Magnesium stimulates renal phosphate reabsorption

Am J Physiol Renal Physiol. 2008 Oct;295(4):F1126-33. doi: 10.1152/ajprenal.00353.2007. Epub 2008 Aug 13.

Abstract

In the kidney, approximately 80% of the filtered phosphate (Pi) is reabsorbed along the proximal tubule. Changes in renal Pi reabsorption are associated with modulation of the sodium-dependent Pi cotransporter type IIa (NaPi-IIa) and type IIc (NaPi-IIc) protein abundance in the brush-border membrane (BBM) of proximal tubule cells. NaPi-IIa is mainly regulated by dietary Pi intake and parathyroid hormone (PTH). The purpose of the present study was to elucidate the effect of alteration in dietary magnesium (Mg2+) intake on renal Pi handling. Urinary Pi excretion and renal expression of NaPi-IIa and NaPi-IIc were analyzed in rats fed a normal (0.2%) or high-Mg2+ (2.5%) diet. A high-Mg2+ diet resulted in decreased renal Pi excretion and increased protein expression of NaPi-IIa and NaPi-IIc. Serum FGF-23 (fibroblast growth factor 23) levels were unchanged under a high-Mg2+ diet. Serum PTH levels were slightly decreased under a high-Mg2+ diet. To examine whether the observed changes in renal Pi reabsorption are PTH dependent, expression of NaPi-IIa and NaPi-IIc was also analyzed in parathyroidectomized (PTX) rats fed a normal or high-Mg2+ diet. In PTX rats, Mg2+ had no significant effect on renal Pi excretion or NaPi-IIa protein expression. Mg2+ increased NaPi-IIc protein expression in PTX rats. This experiment shows for the first time on the molecular level how Mg2+ stimulates renal Pi reabsorption. Under a high-Mg2+ diet, NaPi-IIa expression is dependent on PTH levels, whereas NaPi-IIc expression seems to be independent of PTH levels.

MeSH terms

  • Animal Feed
  • Animals
  • Fibroblast Growth Factors / blood
  • Immunohistochemistry
  • Kidney / metabolism*
  • Linoleic Acids / blood
  • Magnesium / pharmacology*
  • Male
  • Parathyroid Hormone / blood
  • Parathyroidectomy
  • Phosphates / metabolism*
  • RNA, Messenger / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Sodium-Phosphate Cotransporter Proteins, Type IIa / genetics
  • Sodium-Phosphate Cotransporter Proteins, Type IIa / metabolism*
  • Sodium-Phosphate Cotransporter Proteins, Type IIc / genetics
  • Sodium-Phosphate Cotransporter Proteins, Type IIc / metabolism*
  • gamma-Linolenic Acid / blood

Substances

  • Fgf23 protein, rat
  • Linoleic Acids
  • Parathyroid Hormone
  • Phosphates
  • RNA, Messenger
  • Slc34a1 protein, rat
  • Slc34a3 protein, rat
  • Sodium-Phosphate Cotransporter Proteins, Type IIa
  • Sodium-Phosphate Cotransporter Proteins, Type IIc
  • So 1100
  • Fibroblast Growth Factors
  • gamma-Linolenic Acid
  • Magnesium