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Bone proteins PHEX and DMP1 regulate fibroblastic growth factor Fgf23 expression in osteocytes through a common pathway involving FGF receptor (FGFR) signaling
Open accessAbstract
Fibroblastic growth factor 23 (FGF23) is a circulating phosphaturic hormone. Inactivating mutations of the endopeptidase PHEX or the SIBLING protein DMP1 result in equivalent intrinsic bone mineralization defects and increased Fgf23 expression in osteocytes. The mechanisms whereby PHEX and DMP1 regulate Fgf23 expression are unknown. We examined the possibility that PHEX and DMP1 regulate Fgf23 through a common pathway by analyzing the phenotype of compound Phex and Dmp1 mutant mice (Hyp/Dmp1 –/– ). Compared to single‐mutant littermates, compound‐mutant Hyp/Dmp1 –/– mice displayed nonadditive elevations of serum FGF23 (1912 ± 183, 1715 ± 178, and 1799 ± 181 pg/ml), hypophosphatemia (P i : 6.0 ± 0.3, 5.8 ± 0.2, and 5.4 ±0.1 mg/dl), and severity of rickets/osteomalacia (bone mineral density: –36, –36, and –30%). Microarray analysis of long bones identified gene expression profiles implicating common activation of the FGFR pathway in all the mutant groups. Furthermore, inhibiting FGFR signaling using SU5402 in Hyp‐ and Dmp1 –/– ‐derived bone marrow stromal cells prevented the increase in Fgf23 mRNA expression (129‐ and 124‐fold increase in Hyp and Dmp1 –/– vs. 1.3‐fold in Hyp+SU5402 and 2.5‐fold in Dmp1 –/– +SU5402, P <0.05). For all analyses, samples collected from nonmutant wild‐type littermates served as controls. These findings indicate that PHEX and DMP1 control a common pathway regulating bone mineralization and FGF23 production, the latter involving activation of the FGFR signaling in osteocytes.—Martin, A., Liu, S., David, V., Li, H., Karydis, A., Feng, J. Q., Quarles, L. D. Bone proteins PHEX and DMP1 regulate fibroblastic growth factor Fgf23 expression in osteocytes through a common pathway. FASEB J. 25, 2551–2562 (2011). www.fasebj.org
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“These cells are able to regulate phosphate metabolism by the production of FGF23, which acts on other organs including parathyroid gland and kidneys to reduce the circulating levels of phosphates [208, 209].”
From Biology of Bone Tissue: Structure, Function, and Factors That Influence Bone Cells (2015) · cites this paper as [209]
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Citations
Cites
Guide for the care and use of laboratory animals
(1997) · Choice Reviews Online · doi:10.5860/choice.34-3310 · Cited by 2,930
Klotho converts canonical FGF receptor into a specific receptor for FGF23
Urakawa, I., Yamazaki, Y., Shimada, T., Iijima, K., Hasegawa, H., Okawa, K., Fujita, T., Fukumoto, S., & Yamashita, T. (2006) · Nature · doi:10.1038/nature05315 · Cited by 1,865
Autosomal dominant hypophosphataemic rickets is associated with mutations in FGF23
White, K., Evans, W. E., O'Riordan, J., Speer, M., Econs, M., Lorenz-Depiereux, B., Grabowski, M., Meitinger, T., & Strom, T. (2000) · Nature Genetics · doi:10.1038/81664 · Cited by 1,467
Cloning and characterization of FGF23 as a causative factor of tumor-induced osteomalacia
Shimada, T., Mizutani, S., Muto, T., Yoneya, T., Hino, R., Takeda, S., Takeuchi, Y., Fujita, T., Fukumoto, S., & Yamashita, T. (2001) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.101545198 · Cited by 1,391
Regulation of Fibroblast Growth Factor-23 Signaling by Klotho
Kurosu, H., Ogawa, Y., Miyoshi, M., Yamamoto, M., Nandi, A., Rosenblatt, K. P., Baum, M. G., Schiavi, S. C., Hu, M. C., Moe, O. W., et al. (2006) · Journal of Biological Chemistry · doi:10.1074/jbc.c500457200 · Cited by 1,381
Feng, J. Q., Ward, L. M., Liu, S., Lu, Y., Xie, Y., Yuan, B., Yu, X., Rauch, F., Davis, S. I., Zhang, S., et al. (2006) · Nature Genetics · doi:10.1038/ng1905 · Cited by 1,199 · cited 5×
“Based on the similar phenotypical characteristics observed between Hyp and Dmp1 / mice (7, 32), we hypothesized that PHEX and DMP1 could regulate extracellular matrix mineralization and Fgf23 expression through a common mechanism intrinsic to the bone microenvironment.”
