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PMID: 9560283 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Targeted inactivation of Npt2 in mice leads to severe renal phosphate wasting, hypercalciuria, and skeletal abnormalities.

Beck L, Karaplis AC, Amizuka N, Hewson AS, Ozawa H, Tenenhouse HS

Abstract

Npt2 encodes a renal-specific, brush-border membrane Na+-phosphate (Pi) cotransporter that is expressed in the proximal tubule where the bulk of filtered Pi is reabsorbed. Mice deficient in the Npt2 gene were generated by targeted mutagenesis to define the role of Npt2 in the overall maintenance of Pi homeostasis, determine its impact on skeletal development, and clarify its relationship to autosomal disorders of renal Pi reabsorption in humans. Homozygous mutants (Npt2(-/-)) exhibit increased urinary Pi excretion, hypophosphatemia, an appropriate elevation in the serum concentration of 1,25-dihydroxyvitamin D with attendant hypercalcemia, hypercalciuria and decreased serum parathyroid hormone levels, and increased serum alkaline phosphatase activity. These biochemical features are typical of patients with hereditary hypophosphatemic rickets with hypercalciuria (HHRH), a Mendelian disorder of renal Pi reabsorption. However, unlike HHRH patients, Npt2(-/-) mice do not have rickets or osteomalacia. At weaning, Npt2(-/-) mice have poorly developed trabecular bone and retarded secondary ossification, but, with increasing age, there is a dramatic reversal and eventual overcompensation of the skeletal phenotype. Our findings demonstrate that Npt2 is a major regulator of Pi homeostasis and necessary for normal skeletal development.

MeSH Terms
Animals Biological Transport Body Weight Bone and Bones/abnormalities,pathology Calcitriol/metabolism Calcium/urine Carrier Proteins/physiology Female Gene Expression Heterozygote Kidney/metabolism Male Mice Mice, Knockout Microvilli/metabolism Phosphates/metabolism,urine RNA, Messenger/genetics Sodium/metabolism Sodium-Phosphate Cotransporter Proteins Sodium-Phosphate Cotransporter Proteins, Type I Sodium-Phosphate Cotransporter Proteins, Type III Symporters
Chemicals
Carrier Proteins Phosphates RNA, Messenger Slc17a2 protein, mouse Sodium-Phosphate Cotransporter Proteins Sodium-Phosphate Cotransporter Proteins, Type I Sodium-Phosphate Cotransporter Proteins, Type III Symporters Sodium Calcitriol Calcium
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Beck L
Departments of Pediatrics and Human Genetics, McGill University, Montreal Children's Hospital Research Institute, Montreal, PQ, Canada H3H 1P3.
Karaplis A C
Amizuka N
Hewson A S
Ozawa H
Tenenhouse H S
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Article Info
Journal
Proceedings of the National Academy of Sciences of the United States of America
Abbr.
Proc Natl Acad Sci U S A
ISSN
0027-8424
Published
1998-04-28
Pages
5372-7
Language
English
Region
United States
NLM ID
7505876
PMCID
PMC20268
Subset
IM
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