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Fig 1.

Urine PPi concentration and renal gene expression in Npt2a-/- mice.

Urine pyrophosphate concentration (U-PPi, A) following an overnight fast and renal gene expression as indicated on the y-axis for ectonucleotide pyrophosphatase/phosphodiesterase 1 (Enpp1, B), progressive ankylosis (Ank, C), ectonucleoside triphosphate diphosphohydrolase 5 (Entpd5, D), tissue nonspecific alkaline phosphatase (Tnsalp, E) in mice fed regular chow for 10 weeks. The data represent mean±SEM of 4–19 mice, p-values shown above the lines of comparisons were calculated by one-way ANOVA using Tukey’s adjustment for multiple comparisons (A) and Student’s t-test (B-E).

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Fig 1 Expand

Fig 2.

The hypomorphic Enpp1asj allele worsens renal mineralization area seen in Npt2a-/- mice on regular chow.

Histomorphometric analysis of renal mineralization (%calcified area = 100*mineralization area/tissue area, A; calcification size = mineralization area/number of calcifications, um2, B) in 10 um sections of kidneys from mice fed regular chow for 10 weeks. The data represent individual animals (closed circles) with the means±SEM, p-values shown above the lines of comparisons were calculated by one-way ANOVA using Tukey’s adjustment for multiple comparisons, no significant differences were detected between groups in panel B.

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Fig 3.

Urinary pyrophosphate concentration is inversely associated with renal mineralization size in a combined bivariate linear regression analysis of all mice.

All experimental WT and mutant mice from Fig 2 (n = 28) for which urine was available were evaluated using linear regression analysis to determine the association of renal mineralization with the urine pyrophosphate concentration (U-PPi) (% calcified area = 100*calcified area/total area A and calcification size = calcified area/number of mineralization B). Data points represent values of individual animals. Results of the linear regression analysis are shown as solid line with 95% confidence interval (stippled lines), R2 and p-values.

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Fig 4.

Intraperitoneal injection of Na-pyrophosphate reduces cortical and medulary renal mineralization in Npt2a-/- mice.

Light micrographs of 10 um renal sections prepared from paraffin-embedded kidneys, obtained from mice with various genotypes fed regular chow for 10 weeks (A, upper panels: von Kossa, methylene green staining, 4X, and A, lower panels: von Kossa, hematoxylin and eosin staining, 40X); Transmission electron micrographs showing microspheres in double mutant mice on regular chow, inset with larger magnification shown to the right (B); Two weeks old Npt2a-/- pups treated with i.p. injections of vehicle or sodium pyrophosphate (160 micromole/Kg/day) for two weeks (C); Histomorphometric analysis of renal mineralization (%calcified area = 100*mineralization area/tissue area, (D); calcification size = mineralization area/number of calcifications, um2, (E), and plasma pyrophosphate levels (F) and urine pyrophosphate (U-PPi) (G) of two weeks old Npt2a-/- pups treated with i.p. injections of vehicle or sodium pyrophosphate (160 micromole/Kg/day) for two weeks, measured after overnight fast and 18–24 hrs. following the last treatment. The data represent individual animals (closed circles) with the means±SEM, p-values shown above the lines of comparisons were calculated by Student’s t-test.

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Fig 4 Expand