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Published ahead of print on June 23, 2005
J Am Soc Nephrol 16: 2338-2345, 2005
© 2005 American Society of Nephrology
doi: 10.1681/ASN.2004070599

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Basic Mineral Metabolism

Intraperitoneal Administration of Recombinant Receptor-Associated Protein Causes Phosphaturia via an Alteration in Subcellular Distribution of the Renal Sodium Phosphate Co-Transporter

Masayo Yamagata*,{dagger}, Keiichi Ozono{dagger}, Yuta Hashimoto*, Yoshiteru Miyauchi*,{dagger}, Hiroki Kondou* and Toshimi Michigami*

* Department of Environmental Medicine, Osaka Medical Center and Research Institute for Maternal and Child Health; and {dagger} Department of Developmental Medicine (Pediatrics), Osaka University Graduate School of Medicine, Osaka, Japan

Address correspondence to: Dr. Toshimi Michigami, Department of Environmental Medicine, Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi, Osaka 594-1101, Japan. Phone: +81-725-56-1220; Fax: +81-725-57-3021; michigami{at}mch.pref.osaka.jp

Received for publication July 26, 2004. Accepted for publication May 5, 2005.

Megalin is a multifunctional endocytic receptor that is expressed in renal proximal tubules and plays critical roles in the renal uptake of various proteins. It was hypothesized that megalin-dependent endocytosis might play a role in renal phosphate reabsorption. For addressing the short-term effects of altered megalin function, a recombinant protein for the soluble form of 39-kD receptor-associated protein (RAP) was administered intraperitoneally to 7-wk-old mice. Histidine (His)-tagged soluble RAP (amino acids 39 to 356) lacking the amino-terminal signal peptide and the carboxy-terminal endoplasmic reticulum retention signal was prepared by bacterial expression (designated His-sRAP). After the direct interaction between His-sRAP and megalin was confirmed, mice were given a single intraperitoneal administration of His-sRAP (3.5 mg/dose). Immunostaining and Western blot analyses demonstrated the uptake of His-sRAP and the accelerated internalization of megalin in proximal tubular cells 1 h after administration. In addition, internalization of the type II sodium/phosphate co-transporter (NaPi-II) was observed. The effects of three sequential administrations of His-sRAP (3.5 mg/dose, three doses at 4-h intervals) then were examined, and increased urinary excretion of low molecular weight proteins, including vitamin D–binding protein, was found, which is consistent with findings reported for megalin-deficient mice. It is interesting that urinary excretion of phosphate was also increased, and the protein level of NaPi-II in the brush border membrane was decreased. Serum concentration of 25-hydroxyvitamin D was decreased, whereas the plasma level of intact parathyroid hormone was not altered by the administration of His-sRAP. The results suggest that the His-sRAP–induced acceleration of megalin-mediated endocytosis caused phosphaturia via altered subcellular distribution of NaPi-II.


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