NHE3 Regulatory Factor 1 (NHERF1) Modulates Intestinal Sodium-dependent Phosphate Transporter (NaPi-2b) Expression in Apical Microvilli*

Background: The type 2b sodium-dependent phosphate co-transporter (NaPi-2b) is the main mediator of intestinal active Pi absorption. Results: NaPi-2b interacts with the PDZ domain of NHE3 regulatory factor 1 (NHERF1). Conclusion: NHERF1 is an important regulator of NaPi-2b apical membrane targeting in response to a low Pi diet. Significance: Understanding of NaPi-2b adaptive mechanisms can help to design new therapies against hypo- and hyperphosphatemic disorders. Pi uptake in the small intestine occurs predominantly through the NaPi-2b (SLC34a2) co-transporter. NaPi-2b is regulated by changes in dietary Pi but the mechanisms underlying this regulation are largely undetermined. Sequence analyses show NaPi-2b has a PDZ binding motif at its C terminus. Immunofluorescence imaging shows NaPi-2b and two PDZ domain containing proteins, NHERF1 and PDZK1, are expressed in the apical microvillar domain of rat small intestine enterocytes. Co-immunoprecipitation studies in rat enterocytes show that NHERF1 associates with NaPi-2b but not PDZK1. In HEK co-expression studies, GFP-NaPi-2b co-precipitates with FLAG-NHERF1. This interaction is markedly diminished when the C-terminal four amino acids are truncated from NaPi-2b. FLIM-FRET analyses using tagged proteins in CACO-2BBE cells show a distinct phasor shift between NaPi-2b and NHERF1 but not between NaPi-2b and the PDZK1 pair. This shift demonstrates that NaPi-2b and NHERF1 reside within 10 nm of each other. NHERF1−/− mice, but not PDZK1−/− mice, had a diminished adaptation of NaPi-2b expression in response to a low Pi diet. Together these studies demonstrate that NHERF1 associates with NaPi-2b in enterocytes and regulates NaPi-2b adaptation.

maintained within a narrow range and deviation from these levels has significant pathological consequences. Hypophosphatemia leads to rickets and brittle bones in a number of inherited syndromes (2,3), whereas hyperphosphatemia leads to increased morbidity and mortality from cardiovascular diseases (4 -6). P i homeostasis reflects the balance between intestinal absorption, renal reabsorption, deposition in bone, and cellular uptake.
The type II family of sodium-dependent phosphate co-transporters (NaPi) plays key roles in both the kidney and the small intestine. In the renal proximal tubule, NaPi-2a (SLC34a1) and NaPi-2c (SLC34a3) are expressed in the apical membrane of the proximal tubule where they perform the bulk of the renal P i reabsorption. Both renal transporters are regulated in response to chronic and acute changes in dietary P i content, metabolic conditions, and hormones, including parathyroid hormone and fibroblast growth factor 23 (FGF23) (7)(8)(9). Enterocyte transcellular absorption of luminal P i is mainly mediated by the NaPi-2b (SLC34a2) co-transporter. Studies in NaPi-2b 3 KO mice indicate that NaPi-2b contributes to ϳ90% of active P i absorption in the ileum (10). Similar to the renal adaptation of NaPi-2a and NaPi-2c, NaPi-2b activity is regulated in response to both acute and chronic changes in dietary P i intake (11,12). Mice chronically fed a low P i diet have an increased apical expression of NaPi-2b transporter in enterocytes and an upregulation of P i uptake (13).
Significant advances in delineating the molecular and cellular mechanisms underlying the regulation of the renal transporters, especially NaPi-2a, have been made over the last decade. The primary mechanism of regulating NaPi-2a and NaPi-2c activity is via modulation of the abundance of NaPi protein in the apical membrane of proximal tubule cells (14,15). The interactions of NaPi-2a and NaPi-2c with PDZ (PSD-95, Dlg, ZO-1) domain-containing proteins play pivotal roles in directing the retention versus recovery of these transporters at the apical membrane.
PDZ is one of the most extended protein-protein interaction domains found in mammalian proteins involved in an increasing number of cellular functions including the regulation of epithelial transporters (16,17). PDZ domains are modules consisting of 80 -100 amino acid residues that generate an hydrophobic pocket that is able to fit specific sequences (PDZ-binding motifs), usually located at the C-terminal tail of many proteins (18). NaPi-2a binds and is regulated by several PDZ proteins, including NHERF1 (also known as EBP50), NHERF-2 (also known as E3KARP), PDZK1 (also known as NHERF-3, CAP70, NaPi-Cap1), PDZK2 (also known as NHERF-4, NaPi-Cap2), and Shank2 (19 -21). However, NaPi-2c interactions have only been demonstrated with PDZK1 and, to a lesser extent, with NHERF1 (22,23).
