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INVITED REVIEW
1Centre of Marine Sciences, University of Algarve, Faro, Portugal; and 2Department of Physiology and Neurobiology, University of Connecticut, Storrs, Connecticut
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ABSTRACT |
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 TOP ABSTRACT PTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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parathyroid hormone-related protein; calcium regulation; phosphate regulation; molecular evolution
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PTH AND PTHrP |
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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PTHrP was discovered in association with certain types of cancer that caused elevated blood Ca2+ levels (a syndrome called humoral hypercalcemia of malignancy, or HHM) in affected patients. The hypercalcemia, caused by the uncontrolled secretion of PTHrP, is induced via an endocrine-like pathway and is a consequence of increased Ca2+ resorption from bone and suppression of urinary Ca2+ loss, similar to what is seen with hyperparathyroidism (105, 110). PTHrP and PTH share some sequence and conformational homologies between their 1–34 NH2 termini, which explains their ability to bind with equal affinity to a single common PTH/PTHrP receptor, PTH receptor type 1 (PTH1R; Ref. 40).
PTHrP is a multifunctional protein, produced in a range of different tissues, with broad physiological actions in mammals mediated via intracellular, paracrine, and endocrine pathways. Mammalian PTHrP is encoded by a single gene, but several variants are generated by alternative splicing of the primary transcript and through the use of alternative posttranslational cleavage sites. Posttranslational processing of mammalian PTHrP gives rise to at least three mature fragments: NH2-terminal (1–36)PTHrP, structurally related to PTH; a midregion (38–94)PTHrP; and a COOH-terminal (107–139)PTHrP (62, 105). The processing pathways and activities of the various peptides arising from PTHrP still are not fully characterized in mammals and remain the subject of considerable study. Recent comprehensive descriptions of known and emerging actions of PTHrP are given by Clemens et al. (18) and Gensure et al. (41). The critical role of PTHrP for normal life is emphasized by the PTHrP or PTH1R knockout mice, which die at birth or in utero (67, 75).
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PTH AND PTHrP GENE AND PROTEIN STRUCTURE |
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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In general, the gene structure of PTHrP across the vertebrates is much more variable than that of PTH (60). Whereas the human gene has eight exons and seven introns and may produce several mature splice variants with combinations from three exons, the avian form has only four exons that translate sequentially into the mature peptide. However, there is high similarity of organization between the pufferfish PTHrP and the PTH genes in the zebrafish and other vertebrates. The pufferfish PTHrPA gene also has three exons separated by two introns, spanning 2.25 kb (108). The organization of exon II has been conserved in all species and encodes the end of the 5' UTR and the prepro-PTHrPA sequence. Exon III of the pPTHrPA gene encodes a prohormone cleavage site (Arg-Arg), the mature protein (1–126), and the complete 3' UTR. The cloning and sequencing of the sea bream PTHrP cDNA (33) confirmed there is a high level of nucleotide sequence conservation between the 5' and 3' UTRs in both fish (77.5 and 74.8%, respectively). A second PTHrP gene, pPTHrPB, identified in the pufferfish genome (13), shares 67% homology with pPTHrPA, and a further gene has been identified, designated pPTH-L, that is structurally more related to the PTH genes, particularly with regard to size, but encodes a mature protein containing motifs (e.g., MHD) that are more characteristic of the PTHrP genes (Fig. 1). In phylogenetic analysis, this novel gene fails to group with either the PTHrP or PTH clade (Fig. 2).
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40% sequence conservation and 53% with the corresponding zebrafish PTHs (Table 1). Among the fish, human, or chicken mature PTHs, the amino acid identity is roughly 20–25%, although the sequence similarity is close to 40%. However, there is high sequence conservation of the first 34 NH2-terminal amino acid residues, and 10 residues are either identical or have undergone conservative substitutions across all PTHs (13). Among the conserved residues in the fish PTHs, several are critical for receptor binding and signal transduction (13, 20, 42).
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90% sequence similarity (Table 1, Fig. 1). In common with what occurs with PTHs, the first 34 amino acids are highly conserved with an average identity of 94 and 97% and similarity of 100% due to two conservative amino acid substitutions. Overall, the total amino acid identity between the piscine and mammalian PTHrP is low at 36% but is higher (60%) in the NH2 terminus (see PTH AND PTHrP RECEPTORS) and reaches 50 and 85%, respectively, if only the physicochemical nature of amino acids are considered (Table 1, Fig. 1). The recently found mature pPTHrPB is 161 amino acids long and shares 63% similarity with pPTHrPA, 67% similarity with zPTHrPB, and 58% similarity or less with tetrapod PTHrPs (13). However, there are regions of high conservation across all the vertebrates, including 22 of the first 34 amino acids, which suggests they interact with the common PTH/PTHrP receptors. Other regions of high conservation are 11 of the 18 amino acids of the Arg-rich RNA binding region (1) and 7 of the 15 amino acids of the nuclear localization sequence (55). Comparison of the COOH-terminal region of PTHrPs reveals it is much shorter in fish than in tetrapods and that PTHrPA is the shortest (13). Finally, only the fish PTHrPs have an insertion of several amino acids starting after residue 37 (usually a conserved Arg; Fig. 1). Such insertion shows less conservation, and its size is longer in pPTHrPBs than in pPTHrPAs (13).
All mammalian PTHrPs have regions that are potential sites of posttranslational processing by enzymatic cleavage, amidation, and glycosylation (94), generating several domains with distinct physiological functions. The fish proteins also have such properties in conserved regions [even if some sites are displaced due to the inserted sequence on position 37 (60)], but very little is known about the possible functional roles of the peptides that can arise from the processing of the full-length protein.
