Parathyroid hormone (PTH), via activation of PKC and/or protein kinase A, inhibits renal proximal tubular phosphate reabsorption by facilitating the internalization of the major sodium-dependent phosphate transporter, Npt2a. Herein, we explore the hypothesis that the effect of PTH is mediated by phosphorylation of serine 77 (S77) of the first PDZ domain of the Npt2a-binding protein sodium-hydrogen exchanger regulatory factor-1 (NHERF-1). Using recombinant polypeptides representing PDZ I, S77 of NHERF-1 is phosphorylated by PKC but not PKA. When expressed in primate kidney epithelial cells (BSC-1 cells), however, activation of either protein kinase phosphorylates S77, suggesting that the phosphorylation of PDZ I by PKC and PKA proceeds by different biochemical pathways. PTH and other activators of PKC and PKA dissociate NHERF-1/ Npt2a complexes, as assayed using quantitative coimmunoprecipitation, confocal microscopy, and sucrose density gradient ultracentrifugation in mice. Murine NHERF-1 -/-renal proximal tubule cells infected with adenovirus-GFP-NHERF-1 containing an S77A mutation showed significantly increased phosphate transport compared with a phosphomimetic S77D mutation and were resistant to the inhibitory effect of PTH compared with cells infected with wild-type NHERF-1. These results indicate that PTH-mediated inhibition of renal phosphate transport involves phosphorylation of S77 of the NHERF-1 PDZ I domain and the dissociation of NHERF-1/Npt2a complexes.
IntroductionParathyroid hormone (PTH) increases the urinary excretion of phosphate by facilitating the retrieval and internalization of Npt2a, the major sodium-dependent phosphate transporter found in the apical membrane of the cells of the renal proximal convoluted tubule (1-3). The precise physiologic and biochemical pathways relating activation of the PTH receptor to the endocytosis of Npt2a, however, are not known. An insight into this process was provided by the observations that Npt2a binds to the PDZ domain adaptor protein sodium-hydrogen exchanger regulatory factor-1 (NHERF-1) and that NHERF-1 -/-mice demonstrate phosphaturia and mistargeting of Npt2a (4, 5). Subsequent experiments demonstrated that NHERF-1 functions as a membrane retention signal for Npt2a and that sodium-dependent phosphate transport in renal proximal tubule cells from NHERF-1 mice was resistant to the inhibitory effect of PTH (3, 6, 7). NHERF-1 -/-cells were also resistant to the inhibitory effect of activators of PKC and PKA, the 2 major signaling pathways of the PTH1 receptor, indicating that the resistance to PTH derived