Highlighting the functional significance of these interactions, NHERF1 Ϫ/Ϫ mice have a marked redistribution of NaPi-2a from the apical microvilli into the cell interior and distinct increased urinary P i excretion that results from the loss of NaPi-2a activity in the renal proximal tubule cells (24). PDKZ1 Ϫ/Ϫ mice showed milder effects on the regulation of NaPi-2a only under high P i diet adaptation with lower levels of protein, paralleled with increased urinary fractional P i excretion (25). However, the up-regulation of NaPi-2c apical protein in response to a low P i diet was blunted in the PDZK1 Ϫ/Ϫ mice, suggesting an important role of PDZK1 on the stabilization of NaPi-2c (23).
In contrast to regulation of renal P i transport, the regulatory mechanisms controlling the intestinal absorption of P i have not been studied in detail and are still largely unknown. Interestingly, intestinal NaPi-2b transporter contains a PDZ-binding motif consensus sequence at its C terminus, but at the present time no reports have described its interactions with PDZ proteins. Given the established role of NHERF1 and PDZK1 in binding and moderating the activity of other NaPi type II family members, the present study seeks to determine whether NHERF1 and PDZK1 bind and modulate the activity of NaPi-2b in small intestinal enterocytes.

EXPERIMENTAL PROCEDURES
Materials and Antibodies-All chemicals were obtained from Sigma except when noted. The polyclonal rabbit anti-NaPi-2b antibody was custom generated by Davids Biotechnologie (Regensburg, Germany) as described before (12). NHERF1 rabbit polyclonal antibody (Abcam, Cambridge, MA) and PDZK1 mouse monoclonal (BD, Franklin Lakes, NJ) and goat polyclonal (Santa Cruz Biotechnology, Santa Cruz, CA) antibody were commercially available.
Animal Procedures and Diets-Male Sprague-Dawley rats (8 -10-week-old, 200 -250 g body weigh; Harlan, Madison, WI) were used for the isolation of rat enterocytes and immunofluorescence localization studies. P i dietary adaptation was performed in PDZK1 Ϫ/Ϫ mice (26), NHERF1 Ϫ/Ϫ mice (24), and age-and sex-matched wild type control mice were obtained from The Jackson Laboratories (Bar Harbor, ME). The animals were maintained on a 12-h light/12-h dark cycle and normal drinking water was supplied ad libitum. The mice were acclimated on regular chow diet and then fed ad libitum a high P i (1.5% P i , diet TD.08499) or a low P i (0.1% P i , diet TD.85010) diet (Harlan Teklad) for 7 days. The diets were otherwise matched for their calcium (0.6%), magnesium, sodium, protein, fat, and vitamin D content. A total of 24 mice for each experimental group were studied. The animal study protocols were approved by the Animal Care and Use Committee at the University of Colorado-Denver.
Isolation of Rat Enterocytes-Enterocytes were isolated from the duodenum of rats. Briefly, rats were euthanized (70 mg/kg of pentobarbital). The small intestine was excised and flushed with PBS. The initial 10 cm of small intestine was separated and cut along its length to expose the lumen. This segment was placed in 10 ml of Enterocyte Isolation Buffer (Dulbecco PBS, 15 mM HEPES, 1 mM EDTA, 100 mM N-acetylcysteine), rotated vigorously at 37°C for 15 min, vortexed for 15 s, the suspension poured through cheesecloth, the resultant suspension was placed on ice and the process was repeated. The isolated enterocytes were then washed twice in PBS.
Co-immunoprecipitation of Native NaPi-2b and NHERF1-Isolated rat enterocytes were lysed in RIPA buffer (50 mM Tris, pH 7.6, 150 mM NaCl, 5 mM EDTA, 0.5% Triton X-100, 0.5% Nonidet P-40, 0.1% SDS, 0.1% sodium deoxycholate) supplemented with HALT protease and phosphatase inhibitors (Thermo Scientific, Rockford, IL), and solubilized at 25°C for 40 min. A total cell lysate sample was removed and the insoluble material was pelleted at 12,000 ϫ g for 10 min. The resulting supernatant was pre-cleared with Ultralink Immobilized Protein A/G Plus beads (Pierce) for 1 h at 4°C. 10 g of either NaPi-2b rabbit polyclonal antibody, NHERF1 mouse monoclonal antibody (Abcam, Cambridge, MA), or goat polyclonal PDZK1 (Santa Cruz Biotechnology) was bound with 150-l Ultralink Protein A/G beads for 1 h at room temperature. Beads bound with antibody were rinsed with RIPA buffer and incubated with pre-cleared supernatant overnight at 4°C. Pre-clear and immunoprecipitation beads were washed 3 times with RIPA buffer and eluted with 5ϫ PAGE solution (5% SDS, 25% sucrose, 50 mM Tris, 5 mM EDTA, pH 8). Immunoprecipitated proteins were analyzed via Western blot analysis.