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PTH AND PTHrP mRNA AND PROTEIN DISTRIBUTION |
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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A similar distribution is seen in pufferfish with the exceptions that the nonepithelial supporting cells of smooth and striated muscle, matrix cells of the epidermis, and basement membrane cells of the gill filaments also exhibit abundant gene expression with none detectable in the epithelial cells (108). It has been suggested that this may be related to a possible involvement of PTHrP in the process of expansion and relaxation of the organs of the body cavity, including the three swim bladders, and eversion of spines of the skin (10) used by this animal for defense. A similar pattern of expression occurs in mammalian smooth muscle cells, and PTHrP is specifically upregulated during urinary bladder distension in the rat (144) in agreement with the muscle relaxant role for PTHrP (18). In the spotted green pufferfish, T. fluviatilis, RT-PCR revealed PTHrPA expression in liver, pituitary, brain, kidney, ultimobranchial gland, and spinal chord, whereas PTHrPB mRNA was not seen in liver and kidney (13).
In mammals, PTHrP assumes greater importance in early development, determining the rate of chondrogenesis and structure mineralization (18, 67, 74). In developing sea bream, elevated PTHrP signal was found in hyperplastic chondrocytes of dystrophic fish but not in those with normal cartilage development (70). Unfortunately, these studies have not been continued, and the possible roles of PTHrP in fish skeletal development remain unclear. In larval sea bream, PTHrP transcripts occur in skin chloride cells, gut epithelium, central nervous system (CNS) neurons, and red muscle cells (32, 107). The peptide localized by immunohistochemistry in these larvae has been detected in the hindgut epithelium, slow red axial muscle, skin and chloride cells, some kidney tubules, pituitary pars intermedia cells, choroid plexus, cells of the hypothalamus, saccus vasculosus coronet cells, and leucocytes (60).
The distribution of the fish PTHs is still very poorly characterized. The genes were isolated from pufferfish genomic DNA and total zebrafish RNA, and therefore there is no indication of specific tissue source. RT-PCR in pufferfish T. fluviatilis tissues demonstrated the existence of pPTHB mRNA in pituitary, brain, kidney, ultimobranchial gland, and spinal chord but failed to amplify the signal for pPTHA or PTH-L (13). Recently, the differential distribution of the two PTH genes and respective peptides in the developing zebrafish embryo using whole mount in situ hybridization and immunohistochemistry were described (57). In zebrafish embryos, at 24 h postfertilization (hpf), zPTH1 mRNA was dispersed in cells along the lateral line in the posterior of the animal and was subsequently present in a discrete zone of cells immediately dorsal to the notochord, and at 4 days postfertilization (dpf), it was observed in the midline of the neural tube. Gene expression of zPTH2 also was detected in two populations of cells running bilaterally on either side of the midline of the animal but not in central nervous tissue. Signal for the zPTH peptides was detected at 3 and 4 dpf in lateral line neuromasts and anterior neuromasts and in small cells dispersed in the anterior of the animal and the developing jaw, where it was located in the first region of the jaw cartilage to become calcified.
The distribution of zPTHs is coincident in part to that previously observed for PTHrP in sea bream larvae and suggests an involvement of the zebrafish PTH-like peptides in the neural system and in early cartilage and bone development. The widespread distribution of PTHrP immunoreactivity and mRNA presence in ionoregulatory, secretory, and support tissues in different groups of fishes, including the ancient lamprey and elasmobranchs, and the changing pattern during ontogeny and(or) life cycle phases concur with the multifunctional role of this peptide that also may exert its effects in a paracrine manner. These questions can only be answered by functional studies that include targeting the receptors involved in mediating such roles.
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PTH AND PTHrP RECEPTORS |
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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PTH and PTHrP bind mammalian PTH1R with indistinguishable affinity, and both ligands stimulate adenosine 3',5'-cyclic monophosphate (cAMP) and inositol 1,4,5-trisphosphate (IP3) accumulation with equivalent efficacy (65). PTH1R is expressed at high levels in bone and kidney, where it mediates the classical effects of PTH and PTHrP on Ca2+ and Pi homeostasis. It also is expressed at lower levels in a number of tissues in which it mediates a large array of paracrine and autocrine actions in response to locally produced PTHrP (18, 41). In contrast, PTH2R is activated not by PTHrP but by PTH and tuberoinfundibular peptide 39 (TIP39). PTH2R is expressed mostly in the hypothalamus, but little is known about the possible functions of the PTH-PTH2R or the TIP39-PTH2R systems. Involvement with regulation of growth hormone secretion, release of hypothalamic hormones, and cardiovascular and renal hemodynamics has been suggested (98). Zebrafish and other teleosts possess, in addition to PTH1R and PTH2R, a third receptor, PTH3R, which probably arose from the duplication of PTH1R (118, 119).
Because piscine PTH1R and PTH3R were initially isolated from genomic DNA or from whole zebrafish RNA, little information is available about their expression profiles. In an early report, using a rabbit polyclonal antibody against human PTH1R, Akino et al. (3) identified immunoreactivity in sections and extracts of the choroid plexus and saccus vasculosus of the red stingray. The signal was located in the epithelial cells of both organs, and it was proposed that the ligand/receptor system may participate in regulation of the composition of cerebrospinal fluid. However, to date, there have been no follow-up studies, and nothing else is known about the receptors in elasmobranchs. In sea bream larvae, mRNA expression for the receptor is abundant in the chloride cells of the integument, in the axial muscle cells, and, to a lesser extent, in the eye (107). The highest expression of PTH1R, as determined by quantitative RT-PCR, has been found in the sea bream liver and gonad, followed by skin, brain, and pituitary (53). PTH1R also is present in scales (111, 116), whereas PTH3R has been detected in enterocytes (115), and both receptors are expressed in the interrenal glands (114). The PTH2R was initially isolated from catfish Ictalurus punctatus liver and kidney and from the zebrafish kidney (118). Whole mount in situ hybridization of zebrafish embryos showed intense transcript expression in the developing CNS at 48 and 72 hpf as well as low level expression in the vascular tissue, similar to its occurrence in mammals (see Ref. 98).
