Phosphorus-insufficient maternal milk is associated with ectopic expression of collagen I and female-specific bony changes in infant mouse cartilages

Restriction of Dietary Phosphate Ameliorates Skeletal Abnormalities in a Mouse Model for Craniometaphyseal Dysplasia

Craniometaphyseal dysplasia (CMD), a rare genetic bone disorder, is characterized by lifelong progressive thickening of craniofacial bones and metaphyseal flaring of long bones. The autosomal dominant form of CMD is caused by mutations in the progressive ankylosis gene ANKH (mouse ortholog Ank), encoding a pyrophosphate (PPi) transporter. We previously reported reduced formation and function of osteoblasts and osteoclasts in a knockin (KI) mouse model for CMD (Ank^KI/KI) and in CMD patients. We also showed rapid protein degradation of mutant ANK/ANKH. Mutant ANK protein displays reduced PPi transport, which may alter the inorganic phosphate (Pi) and PPi ratio, an important regulatory mechanism for bone mineralization. Here we investigate whether reducing dietary Pi intake can ameliorate the CMD-like skeletal phenotype by comparing male and female Ank^+/+ and Ank^KI/KI mice exposed to a low (0.3%) and normal (0.7%) Pi diet for 13 weeks from birth. Serum Pi and calcium (Ca) levels were not significantly changed by diet, whereas PTH and 25-hydroxy vitamin D (25-OHD) were decreased by low Pi diet but only in male Ank^+/+ mice. Importantly, the 0.3% Pi diet significantly ameliorated mandibular hyperostosis in both sexes of Ank^KI/KI mice. A tendency of decreased femoral trabeculation was observed in male and female Ank^+/+ mice as well as in male Ank^KI/KI mice fed with the 0.3% Pi diet. In contrast, in female Ank^KI/KI mice the 0.3% Pi diet resulted in increased metaphyseal trabeculation. This was also the only group that showed increased bone formation rate. Low Pi diet led to increased osteoclast numbers and increased bone resorption in all mice. We conclude that lowering but not depleting dietary Pi delays the development of craniofacial hyperostosis in CMD mice without severely compromising serum levels of Pi, Ca, PTH, and 25-OHD. These findings may have implications for better clinical care of patients with CMD. © 2020 American Society for Bone and Mineral Research.

Breast milk stimulates growth hormone secretion in infant mice, and phosphorus insufficiency disables this ability and causes dwarfism-like symptoms

INTRODUCTION

Breast milk intake facilitates neonatal growth, and its effect is assumed to last long into the adulthood. We recently reported that dietary phosphorus insufficiency reduces the ability of breast milk to promote infant growth in mice. However, how phosphorus confers this ability to milk is still unclear.

METHODS

To address this issue, we performed biochemical and physiological comparisons of milk secreted from C57BL/6J mice fed a low-phosphorus diet (LPD) or a normal-phosphorus control diet.

RESULTS

Although serum phosphorus concentration was decreased, the body weight of mother mice was unaffected. By contrast, infant body weight was significantly reduced, and dwarfism-like symptoms were observed in adulthood. Quantitative analysis revealed that the serum concentration of growth hormone (GH) was substantially reduced, and concomitantly insulin-like growth factor 1 and fibroblast growth factor 23 were decreased. Immunohistochemical analysis revealed ectopic fat accumulation in the livers of infant mice along with increased blood cholesterol level. Moreover, electron microscopy indicated fragility of the outer membrane of milk droplets.

CONCLUSIONS

Our results suggest that phosphorus is essential for the formation of milk droplets, which function as a stimulator of growth factor secretion in infant offspring.