PMID- 38530370 OWN - NLM STAT- MEDLINE DCOM- 20240508 LR - 20240509 IS - 2379-3708 (Electronic) IS - 2379-3708 (Linking) VI - 9 IP - 9 DP - 2024 Mar 26 TI - Galpha11 deficiency increases fibroblast growth factor 23 levels in a mouse model of familial hypocalciuric hypercalcemia. LID - e178993 [pii] LID - 10.1172/jci.insight.178993 [doi] AB - Fibroblast growth factor 23 (FGF23) production has recently been shown to increase downstream of Galphaq/11-PKC signaling in osteocytes. Inactivating mutations in the gene encoding Galpha11 (GNA11) cause familial hypocalciuric hypercalcemia (FHH) due to impaired calcium-sensing receptor signaling. We explored the effect of Galpha11 deficiency on FGF23 production in mice with heterozygous (Gna11+/-) or homozygous (Gna11-/-) ablation of Gna11. Both Gna11+/- and Gna11-/- mice demonstrated hypercalcemia and mildly raised parathyroid hormone levels, consistent with FHH. Strikingly, these mice also displayed increased serum levels of total and intact FGF23 and hypophosphatemia. Gna11-/- mice showed augmented Fgf23 mRNA levels in the liver and heart, but not in bone or bone marrow, and also showed evidence of systemic inflammation with elevated serum IL-1beta levels. Furin gene expression was significantly increased in the Gna11-/- liver, suggesting enhanced FGF23 cleavage despite the observed rise in circulating intact FGF23 levels. Gna11-/- mice had normal renal function and reduced serum levels of glycerol-3-phosphate, excluding kidney injury as the primary cause of elevated intact FGF23 levels. Thus, Galpha11 ablation caused systemic inflammation and excess serum FGF23 in mice, suggesting that patients with FHH - at least those with GNA11 mutations - may be at risk for these complications. FAU - Ay, Birol AU - Ay B AD - Endocrine Unit, Department of Medicine, and. FAU - Cyr, Sajin Marcus AU - Cyr SM AD - Endocrine Unit, Department of Medicine, and. FAU - Klovdahl, Kaitlin AU - Klovdahl K AD - Endocrine Unit, Department of Medicine, and. FAU - Zhou, Wen AU - Zhou W AD - Endocrine Unit, Department of Medicine, and. AD - Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. FAU - Tognoni, Christina M AU - Tognoni CM AD - Department of Veterans Affairs, VA Boston Healthcare System, Boston, Massachusetts, USA. AD - Department of Neurology, Boston University School of Medicine, Boston, Massachusetts, USA. FAU - Iwasaki, Yorihiro AU - Iwasaki Y AD - Endocrine Unit, Department of Medicine, and. FAU - Rhee, Eugene P AU - Rhee EP AD - Endocrine Unit, Department of Medicine, and. AD - Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. FAU - Dedeoglu, Alpaslan AU - Dedeoglu A AD - Department of Veterans Affairs, VA Boston Healthcare System, Boston, Massachusetts, USA. AD - Department of Neurology, Boston University School of Medicine, Boston, Massachusetts, USA. AD - Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Massachusetts, USA. FAU - Simic, Petra AU - Simic P AD - Endocrine Unit, Department of Medicine, and. AD - Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA. FAU - Bastepe, Murat AU - Bastepe M AD - Endocrine Unit, Department of Medicine, and. LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20240326 PL - United States TA - JCI Insight JT - JCI insight JID - 101676073 RN - 0 (Fgf23 protein, mouse) RN - 7Q7P4S7RRE (Fibroblast Growth Factor-23) RN - 62031-54-3 (Fibroblast Growth Factors) RN - EC 3.6.5.1 (GTP-Binding Protein alpha Subunits, Gq-G11) RN - 0 (Interleukin-1beta) RN - 0 (Parathyroid Hormone) RN - 0 (GNA11 protein, mouse) RN - Hypocalciuric hypercalcemia, familial, type 1 SB - IM MH - Animals MH - Female MH - Male MH - Mice MH - *Disease Models, Animal MH - *Fibroblast Growth Factor-23 MH - *Fibroblast Growth Factors/blood/genetics/metabolism MH - *GTP-Binding Protein alpha Subunits, Gq-G11/genetics/metabolism MH - *Hypercalcemia/genetics/congenital/blood/metabolism MH - Hypophosphatemia/genetics/metabolism MH - Interleukin-1beta/metabolism/genetics/blood MH - Liver/metabolism MH - *Mice, Knockout MH - Parathyroid Hormone/blood/metabolism MH - Signal Transduction OTO - NOTNLM OT - Endocrinology OT - G proteins OT - Genetic diseases OT - Mouse models EDAT- 2024/03/26 18:43 MHDA- 2024/05/08 12:45 CRDT- 2024/03/26 12:04 PHST- 2024/01/03 00:00 [received] PHST- 2024/03/14 00:00 [accepted] PHST- 2024/05/08 12:45 [medline] PHST- 2024/03/26 18:43 [pubmed] PHST- 2024/03/26 12:04 [entrez] AID - 178993 [pii] AID - 10.1172/jci.insight.178993 [doi] PST - epublish SO - JCI Insight. 2024 Mar 26;9(9):e178993. doi: 10.1172/jci.insight.178993.