Malabsorption of phosphate by the intestines of young X-linked hypophosphatemic mice

Response of jejunal phosphate absorption to 1,25-dihydroxyvitamin D(3) stimulationin vivo in young X-linked hypophosphatemic (Hyp) mice

YoungHyp mice malabsorb phosphate from the jejunum at 4 weeks of age. This has been attributed to both low plasma levels of 1,25-dihydroxyvitamin D and to intestinal resistance to stimulation by 1,25-dihydroxyvitamin D. To differentiate between these two hypotheses, 4 week old normal andHyp mice were treated with 0, 17, 50, or 150 ng/kg/day of 1,25-dihydroxyvitamin D(3) by Alzet osmotic mini pumps (n=10-12/group). After 4 days, the jejunum was isolated by sutures and 0.5 ml 2 mM Na(2)HPO(4) in 150MM: NaCl with 1.0 µCi(32)PO(4) was injected into the lumen. After 8 min, plasma, jejunal tissue and lumenai contents were measured for(32)P content. Absorption was measured as counts removed from the lumen. Both normal andHyp mice responded to the 1,25-dihydroxyvitamin D(3) with increased absorption, increased tissue(32)P and increased plasma(32)P.Hyp mice responded less than normal mice to the 50 ng/kg/day dose in plasma(32)P levels (significant dose by genotype interaction,P<0.05). Plasma was pooled by genotype and dose for the measurement of plasma 1,25-dihydroxyvitamin D. This yielded 13 samples (7 normal and 6Hyp). Absorption of(32)P (r=0.75, p=0.002) and jejunal tissue content of(32)P (r=0.66, p=0.02) were correlated to plasma 1,25-dihydroxyvitamin D. Analysis of covariance revealed a significant difference in phosphate absorption between normal andHyp mice (p=0.02). In conclusion, there is a partial resistance of intestinal phosphate absorption to 1,25-dihydroxyvitamin D stimulation.

Intestinal malabsorption of 45calcium in young Gy mice, a second model for X-linked hypophosphatemia

X-linked hypophosphatemia, a common metabolic bone disease in humans and mice (the Hyp and Gy mutations), is characterized by decreased plasma phosphate, decreased renal tubular reabsorption of phosphate, rickets, and osteomalacia. The question of whether intestinal malabsorption of calcium contributes to the bone disease is controversial. Intestinal absorption of 45Ca was studied in three different mouse colonies: Gy on B6C3H background, Hyp on B6C3H background, and Hyp on C57BL/6J background, all at 4 weeks of age. The duodenum was isolated by sutures, and 45Ca in a 150 mM NaCl and 2 mM CaCl2 solution at pH 7.2 was injected into the lumen. Absorption was measured by the amount of 45Ca remaining in the lumen and by the plasma isotope level. The Gy and Hyp mice of both sexes significantly malabsorbed 45Ca at 4 weeks of age compared to normal littermates. Following the 4 week study, intestinal absorption was measured at 2, 7-8, and 12 weeks of age in normal and Gy mice on the B6C3H background. At 2 and 7-8 weeks of age, the Gy males significantly malabsorbed 45Ca compared to their normal littermates. Serum 1,25-dihydroxyvitamin D was not significantly altered in Gy males at 4 weeks of age. This suggests the possibility of resistance of the intestine to stimulation. Malabsorption of calcium in young Gy and Hyp mice may exacerbate the low mineralization in their rachitic bone disease.