Binding and transactivation studies of zebrafish receptors transiently expressed in COS-7 cells revealed similarities between the fish and mammalian receptors (118, 119). Zebrafish PTH1R binds human (h)PTH and hPTHrP with higher affinity than pPTHrPA, but overall, the three ligands showed similar capability in displacing radiolabeled rat (r)PTH or hPTHrP. zPTH1R is activated (induction of cAMP production) with similar potency by hPTH, hPTHrP, pPTHrPA, and zPTH1, but with lower (40-fold) potency by zPTH2 (41, 118). Interestingly, both zPTH1 and zPTH2 elicit an identical response at the hPTH1R receptor, similar in potency to the hPTH and hPTHrP (41), which may result from evolutionary divergence of this receptor type in the marine and terrestrial environments, also suggesting that the two piscine PTHs may have distinct functions in fish. In sea bream scales, pPTHrPA stimulates PTH1R signaling through both the adenylyl cyclase-protein kinase A (AC-PKA) and phospholipase C-protein kinase C (PLC-PKC) signaling cascades. Although the NH2-terminal truncated forms (2–34, 3–34, and 7–34) had no effect on cAMP release, they stimulated PLC-PKC with equal potency to the intact peptide (116). This may indicate that the first few NH2-terminal amino acids are not necessary for receptor binding but are important for transactivation of at least the AC-PKA signaling cascade, which seems to be the main pathway in scales (see INVOLVEMENT OF PTH-LIKE PEPTIDES IN FISH Ca2+ and Pi BALANCE AND TRANSPORT). The structure/activity relationship of piscine PTH1R is very similar to that of the human receptor (41, 65). Interestingly, hPTH and bovine (b) PTH, but not hPTHrP, also induce a mild increase in cAMP production in scales, whereas pPTHA, pPTHB, and pPTHrPB are without effect. The pPTH-L, however, strongly stimulates cAMP production with a potency equal to that of pPTHrPA (13). Sea bream recombinant (1–125)sPTHrPA increases the cAMP production to levels similar to those caused by (1–34)pPTHrPA, confirming that the NH2 terminus is the region responsible for the actions mediated by PTH1R (4).
The zPTH3R binds pPTHrPA with considerably higher affinity than hPTHrP (5-fold) and especially hPTH (50-fold). In transfected COS-7 cells, hPTHrP, pPTHrPA, and zPTH1 are equipotent in stimulating cAMP accumulation and more potent than zPTH2 (3-fold) and hPTH (10-fold). Whether zPTH1 and zPTH2 show differential affinity for zPTH1R or zPTH3R has not been determined. Enterocytes appear to express only PTH3R, which has an apparent of Kd of 2.59 nM for pufferfish [125I]-labeled PTHrP(1–35Tyr35) (115). This is the same order of magnitude as for zPTH1R and zPTH3R when pufferfish [125I]-labeled PTHrP(1–36Tyr36) was used to displace human [125I]-labeled PTHrP(1–36Tyr36) (119). As observed for PTH1R, specific binding was identical among the intact and NH2-terminal truncated forms. The sea bream midregion fragments (79–93)PTHrP and (100–125)PTHrP were ineffective. Only the (1–34)pPTHrP fragment, but none of the other forms, stimulated cAMP accumulation in isolated enterocytes, an effect blocked by the AC inhibitor SQ-22536. The absence of stimulation of the PLC-PKC pathway by binding of NH2-terminal peptides to PTH3R is an important difference from PTH1R and may result in diverse and specific physiological functions (119).
The sea bream interrenal tissue expresses both PTH1R and PTH3R, and (1–34)pPTHrP stimulates a dose-dependent increase in cortisol release by isolated interrenal cells (114). (1–34)pPTHrP also stimulates the production of cAMP and IP3. Accordingly, upon PTHrP stimulation, AC and PLC inhibitors separately do not cause a significant reduction in cortisol release. However, in conjunction, cortisol release is maintained at unstimulated control levels. This indicates that, in this tissue, the physiological action of (1–34)pPTHrP may be mediated by both the AC-PKA and the PLC-PKC pathways, through PTH1R or both PTH1R and PTH3R (114), whereas (7–34)pPTHrP elicits only one-half the IP3 accumulation and has no effect over cAMP. In addition, the NH2-terminal truncated forms (2–34, 3–34, and 7–34) have no effect on cortisol release and, when used in conjunction with (1–34)pPTHrP, significantly reduce its effects, confirming the importance of the initial amino acids for induction of the intracellular response but not for interaction with the receptor(s) binding site.
In common with observations in mammals, PTH2R in fish does not seem to be involved in the better known PTH functions. PTH2R was the first piscine PTH receptor to be identified, and in the initial cAMP accumulation studies in transfected COS-7 cells, the receptor did not respond to either human or piscine PTHrP but only to hPTH, and with much lower efficacy than PTH1R or PTH3R. Recently, it has been demonstrated that the zebrafish TIP39 induces cAMP accumulation in cells transfected with either the zPTH2R or the hPTH2R and that its potency is about one-half to one-third lower than that of the human TIP39 at the same receptors (98). The EC50 of hTIP39 in stimulating the rPTH2R and the zPTH2R is similar to that of hPTH, but the absolute maximal response to hPTH is only 30–40% of that induced by hTIP39 (56). It would be of interest to compare the efficacies of zPTH1 and zPTH2 at the zPTH2R and how they compare to hPTH and to human and fish TIP39.
The importance of specific amino acid sequences in PTH/PTHrP ligands for receptor binding and activation have not been systematically determined in fish. However, based on sequence analysis and the few functional studies that exist, there is strong evidence for conservation of ligand binding and activation sites throughout the vertebrates (13). As with the human peptides, the fish (7–34)PTHrP is a strong antagonist of (1–34)PTHrP in binding and transactivation studies. Furthermore, for maximum activity, the terminal serine needs to be present, and all activity is lost in the 2–34 and 3–34 truncated peptides (114–116). In the studies reported above, the receptors’ affinity and response to the NH2-terminal or full-length peptides were indistinguishable. It remains to be seen whether fish, like mammals (24), possess receptors that interact with the mid- and carboxyl regions of these peptides.
