The objective of this grant application is to examine the mechanism of action of a novel phosphaturic factor, secreted frizzled-related protein-4 (sFRP-4), one of the factors responsible for the phosphaturia, hypophosphatemia and inappropriately adapted 25-hydroxyvitamin D3 1 alpha-hydroxylase (25(OH) D3 1alphaOHase) activity seen in patients with tumor-induced osteomalacia, and to determine whether it regulates phosphate (Pi) homeostasis in normal physiological states. The hypotheses of this application are as follows: (1) sFRP-4 regulates inorganic phosphate (Pi) homeostasis by two distinct mechanisms: (a) inhibiting renal proximal tubule Pi reabsorption; (b) inhibiting renal 25(OH) D3 1alpha (OH)ase activity and 1alpha, 25-dihydroxyvitamin D synthesis. These actions reduce intestinal Pi absorption and renal Pi reabsorption and are likely modulated by the effects of sFRP-4 on the Wnt signaling pathway. (2) Renal and circulating sFRP-4 is regulated by dietary Pi intake.
The specific aims of the application are as follows: (1) To determine the site and mechanism of action of sFRP-4 in rat or mouse nephron. (2) To determine the structural basis for the phosphaturic effects of the sFRP-4 molecule. (3) To examine the physiological mechanisms by which sFRP-4 inhibits 25(OH)D3 1alpha (OH)ase activity in the proximal tubular cell. (4) To examine the signaling pathways activated in the proximal tubule by sFRP-4. (5) To determine whether sFRP-4 concentrations in the serum and kidney are altered by changes in the intake of dietary Pi. Significance: While the vitamin D endocrine system and PTH have been described as modulators of calcium and Pi homeostasis, no molecules or systems have been described that predominantly regulate Pi homeostasis, sFRP-4 may be such a molecule. We believe that sFRP-4 is an important molecule in this regard, and it is therefore critical to understand how it functions and is regulated in the kidney. Our findings will have important implications with respect to Pi homeostasis, bone mineralization in mammals and humans, and the regulation of ion transport through Wnt signaling in the kidney.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
5R01DK065830-04
Application #
7227521
Study Section
Cellular and Molecular Biology of the Kidney Study Section (CMBK)
Program Officer
Ketchum, Christian J
Project Start
2004-07-01
Project End
2009-04-30
Budget Start
2007-05-01
Budget End
2009-04-30
Support Year
4
Fiscal Year
2007
Total Cost
$283,579
Indirect Cost
Name
Mayo Clinic, Rochester
Department
Type
DUNS #
006471700
City
Rochester
State
MN
Country
United States
Zip Code
55905
Berndt, Theresa; Kumar, Rajiv (2009) Novel mechanisms in the regulation of phosphorus homeostasis. Physiology (Bethesda) 24:17-25
Kumar, Rajiv (2009) Phosphate sensing. Curr Opin Nephrol Hypertens 18:281-4
Craig, Theodore A; Sommer, Stacy L; Beito, Thomas G et al. (2009) Production and characterization of monoclonal antibodies to human sclerostin. Hybridoma (Larchmt) 28:377-81
Shaikh, Aisha; Berndt, Theresa; Kumar, Rajiv (2008) Regulation of phosphate homeostasis by the phosphatonins and other novel mediators. Pediatr Nephrol 23:1203-10
Thomas, Leslie; Kumar, Rajiv (2008) Control of renal solute excretion by enteric signals and mediators. J Am Soc Nephrol 19:207-12
Yuan, Baozhi; Takaiwa, Masanori; Clemens, Thomas L et al. (2008) Aberrant Phex function in osteoblasts and osteocytes alone underlies murine X-linked hypophosphatemia. J Clin Invest 118:722-34
Craig, Theodore A; Sommer, Stacy; Sussman, Caroline R et al. (2008) Expression and regulation of the vitamin D receptor in the zebrafish, Danio rerio. J Bone Miner Res 23:1486-96
Berndt, Theresa J; Craig, Theodore A; McCormick, Daniel J et al. (2007) Biological activity of FGF-23 fragments. Pflugers Arch 454:615-23
Griffin, Matthew D; Dong, Xiangyang; Kumar, Rajiv (2007) Vitamin D receptor-mediated suppression of RelB in antigen presenting cells: a paradigm for ligand-augmented negative transcriptional regulation. Arch Biochem Biophys 460:218-26
Berndt, Theresa; Thomas, Leslie F; Craig, Theodore A et al. (2007) Evidence for a signaling axis by which intestinal phosphate rapidly modulates renal phosphate reabsorption. Proc Natl Acad Sci U S A 104:11085-90

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