Brush-Border Membrane Vesicles Isolation-Ileum brushborder membrane vesicles were isolated by a double Mg 2ϩ precipitation technique as described before (12,27) with slight variations. Ileal mucosal scrapes (corresponding to the distal 15 cm of the small intestine) from two mice were combined in 15 ml of isolation buffer consisting of 50 mM mannitol, 2 mM HEPES/NaOH, pH 7.1, and Complete protease inhibitor (Roche Diagnostics). Ileal mucosa samples were homogenized with a Potter-Elvehjem homogenizer. Brush-border membrane vesicles were prepared by a double serial Mg 2ϩ precipitation procedure. First, MgCl 2 was added to the homogenates (13 mM final concentration), incubated on ice for 20 min, and centrifuged at 3,000 ϫ g. The supernatant was centrifuged at 38,000 ϫ g at 4°C for 40 min. The second Mg 2ϩ precipitation step was performed by resuspending the membrane pellet in 7.5 ml of solution B (300 mM mannitol, 0.1 mM MgSO 4 , 20 mM HEPES/NaOH, pH 7.1, and Complete protease inhibitor) with a 20-gauge needle. The samples were centrifuged at 6,000 ϫ g and the supernatant was transferred to a clean tube. Final centrifugation at 38,000 ϫ g at 4°C for 40 min resulted in a pellet containing an ileal brush-border membrane vesicle that was resuspended in final buffer (300 mM mannitol, 16 mM HEPES/ Tris, pH 7.5, and Complete protease inhibitor) by passing through a 25-gauge needle.
Cell Culture and Transfection-The CACO2 BBE clone was kindly provided by Mark Mooseker (28). CACO2 BBE cells were grown in DMEM supplemented with 20% fetal bovine serum, penicillin, streptomycin, and L-glutamine at 37°C and 5% CO 2 incubator. Transfections were achieved with Lipofectamine 2000 (Invitrogen) and cells at 90% confluence, following the manufacturer's instructions. CACO2 BBE cells expressing the fluorescent fusion proteins were grown on collagen-coated eight-well Lab-Tek chambered coverglass (Nunc). Measurements were performed 24 -48 h after transfection.
FLIM-FRET Microscopy-Fluorescence lifetime imaging microscopy (FLIM) measurement of Förster resonance energy transfer (FRET) was performed using a Zeiss LSM 510 microscope (Jena, Germany) equipped with a FLIMBox, a digital frequency-domain setup capable of multiharmonic analysis (29). The setup and imaging procedure has been extensively detailed before (23). Briefly, images of the cell apical membrane were obtained in the 256 ϫ 256 format with a pixel dwell time of 25.6 s/pixel and averaging over 20 frames. SimFCS software was used for the acquisition and analysis of FLIM images following the phasor analysis (23). Briefly, we used our digital frequencydomain setup to measure the modulation and phase at each of the pixels of an image. The modulation and phase are used to determine, respectively, the radial and angular coordinate of the phasor in a polar plot (31). The phasor associated to each cell imaged with FLIM was determined as the average phasor of the pixels corresponding to the cell apical membrane. In each experiment we determined the phasors of the unquenched donor (D unq ) as the average phasor of cells transfected only with Cerulean (Cu)-NaPi-2b, the phasor of the donor-acceptor pair (DϩA) as the average of cells transfected with Cu-NaPi-2b and EYFP-NHERF1 or EYFP-PDZK1, and phasor of the autofluorescence by imaging nontransfected cells.
FRET Analysis in the Phasor Plot-To quantify FRET results we analyzed the shift of the phasor of the donor in the presence of the acceptor with respect to the donor only. The trajectory of variable FRET efficiency is drawn in the plot starting from the donor only position (E ϭ 0) to the autofluorescence phasor position (E ϭ 1) (supplemental Fig. S1). Any phasor along this trajectory corresponds to a pure species of donor quenched (D q ) with FRET efficiency E. If the donors are not all paired with an acceptor, then a pixel may contain a mixture of quenched and unquenched donors with relative fractions f q and f unq , respectively. In this case the phasor corresponding to donor plus acceptor (DϩA) is a normalized linear combination of the phasors of D q and D unq and lies along the line connecting the two phasors. The fraction of interacting donors, f q , in a given mixture can be calculated from the distance of the phasor DϩA from D unq divided by the length of the entire segment (supplemental Fig. S1).
In our experiments, the phasors of donor-acceptor cells (DϩA) were described by a linear combination of quenched and unquenched donor species. The quenched donor (D q ) position has been extrapolated at the intersection between a linear fit of the data and the efficiency trajectory as described previously (23). The position of D q yields the value of efficiency E associated with the FRET interaction and represents the maximum FRET detectable if all the donors were ideally paired with an acceptor. To calculate the fraction of quenched donors, f q , associated to each phasor we considered the projection of the phasor on the linear fit and then divided its distance from D unq by the length of the segment connecting D q and D unq .