BackgroundMethodInfluentialSelf-citationEvolution of the Fgf and Fgfr gene families.
Itoh, N., & Ornitz, D. (2004) · Trends in Genetics · doi:10.1016/j.tig.2004.08.007 · Cited by 1,123
Hayhurst, G. P., Lee, Y.-H., Lambert, G., Ward, J. M., & Gonzalez, F. J. (2001) · Molecular and Cellular Biology · doi:10.1128/mcb.21.4.1393-1403.2001 · Cited by 1,107
Mohammadi, M., McMahon, G., Sun, L., Tang, C., Hirth, P., Yeh, B. K., Hubbard, S. R., & Schlessinger, J. (1997) · Science · doi:10.1126/science.276.5314.955 · Cited by 1,099
Francis, F., Hennig, S., Korn, B., Reinhardt, R., de Jong, P., Poustka, A. J., Lehrach, H. R., Rowe, P. S., Goulding, J. N., Summerfield, T. C., et al. (1995) · Nature Genetics · doi:10.1038/ng1095-130 · Cited by 1,095
Growth factors in the extracellular matrix.
Taipale, J., & Keski‐Oja, J. (1997) · The FASEB Journal · doi:10.1096/fasebj.11.1.9034166 · Cited by 759
Georges, G. T., Nájera, O., Sowers, K. M. R., & Sowers, J. R. (2016) · Cardiorenal Medicine · doi:10.1159/000449476 · Cited by 680
Additivity of mutational effects in proteins
Wells, J. A. (1990) · Biochemistry · doi:10.1021/bi00489a001 · Cited by 650
Fibroblast Growth Factor 23 Is a Counter-Regulatory Phosphaturic Hormone for Vitamin D
Liu, S., Tang, W., Zhou, J., Stubbs, J. R., Luo, Q., Pi, M., & Quarles, L. D. (2006) · Journal of the American Society of Nephrology · doi:10.1681/asn.2005111185 · Cited by 641
Self-citationMurshed, M., Harmey, D., Millán, J. L., McKee, M. D., & Karsenty, G. (2005) · Genes & Development · doi:10.1101/gad.1276205 · Cited by 599
Yamashita, T., Yoshioka, M., & Itoh, N. (2000) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.2000.3696 · Cited by 553
Ferrari, S. L., Bonjour, J.-P., & Rizzoli, R. (2005) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-1039 · Cited by 518
Regulation of Fibroblastic Growth Factor 23 Expression but Not Degradation by PHEX
Liu, S., Guo, R., Simpson, L. G., Xiao, Z.-S., Burnham, C. E., & Quarles, L. D. (2003) · Journal of Biological Chemistry · doi:10.1074/jbc.m304544200 · Cited by 505
Self-citationLarsson, T. E., Marsell, R., Schipani, E., Ohlsson, C., Ljunggren, Ö., Tenenhouse, H. S., Jüppner, H., & Jonsson, K. B. (2004) · Endocrinology · doi:10.1210/en.2003-1768 · Cited by 497
Pathogenic role of Fgf23 in Hyp mice
Liu, S., Zhou, J., Tang, W., Jiang, X., Rowe, D. W., & Quarles, L. D. (2006) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00008.2006 · Cited by 494
Self-citationEndocrine functions of bone in mineral metabolism regulation
Quarles, L. D. (2008) · Journal of Clinical Investigation · doi:10.1172/jci36479 · Cited by 459
Self-citationPerwad, F., Azam, N., Zhang, M. Y. H., Yamashita, T., Tenenhouse, H. S., & Portale, A. A. (2005) · Endocrinology · doi:10.1210/en.2005-0777 · Cited by 424
Kolek, O. I., Hines, E. R., Jones, M. D., LeSueur, L., Lipko, M. A., Kiela, P. R., Collins, J. F., Haussler, M. R., & Ghishan, F. K. (2005) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00243.2005 · Cited by 408
Vitamin D receptor-independent FGF23 actions in regulating phosphate and vitamin D metabolism
Shimada, T., Yamazaki, Y., Takahashi, M., Hasegawa, H., Urakawa, I., Oshima, T., Ono, K., Kakitani, M., Tomizuka, K., Fujita, T., et al. (2005) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00474.2004 · Cited by 359