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CONTROL OF PTH AND PTHrP SECRETION AND THE CaSR |
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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Of all the fish PTH-like peptides, only PTHrPA has been identified and quantified in plasma. In sharks, the information concerning PTHrP levels was obtained using heterologous RIAs. In the European dogfish (Scyliorhinus canicula) and the gummy shark (Mustelus antarcitiers), the circulating values were 9 pM (63, 132), whereas in the red stingray, an average concentration of 2.8 pM was detected (3), equivalent to those usually present in humoral hypercalcemia of malignancy in humans. These numbers should be viewed with caution, since the sensitivity of the heterologous RIA may be limited due to lack of homology of the endogenous protein. The identity between the amino acid sequence of teleost and human NH2-terminal peptide is only 57%, and although the gene and protein structure of elasmobranch PTHrP are not known, it is likely that sequence similarity with humans is low as well. It also is not yet known whether any of the other identified piscine PTH-like peptides occur in elasmobranchs and, if they do, whether there are any possible cross-reactions.
Blood plasma circulating levels of PTHrPA determined by homologous RIA (117) in sea bream, European flounder, and winter flounder (Pleuronectes americanus) average 1–5 ng/ml (0.4–1.2 nM), 200–600 times higher than in healthy mammals (<2 pM), 5–15 times more than in human patients with HHM (up to 80 pM; Ref. 110), and 2–3 orders of magnitude higher than those determined by heterologous RIA in the same species (19, 21). The reasons for this discrepancy are not clear, although two factors could contribute. One is the presence of an important PTHrP binding component in fish blood plasma. The reported levels are for denatured plasma, and effective free PTHrP concentrations could be much lower. The second is some cross-reactivity of the fish assay with PTHrPB (unpublished observations). In any event, it appears that levels of PTHrP are at least one order of magnitude higher than in mammals. It also is interesting that in seawater, both winter flounder and sea bream, only partially adaptable to brackish water, have similar circulating levels, whereas the European flounder, a completely euryhaline species, has approximately twice as much PTHrP in plasma.
The high levels of PTHrPA measured in fish suggest a classic endocrine role for this peptide, but to date no producing gland has been unambiguously identified in fish. A likely candidate, however, is the pituitary gland, since RIA analysis of tissue extracts revealed that it contains significant levels of the peptide (117). PTHrP also is released constitutively from pituitary primary cultures over a 24-h period (143). These observations are consistent with the early physiological and immunological studies by Parsons et al. (99) and others, which determined the presence of a hypercalcemic factor in the pituitary gland. Other tissue extracts with significant levels of PTHrP are the esophagus and surrounding tissue, the trunk kidney, and the head kidney, although PTHrP levels in these tissues are 30–40 times lower than those in pituitary extracts. In elasmobranchs, as in teleosts and mammals, PTHrP mRNA and protein expression occur in structural tissues and transport epithelia (131, 133), but it seems that the pituitary may be an important source of circulating PTHrP with notable hybridization signals observed in the pars distalis and pars intermedia (63, 133).
Circulating levels of PTHrP in fish are influenced by environmental, ionic, and hormonal factors. Juvenile sea bream fed a Ca2+-deficient diet for 6 wk had significantly increased levels of PTHrP (2). Similarly, fish fed a normal diet but exposed to lower salinity (a change from 10.5 to 0.7 mM Ca2+) for identical periods also showed elevated PTHrP levels that were 1.5-fold higher than salinity and diet controls. Interestingly, fish deprived of Ca2+ sources, in comparison, maintained normal levels of PTHrP but showed reduced ionic Ca2+ in plasma and lower Ca2+ and Pi accumulation, and they experienced growth arrest. Perhaps the maintenance of growth, thus the need for constant Ca2+ uptake, may in part explain the rise in PTHrP levels in hypocalcemic conditions (2).
Ca2+ deprivation also elevates PTHrP in the European flounder, a euryhaline teleost that moves between full seawater and salt water in estuaries. Chronically acclimated seawater and freshwater animals have similar plasma levels of PTHrPA and Ca2+ (142), but when held in deionized water for 14 days, the levels of PTHrP increased significantly. Furthermore, injection of a calcium chelator, EGTA, lowered plasma Ca2+ and significantly elevated plasma PTHrP 6–8 h later (142). Flounder transferred from seawater to freshwater showed elevated PTHrPA levels (compared with fish transferred from seawater to seawater) within 24 h, whereas the change from freshwater to seawater slightly decreased PTHrPA at both 4 and 8 h after transfer (142). Changes in PTHrP immunohistochemical staining intensity also were observed in flounder kidney, gill, and pituitary from animals acclimated to freshwater compared with those in seawater (21). In elasmobranchs, environmental salinity did not seem to alter either circulating PTHrP or signal intensity in tissues (132). However, these measurements were performed after a 7-day adaptation period, and rapid, transient changes may have passed unnoticed. Altogether, the data suggest that Ca2+ availability, in either the diet or the environment, is an important factor regulating PTHrP secretion in fish and that the hormone may be used for rapid compensations in changing environments but also is necessary in long-term hypocalcemic situations.
Elasmobranchs and teleosts express the extracellular CaSR (29–31, 78, 89, 109) and apparently may use it not only to sense their internal milieu Ca2+ but also as a proxy for salinity conditions of their surrounding environment (58, 59, 89). There is, on average, little difference in blood Ca2+ levels between freshwater and seawater fish. However, immediately after transfer from one environment to the other, there may be significant changes in Ca2+ levels that are rapidly restored (71). Whether the integration of information from the environment leads to changes in hormone production and plasma Ca2+ levels per se is not known. The corpuscles of Stannius of the rainbow trout express the mRNA for the CaSR, and the use of calcimimetics, which increase the sensitivity of the CaSR to Ca2+, stimulates the release of stanniocalcin and inhibits the whole body Ca2+ influx in these fish (109). It is likely that a similar mechanism involving the CaSR may modulate the secretion of PTHrP and possibly that of the other PTH-like peptides in an as yet unidentified gland.