Modulation Tracking of Microvilli-The modulation tracking images were obtained using a customized microscope at the Laboratory for Fluorescence Dynamics. The principle of the technique and methodology details has been already described in detail (32). A Chameleon Ultra II laser (Coherent, CA) tuned at 930 nm was used for 2-photon excitation of enhanced green fluorescent protein or enhanced yellow fluorescent protein. A schematic of the modulation tracking imaging method is shown in supplemental Fig. S2. First a raster scan of the apical membrane is performed (supplemental Fig. S2A). Then we choose one isolated microvillus and point the scanner on its coordinates. We then start the tracking routine by scanning the laser spot in a circular orbit around the microvillus at any given section while scaning along its length to obtain a threedimensional image of the surface in one or two channels (supplemental Fig. S2B). By modulation tracking, we obtain threedimensional reconstructions of the microvilli surface (Fig. 4). The three-dimensional reconstruction is painted in color scale according to the fluorescence intensity recorded in one channel.
Statistical Analysis-Data are expressed as mean Ϯ S.E.; *, p Ͻ 0.05; **, p Ͻ 0.005; and ***, p Ͻ 0.001. Data were analyzed for statistical significance by unpaired Student's t test or oneway analysis of variance.

NaPi-2b Has a PDZ Binding Motif on the C-terminal Tail-
Many of the PDZ domain containing proteins that have documented within the apical membrane of epithelial cells are type I domains. This includes NHERF1 and PDZK1. Type I PDZ domains bind to the C-terminal tails of proteins with consensus sequences of -X-T/S-X-⌽ (⌽ ϭ hydrophobic amino acid). Sequence analysis showed that NaPi-2b presents a well conserved PDZ-binding site at its C terminus end. The C-terminal sequence of NaPi-2b in both mice (accession NP_035532.2) and rats (accession NP_445832.1) is T-T-V-F. The C-terminal sequence of NaPi-2b in human (accession AAI46667.1) is C-T-A-L. Although there is divergence in the absolute sequence, the C-terminal sequence of NaPi-2b across species has retained its canonical PDZ binding motif. Consequently, the present studies were performed to test the hypothesis that PDZ domain containing proteins bind and regulate NaPi-2b.
NaPi-2b, NHERF1, and PDZK1 Are All Expressed in Enterocyte Microvilli-NHERF1 and PDZK1 have an established history of regulating key transport proteins within the apical membrane of a variety of epithelial cell types, including enterocytes (17,33). Western blotting reconfirms that, in control rats, NaPi-2b and both PDZ domain containing proteins are expressed in rat enterocytes (Fig. 1A). NaPi-2b expression was greatest in the rat duodenum and jejunum segments with lesser amounts seen in the ileum. NHERF1 and PDZK1 were expressed with relative equal abundance in all three intestinal segments. Staining of rat duodenum segments with phalloidin highlighted the apical microvilli on the enterocytes. Immunofluorescence imaging of NaPi-2b, NHERF1, and PDZK1 showed that all three proteins were expressed within the apical microvilli domain, putting each of the PDZ domain containing proteins in approximate position to interact with NaPi-2b (Fig.  1B).
NaPi-2b Binds with NHERF1-The potential association between either NHERF1 or PDZK1 and NaPi-2b in duodenal enterocytes was evaluated by co-immunoprecipitation. Enterocyte lysates were initially pre-cleared to remove proteins with significant binding to the protein A/G beads. No appreciable levels of any of the proteins being studied were observed in the pre-clear samples (Fig. 2). Following the immunoprecipitation of NHERF1, Western blotting of the precipitated fraction showed both NHERF1 and NaPi-2b were present (Fig. 2). In contrast, following immunoprecipitation of PDZK1, Western blotting of the immunoprecipitates demonstrated the presence of PDZK1 but failed to detect the co-precipitation of NaPi-2b (Fig. 2). When subjecting enterocyte lysates to immunoprecipitation of NaPi-2b, interference of the IgG bands precluded the confirmation that NaPi-2b was precipitated. Western blotting of the precipitated fractions did, however, demonstrate the presence of NHERF1 but not PDZK1 (Fig. 2). Taken together, these studies did not observe any appreciable co-precipitation between NaPi-2b and PDZK1 but readily demonstrated co-precipitation of NaPi-2b and NHERF1. This indicates NaPi-2b and NHERF1 reside within a common protein complex in native rat enterocytes.
