Farrow Emily G, Davis Siobhan I, Summers Lelia J, White Kenneth E
Department of Medical and Molecular Genetics, Indiana University School of Medicine, 975 West Walnut Street, Indianapolis, IN 46202, USA.
J Am Soc Nephrol. 2009 May;20(5):955-60. doi: 10.1681/ASN.2008070783. Epub 2009 Apr 8.
Fibroblast growth factor-23 (FGF23), a hormone central to phosphate and vitamin D metabolism, reduces renal absorption of phosphate by downregulating the sodium-phosphate cotransporter Npt2a. However, the mechanisms of FGF23 action in the kidney are unclear, as Npt2a localizes to the proximal tubule (PT) and the FGF23 coreceptor alpha-Klotho (KL) localizes to the distal convoluted tubule (DCT). Immunofluorescent analyses following FGF23 injection in mice showed robust staining for phospho-ERK1/2, a marker of FGF23 bioactivity, only within the DCT in a subset of KL-positive cells. This activity colocalized with the FGF23 receptor FGFR1 and was present in DCT cells that were adjacent to Npt2a-expressing PT segments. Although KL is expressed as both secreted and membrane-bound isoforms, only the membrane-bound isoform was capable of mediating FGF23 bioactivity. These findings provide novel insight into the mechanisms of hormone-regulated phosphate metabolism by identifying an intrarenal signaling axis for FGF23.
成纤维细胞生长因子23(FGF23)是一种在磷酸盐和维生素D代谢中起核心作用的激素,它通过下调钠-磷酸盐共转运蛋白Npt2a来减少肾脏对磷酸盐的重吸收。然而,FGF23在肾脏中的作用机制尚不清楚,因为Npt2a定位于近端小管(PT),而FGF23共受体α-klotho(KL)定位于远端曲小管(DCT)。给小鼠注射FGF23后的免疫荧光分析显示,在一部分KL阳性细胞的DCT内,作为FGF23生物活性标志物的磷酸化ERK1/2有强烈染色。这种活性与FGF23受体FGFR1共定位,并且存在于与表达Npt2a的PT节段相邻的DCT细胞中。虽然KL以分泌型和膜结合型两种异构体形式表达,但只有膜结合型能够介导FGF23的生物活性。这些发现通过确定FGF23的肾内信号轴,为激素调节的磷酸盐代谢机制提供了新的见解。