There also is strong evidence for the regulation of PTHrP in fish by estradiol. Vitellogenesis is the process through which the calcium/phosphate-rich protein vitellogenin is synthesized in the liver and incorporated into the oocyte. It has long been observed that during vitellogenesis, plasma calcium concentration rises severalfold such that vitellogenesis can be effectively monitored by the change in plasma Ca2+ level (43, 88). Estradiol administration induces vitellogenesis together with a large rise in the protein-bound fraction of circulating calcium, mobilization of Ca2+ from mineralized tissues (103), and increased Ca2+ influx (46), but a direct action of this steroid on the transporting mechanisms has not been demonstrated. PTHrPA levels also rise in response to estradiol and precede the rise in plasma Ca2+, suggesting it could mediate the calciotropic response to estradiol (52). Furthermore, this estradiol-induced hypercalcemia can be blocked by coimplantation of the (7–34)PTHrP antagonist (18, 41), a fact that strongly supports the hypercalcemic actions of PTHrP and its regulation by estradiol. Interestingly, in turn, recombinant (1–125)sPTHrP potentiates the estradiol stimulation of vitellogenin production by sea bream hepatocytes in estradiol-primed fish but not in untreated fish (6), thus indicating an involvement of PTHrP in the process of fish vitellogenesis and a close relationship with this steroid.
PTHrP also seems to modulate the hypothalamus-pituitary-interrenal axis and possibly the stress response in fish. (1–34)pPTHrPA stimulates the release of cortisol (5-fold over basal levels) by interrenal cells in vitro via PTH1R and PTH3R through activation of both the AC-cAMP and PLC-IP3 signaling pathways (114). A similar action has been shown previously in mammalian adrenal tissue (83, 92), but the physiological relevance is still unclear. In addition, in the sea bream, circulating levels of PTHrP and cortisol are inversely correlated, which may indicate an endocrine action (51). In stressed fish, the PTHrP levels are significantly lower than those of undisturbed fish (Fig. 3). Furthermore, cortisol administration lowers the levels of PTHrP and vice versa, although it is not clear what mechanisms may be involved. Downregulation of PTHrP mRNA production and protein secretion by glucocorticoids has been shown in many mammalian cell types in vitro (44, 123, 134, 136), but to date, no glucocorticoid-response element has been found in the promoter of the PTHrP gene. The cross-regulation of these hormones occurs within minutes to a few hours, which could indicate that this action of cortisol is nongenomic.
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INVOLVEMENT OF PTH-LIKE PEPTIDES IN FISH Ca2+ AND Pi BALANCE AND TRANSPORT |
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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Circulating Ca2+ is maintained under strict control, since slight changes may disturb a wide range of physiological mechanisms including neural, muscular, and cardiovascular functions, leading to tetany, lethargy, and, ultimately, death (35, 137). In vertebrates, total calcium is usually between 2 and 3 mM and Ca2+ is 1.25 mM.
In fish, the branchial epithelium and the intestine are the major sites for Ca2+ uptake, which enters passively into epithelial cells down a concentration gradient and is then extruded into the blood by means of an active, energy-consuming, and rate-limiting step. Transport across the branchial or intestinal cell basolateral membrane is mediated via a Ca2+-ATPase and(or) a Na+/Ca2+ exchanger. In the intestine of seawater fish or during the digestion of calcium-rich food, a passive entry also may be relevant. Excretion of Ca2+ may occur passively in the gills and intestine via paracellular routes driven by the outward electrochemical force acting on Ca2+ in both freshwater and seawater (35, 82, 101, 135). Regulated Ca2+ excretion occurs in the kidney, and it is mediated by the differential activity of Ca2+ pumps in the renal tissue (7). The kidney in freshwater fish produces dilute urine to counteract the osmotic inflow of water, and Ca2+ losses are minimized by means of active tubular reabsorption of ultrafiltered Ca2+ (8, 124). In seawater bony fish, the kidney has principally a Ca2+ excretory function, and tubular reabsorption of Ca2+ is reduced (113).
Pi occurs in a variety of inorganic and organic compounds ubiquitously distributed in the tissues as an integral component of nucleic acids, as a substrate for kinase and phosphatase regulation of intracellular signaling, and for energy provision through ATP (5, 87). As in the case of calcium, large reserves of body Pi are deposited in the mineralized tissues. Total and free Pi circulating concentrations are very similar to those of calcium and also are very tightly controlled. Fluctuations in Pi levels are closely associated with alterations in plasma Ca2+ concentrations.
Phosphate levels in both freshwater and seawater are generally very low, and animals must rely on dietary Pi intake and renal excretion to remain in Pi balance. Entry of Pi across the fish intestine occurs mostly via a sodium-phosphate cotransporter (NaPi type II) located in the intestinal brush border, although some marginal diffusive uptake can occur. Circulating free phosphate is filtered at the glomerulus, and teleost kidney tubules, in contrast to mammalian tubules, may either reabsorb filtered Pi or secrete excess blood Pi into the urine (112). The underlying mechanisms for this are still unclear, but studies have indicated that in fish, the same or different forms of the NaPi-II cotransporter may be located in either the luminal and (or) the basolateral membranes, controlling reabsorption or secretion (72, 140).
PTH-Like Peptides and Ca2+ and Pi Transport
The initial physiological studies indicating the possible action of a PTH-like substance in fish were first described in 1978 by Parsons et al. (99), when a factor in pituitary extracts from cod (Gadus morhua) and eel (Anguilla anguilla), which cross-reacted with mammalian PTH antisera, was able to induce hypercalcemia in rainbow trout. Earlier studies had shown that hypophysectomy reduced plasma Ca2+ concentrations (36) and that a carp (Cyprinus carpio) pituitary extract would reestablish plasma Ca2+ in hypophysectomized killifish, Fundulus heteroclitus (97).
