X-linked hypophosphatemia (XLH) is caused by inactivating mutations of Phex
, a phosphate-regulating endopeptidase. Further advances in our knowledge o
f the pathogenesis of XLH require identification of the biological function
of Phex and its physiologically relevant substrates. We evaluated several
potential substrates using mouse recombinant wild-type Phex proteins (rPhex
-WT) and inactive mutant Phex proteins (rPhex-3'M) lacking the COOH-termina
l catalytic domain as controls. By Western blot analysis, we demonstrated t
hat Phex is a membrane-bound 100-kDa glycosylated monomer. Neither casein,
a substrate for the related endopeptidase thermolysin, human stanniocalcin
1 (hSTC-1), an osteoblast-derived phosphate-regulating factor, nor FGF-23 p
eptide (amino acid 172-186), comprising the region mutated in autosomal dom
inant hypophosphatemia, was cleaved by rPhex-WT. In addition, membranes exp
ressing rPhex-WT, rPhex-3'M, and the empty vector hydrolyzed parathyroid ho
rmone-(1-34), indicating the lack of Phex-specific cleavage of parathyroid
hormone. In contrast, rPhex-WT did display an EDTA-dependent cleavage of th
e neutral endopeptidase substrate [Leu]enkephalin. Further studies with wil
d-type and mutant rPhex proteins should permit the identification of physio
logically relevant substrates involved in the pathogenesis of XLH.