TY - JOUR
T1 - Protective roles of DMP1 in high phosphate homeostasis
AU - Rangiani, Afsaneh
AU - Cao, Zhengguo
AU - Sun, Yao
AU - Lu, Yongbo
AU - Gao, Tian
AU - Yuan, Baozhi
AU - Rodgers, Anika
AU - Qin, Chunlin
AU - Kuro-o, Makoto
AU - Feng, Jian Q.
PY - 2012/8/3
Y1 - 2012/8/3
N2 - Purpose: Dmp1 (dentin matrix protein1) null mice (Dmp1-/-) display hypophosphatemic rickets with a sharp increase in fibroblast growth factor 23 (FGF23). Disruption of Klotho (the obligatory co-receptor of FGF23) results in hyperphosphatemia with ectopic calcifications formed in blood vessels and kidneys. To determine the role of DMP1 in both a hyperphosphatemic environment and within the ectopic calcifications, we created Dmp1/Klotho compound deficient (Dmp1-/-kl/kl) mice. Procedures: A combination of TUNEL, immunohistochemistry, TRAP, von Kossa, micro CT, bone histomorphometry, serum biochemistry and Scanning Electron Microscopy techniques were used to analyze the changes in blood vessels, kidney and bone for wild type control, Dmp1-/-, Klotho deficient (kl/kl) and Dmp1-/-kl/kl animals. Findings: Interestingly, Dmp1-/-kl/kl mice show a dramatic improvement of rickets and an identical serum biochemical phenotype to kl/kl mice (extremely high FGF23, hyperphosphatemia and reduced parathyroid hormone (PTH) levels). Unexpectedly, Dmp1-/-kl/kl mice presented elevated levels of apoptosis in osteocytes, endothelial and vascular smooth muscle cells in small and large blood vessels, and within the kidney as well as dramatic increase in ectopic calcification in all these tissues, as compared to kl/kl. Conclusion: These findings suggest that DMP1 has an anti-apoptotic role in hyperphosphatemia. Discovering this novel protective role of DMP1 may have clinical relevance in protecting the cells from apoptosis in high-phosphate environments as observed in chronic kidney disease (CKD).
AB - Purpose: Dmp1 (dentin matrix protein1) null mice (Dmp1-/-) display hypophosphatemic rickets with a sharp increase in fibroblast growth factor 23 (FGF23). Disruption of Klotho (the obligatory co-receptor of FGF23) results in hyperphosphatemia with ectopic calcifications formed in blood vessels and kidneys. To determine the role of DMP1 in both a hyperphosphatemic environment and within the ectopic calcifications, we created Dmp1/Klotho compound deficient (Dmp1-/-kl/kl) mice. Procedures: A combination of TUNEL, immunohistochemistry, TRAP, von Kossa, micro CT, bone histomorphometry, serum biochemistry and Scanning Electron Microscopy techniques were used to analyze the changes in blood vessels, kidney and bone for wild type control, Dmp1-/-, Klotho deficient (kl/kl) and Dmp1-/-kl/kl animals. Findings: Interestingly, Dmp1-/-kl/kl mice show a dramatic improvement of rickets and an identical serum biochemical phenotype to kl/kl mice (extremely high FGF23, hyperphosphatemia and reduced parathyroid hormone (PTH) levels). Unexpectedly, Dmp1-/-kl/kl mice presented elevated levels of apoptosis in osteocytes, endothelial and vascular smooth muscle cells in small and large blood vessels, and within the kidney as well as dramatic increase in ectopic calcification in all these tissues, as compared to kl/kl. Conclusion: These findings suggest that DMP1 has an anti-apoptotic role in hyperphosphatemia. Discovering this novel protective role of DMP1 may have clinical relevance in protecting the cells from apoptosis in high-phosphate environments as observed in chronic kidney disease (CKD).
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U2 - 10.1371/journal.pone.0042329
DO - 10.1371/journal.pone.0042329
M3 - Article
C2 - 22879941
AN - SCOPUS:84864553183
SN - 1932-6203
VL - 7
JO - PLoS One
JF - PLoS One
IS - 8
M1 - e42329
ER -