Suzuki, M., Uehara, Y., Motomura-Matsuzaka, K., Oki, J., Koyama, Y., Kimura, M., Asada, M., Komi-Kuramochi, A., Oka, S., & Toru, T. (2008) · Molecular Endocrinology · doi:10.1210/me.2007-0313 · Cited by 345
FGF-23 Inhibits Renal Tubular Phosphate Transport and Is a PHEX Substrate
Bowe, A. E., Finnegan, R., de Beur, S. M. J., Cho, J., Levine, M. A., Kumar, R., & Schiavi, S. C. (2001) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.2001.5084 · Cited by 339
Bai, X., Miao, D., Li, J., Goltzman, D., & Karaplis, A. C. (2004) · Endocrinology · doi:10.1210/en.2004-0233 · Cited by 329
Mutations that Cause Osteoglophonic Dysplasia Define Novel Roles for FGFR1 in Bone Elongation
White, K. E., Cabral, J. M., Davis, S. I., Fishburn, T., Evans, W., Ichikawa, S., Fields, J., Yu, X., Shaw, N. J., McLellan, N., et al. (2005) · The American Journal of Human Genetics · doi:10.1086/427956 · Cited by 328
FGF23 is processed by proprotein convertases but not by PHEX
Benet‐Pagès, A., Lorenz‐Depiereux, B., Zischka, H., White, K. E., Econs, M. J., & Strom, T. M. (2004) · Bone · doi:10.1016/j.bone.2004.04.002 · Cited by 258
Acute effect of oral phosphate loading on serum fibroblast growth factor 23 levels in healthy men
Nishida, Y., Taketani, Y., Yamanaka-Okumura, H., Imamura, F., Taniguchi, A., Sato, T., Shuto, E., Nashiki, K., Arai, H., Yamamoto, H., et al. (2006) · Kidney International · doi:10.1038/sj.ki.5002000 · Cited by 243
Brownstein, C. A., Adler, F., Nelson-Williams, C. J., Iijima, J., Li, P., Imura, A., Nabeshima, Y., Reyes‐Múgica, M., Carpenter, T. O., & Lifton, R. P. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0712361105 · Cited by 239
Feng, J., Huang, H., Lu, Y., Ye, L., Xie, Y., Tsutsui, T. W., Kunieda, T., Castranio, T., Scott, G., Bonewald, L. F., et al. (2003) · Journal of Dental Research · doi:10.1177/154405910308201003 · Cited by 236
Self-citationParathyroid hormone — a bone anabolic and catabolic agent
POOLE, K., & REEVE, J. (2005) · Current Opinion in Pharmacology · doi:10.1016/j.coph.2005.07.004 · Cited by 230
Tsuji, K., Maeda, T., Kawane, T., Matsunuma, A., & Horiuchi, N. (2010) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.65 · Cited by 208
Kawata, T., Imanishi, Y., Kobayashi, K., Miki, T., Arnold, A., Inaba, M., & Nishizawà, Y. (2007) · Journal of the American Society of Nephrology · doi:10.1681/asn.2006070783 · Cited by 208
Martin, A., David, V., Laurence, J. S., Schwarz, P. M., Lafer, E. M., Hedge, A.-M., & Rowe, P. S. N. (2008) · Endocrinology · doi:10.1210/en.2007-1205 · Cited by 173
Self-citationCarpenter, T. O., Ellis, B. K., Insogna, K. L., Philbrick, W. M., Sterpka, J., & Shimkets, R. A. (2005) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2004-0357 · Cited by 158
Direct Binding of Integrin αvβ3 to FGF1 Plays a Role in FGF1 Signaling
Mori, S., Wu, C., Yamaji, S., Saegusa, J., Shi, B., Ma, Z., Kuwabara, Y., Lam, K. S., Isseroff, R. R., Takada, Y. K., et al. (2008) · Journal of Biological Chemistry · doi:10.1074/jbc.m801213200 · Cited by 154
Pathogenic role of Fgf23 in Dmp1 -null mice
Liu, S., Zhou, J., Tang, W., Menard, R., Feng, J. Q., & Quarles, L. D. (2008) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.90201.2008 · Cited by 144