Since then, only a few studies addressing the physiological actions of PTH-like peptides in fish have been published. Injections of sea bream with high doses of (1–34)hPTHrP caused a reduction in whole body Ca2+ uptake (50), an effect similar to that observed in freshwater-adapted tilapia injected with (1–34)bPTH (138). However, the specificity and the biological significance of such observations is unclear, because the identity of the first 34 residues between the piscine PTHrPA and human PTHrP is only 57% (33, 108). Pufferfish (1–34)PTHrPA, which differs by only two amino acid residues from the sea bream peptide, applied in bathing water caused a significant and dose-dependent increase in whole body Ca2+ uptake in sea bream larvae (49). This effect was achieved by both enhanced Ca2+ influx [1.6-fold increase at 10 nM (1–34)pPTHrPA] and a reduction in Ca2+ efflux (1.7-fold reduction at 0.1 nM and 2.5-fold at 1 and 10 nM) over a period of 4 h (Fig. 4A). Identical results were obtained with saltwater- but not with freshwater-acclimated tilapia (Oreochromis mossambicus) larvae, indicating a differential regulation possibly due to variations in endogenous levels in the two environments (48). Surprisingly, when the novel PTH-like peptides were tested for calciotropic effects in sea bream larvae, neither of the parathyroid orthologs, pPTHA and pPTHB, nor pPTHrPB had any effect on whole body Ca2+ uptake. However, pPTH-L elicited a dose-dependent increase in whole body Ca2+ influx rates, showing higher potency than pPTHrPA (13). It appears then that in both fish and tetrapods, two peptides of the parathyroid family have hypercalcemic activity: one is PTHrP, but the other is derived from different lineages in fish (PTH-L) and tetrapods (PTH).
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Interestingly, in addition to an increase in whole body Ca2+ uptake, one other effect of the peptide was to reduce by 30% the drinking rates of sea bream and tilapia larvae in seawater but not in brackish water, where drinking rates were already low. The reduction in drinking implied that less Ca2+ was available for intestinal absorption and suggested an important action of (1–34)pPTHrPA on branchial Ca2+ uptake mechanisms. This was further supported by the results of a study in seawater tilapia in which the release of 45Ca2+ from isolated gill cells was accelerated upon addition of (1–34)pPTHrPA to the culture medium, an effect that occurs within seconds to a few minutes from the initial exposure (48). Addition of ouabain abolished the effects of (1–34)pPTHrPA on 45Ca2+ release, which suggests the increased Ca2+ transport is facilitated by sodium, probably via a Na+/Ca2+ exchanger. A similar effect on Ca2+ release was observed in isolated basolateral membranes of human placenta cells incubated with (1–34)hPTHrP (28). In these cells, Ca2+-ATPase is considered the main mechanism responsible for the placenta-to-fetus Ca2+ transport process, but studies indicate that the midregion peptide of hPTHrP is the main fragment responsible for the modulation of this action (125).
The mechanism of action of PTHrP on Ca2+ transport is largely unknown. To date, only PTH1R has been identified in branchial tissue, by either RT-PCR or in situ hybridization, and it is not certain whether other PTH receptors are expressed. However, the effect of PTHrPA on intestinal Ca2+ transport appears to be mediated by PTH3R (38, 115). Sea bream enterocytes express PTHrPA and a single class of PTH receptors that biochemical and sequence analysis indicate is a PTH3R. The receptor Kd of 2.59 nM (115) is of the same order of magnitude as the measured PTHrP circulating levels, suggesting that upregulation of plasma hormone concentrations in response to a stimulus may have a direct action on this receptor. There also is widespread expression of PTHrP and PTH receptor genes in tetrapod intestinal epithelial cells (76). The described actions of the peptide in the mammalian gastrointestinal tract are mostly related to smooth muscle relaxation (18), but as indicated above, rapid stimulation of intestinal Ca2+ transport in avian duodenum also has been reported (145). Whether PTHrP has any relaxing effects on the muscle layers of the gastrointestinal tract in fish is unknown, but its presence in larval and juvenile intestinal smooth muscle cells (60) may indicate a paracrine action possibly activated by vasoactive intestinal peptide and its receptors (9), which are highly expressed in the pufferfish and sea bream duodenum (14, 15).
The kidney is potentially a prime target for PTHrP, since the excretion of Ca2+ and Pi is controlled at the renal level, and PTHrPA mRNA and protein have been detected in the renal tubules of larval and juvenile sea bream (33, 107). The reduction of Ca2+ efflux induced by pPTHrPA in sea bream larvae suggests that it may induce Ca2+ reabsorption in the kidney tubule as PTHrP and PTH do in the mammalian distal tubule. Furthermore, incubation with piscine PTHrPA enhances the cAMP production by dispersed European flounder renal cells, thus indicating transactivation of one or more types of receptors responsive to PTH-like peptides in this tissue (128, 129). However, although both PTHrPA and PTHR mRNAs are expressed in primary cultures of proximal tubule cells of the winter flounder (45), no secreted protein is measurable in cell culture medium, raising questions about its potential autocrine or paracrine function. Circulating levels in this species are similar to those measured in other fish, consistent with a classic endocrine function.
In Ussing chamber studies, (1–34)pPTHrP induced a slight increase in Ca2+ transport from the luminal side to the peritubular side of primary monolayer cultures of the winter flounder renal proximal tubule epithelium within 60 min after addition of the hormone to the peritubular side (45). In the control situation, unidirectional secretory and reabsorptive fluxes were equivalent, resulting in a net flux close to zero. Winter flounder renal tubules consist for the most part of cells characteristic of proximal type I and type II. In mammalian renal tubules, active Ca2+ reabsorption occurs mainly across the cells of the distal tubule, which is not present in the winter flounder kidney nephron and thus not represented in the primary cell culture. This may explain the weak stimulatory effect of (1–34)pPTHrPA on Ca2+ transport in these preparations. Notably, exposure of the cell preparations to (1–34)pPTHrPA resulted in a significant increase in the net active Pi secretory flux across the cell monolayer (Fig. 4B) that lasted for at least 120 min. Whether this translates into an increase in the amount of Pi excreted in vivo remains to be seen, and the existence of alternative mechanisms involved in Ca2+ and Pi transport downstream of the proximal tubule (such as differentially orientated NaPi-II in the proximal tubule and in the collecting duct) cannot be ruled out. In addition, other renal processes, such as glomerular filtration rate, may change in parallel with proximal tubule ion transport, as previously reported for mammals (27).
