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This version published online on August 25, 2005
Endocrinology, doi:10.1210/en.2005-0777
A more recent version of this article appeared on December 1, 2005
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Submitted on June 28, 2005
Accepted on August 18, 2005

Dietary and Serum Phosphorus Regulate Fibroblast Growth Factor 23 Expression and 1,25(OH)2D Metabolism in Mice

Farzana Perwad, Nasreen Azam, Martin Y.H. Zhang, Takeyoshi Yamashita, Harriet S. Tenenhouse, and Anthony A. Portale*

Pediatrics, University of California San Francisco, San Francisco, California, United States; Pediatrics, University of Texas Medical Branch, Galveston, Texas, United States; Pharmaceutical Research Laboratories, Kirin Brewery Co. Ltd., Takasaki, Gunma, Japan; Pediatrics and Human Genetics, McGill University, Montreal, Quebec, Canada

* To whom correspondence should be addressed. E-mail: aportale{at}peds.ucsf.edu.

Fibroblast growth factor-23 (FGF-23) is a novel circulating peptide that regulates phosphate ({pi}) and vitamin D metabolism, but the mechanisms by which circulating FGF-23 itself is regulated are unknown. To determine whether serum FGF-23 concentration is regulated by dietary intake of {pi}, we fed wild-type (WT), Npt2a gene-ablated (Npt2a-) and Hyp mice diets containing varying {pi} content (0.02 to 1.65%). In WT mice, increases in dietary {pi} intake from 0.02% to 1.65% induced a 7-fold increase in serum FGF-23 and a 3-fold increase in serum {pi} concentrations. Across the range of dietary {pi}, serum FGF-23 concentrations varied directly with serum {pi} concentrations (R2=0.72, P < 0.001). In Npt2a- mice, serum FGF-23 concentrations were significantly lower than in WT mice, and these differences could be accounted for by the lower serum {pi} levels in Npt2a- mice. The serum concentrations of FGF-23 in Hyp mice were 5-fold to 25-fold higher than values in wild-type mice, and the values varied directly with dietary {pi} intake. Fgf-23 mRNA abundance in calvaria was significantly higher in Hyp mice than in WT mice on the 1% {pi} diet; and in both groups of mice, fgf-23 mRNA abundance in calvarial bone was suppressed by 85% on the low (0.02%) {pi} diet. In WT mice fed the low (0.02%) {pi} diet, renal 1{alpha}-hydroxylase activity and P450c1{alpha} mRNA abundance were significantly higher than values in mice fed the higher {pi} diets and varied inversely with serum FGF-23 concentrations (R2 = 0.86 and R2 = 0.64, P < 0.001, respectively). The present data demonstrate that dietary {pi} regulates serum FGF-23 concentration in mice, and that such regulation is independent of phex function. The data suggest that genotype-dependent and dietary {pi}-induced changes in serum FGF-23 concentration reflect changes in fgf-23 gene expression in bone.


Key words: Fibroblast Growth Factor-23 • 1{alpha}-hydroxylase • 1,25(OH)2D • phosphorus • Npt2 • Hyp




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