that independently isolated from a mouse genomic BAC clone
(41). Searching the DNA database with the mouse promoter
sequence identified a corresponding highly homologous region upstream
of the human PHEX coding sequence and conservation of many of the same
putative regulatory cis-acting elements in the mouse and
human 5'-flanking regions (Fig. 1
). We have begun investigations with
the murine Phex promoter to determine the role that
transcriptional regulation plays in the cell type-specific and hormonal
regulation of Phex. To date, our analysis of the
Phex promoter identifies three important features, namely
the presence of transcriptional control of cell-restricted expression,
a bimodal pattern of functional activity in 5' deletion mutants
indicative of both positive and negative regulatory elements, and the
lack of regulation by several factors involved in calcium and
phosphate homeostasis.
Although the activity of this Phex promoter construct was
greater in the cell lines C5.18 chondrocytes and ROS 17/2.8 osteoblasts
that express Phex mRNA than nonexpressing COS-7 cells (Figs. 4
and 5
), the difference in promoter activity was not as great as
expected based on the marked differences in Phex mRNA levels
in C5.18 and ROS 17/2.8 compared with COS-7 cells (Fig. 3
). This is
especially true for ROS17/2.8, which express high levels of
Phex transcripts but have promoter activity only 50%
greater than nonspecific activity of the promoter observed in COS-7
cells. Thus, there may be additional elements outside the existing
Phex promoter construct or nontranscriptional mechanisms
that may account for the apparent disparity between the level of
Phex transcripts and promoter activity in ROS 17/2.8
osteoblasts. In addition, COS-7 cells, which are of the SV40
transformed monkey kidney cell line, may have high nonspecific activity
of the Phex promoter construct in the absence of endogenous
Phex expression, due to the transcriptional effects of the T
antigen or to the expression of SOX9, which is expressed in COS-7
kidney-derived cells (Fig. 6
) as well as in the developing collecting
ducts of the metanephric kidney (42). Nevertheless,
complementary studies in MC3T3-E1 osteoblasts (Fig. 8
) demonstrated
maturational stage-dependent expression of Phex
transcriptional activity (Fig. 2
) that mirrors our previously reported
increase of Phex transcripts in mature osteoblasts (3, 43). Thus, the differential expression of the Phex
promoter in chondrocytes and MC3T3-E1 osteoblasts and to a lesser
extent in the ROS 17/2.8 osteoblasts, indicate that
cis-acting elements are present in the Phex
promoter necessary for its expression in skeletal cells. The finding of
Phex in cartilage-derived cells, similar to its expression
in osteoblasts, also further strengthens the association of
Phex expression and the process of mineralization of
extracellular matrix.
The high expression in skeletal cells lead us to investigate whether
transcription factors that regulate chondrogenesis and
osteoblastogenesis also regulate the Phex promoter. We
examined the effects on Phex promoter activity of SOX9, a
member of the family of SOX (SRY-type high mobility group
box) genes that plays central role in chondrogenesis (41),
and Cbfa1 (core-binding factor) gene (also known as Runx2),
a transcription factor that has a critical role in osteoblastic
differentiation (44). Consistent with the presence of
several putative SRY sites in the Phex promoter, we found
that cotransfection of SOX9 expression plasmid with the p2736
Phex-luc Phex promoter, but not the
p946Phex-luc promoter, resulted in an increase in
Phex promoter activity in all cells, indicating that the
chondrocyte and osteoblast cells as well as the kidney-derived cell
line COS-7 provide an environment to assess SOX9 effects. The response
was greater in C5.18 chondroctyes (Fig. 6
). The fact that SOX9
collaborates with other transcription factors potentially explains its
greater effect in C5/18 chondrocytes (45, 46). Additional
studies will be needed to determine which of the several potential SRY
sites or other sites are important in mediating SOX9 effects and the
factors that cooperatively activate the Phex gene.
