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1 Pharmaceutical Research Laboratories, KIRIN Brewery Co., Ltd., Takasaki, Gunma, Japan
2 Division of Nephrology and Endocrinology, Department of Internal Medicine, The University of Tokyo Hospital, Tokyo, Japan
* To whom correspondence should be addressed. E-mail: tyamashita{at}kirin.co.jp.
FGF23 suppresses both serum phosphate and 1,25-dihydroxyvitamin D [1,25D] levels in vivo. Since
1,25D itself is a potent regulator of phosphate metabolism, it has remained unclear whether
FGF23-induced changes in phosphate metabolism were caused by a 1,25D-independent mechanism.
To address this issue, we intravenously administered recombinant FGF23 to vitamin D receptor
(VDR) null mice as a rapid bolus injection and evaluated the early effects of FGF23. Administration
of recombinant FGF23 further decreased the serum phosphate level in VDR KO mice accompanied
by a reduction in renal sodium phosphate cotransporter type IIa (NaPi2a) protein abundance and a
reduced renal 25-hydroxyvitamin D-1
-hydroxylase (1
OHase) mRNA level. Thus, FGF23-induced
changes in NaPi2a and 1
OHase expressions are independent of the 1,25D/VDR system. However,
24-hydroxylase (24OHase) mRNA expression remained undetectable by the treatment with FGF23.
We also analyzed the regulatory mechanism for FGF23 expression. The serum FGF23 level was
almost undetectable in VDR KO mice, while dietary calcium supplementation significantly
increased circulatory levels of FGF23 and its mRNA abundance in bone. This finding indicates that
calcium is another determinant of FGF23 production that occurs independently of the
VDR-mediated mechanism. In contrast, dietary phosphate supplementation failed to induce FGF23
expression in the absence of VDR, whereas marked elevation in circulatory FGF23 was observed in
wild-type mice fed with a high phosphate diet. Taken together, FGF23 works, at least in part, in a VDR-independent manner, and FGF23 production is also regulated by multiple mechanisms
involving VDR-independent pathways.
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