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磷酸转运蛋白 NaPi-IIa 决定了小鼠对饮食中磷酸盐摄入的快速肾脏适应,而与持续高水平的 FGF23 无关。

The phosphate transporter NaPi-IIa determines the rapid renal adaptation to dietary phosphate intake in mouse irrespective of persistently high FGF23 levels.

机构信息

Institute of Physiology and Zurich Center for Integrative Human Physiology (ZIHP), University of Zürich, Winterthurerstrasse 190, CH-8057, Zurich, Switzerland.

出版信息

Pflugers Arch. 2013 Nov;465(11):1557-72. doi: 10.1007/s00424-013-1298-9. Epub 2013 May 26.

Abstract

Renal reabsorption of inorganic phosphate (Pi) is mediated by the phosphate transporters NaPi-IIa, NaPi-IIc, and Pit-2 in the proximal tubule brush border membrane (BBM). Dietary Pi intake regulates these transporters; however, the contribution of the specific isoforms to the rapid and slow phase is not fully clarified. Moreover, the regulation of PTH and FGF23, two major phosphaturic hormones, during the adaptive phase has not been correlated. C57/BL6 and NaPi-IIa(-/-) mice received 5 days either 1.2 % (HPD) or 0.1 % (LPD) Pi-containing diets. Thereafter, some mice were acutely switched to LPD or HPD. Plasma Pi concentrations were similar under chronic diets, but lower when mice were acutely switched to LPD. Urinary Pi excretion was similar in C57/BL6 and NaPi-IIa(-/-) mice under HPD. During chronic LPD, NaPi-IIa(-/-) mice lost phosphate in urine compensated by higher intestinal Pi absorption. During the acute HPD-to-LPD switch, NaPi-IIa(-/-) mice exhibited a delayed decrease in urinary Pi excretion. PTH was acutely regulated by low dietary Pi intake. FGF23 did not respond to low Pi intake within 8 h whereas the phospho-adaptator protein FRS2α necessary for FGF-receptor cell signaling was downregulated. BBM Pi transport activity and NaPi-IIa but not NaPi-IIc and Pit-2 abundance acutely adapted to diets in C57/BL6 mice. In NaPi-IIa(-/-), Pi transport activity was low and did not adapt. Thus, NaPi-IIa mediates the fast adaptation to Pi intake and is upregulated during the adaptation to low Pi despite persistently high FGF23 levels. The sensitivity to FGF23 may be regulated by adapting FRS2α abundance and phosphorylation.

摘要

肾脏对无机磷酸盐(Pi)的重吸收是由近端小管刷状缘膜(BBM)中的磷酸盐转运体 NaPi-IIa、NaPi-IIc 和 Pit-2 介导的。饮食 Pi 摄入调节这些转运体;然而,特定同工型对快速相和缓慢相的贡献尚未完全阐明。此外,在适应阶段,两种主要的降磷激素甲状旁腺激素(PTH)和成纤维细胞生长因子 23(FGF23)的调节尚未相关。C57/BL6 和 NaPi-IIa(-/-) 小鼠接受 5 天 1.2%(HPD)或 0.1%(LPD)含 Pi 饮食。此后,一些小鼠被急性切换到 LPD 或 HPD。在慢性饮食下,血浆 Pi 浓度相似,但当小鼠被急性切换到 LPD 时,浓度较低。在 HPD 下,C57/BL6 和 NaPi-IIa(-/-) 小鼠的尿 Pi 排泄相似。在慢性 LPD 期间,NaPi-IIa(-/-) 小鼠通过更高的肠道 Pi 吸收来补偿尿中磷酸盐的丢失。在急性 HPD 到 LPD 的转换期间,NaPi-IIa(-/-) 小鼠的尿 Pi 排泄减少延迟。PTH 被低饮食 Pi 摄入急性调节。FGF23 在 8 小时内没有对低 Pi 摄入做出反应,而 FGF 受体细胞信号所必需的磷酸适应蛋白 FRS2α则被下调。在 C57/BL6 小鼠中,BBM Pi 转运活性和 NaPi-IIa(而非 NaPi-IIc 和 Pit-2)丰度在急性饮食适应中适应饮食。在 NaPi-IIa(-/-) 中,Pi 转运活性较低且不能适应。因此,尽管 FGF23 水平持续升高,NaPi-IIa 介导 Pi 摄入的快速适应并在适应低 Pi 时被上调。对 FGF23 的敏感性可能受到适应 FRS2α 丰度和磷酸化的调节。

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