Unexpectedly, and despite the presence of a putative AML-1-binding site
at position -276 of the mouse (but not the human) promoter,
cotransfection of a Cbfa1 expression plasmid with the
-1606/+54 Phex promoter had no effect on Phex
promoter activity in ROS17/2.8. It is possible that other factors or
unique combinations of known factors direct the restricted expression
of Phex in osteoblasts.
Deletional analysis identified both positive and negative regulatory
elements in the murine Phex promoter (Fig. 4
). Promoter
activity was altered in ROS17/2.8 osteosarcoma cells by progressive
5'-deletion mutations and was characterized by a bimodal pattern of
activity. The highest activity was observed with the -946/+54 promoter
construct. We found that deletions from -2736 to -1606 bp resulted in
a decrease in promoter activity, but further deletion from to -946 bp
restored promoter activity to their highest levels, consistent with the
presence of repressor elements between -2736 and -946. In this
region, we identified conserved sequences similar to the EF1 repressor
TGCCACCTGAGG at position -1643/-1632 (30) and the
osteocalcin gene silencer CCCCTNTCT at position -1985/-1977
(47). Further deletions from 946 to 22 bp resulted in
progressive loss of promoter activity. Significant promoter activity
was lost between 178 and 130 bp, suggesting that the region from 946 to
130 contains important positive cis-acting elements that
regulate Phex transcription. This region contained the
highest density of possible cis-acting elements conserved
between the mouse and human sequences. These included two C/EBP sites,
one C-Rel site, four SRY sites, two Nkx-2.5 sites, one AP-1 site, and
one GATA-1 site. Whether these sites bind transcription factors and
control Phex transcription will require further studies.
Finally, because of its role in the maintenance of normal serum
phosphate levels and skeletal mineralization, our a priori
hypothesis was that Phex gene transcription might be
modulated by factors controlling calcium and phosphate homeostasis. We
have been unable to demonstrate such regulation. PTH and
1,25(OH)2D3, two factors
important in regulating systemic phosphate homeostasis, failed to
affect the Phex promoter activity in ROS17/2.8 cells (Fig. 7
) that have PTH receptors and respond to
1,25(OH)2D3 at the
concentrations used in this study. Despite potential AP-2 and c-REL
sites, neither TPA or forskolin increased the activity of the
Phex luciferase reporter gene in osteoblasts. These data
suggest that any effect of PTH and/or vitamin D to modulate
Phex expression may be indirect or involve elements outside
the 2.7-kb region.
In conclusion, we have confirmed the presence of a functional promoter
in the 5'-flanking region of the murine Phex gene and have
identified a corresponding homologous sequence in humans. Our initial
characterizations of the murine Phex promoter are consistent
with cell-type and maturational stage-specific transcriptional control
but not control by hormones and other factors known to control
phosphate homeostasis. The induction of promoter activity by SOX9 is
consistent with the expression of Phex in chondrocytes. Our
cell culture data, however, may not accurately reflect the
physiological and in vivo regulation of Phex, and
additional studies are needed to clarify the regulation of the promoter
in a more physiologically relevant setting. Indeed, understanding the
transcriptional regulation of Phex in osteoblasts as well as
the location of particular cis-acting elements controlling
Phex expression await further analysis that include
assessment of protein/DNA interactions and testing Phex
promoter function in the context of transgenic mice.
 |
Acknowledgments
|
|---|
 |
Footnotes
|
|---|
This work was supported in part by Grants R01-AR37308 and R01-AR43468
from the NIH, National Institute of Arthritis and Musculoskeletal and
Skin Diseases. The nucleotide sequences reported in this paper have
been submitted to GenBank /EMBL Data Bank with accession number
AF299334.
Abbreviations: G3PDH, Glyceraldehyde-3-phosphate dehydrogenase;
RT, reverse transcriptase; TPA,
12-O-tetradecanoylphorbol-13- acetate; UTR,
untranslated region.
Received January 23, 2001.
Accepted for publication June 1, 2001.
 |
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