Decreased mRNA expression of the PTH/PTHrP receptor and type II sodium-dependent phosphate transporter in the kidney

Shin-ichi Katsumata1, Ritsuko Masuyama, Mariko Uehara

  • 1Department of Nutritional Science, Faculty of Applied Bioscience, Tokyo University of Agriculture, 1-1-1 Sakuragaoka, Setagaya-ku, Tokyo 156-8502, Japan.

Insights

High phosphorus diets disrupt parathyroid hormone (PTH) action in rat kidneys. This leads to suppressed PTH signaling and altered phosphate (P) excretion, impacting mineral homeostasis.

Area of Science:

  • Nephrology
  • Endocrinology
  • Mineral Metabolism

Background:

  • Dietary phosphorus (P) intake is crucial for mineral homeostasis.
  • Parathyroid hormone (PTH) regulates calcium and P levels.
  • Kidney plays a key role in P excretion and PTH action.

Purpose of the Study:

  • To investigate phosphorus homeostasis under altered parathyroid hormone (PTH) action.
  • To examine the effects of high P diets on kidney function and mineral balance in rats.

Main Methods:

  • Rats were fed diets with varying P levels (0.3% to 1.5%) for 21 days.
  • Serum P, calcium (Ca), PTH, and 1,25(OH)(2)D(3) levels were measured.
  • Urinary P excretion, cAMP, and kidney gene expression (PTH/PTHrP receptor, NaPi-2) were analyzed.

Main Results:

  • High P diets increased serum PTH and urinary P excretion.
  • Serum Ca decreased with P diets ≥1.2%, while 1,25(OH)(2)D(3) levels were initially elevated then unchanged.
  • Kidney PTH/PTHrP receptor and NaPi-2 mRNA expression decreased with high P diets (≥1.2%).

Conclusions:

  • High P diets suppress PTH action in the kidney via PTH/PTHrP receptor downregulation.
  • Increased urinary P excretion may result from decreased NaPi-2 mRNA, independent of PTH and 1,25(OH)(2)D(3).
  • Altered P intake significantly impacts renal P handling and PTH signaling pathways.

Related Concept Videos

Hormones and Bone Tissue01:17

Hormones and Bone Tissue

The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Roles of Electrolytes: Calcium and Phosphate01:27

Roles of Electrolytes: Calcium and Phosphate

Calcium and phosphate are essential electrolytes in the human body, with calcium being the most abundant mineral. Around 99% of the body's calcium is stored in the skeleton and teeth, forming a crystal lattice of mineral salts in combination with phosphates. Calcium plays crucial roles in various bodily functions such as blood clotting, neurotransmitter release, muscle tone maintenance, and nervous and muscle tissue excitability.
The calcium concentration in blood plasma is primarily regulated...
Skeleton and Calcium Homeostasis01:21

Skeleton and Calcium Homeostasis

Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
The Parathyroid Glands00:59

The Parathyroid Glands

The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by producing...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
Feedback Regulation of Calcium Concentration01:27

Feedback Regulation of Calcium Concentration

Calcium is an essential signaling molecule required for various cellular functions. Calcium pumps and ion channels on cell and organellar membranes, such as those on the endoplasmic reticulum (ER), regulate calcium concentrations inside the cell. They remain closed, keeping the cytosolic calcium levels low at a resting state.
Various transmembrane receptors, such as G protein-coupled receptors (GPCRs), elicit a response to extracellular signals by increasing cytosolic calcium. Activated GPCRs...