Targeted deletion of Klotho in kidney distal tubule disrupts mineral metabolism

J Am Soc Nephrol. 2012 Oct;23(10):1641-51. doi: 10.1681/ASN.2012010048. Epub 2012 Aug 9.

Abstract

Renal Klotho controls mineral metabolism by directly modulating tubular reabsorption of phosphate and calcium and by acting as a co-receptor for the phosphaturic and vitamin D-regulating hormone fibroblast growth factor-23 (FGF23). Klotho null mice have a markedly abnormal phenotype. We sought to determine effects of renal-specific and partial deletion of Klotho to facilitate investigation of its roles in health and disease. We generated a mouse model with partial deletion of Klotho in distal tubular segments (Ksp-KL(-/-)). In contrast to Klotho null mice, Ksp-KL(-/-) mice were fertile, had a normal gross phenotype, and did not have vascular or tubular calcification on renal histology. However, Ksp-KL(-/-) mice were hyperphosphatemic with elevated FGF23 levels and abundant expression of the sodium-phosphate cotransporter Npt2a at the brush border membrane. Serum calcium and 1,25-dihydroxyvitamin D(3) levels were normal but parathyroid hormone levels were decreased. TRPV5 protein was reduced with a parallel mild increase in urinary calcium excretion. Renal expression of vitamin D regulatory enzymes and vitamin D receptor was higher in Ksp-KL(-/-) mice than controls, suggesting increased turnover of vitamin D metabolites and a functional increase in vitamin D signaling. There was a threshold effect of residual renal Klotho expression on FGF23: deletion of >70% of Klotho resulted in FGF23 levels 30-250 times higher than in wild-type mice. A subgroup of Ksp-KL(-/-) mice with normal phosphate levels had elevated FGF23, suggesting a Klotho-derived renal-bone feedback loop. Taken together, renal FGF23-Klotho signaling, which is disrupted in CKD, is essential for homeostatic control of mineral metabolism.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Calcium / metabolism
  • Female
  • Fibroblast Growth Factor-23
  • Fibroblast Growth Factors / metabolism
  • Gene Expression
  • Gene Targeting
  • Glucuronidase / deficiency*
  • Glucuronidase / genetics
  • Glucuronidase / metabolism
  • Homeostasis
  • Hyperphosphatemia / genetics
  • Hyperphosphatemia / metabolism
  • Kidney Tubules, Distal / metabolism*
  • Klotho Proteins
  • Male
  • Mice
  • Mice, Knockout
  • Minerals / metabolism*
  • Parathyroid Hormone / blood
  • Signal Transduction
  • Sodium-Phosphate Cotransporter Proteins, Type IIa / metabolism
  • Vitamin D / metabolism

Substances

  • Fgf23 protein, mouse
  • Minerals
  • Parathyroid Hormone
  • Slc34a1 protein, mouse
  • Sodium-Phosphate Cotransporter Proteins, Type IIa
  • Vitamin D
  • Fibroblast Growth Factors
  • Fibroblast Growth Factor-23
  • Glucuronidase
  • Klotho Proteins
  • Calcium