Phosphorous Dysregulation Induced by MEK Small Molecule Inhibitors in the Rat Involves Blockade of FGF-23 Signaling in the Kidney

被引:19
作者
Diaz, Dolores [1 ]
Allamneni, Krishna [1 ]
Tarrant, Jacqueline M. [1 ]
Lewin-Koh, Sock-Cheng [2 ]
Pai, Rama [1 ]
Dhawan, Preeti [1 ]
Cain, Gary R. [1 ]
Kozlowski, Cleopatra [1 ]
Hiraragi, Hajime [1 ]
La, Nghi [1 ]
Hartley, Dylan P. [1 ]
Ding, Xiao [3 ]
Dean, Brian J. [3 ]
Bheddah, Sheila [4 ]
Dambach, Donna M. [1 ]
机构
[1] Genentech Inc, Safety Assessment, San Francisco, CA 94080 USA
[2] Genentech Inc, Biostat, San Francisco, CA 94080 USA
[3] Genentech Inc, Drug Metab & Pharmacokinet, San Francisco, CA 94080 USA
[4] Genentech Inc, Res Pathol, San Francisco, CA 94080 USA
关键词
MEK inhibitor; mineralization; phosphorousdysregulation; elevated vitamin D; FGF-23; PTH; NaPiIIa; VITAMIN-D METABOLISM; IN-VIVO; PHOSPHATE; FGF23; EXPRESSION; CLONING; KLOTHO; FIBROBLAST-GROWTH-FACTOR-23; TRANSPORTER; DISCOVERY;
D O I
10.1093/toxsci/kfr263
中图分类号
R99 [毒物学(毒理学)];
学科分类号
100405 [卫生毒理学];
摘要
MEK, a kinase downstream of Ras and Raf oncogenes, constitutes a high priority target in oncology research. MEK small molecule inhibitors cause soft tissue mineralization in rats secondary to serum inorganic phosphorus (iP) elevation, but the molecular mechanism for this toxicity remains undetermined. We performed investigative studies with structurally distinct MEK inhibitors GEN-A and PD325901 (PD-901) in Sprague-Dawley rats. Our data support a mechanism that involves FGF-23 signal blockade in the rat kidney, causing transcriptional upregulation of 25-hydroxyvitamin D-3 1-alpha-hydroxylase (Cyp27b1), the rate-limiting enzyme in vitamin D activation, and downregulation of 1,25-dihydroxyvitamin D-3 24-hydroxylase (Cyp24a1), the enzyme that initiates the degradation of the active form of vitamin D. These transcriptional changes increase serum vitamin D levels, which in turn drive the increase in serum iP, leading to soft tissue mineralization in the rat.
引用
收藏
页码:187 / 195
页数:9
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