Self-citationNovel Regulators of Fgf23 Expression and Mineralization in Hyp Bone
Liu, S., Tang, W., Fang, J., Ren, J., Li, H., Xiao, Z., & Quarles, L. D. (2009) · Molecular Endocrinology · doi:10.1210/me.2009-0085 · Cited by 122
Self-citationBone Anabolic Effects of Basic Fibroblast Growth Factor in Ovariectomized Rats1
Liang, H., Pun, S., & Wronski, T. J. (1999) · Endocrinology · doi:10.1210/endo.140.12.7195 · Cited by 115
Intrinsic mineralization defect inHyp mouse osteoblasts
Xiao, Z., Crenshaw, M. A., Guo, R., Nesbitt, T., Drezner, M. K., & Quarles, L. D. (1998) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1998.275.4.e700 · Cited by 114
Self-citationGuo, R., & Quarles, L. D. (1997) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.1997.12.7.1009 · Cited by 108
Self-citationDavid, V., Martin, A., Hedge, A.-M., & Rowe, P. S. N. (2009) · Endocrinology · doi:10.1210/en.2009-0216 · Cited by 106
Self-citationBone Formation Regulates Circulating Concentrations of Fibroblast Growth Factor 23
Samadfam, R., Richard, C., Nguyen‐Yamamoto, L., Bolivar, I., & Goltzman, D. (2009) · Endocrinology · doi:10.1210/en.2009-0472 · Cited by 106
Thyroid Hormone Activates Fibroblast Growth Factor Receptor-1 in Bone
Stevens, D. A., Harvey, C. B., Scott, A. J., O’Shea, P. J., Barnard, J. C., Williams, A. J., Brady, G., Samarut, J., Chassande, O., & Williams, G. R. (2003) · Molecular Endocrinology · doi:10.1210/me.2003-0137 · Cited by 105
Compound deletion of Fgfr3 and Fgfr4 partially rescues the Hyp mouse phenotype
Li, H., Martin, A., David, V., & Quarles, L. D. (2010) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00499.2010 · Cited by 98
Self-citationRole of Matrix Extracellular Phosphoglycoprotein in the Pathogenesis of X-Linked Hypophosphatemia
Liu, S., Brown, T. A., Zhou, J., Xiao, Z.-S., Awad, H. A., Guilak, F., & Quarles, L. D. (2005) · Journal of the American Society of Nephrology · doi:10.1681/asn.2004121060 · Cited by 92
Self-citationLiu, S., Rowe, P. S., Vierthaler, L., Zhou, J., & Quarles, L. D. (2007) · Journal of Endocrinology · doi:10.1677/joe.1.07059 · Cited by 92
Self-citationLiu, S., Tang, W., Zhou, J., Vierthaler, L., & Quarles, L. D. (2007) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00396.2007 · Cited by 86
Self-citationAnalysis of recombinant Phex: an endopeptidase in search of a substrate
Guo, R., Liu, S., Spurney, R. F., & Quarles, L. D. (2001) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.2001.281.4.e837 · Cited by 81
Self-citationPhosphaturic action of fibroblast growth factor 23 in Npt2 null mice
Tomoe, Y., Segawa, H., Shiozawa, K., Kaneko, I., Tominaga, R., Hanabusa, E., Aranami, F., Furutani, J., Kuwahara, S., Tatsumi, S., et al. (2010) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00375.2009 · Cited by 78
Dunham-Ems, S. M., Lee, Y., Stachowiak, E. K., Pudavar, H. E., Claus, P., Prasad, P. N., & Stachowiak, M. K. (2009) · Molecular Biology of the Cell · doi:10.1091/mbc.e08-06-0600 · Cited by 71
Lotinun, S., Sibonga, J. D., & Turner, R. T. (2002) · Endocrine · doi:10.1385/endo:17:1:29 · Cited by 69
Xiao, L., Naganawa, T., Lorenzo, J. A., Carpenter, T. O., Coffin, J. D., & Hurley, M. M. (2009) · Journal of Biological Chemistry · doi:10.1074/jbc.m109.030577 · Cited by 65