The association between NaPi-2b and NHERF1 was further examined in HEK co-transfection/co-precipitation studies. GFP-NaPi-2b was readily detected in the FLAG co-immunoprecipitated fraction in HEK cells co-transfected with GFP-NaPi-2b and FLAG-NHERF1 (supplemental Fig. S3). To determine whether the putative PDZ binding motif of NaPi-2b promotes the binding interaction with NHERF1, co-precipitation of GFP-NaPi-2b with FLAG-NHERF1 was compared between full-length GFP-NaPi-2b and GFP-NaPi-2b with four amino acids truncated from the C-terminal tail (GFP-NaPi-2b-4aa). Fluorescence imaging of co-transfected HEK cells showed that both GFP-NaPi-2b and GFP-NaPi-2b-4aa were localized

NaPi-2b Transporter Interacts with the PDZ Protein NHERF1
predominantly at the plasma membrane and co-localized extensively with mCherry-NHERF1 (Fig. 3A). Lysates in all samples expressed approximately equivalent levels of either GFP-NaPi-2b or GFP-NaPi-2b-4aa. FLAG-NHERF1 was confirmed in cells that were co-transfected with FLAG-NHERF1 cDNA. Western blotting showed FLAG-NHERF1 was readily pulled out of the lysates from cells co-transfected with FLAG-NHERF1 cDNA. Minimal signal was detected in the FLAG precipitate fractions when GFP-NaPi-2b or GFP-NaPi-2b-4aa were expressed alone (Fig. 3B). When co-expressed with FLAG-NHERF1, GFP-NaPi-2b was readily detected in the FLAG co-immunoprecipitated fraction. In contrast, comparatively little GFP-NaPi-2b-4aa co-precipitated with FLAG-NHERF1 (Fig. 3B). These observations confirm the association between NaPi-2b and NHERF1 and indicate that the PDZbinding motif of NaPi-2b plays a pivotal role in the interaction between NaPi-2b and NHERF1.
CACO-2 BBE Cells as an Enterocyte Cell Model to Study NaP i Transporters-Despite its colonic cancer cell origin, CACO-2 cells express many characteristics of small intestine epithelial cells and it has been extensively used as a model of enterocyte transport function and regulation (34 -37). The CACO-2 BBE clone was established for the study of actin cytoskeleton architecture and presents typical epithelial polarity characterized by robust microvilli formation (38,39).
CACO-2 BBE cells were used to further confirm the interactions of NaPi-2b with PDZ proteins in a live enterocyte cell model. Confocal microscopy of transfected CACO-2 BBE cells showed that EYFP-NaPi-2b (Fig. 4A), as well as EYFP-NHERF1 and EYFP-PDZK1 (data not shown), were concentrated within the apical membrane domain. Moreover, modulation tracking microscopy demonstrated that all three proteins reside within individual microvilli (Fig. 4B). Co-transfected CACO-2 BBE cells were subsequently utilized in FLIM-FRET studies to determine whether NaPi-2b interacted with either NHERF1 or PDZK1 within microvilli.
FLIM-FRET Analysis of NaPi-2b and NHERF1 Interactions in CACO-2 BBE Cells-To determine FRET occurrence we performed fluorescent lifetime imaging (FLIM-FRET) measurements of the donor fluorophore (cerulean or Cu). The FLIM data were analyzed and interpreted using the phasor analysis as described under "Experimental Procedures" (40). FRET occurrence is observed in the phasor plot as a shift that depends on the efficiency of the interaction and the fraction of molecules undergoing FRET. Fig. 5 shows representative images of CACO-2 BBE cells transfected either with only the donor (D) species Cu-NaPi-2b (Fig.  5A) or with both donor and acceptor (DϩA) species Cu-NaPi-2b and EYFP-NHERF1, respectively (Fig. 5B). Using the FLIM measurements, the average phasor position of D in the phasor plot was determined and compared with the phasors of DϩA species (Fig. 5C). The phasors of cells co-transfected with NaPi-2b and NHERF1 are shifted toward the direction of lower lifetimes showing the occurrence of FRET. FRET can only occur when the donor (Cu-NaPi-2b) and acceptor (EYFP-NHERF1) species are localized within 10 nm of each other. The phasors associated with the DϩA lifetime can be described as a linear combination of the phasors of two species: unquenched (unq) and quenched (q) donors with a given FRET efficiency (E). Further analysis of the phasor plot showed the fraction of donors undergoing FRET was 0.20 Ϯ 0.02 and the FRET efficiency was 0.54 Ϯ 0.01 (n ϭ 11). FLIM-FRET analysis of NaPi-2b and PDZK1 in CACO-2 BBE cells was then evaluated. Fig. 5 shows confocal images of CACO-2 BBE cells expressing only Cu-NaPi-2b (Fig. 5D) and Cu-NaPi-2b and EYFP-PDZK1 (Fig. 5E), respectively. The experimental lifetime phasor associated to the cells co-transfected with Cu-NaPi-2b and EYFP-PDZK1 (DϩA) is not significantly shifted with respect to the average phasor of the donor only (D) (Fig. 5F). The average position of the NaPi-2b/NHERF1 lifetime phasor was included to highlight the lack of FRET between NaPi-2b and PDZK1. The negative occurrence of FRET between NaPi-2b and PDZK1 indicates their associated fluorophores do not reside within 10 nm of each other.
