PROJECT SUMMARY: PTH and FGF23 initiate signaling pathways in renal proximal tubule cells that converge on the [NPT2A:NHERF1] complex to inhibit phosphate uptake. Mice lacking the PDZ protein NHERF1 and humans harboring NHERF1 mutations are hypophosphatemic. Important gaps exist in understanding the elements involved in these actions due to unidentified factors. Numerous GWAS studies of patients with chronic kidney disease implicate RGS14, which harbors a PDZ-recognition motif. We propose that RGS14 is a novel regulator of hormone-sensitive phosphate transport, and provide preliminary data to support this idea. RGS14 is scaffold that integrates G protein, MAPK, and Ca++/CaM signaling pathways. Its actions are best understood in rodent brain, where RGS14 suppresses synaptic plasticity and hippocampal-based learning. Nothing is known about RGS14 effects on hormone action or in kidney. Our preliminary findings show that RGS14 suppresses both PTH- and FGF23-regulated phosphate transport. RGS14 persistently attenuates PTH-regulated phosphate transport in primary human proximal tubule cells. RGS14 knock-down by siRNA reverses this action to reveal full PTH activity. RGS14 add-back to cells lacking the protein blocks PTH actions. Human RGS14 contains a C- terminal PDZ ligand (-DSAL) that directly binds NHERF1. Mutations in the PDZ-ligand disrupt RGS14 binding to NHERF1 and interfere with RGS14 regulation of hormone actions. These findings identify RGS14 as an entirely new element regulating hormone action on a vital homeostatic activity, and raise the hypothesis that RGS14 is a novel regulator of hormone-sensitive [NPT2A:NHERF1]-mediated phosphate transport in renal proximal tubule cells. Three Aims will test this premise. AIM 1 will define how RGS14 regulates assembly, disassembly of [NPT2A:NHERF1], its internalization and hormone-sensitive phosphate uptake. AIM 2 will define the locus of RGS14 effects on PTH and FGF23 signaling and the impact of hormone-directed NHERF1 phosphorylation on RGS14 regulation of the [NPT2A:NHERF1] complex. AIM 3: will define how PTH- and FGF23-directed signaling affect RGS14 interactions with NHERF1 and the [NHERF1:NPT2A] complex. These studies will identify novel roles and molecular mechanisms by which RGS14 regulates NPT2A function and hormone-sensitive phosphate transport in kidney as related to kidney disease.