Person: Demay, Marie
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Demay
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Marie
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Demay, Marie
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Publication Response of Npt2a knockout mice to dietary calcium and phosphorus(Public Library of Science, 2017) Li, Yuwen; Caballero, Daniel; Ponsetto, Julian; Chen, Alyssa; Zhu, Chuanlong; Guo, Jun; Demay, Marie; Jüppner, Harald; Bergwitz, ClemensMutations in the renal sodium-dependent phosphate co-transporters NPT2a and NPT2c have been reported in patients with renal stone disease and nephrocalcinosis, but the relative contribution of genotype, dietary calcium and phosphate to the formation of renal mineral deposits is unclear. We previously reported that renal calcium phosphate deposits persist and/or reappear in older Npt2a-/- mice supplemented with phosphate despite resolution of hypercalciuria while no deposits are seen in wild-type (WT) mice on the same diet. Addition of calcium to their diets further increased calcium phosphate deposits in Npt2a-/-, but not WT mice. The response of PTH to dietary phosphate of Npt2a-/- was blunted when compared to WT mice and the response of the urinary calcium x phosphorus product to the addition of calcium and phosphate to the diet of Npt2a-/- was increased. These finding suggests that Npt2a-/- mice respond differently to dietary phosphate when compared to WT mice. Further evaluation in the Npt2a-/- cohort on different diets suggests that urinary calcium excretion, plasma phosphate and FGF23 levels appear to be positively correlated to renal mineral deposit formation while urine phosphate levels and the urine anion gap, an indirect measure of ammonia excretion, appear to be inversely correlated. Our observations in Npt2a-/- mice, if confirmed in humans, may be relevant for the optimization of existing and the development of novel therapies to prevent nephrolithiasis and nephrocalcinosis in human carriers of NPT2a and NPT2c mutations.Publication Two tissue-resident progenitor lineages drive distinct phenotypes of heterotopic ossification(American Association for the Advancement of Science (AAAS), 2016) Dey, D.; Bagarova, J.; Hatsell, S. J.; Armstrong, K. A.; Huang, L.; Ermann, J.; Vonner, A. J.; Shen, Y.; Mohedas, Agustin; Lee, A.; Eekhoff, E. M. W.; van Schie, A.; Demay, Marie; Keller, C.; Wagers, Amy; Economides, A. N.; Yu, P. B.Fibrodysplasia ossificans progressiva (FOP), a congenital HO syndrome caused by gain-of-function mutations of bone morphogenetic protein (BMP) type I receptor ACVR1, manifests with progressive ossification of diverse tissues including skeletal muscles, tendons, ligaments, fascia and joints. HO can occur in discrete flares, often triggered by injury or inflammation, or may progress incrementally without identified triggers. Mice harboring an Acvr1R206H knock-in allele recapitulated the phenotypic spectrum of FOP, including injuryresponsive intramuscular HO, and spontaneous articular, tendon and ligament ossification. HO in these distinct sites was formed by two anatomically distinct progenitor lineages: A muscle-resident interstitial Mx1+Sca1+LinPDGFRα+ population which was sufficient to facilitate intramuscular, injury-dependent endochondral HO, and an Scx+Sca1+Lin-PDGFRα+tendon-derived progenitor which was sufficient to initiate ligament and articular endochondral HO without injury. The cell-autonomous effects of Acvr1R206H in both of these lineages promoted heterotopic chondrogenesis, and conferred to cells abnormal gain of BMP signaling and endochondral differentiation in response to Activin A. Both injury-dependent intramuscular and spontaneous ligament HO in Acvr1R206H knock-in mice were effectively controlled by the selective ACVR1 inhibitor LDN-212854. The diverse spatiotemporal manifestations of HO in FOP are rooted in cell-autonomous effects of dysregulated ACVR1 signaling in multiple non-overlapping tissue-resident progenitors, with direct implications for therapies designed to modify their recruitment or plasticity.