Intestinal BBM NaPi-2b Protein Adaptation to a Low P i Diet Is Impaired in NHERF1 KO Mice But Not in PDZK1 KO Mice-NHERF1 Ϫ/Ϫ mice were used to evaluate the relevance of NHERF1 in the regulation of NaPi-2b (24). In mice, intestinal uptake and NaPi-2b expression is greatest in the ileal segment of the small intestine (11). Brush border membrane (BBM) vesicles isolated from ileal enterocytes were analyzed by Western blot. In response to a low P i diet, the apical expression of NaPi-2b is increased in NHERF1 ϩ/ϩ mice as previously reported (13,41). However, NHERF1 Ϫ/Ϫ mice fed a low P i diet showed diminished adaptive response compared with wild type animals with only partial up-regulation on the levels of apical NaPi-2b. Densitometric analysis of NaPi-2b levels in the apical FIGURE 2. NaPi-2b associates with NHERF1 in rat duodenal enterocytes. Rat duodenal enterocyte lysates were subjected to immunoprecipitation (IP) and Western blot analysis of co-precipitating proteins. No appreciable levels of any of the proteins studied appeared within the protein A/G pre-cleared samples. In NHERF1 immunoprecipitates, NHERF1 was precipitated and NaPi-2b was readily detected in the immunoprecipitated sample (top panel). In PDZK1 immunoprecipitates, PDZK1 was precipitated but NaPi-2b was not observed in the immunoprecipitated sample (middle panel). In NaPi-2b immunoprecipitates, NHERF1 but not PDZK1 was found in immunoprecipitated samples (bottom panel). Interference of the IgG bands precluded the confirmation that NaPi-2b was precipitated in these samples.

NaPi-2b Transporter Interacts with the PDZ Protein NHERF1
OCTOBER 12, 2012 • VOLUME 287 • NUMBER 42 JOURNAL OF BIOLOGICAL CHEMISTRY 35051 membrane of NHERF1 Ϫ/Ϫ mice showed a reduction of 39 Ϯ 11% of the response measured in wild type mice (Fig. 6). These results indicate that NHERF1 contributes to NaPi-2b adaptation in low P i diet fed animals. In parallel we evaluated the expression of other apical proteins to evaluate if depletion of the NHERF1 protein would affect other membrane proteins in a general way. Both galectin-4 and Na(ϩ)-D-glucose cotransporter (SGLT1) expression were not modified in NHERF1 Ϫ/Ϫ mice compared with wild type (Fig. 7).
In contrast to the loss of NaPi-2b adaptation measured in NHERF1 Ϫ/Ϫ mice, no change in adaptation was observed in PDZK1 Ϫ/Ϫ mice fed a low P i diet (Fig. 8). Densitometric analysis of NaPi-2b levels in ileal BBM vesicles from PDZK1 Ϫ/Ϫ mice showed no differences to the levels measured in matched wild type controls.

PDZ Proteins Regulate Key Apical Transporters in Epithelial
Cells-PSD95-Dlg-ZO-1 (PDZ) domains are ϳ90 amino acids in size and coordinate protein-protein binding interactions. There are over 400 distinct PDZ domain-containing proteins coded for in the human genome with expression of PDZ domain containing proteins found in all cell types (18,42). Because the initial characterization of the PDZ protein-protein binding module of ZO-1, PDZ domain-containing proteins have continued to emerge as pivotal proteins in moderating a variety of functions within distinct domains of epithelial cells (16,17). This is specifically evidenced by the regulation of ion transporter and channel proteins within the apical membrane of epithelial cells. Two independent laboratories discovered a 50-kDa phosphoprotein bound to the actin-associated AKAP protein ezrin (termed ezrin-radixin-moesin binding phosphoprotein 50 or EBP50) and that also bound and regulated the sodium-proton exchanger 3 (NHE3) in the apical microvilli of renal proximal tubules (termed NHE3 regulatory factor 1 or NHERF1) (43)(44)(45). Upon confirming that EBP50 and NHERF1 were the same protein, other key epithelial transport proteins were found to bind with NHERF1 (19,22,46,47).
