# Skeletal FGF23 production mediated by GPCR/Gq/PKC signaling

> **NIH NIH R01** · MASSACHUSETTS GENERAL HOSPITAL · 2021 · $408,359

## Abstract

Abstract
Fibroblast growth factor-23 (FGF23), a bone-derived phosphaturic hormone, plays a key role in the regulation
of serum phosphate levels and vitamin D metabolism. Dysregulated FGF23 actions underlie the pathogenesis
of several skeletal diseases with abnormal mineral ion metabolism. Serum FGF23 levels also rise in kidney
failure, and elevated FGF23 levels contribute greatly to the mineral and bone disorder associated with chronic
kidney disease. Effective strategies for controlling skeletal FGF23 production are needed in order to improve
the clinical management of these disorders. However, mechanisms governing FGF23 production remain poorly
defined, impeding progress toward this goal. Several FGF23 stimulators have been described, but the
molecular determinants of their actions are incompletely understood. The intracellular signaling pathways are
not elucidated, and it remains unknown how those interact with one another. We have now identified
lysophosphatidic acid (LPA) as a novel stimulator of FGF23 synthesis and found that it acts through its G
protein-coupled receptor LPAR1. We also showed that ablation of LPAR1 blocks the rise of FGF23 in a mouse
model of acute kidney injury. Our preliminary experiments also strongly suggested that the action of LPA
involves Gq/11/PKC signaling pathway operating via a mechanism that depends on MAPK-ERK1/2 signaling.
Moreover, our results strongly suggested that the LPA-Gq/11/PKC pathway is critical for FGF23 production
induced by 1,25-dihydroxyvitamin D (1,25D). In this proposal, we will investigate this novel paradigm of FGF23
synthesis in osteocytes. Aim 1 will determine the role of osteocyte-specific Gq/11/PKC signaling in LPA-induced
FGF23 production, examine the interaction of this pathway with MAPK-ERK1/2 signaling, and determine
whether it plays a role in the dietary phosphate-induced elevation of FGF23 levels. For those studies, we will
employ mice in which Gq/11α are ablated conditionally in osteocytes (Gq/11αDmp1KO mice, available in our lab), as
well as osteocyte/osteoblast-like cell lines suitable for studying FGF23 synthesis. Aim 2 will elucidate the
cross-talk between the action of 1,25D and LPA-Gq/11/PKC signaling in FGF23 production, using both cell-
based assays and mouse models (Gq/11αDmp1KO and vitamin D receptor knockout mice, also available in our
lab). Aim 3 will examine the role of Gq/11/PKC signaling in pathological conditions of excess FGF23 production,
including X-linked hypophosphatemic rickets (XLH) and renal failure. We will employ Hyp mice (an established
model of XLH), which will be crossed with Gq/11αDmp1KO mice. For studying renal failure-induced FGF23
overproduction, we will use a model of chronic kidney disease induced by adenine-rich diet. Our studies will
elucidate the role of the LPA-Gq/11/PKC pathway as a stimulator of FGF23 production in osteocytes and identify
its relationship with the cellular actions of other important systemic regulators of FGF23 synthesis. O...

## Key facts

- **NIH application ID:** 10126844
- **Project number:** 5R01DK121776-02
- **Recipient organization:** MASSACHUSETTS GENERAL HOSPITAL
- **Principal Investigator:** MURAT BASTEPE
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $408,359
- **Award type:** 5
- **Project period:** 2020-04-01 → 2025-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10126844

## Citation

> US National Institutes of Health, RePORTER application 10126844, Skeletal FGF23 production mediated by GPCR/Gq/PKC signaling (5R01DK121776-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10126844. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*