Rowe, P. S., Matsumoto, N., Jo, O. D., Shih, R. N. J., Oconnor, J., Roudier, M. P., Bain, S., Liu, S., Harrison, J. S., & Yanagawa, N. (2006) · Bone · doi:10.1016/j.bone.2006.04.012 · Cited by 59
Self-citationRegulation of Fibroblast Growth Factor 23 Production in Bone in Uremic Rats
Saji, F., Shiizaki, K., Shimada, S., Okada, T., Kunimoto, K., Sakaguchi, T., Hatamura, I., & Shigematsu, T. (2009) · Nephron Physiology · doi:10.1159/000210389 · Cited by 56
Studies of the DMP1 57-kDa Functional Domain both in vivo and in vitro
Lu, Y., Qin, C., Xie, Y., Bonewald, L. F., & Feng, J. Q. (2008) · Cells Tissues Organs · doi:10.1159/000151727 · Cited by 56
Self-citationTebben, P. J., Singh, R. J., Clarke, B. L., & Kumar, R. (2004) · Mayo Clinic Proceedings · doi:10.4065/79.12.1508 · Cited by 53
Expression and distribution of SIBLING proteins in the predentin/dentin and mandible of hyp mice
Zhang, B., Sun, Y., Chen, L., Guan, C., Guo, L., & Qin, C. (2010) · Oral Diseases · doi:10.1111/j.1601-0825.2010.01656.x · Cited by 34
bFGF Administration Lowers the Phosphate Threshold for Mineralization in Bone Marrow Stromal Cells
Nauman, E. A., Sakata, T., Keaveny, T. M., Halloran, B. P., & Bikle, D. D. (2003) · Calcified Tissue International · doi:10.1007/s00223-002-1033-6 · Cited by 24
Martin, A., David, V., Vico, L., & Thomas, T. (2008) · Journal of Bone and Mineral Research · doi:10.1359/jbmr.080708 · Cited by 11
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Metadata
- Authors
- Martin, A., Liu, S., David, V., Li, H., Karydis, A., Feng, J. Q., & Quarles, L. D.
- Affiliations
- University of Tennessee Health Science Center (US)
- Genzyme Framingham Massachusetts USA
- Department of Biomedical Sciences Baylor College of Dentistry Dallas Texas USA
- Corresponding author
- Quarles, L. Darryl
- ORCID
- Venue
- The FASEB Journal
- Publisher
- Wiley
- Published
- 2011-04-20
- Volume
- 25
- Issue
- 8
- Pages
- 2551-2562
- ISSN
- 0892-6638 (ISSN-L)
- 1530-6860
- PMC
- PMC3136343
- OpenAlex
- W2155036045
- Cited by
- 254
- References
- 62
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 6 · 2023: 15 · 2022: 18 · 2021: 10 · 2020: 18 · 2019: 17 · 2018: 14 · 2017: 19 · 2016: 19 · 2015: 17 · 2014: 21 · 2013: 31 · 2012: 30
- FWCI
- 21.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The FASEB Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Topics
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Alkaline Phosphatase Research Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- PHEX, DMP1, SIBLING proteins, fibroblast growth factor 23, osteocytes, FGF receptor signaling, bone mineralization, hypophosphatemia, rickets, osteomalacia, compound mutant mice, mesenchymal stem cells, SU5402
- MeSH terms
- Fibroblast Growth Factor-23, Animals, Calcification, Physiologic, Female, Fibroblast Growth Factors, Gene Expression Regulation, Kidney, Male, Mice, Transgenic, Osteocytes, Phenotype, RNA, Messenger, Signal Transduction, Extracellular Matrix Proteins, Receptors, Fibroblast Growth Factor, Mice, Knockout, Mice, Familial Hypophosphatemic Rickets, PHEX Phosphate Regulating Neutral Endopeptidase
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