The Pi transport mechanisms altered by (1–34)pPTHrPA to bring about its action are not known. In this cell system, the activation of the PKC intracellular signaling cascade stimulates an increase of Pi secretion (80). Treatment with bisindolylmaleimide (a PKC inhibitor) 30 min before the addition of the hormone significantly reduced (1–34)pPTHrPA-induced Pi secretion. The effects observed on Ca2+ and Pi transport are in agreement with what has previously been described for the mammalian PTH and PTHrP, with the original particularity that, in fish, the Pi secretory flux is enhanced in addition to the reduction of reabsorption typical of mammalian systems. This may occur because in addition to the apical membrane NaPi-II transporter responsible for Pi reabsorption, the fish renal tubule expresses a form of the transporter in the basolateral membrane (26, 139). Incubation of isolated renal tubules with pPTHrPA for 3 h resulted in slightly lower expression of the NaPi-II protein in cell membranes, as evaluated by SDS-PAGE and Western blotting using specific mouse antisera (unpublished data). Again, this is consistent with the known actions of PTH on the renal PTH1R, which is thought to induce internalization of the membrane cotransporter via the production of cAMP (87).
Ca2+ Mobilization From Mineralized Structures
Although there is still considerable debate on the cellular or acellular nature of fish bone and whether it functions as a Ca2+ reservoir, it has been demonstrated that in periods of extra demand, such as during vitellogenesis, fish can mobilize Ca2+ and Pi from scales, where scleroclasts and scleroblasts bring about, respectively, the resorption and deposition of Ca2+. The role of hormones in these processes is still largely unknown, but at least E2 and calcitonin (102, 103, 126) are involved, respectively, in the activation and suppression of the tartrate resistant acid phosphatase (TRAP), an enzyme used as marker for mobilization activity in fish scale tissue and in mammalian bone.
With the use of an in vitro bioassay of fish scales, the actions of (1–34)pPTHrPA in teleost calcified structures were recently demonstrated (111, 116). Incubation of sea bream scales with (1–34)pPTHrPA resulted in reduced mRNA expression of the extracellular matrix protein osteonectin (OSN), a multifunctional metal-binding glycoprotein with low- and high-affinity Ca2+-binding domains, which interacts with the collagen types I, III, V, and IV (111). Expression of OSN in scale tissue incubated for 4 h in 10 or 1,000 nM (1–34)pPTHrPA was reduced more than 20-fold compared with the control tissues. Expression of the genes for collagens I and V also was markedly reduced by exposure to the hormone. OSN expression was used as a marker of the osteoblastic response produced in periods of Ca2+ deposition in ossified structures. Reduction of its expression in scleroblasts indicated that Ca2+ was not being deposited in the extracellular matrix (64), a fact supported by the observation that the TRAP activity was significantly increased by 10 nM (1–34)pPTHrPA (a potency equivalent to 1,000 nM E2). Together, these results on gene expression and enzyme activity strongly suggest a Ca2+-mobilizing action of pPTHrPA in fish scales that is similar to that evoked by mammalian PTH and PTHrP in bone via the PTH1R. Whether PTHrPA acts similarly in fish bone is not yet known. Sea bream bone expresses PTHrPA and PTH1R, which is suggestive of a role in this tissue. The action of PTHrP in scleroclasts is mediated by PTH1R, specifically via the activation of an AC-cAMP signaling cascade, since the PLC-IP3 cascade, also activated by (1–34)pPTHrPA, was equally stimulated by (7–34)pPTHrPA that failed to alter the TRAP activity in sea bream scales (116). Furthermore, the use of SQ-22536 (an AC inhibitor) inhibited the stimulation of TRAP activity by (1–34)pPTHrPA, whereas in a similar experiment using U-73122 (a PLC inhibitor), no reduction of the (1–34)pPTHrPA-induced TRAP activity was observed. The sea bream recombinant (1–125)sPTHrPA is equipotent to pufferfish (1–34)pPTHrPA in stimulating cAMP production (4) and TRAP activity in scales (unpublished observations), indicating that there is no interaction of the mid- or carboxyl region with receptors that use the AC-PKA pathway in this tissue.
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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The fact that fish are surrounded by unlimited or readily available amounts of Ca2+ and apparently lack parathyroid glands led to the initial arguments for the absence of hypercalcemic hormones, deemed redundant. However, some endocrines, such as cortisol (34) and estradiol (46, 103, 104), have been shown to increase Ca2+ uptake, and therefore it seems that hypercalcemic factors are necessary at least in periods of high Ca2+ demand. Moreover, fish do not effortlessly extract Ca2+ from the environment but depend on energy-driven exchange mechanisms for Ca2+ uptake, which must be regulated by endocrine factors.
Thus far, the experimental evidence (described in INVOLVEMENT OF PTH-LIKE PEPETIDES IN FISH Ca2+ AND Pi BALANCE AND TRANSPORT) indicates that PTHrP may be such a factor, acting on branchial, intestinal, and renal mechanisms. However, despite the good correlation between PTHrP and Ca2+ levels in plasma (2) and additional corroborative studies (141, 142), it is still necessary to clearly determine if, and how, low plasma Ca2+ stimulates PTH/PTHrP secretion and if, and how, high levels of these peptides increase circulating Ca2+ in fish.
Nonetheless, the actions of PTH and PTHrP in Ca2+ transport and mobilization have been conserved throughout the vertebrates. The actions of PTHrP on renal cells are in agreement with a hypercalcemic function. If the effects on scale (and possibly bone) resorption are considered, the result would be an increase not only in circulating Ca2+ but also in blood Pi levels, since both ions constitute most of the mineralized fraction of these tissues. Increased levels of plasma Pi in parallel with hypercalcemia also have been observed in response to elevated estradiol and vitellogenesis. Retention of Pi (hyperphosphatemia) generally causes hypocalcemia in mammals due to excessive precipitation of calcium-phosphate in soft tissues, and there is no reason to doubt the possibility of a similar relationship in fish. The excess Pi must therefore be excreted, since attempts to alleviate the hypocalcemia by increasing Ca2+ uptake, from either calcified tissues or the water, via branchial and (or) intestinal routes, will only lead to acceleration of calcium-phosphate deposition in the tissues if enough Pi is available. The observations on renal Pi transport in proximal tubule primary cultures seem to confirm this dual role in fish, indicating that the initial function of such peptides may have been directed to maintain not only Ca2+ balance but also Pi homeostasis. To date, only a few potential phosphate-specific modulators are known (5), and at least one, fibroblast growth factor 23 (FGF23), is present in the zebrafish and pufferfish genomes (69). The interaction between these phosphatotropic factors and the PTH-like peptides as well as with the other calciotropic factors in fish, such as stanniocalcin and calcitonin, is a field unexplored and deserving attention.
