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Am J Physiol Renal Physiol (July 5, 2005). doi:10.1152/ajprenal.00474.2004
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Submitted on January 3, 2005
Accepted on July 1, 2005

Vitamin D receptor-independent FGF23 actions in regulating phosphate and vitamin D metabolism

Takashi Shimada1, Yuji Yamazaki1, Motoo Takahashi1, Hisashi Hasegawa1, Itaru Urakawa1, Takeshi Oshima1, Kaori Ono1, Makoto Kakitani1, Kazuma Tomizuka1, Toshiro Fujita2, Seiji Fukumoto2, and Takeyoshi Yamashita1*

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{alpha}-hydroxylase (1{alpha}OHase) mRNA level. Thus, FGF23-induced changes in NaPi2a and 1{alpha}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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