PDZ Proteins Regulate NaPi-2 Family Members-The physiologic significance of NHERF1 in regulating epithelial sodiumdependent P i transporters (NaPi) was highlighted in NHERF1 KO mice (24,48). When compared with wild type littermates, NHERF1 Ϫ/Ϫ mice had lower serum P i levels and significantly FIGURE 3. C-tail truncation impacts NaPi-2b binding to NHERF1. A, HEK cells were co-transfected with mCherry-NHERF1 and either GFP-NaPi-2b or GFP-NaPi-2b-4aa. Confocal fluorescence imaging shows that mCherryNHERF1 co-localizes with both GFP-NaPi-2b and GFP-NaPi-2b-4aa. Each of the three proteins is distributed predominantly at the plasma membrane. Bar, 5 m. B, HEK cells were transfected with GFP-NaPi-2b or GFP-NaPi-2b-4aa, either alone or with FLAG-NHERF1. In the upper panel, Western blotting of the total cell lysates showed similar expression levels of each protein. In the lower panel, Western blotting showed GFP-NaPi-2b, but not GFP-NaPi-2b-4aa, was readily co-precipitated with FLAG-NHERF1.

NaPi-2b Transporter Interacts with the PDZ Protein NHERF1
elevated P i excretion in the urine. These changes were paralleled by loss of NaPi-2a in the microvillar membranes of the renal proximal tubule cells, indicating that NHERF1 was playing a pivotal role in retaining NaPi-2a within the apical membrane to permit the reabsorption of filtered P i from the lumen of the nephron. Following the discovery of the NHERF1/ NaPi-2a interaction, other PDZ domain containing proteins, including PDZK1 (also known as NHERF3 or NaPi-Cap1) have also been found to bind to NaPi-2a (19,21,49). Discernible in mice maintained on a high P i diet, PDZK1 Ϫ/Ϫ mice had diminished retention of NaPi-2a within the apical membrane of renal proximal tubule cells but showing a much milder phenotype than NHERF1 Ϫ/Ϫ mice (25). The complimentary roles of NHERF1 and PDZK1 in retaining NaPi-2a within the microvillar membrane of renal proximal tubule cells extended to the  . NHERF1 KO mice have impaired adaptation of NaPi-2b protein in response to a low P i diet. Mice ileal BBMs were analyzed by Western blot to detect NaPi-2b expression. Wild type animals fed a low P i diet showed a significant increase on the expression of NaPi-2b compared with animals fed a high P i diet. However, NHERF1 Ϫ/Ϫ mice had a 39 Ϯ 11% decrease in the adaptive response of NaPi-2b under the same conditions. FIGURE 7. Expression of other apical membrane-associated proteins is not modified in the NHERF1 ؊/؊ mice. Western blot analysis of ileal BBM of wild type or NHERF1 Ϫ/Ϫ animals fed low P i diets. Two apical membrane-associated proteins, Galectin-4 and Na ϩ -D-glucose cotransporter (SGLT1), showed no differential expression between wild type and NHERF1 Ϫ/Ϫ animals unlike NaPi-2b that showed a significant reduction in NHERF1 Ϫ/Ϫ mice under this dietary condition (n ϭ 8 -10). ns, not significant.

NaPi-2b Transporter Interacts with the PDZ Protein NHERF1
OCTOBER 12, 2012 • VOLUME 287 • NUMBER 42 regulation of NaPi-2c within the same domain. NaPi-2c is a distinct gene product from NaPi-2a but the two proteins share a high degree of sequence homology and perform sodium-dependent P i co-transport across the microvillar membrane of renal proximal tubule cells. Despite the absence of a canonical PDZ binding motif at its C terminus, NaPi-2c is also bound by both NHERF1 and PDZK1, however, with preferential binding to PDZK1 (22,23).
NHERF1 Binds NaPi-2b in Enterocytes-Given the demonstrated role of NHERF1 and PDZK1 in binding and regulating NaPi-2a and NaPi-2c, the present study sought to test the hypothesis that NHERF1 and PDZK1 bound and regulated the third family member, NaPi-2b. Unlike NaPi-2a and NaPi-2c, NaPi-2b is not expressed in renal proximal tubule cells but is expressed in small intestinal enterocytes (50). In enterocytes, NaPi-2b is concentrated within the apical microvilli and is responsible for ϳ90% of the P i absorption from the intestinal lumen (10). Sequence analysis of NaPi-2b across species reveals a canonical type I PDZ binding motif at its C-terminal tail (supplemental Fig. S4). Three lines of evidence demonstrated that NaPi-2b was bound by NHERF1. First, NaPi-2b specifically coprecipitated with NHERF1 following the immunoprecipitation of NHERF1 from rat enterocytes. Second, GFP-NaPi-2b specifically co-precipitated with FLAG-NHERF1 when both proteins were coexpressed in HEK cells. This interaction was greatly diminished when the amino acids that comprise the PDZ binding motif on NaPi-2b were truncated from the coding sequence. Third, when CACO2 BBE cells were co-transfected with Cu-NaPi-2b and EYFP-NHERF1 and evaluated by FLIM-FRET there was a substantial decrease in the fluorescence lifetime of the donor fluorophore. This demonstrates the presence of energy transfer between the two fluorophores and indicates that the Cu-NaPi-2b and EYFP-NHERF1 proteins resided within 10 nm of each other. Parallel studies with PDZK1 indi-cated that NaPi-2b did not co-immunoprecipitate with PDZK1, and there was not FLIM-FRET between Cu-NaPi-2b and EYFP-PDZK1.
