PMID- 36569120 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221227 IS - 2296-858X (Print) IS - 2296-858X (Electronic) IS - 2296-858X (Linking) VI - 9 DP - 2022 TI - Fibroblast growth factor 23 level modulates the hepatocyte's alpha-2-HS-glycoprotein transcription through the inflammatory pathway TNFalpha/NFkappaB. PG - 1038638 LID - 10.3389/fmed.2022.1038638 [doi] LID - 1038638 AB - INTRODUCTION: High serum levels of fibroblast growth factor 23 (FGF23) characterize chronic kidney disease (CKD) since its early stages and have been suggested to contribute to inflammation and cardiovascular disease. However, the mechanisms linking FGF23 with these pathological conditions remain still incompletely defined. The alpha-2-HS-glycoprotein (AHSG), a liver-produced anti-inflammatory cytokine, is highly modulated by inflammation itself, also through the TNFalpha/NFkappaB signaling pathway. In our previous study, we found that FGF23 modulates the production of AHSG in the liver in a bimodal way, with stimulation and inhibition at moderately and highly increased FGF23 concentrations, respectively. METHODS: The present study, aiming to gain further insights into this bimodal behavior, was performed in hepatocyte human cells line (HepG2), using the following methods: immunochemistry, western blot, chromatin immunoprecipitation, fluorescence in situ hybridization (FISH), qRT-PCR, and gene SANGER sequencing. RESULTS: We found that FGF23 at 400 pg/ml activates nuclear translocation of NFkappaB, possibly increasing AHSG transcription. At variance, at 1,200 pg/ml, FGF23 inactivates NFkappaB through the activation of two specific NFkappaB inhibitors (IkappaBalpha and NKIRAS2) and induces its detachment from the AHSG promoter, reducing AHSG transcription. CONCLUSION: These results add another piece to the puzzle of FGF23 involvement in the multifold interactions between CKD, inflammation, and cardiovascular disease, suggesting the involvement of the NFkappaB pathway, which might represent a potential therapeutic target in CKD. CI - Copyright (c) 2022 Mattinzoli, Li, Castellano, Ikehata, Armelloni, Elli, Molinari, Tsugawa, Alfieri and Messa. FAU - Mattinzoli, Deborah AU - Mattinzoli D AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Renal Research Laboratory, Milan, Italy. FAU - Li, Min AU - Li M AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Renal Research Laboratory, Milan, Italy. FAU - Castellano, Giuseppe AU - Castellano G AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Nephrology, Dialysis and Renal Transplant, Milan, Italy. AD - Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. FAU - Ikehata, Masami AU - Ikehata M AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Renal Research Laboratory, Milan, Italy. FAU - Armelloni, Silvia AU - Armelloni S AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Renal Research Laboratory, Milan, Italy. FAU - Elli, Francesca Marta AU - Elli FM AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Endocrinology Unit, Milan, Italy. FAU - Molinari, Paolo AU - Molinari P AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Nephrology, Dialysis and Renal Transplant, Milan, Italy. FAU - Tsugawa, Koji AU - Tsugawa K AD - Department of Pediatrics, Hirosaki University Hospital, Hirosaki, Japan. FAU - Alfieri, Carlo Maria AU - Alfieri CM AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Nephrology, Dialysis and Renal Transplant, Milan, Italy. AD - Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. FAU - Messa, Piergiorgio AU - Messa P AD - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Nephrology, Dialysis and Renal Transplant, Milan, Italy. AD - Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. LA - eng SI - figshare/10.6084/m9.figshare.20980939 PT - Journal Article DEP - 20221207 PL - Switzerland TA - Front Med (Lausanne) JT - Frontiers in medicine JID - 101648047 PMC - PMC9769965 OTO - NOTNLM OT - AHSG OT - FGF23 OT - NFkappaB OT - cardiovascular disease OT - chronic kidney disease COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/12/27 06:00 MHDA- 2022/12/27 06:01 PMCR- 2022/12/07 CRDT- 2022/12/26 04:06 PHST- 2022/09/07 00:00 [received] PHST- 2022/11/22 00:00 [accepted] PHST- 2022/12/26 04:06 [entrez] PHST- 2022/12/27 06:00 [pubmed] PHST- 2022/12/27 06:01 [medline] PHST- 2022/12/07 00:00 [pmc-release] AID - 10.3389/fmed.2022.1038638 [doi] PST - epublish SO - Front Med (Lausanne). 2022 Dec 7;9:1038638. doi: 10.3389/fmed.2022.1038638. eCollection 2022.