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Mechanism of phosphaturia elicited by administration of phosphonoformate in vivo

Journal Article · · American Journal of Physiology; (USA)
OSTI ID:6252605
The authors examined whether phosphonoformate (PFA) can cause phosphaturia through its direct action on brush-border membrane (BBM) in vivo. Infusion of PFA or of parathyroid hormone (PTH) to thyroparathyroidectomized rats caused a marked increase in fractional excretion of phosphate without changes in excretion of Na{sup +} or of GFR. The PFA-induced phosphaturia was not accompanied by an increase in urinary adenosine-3{prime},5{prime}-cyclic monophosphate (cAMP); moreover, PFA added in vitro did not influence the PTH-sensitive adenylate cyclase and cAMP-phosphodiesterase in proximal convoluted tubules. In BBM vesicles (BBMV) from rats with PFA-elicited phosphaturia, neither the rate of Na{sup +}-P{sub i} symport nor Na{sup +}-dependent binding of ({sup 14}C)PFA on BBMV was changed, whereas in BBMV from PTH-infused rats the V{sub max} of Na{sup +}-P{sub i} symport decreased. PFA is almost completely ultrafiltrable; no metabolic transformation of PFA was detected after ({sup 14}C)PFA exposure to rat renal cortical slices, homogenate, or to blood. They conclude that PFA causes phosphaturia by direct inhibition of Na{sup +}-P{sub i} symport across BBM in proximal tubules, acting from the luminal side. Thus PFA (foscarnet) has a unique direct mechanism of phosphaturic effect, via its action on P{sub i} reabsorption in proximal tubules in vivo.
OSTI ID:
6252605
Journal Information:
American Journal of Physiology; (USA), Journal Name: American Journal of Physiology; (USA) Vol. 255:5; ISSN 0002-9513; ISSN AJPHA
Country of Publication:
United States
Language:
English