Estudo da ação da osteopontina na inibição da expressão genica do cotransportador de sódio-fosfato NPT2A

• Ano de defesa: 2014
• Autor(a) principal: Chiarantin, Gabrielly Maria Denadai [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo
• Palavras-chave em Português: NPT2A; Sodium-phosphate cotransporter; Osteopontin; XLH; PHEX; Cotransportador de sódio-fosfato; Osteopontina
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1644100; http://repositorio.unifesp.br/handle/11600/47390

The X-linked hypophosphatemia (XLH) is the most prevalent form of inherited rickets in humans, occurring as a consequence of inactivating mutations in the PHEX gene (phosphate-regulating gene with homologies to endopeptidases on the X chromosome). XLH is characterized by growth retardation, rickets and osteomalacia leading to hypomineralized bones that deform, and soft tooth dentin prone to infection and abscesses. Associated with XLH and causing hypophosphatemia are defects in renal phosphate reabsorption and vitamin D metabolism. In vivo mouse studies have shown that the absence of PHEX leads to the release of a circulating factor(s) that decreases mineralization by inhibiting the sodium/phosphate co-transporter NPT2A, which mediates reabsorption of phosphate in the kidneys. Recently we demonstrated that osteopontin (OPN) is a physiologically relevant substrate for PHEX, whose inactivation by PHEX normally promotes bone mineralization. However, in PHEX-deficient Hyp mouse bone, OPN and its fragments accumulate to inhibit mineralization locally in the extracellular matrix. In the present study, we have extended these observations to show that OPN and a derived OPN fragment (ASARM peptide; acidic serine- and aspartate-rich motif) affect NPT2A expression. Using the supernatant from cultures of a constructed PHEX-deficient human osteosarcoma cell line (MG-63 shRNA-PHEX) we show that, in the absence of PHEX, a secreted factor found in the MG-63 osteosarcoma supernatant decreased NPT2A mRNA and protein expression in human kidney (HK-2) proximal tubule epithelial cell cultures. Based on this observation and on the fact that OPN is completely degraded by PHEX, we investigated the effects of exogenous OPN and its ASARM peptide on HK-2 cell NPT2A expression. RT-PCR revealed that OPN and its ASARM peptide significantly decreased NPT2A expression. In conclusion, these results provide new insight into circulating humoral factors that might influence phosphate handling in the kidney whose alterations contribute to the XLH phenotype, and they suggest that OPN and its ASARM peptide may be involved in this process.