NHERF1 Modulates NaPi-2b Abundance in Enterocytes-Mice maintained on a low P i diet have significantly lower serum P i levels (51). To minimize the loss of P i in the urine, these mice increase the abundance of NaPi-2a and NaPi-2c in the microvillar membrane of the renal proximal tubule cells (51,52). Simultaneously, to maximize the uptake of ingested P i , these mice increase the abundance of NaPi-2b in the microvillar membrane of the small intestinal enterocytes (13). The molecular mechanisms involved in the increased NaPi-2b abundance have not been well delineated, and could include increases in transcription, translation, and protein retention or decreases in protein turnover. The present studies, however, indicate that NHERF1 impacts the adaptive response of NaPi-2b to low dietary P i . In the NHERF1 KO mice model the adaptation induced by a low P i diet of the NaPi-2b transporter was disturbed compared with the wild type animal. NaPi-2b up-regulation in the apical membrane of enterocytes was dramatically reduced in NHERF1 KO mice fed a low P i diet. In parallel we also studied PDZK1 KO animals adapted to the same dietary conditions. PDZK1 KO animals did not show any differences with wild type animals showing a similar up-regulation of the NaPi-2b transporter in the apical membrane. This effect seems to reflect a more important role of NHERF1 in the stabilization or regulation of the apical expression of the NaPi-2b cotransporters in the small intestine during adaptation to low P i diets. The results of the in vivo models are in accordance to the in vitro analysis of the protein interactions of NaPi-2b that demonstrated the binding to NHERF1 but strongly suggested a lack of interaction with the PDZK1 protein.
NHERF Proteins as Modulators of Epithelial Transporters-Although NaPi-2a, NaPi-2b, and NaPi-2c share a high sequence homology, their C-terminal tails differ significantly (supplemental Fig. S4), implying a differential affinity for PDZ proteins. For example, NaPi-2a is able to interact with a numerous group of PDZ proteins besides NHERF-1 and PDZK1, including Shank2E (20,21), CAL (53), or the other members of the NHERF family (NHERF-2 and -4) (19). In contrast the only proved NaPi-2c interactions are with PDZK1 and NHERF1 (22), with preferential affinity for PDZK1 (23). The present study shows that the NaPi-2b protein binds to the NHERF1 PDZ protein with lack of evidence for PDZK1 interaction. Further studies will be needed to characterize the interactions of NaPi-2b with other PDZ domain containing proteins. These results highlight the differences on the regulatory mechanisms between the three type II NaPi transporters and partially explain their differential response to physiological stimuli.
The precise role of NHERF1 or PDZK1 in the regulation of NaPi transporters is not yet clear although they have been suggested to function in the retention/stability of the transporters in the apical membrane. Other intestinal transporters as Slc15a1 and Slc22a5 are regulated in a similar way by PDZK1 (54). Interestingly, NHERF1 and PDZK1 regulation of other epithelial transporters also involves other regulatory mechanisms. For example, the activity of the cystic fibrosis transmembrane conductance regulator or the NHE3 transporter are In contrast to the impaired adaptation in the NHERF1 Ϫ/Ϫ mice, wild type and PDZK1 Ϫ/Ϫ mice showed no differences in the adaptive response of NaPi-2b apical expression. Ileal BBMs NaPi-2b levels were increased to the same extent in wild type and PDZK1 Ϫ/Ϫ mice fed a low P i diet. modulated by NHERF1 and PDZK1 through different mechanisms including, trafficking and retention of the transporter, homodimerization or interaction with other transporters, and the formation of multiprotein signaling complexes (33,55,56). Most of these mechanisms involve direct interaction of the PDZ domain containing protein with the transporters or, in some cases, with both the transporter and a specific GPCR receptor that can modulate the activity or stability of the transporters.
NHERF1-deficient animals do not show any major histological changes in length or ultrastructure of microvilli in the small intestine (30,57). Moreover, the expression of other apical brush-border membrane proteins, such as Galectin-4 or Na ϩ -D-glucose cotransporter (SGLT1), were not impaired in the NHERF1 KO mice compared with wild type. Taken together, these data suggest that impairment in the adaptation of NaPi-2b to low P i intake in the NHERF1 KO mice is associated to the direct interaction of the NaPi-2b transporter with NHERF1. In summary, these studies demonstrate that NHERF1 associates with NaPi-2b in enterocytes and partially regulates NaPi-2b adaptation to low P i dietary intake.