A puzzle awaiting clarification is the apparent nonexistence of a parathyroid gland in aquatic vertebrates. Calciotropic factors such as stanniocalcin and calcitonin have their own sources well identified: the corpuscles of Stannius and the ultimobranchial gland, respectively. The relatively high level of circulating PTHrP found in fish blood suggests that a gland is still to be found. Developmentally, the mammalian parathyroid gland is derived from the pharyngeal pouch endoderm, and studies in mice have shown that its formation is under the control of the Gcm-2 gene. It recently was found that Gcm-2 is expressed not only in tetrapods but also in embryonic stages of the zebrafish and the dogfish within the pharyngeal pouches and internal gill buds that derive from them (93). In these studies, zPTH1 and zPTH2 and CaSR also were found to be expressed in the gills of adult fish, which prompted the authors to suggest that the tetrapod parathyroid gland and the gills of fish could be evolutionarily related structures, and that the parathyroid arose as a result of the transformation of the gills during tetrapod evolution (93). These studies showed no evidence of PTH expression in the developing gill, and in adult zebrafish neither zPTH1 nor zPTH2 were detected in any cells likely to correspond to a pharyngeal-derived parathyroid gland equivalent or in the thymus, indicating that another morphological transition may occur between the embryonic and the adult stages (57). It is not as yet known whether the PTHs and the PTHrPs have the same tissue origin. Some tissues are potential main sources, showing higher levels of gene and protein expression, but generally expression appears to be widespread (33, 107, 108).
The coincidence of PTH and PTHrP in the short arm of two evolutionarily related human chromosomes, 11 and 12, respectively, led to the initial suggestion that PTHrP may have derived from PTH (62, 105). However, these two peptides have rather different gene structures in tetrapods, and the same seems true in teleosts, indicative of an early differentiation that took place before, or in the initial stages of, the radiation of fishes. The discovery of a novel PTH peptide in fish, with intermediate primary structural characteristics between that of PTH and PTHrP, suggests that these two peptides may have evolved from a common ancestor and have undergone a process of gene duplication in teleosts. The same event may have originated the fish PTH1R and PTH3R seen in zebrafish and other teleosts. The appearance of two PTH and PTHrP ligands appears to have occurred after the development of distinct PTH, PTHrP, and TIP39 molecules (41). The physiological relevance of duplicated genes in general is a theme of considerable debate, and the persistence of two distinct PTH molecules, PTH1/A and PTH2/B, which efficiently activate PTH1R and PTH3R, is intriguing. It also is interesting that only pPTHrPA and pPTH-L, the putative ancestral peptide, but not the PTHs, have calciotropic effects in the fish models tested and may indicate functional divergence has favored their persistence in the genome.
To date, only teleost genes and peptides have been characterized. In light of the recent discoveries, it is likely that at least PTH-L should be present in ancient fishes, such as lampreys, and in the cartilaginous fishes, such as sharks. Our knowledge of PTH-like peptides in elasmobranchs and lampreys is limited to in situ hybridization and immunological studies, either histological or serological. The heterology of the probes and antibodies that have been used in such studies does not exclude the hypothesis that several peptides exist but are being identified as a single signal. To clarify this point and extend our understanding of the evolutionary history of the PTH-like peptides, studies into the genome of such ancient fish (as well as invertebrates) are necessary.
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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TOPABSTRACTPTH AND PTHrPPTH AND PTHrP GENE...PTH AND PTHrP mRNA...PTH AND PTHrP RECEPTORSCONTROL OF PTH AND...INVOLVEMENT OF PTH-LIKE PEPTIDES...EVOLUTIONARY PERSPECTIVES AND...GRANTSREFERENCES |
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. J Endocrinol 173: 377–385, 2002.[Abstract] and nutritional status affect calcium balance, scale and bone resorption, and bone formation in rainbow trout, Oncorhynchus mykiss. J Comp Physiol [B] 167: 468–473, 1997. induced calcium uptake and resorption in juvenile rainbow trout, Oncorhynchus mykiss. Fish Physiol Biochem 13: 379–386, 1994.[CrossRef]This article has been cited by other articles:
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  D.-Y. Tseng, M.-Y. Chou, Y.-C. Tseng, C.-D. Hsiao, C.-J. Huang, T. Kaneko, and P.-P. Hwang Effects of stanniocalcin 1 on calcium uptake in zebrafish (Danio rerio) embryo Am J Physiol Regulatory Integrative Comp Physiol, March 1, 2009; 296(3): R549 - R557. [Abstract] [Full Text] [PDF]
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J. Fuentes, C. Haond, P. M. Guerreiro, N. Silva, D. M. Power, and A. V. M. Canario Regulation of calcium balance in the sturgeon Acipenser naccarii: a role for PTHrP Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2007; 293(2): R884 - R893. [Abstract] [Full Text] [PDF]
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J. Fuentes, P. M. Guerreiro, T. Modesto, J. Rotllant, A. V. M. Canario, and D. M. Power A PTH/PTHrP receptor antagonist blocks the hypercalcemic response to estradiol-17beta Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2007; 293(2): R956 - R960. [Abstract] [Full Text] [PDF]
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) and cortisol (
) relationship during confinement (*P < 0.05; #P < 0.05, significant differences from unstressed animals). During stressful events such as crowding and confinement, cortisol levels significantly rise, whereas PTHrP concentration decreases. Cortisol injection significantly reduces the amount of circulating PTHrP (