Endocrinology Vol. 138, No. 2 519-520
Copyright © 1997 by The Endocrine Society
Editorial: Theres Something Fishy and Perhaps Even Fowl about the Mammalian Calcitonin Receptor and Its Ligand1
Leonard J. Deftos, MD
The Department of Medicine
University of California, San Diego,
San Diego, California 92161 and
The San Diego Veterans Affairs Medical Center
La Jolla, California 92161
Address all correspondence and requests for reprints to: Leonard J. Deftos, M.D., San Diego Veterans Affairs Medical Center, University of California-San Diego, 3350 La Jolla Village Drive, Room 3172, Mail Code 111C, San Diego, California 92161. E-mail: ljdeftos{at}ucsd.edu
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Introduction
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Two papers in this issue of
Endocrinology sustain the trajectory of the research on the
mammalian calcitonin (CT) receptors that was launched by their cloning
(1). Both studies have important basic and clinical implications. Wada
et al. (2) examined the molecular and cellular mechanisms of
the regulation of the mouse CT receptor (CTR) in osteoclasts by CT,
itself, and by glucocorticoids. They showed that glucocorticoids
enhanced CTR gene expression predominantly through increased gene
transcription and that CTs induced posttranscriptional destabilization
of the receptor messenger RNA (mRNA). Neither agent changed the
affinity of CTs binding to its receptor. Guiza et al. (3)
investigated the molecular mass and degree of N-linked glycosylation of
six cloned CTRs from different species. They provided direct evidence
for the glycoprotein nature of the CTR and demonstrated that the extent
and pattern of glycosylation are dependent upon the host cell. Although
glycosylation can be important in ligand binding in some receptors (1, 3), these studies using glycosylated and partially deglycosylated CTR
preparations demonstrated no significant differences among them in
binding affinity or specificity for CT. These molecular mechanisms may
help to explain two aspects of the use of CT as a drug: its decline in
effectiveness upon continual administration and its enhanced
effectiveness by glucocorticoids (1, 4, 5).
While these two studies continue to unravel the molecular twine of
ligand-receptor interaction, neither implicated any changes in affinity
nor specificity of ligand binding as molecular mechanisms. This lack of
change in receptor affinity reveals something fishy about the mammalian
CTR: the fact that salmon CT (SCT) and other nonmammalian CTs have a
higher affinity and potency for all mammalian CT receptors, including
human, than any of the native CTs that have been identified, whether
homologous or heterologous to the receptor under study (1, 5, 6). This
enhanced potency of SCT and the nonmammalian CTs in mammals has been
repeatedly demonstrated in many clinical and biological studies, and it
is the basis for the more popular use of SCT in treating humans than
human CT (HCT) (4, 5, 6). In addition to the two studies in this issue of
Endocrinology, many elegant studies of the CTs and the CTRs
have provided important structure-function insights into the molecular
enigma of SCTs high affinity for the mammalian CTR. A brief review of
the comparative studies of the CTs and CTRs and the molecular insights
they provide can serve as a starting point for an inquiry into the
evolutionary riddle of the high affinity of SCT for essentially all
mammalian CTRs.
Over a dozen species of the CTs have been cloned and/or sequenced (5).
These 32 amino acid peptides can be separated into three classes based
on structural and biological similarities: teleost/avian, artiodactyl,
and rat/human; the first are nonmammalian CTs of ultimobranchial (UB)
gland origin, the second and third, thyroid gland CTs. All share many
common features, including a 17 amino-terminal disulfide bridge, a
conserved 47 sequence, a glycine at residue 28, and a
carboxy-terminal proline amide residue. However, substantial divergence
resides in the interior of the molecule between residues 827, and SCT
and HCT share only 50% of their amino acids. Complex functional
studies (1, 5) reveal a simple canon: basic amino acid substitutions in
the interior of the CT molecule enhance potency, perhaps by conferring
a helical structure to this region. Because SCT and the nonmammalian
CTs are more basic and thus helical than the mammalian CTs, they
consequently have the most potency, even in mammalian systems.
Comparative studies of the CTRs also provide some insights into the
enhanced potency of nonmammalian CTs for mammalian CTRs (1). The CTRs
are members of a subfamily of seven-transmembrane domain, G
protein-coupled receptors that includes receptors for several other
peptide hormones. CTRs have been cloned from the porcine, human, rat,
mouse, and rabbit, but a nonmammalian CTR has yet to be cloned. CTRs
are most robustly expressed in osteoclasts but are also expressed in
many other sites, including the central nervous system. The mammalian
CTRs share common structural and functional motifs, signal through
several pathways, and can exist in several isoforms with insert
sequences and/or deletions in their intracellular and extracellular
domains (1, 7, 8, 9). The similar architecture of the CTR with the PTH
receptor subfamily member allows reciprocal signaling of chimeras and a
common pattern of ligand interaction (10). Because CTRs are monogenic,
these isoforms are likely to arise from alternative splicing of
receptor mRNA. Some of the isoforms of the CTR seem to have
differential ligand specificity (5, 8, 9). Studies with mutations and
chimeras (1, 10, 11) have suggested the following model for CT-CTR
interaction: the ligand is sandwiched between the receptors
amino-terminus and transmembrane loops, with high affinity being
conferred by the helicity of the internal, nonconserved basic sequences
of the CT. Signal transduction through several pathways results from
the interaction of the amino-terminus of CT with the transmembrane
domain of the receptor. Thus, the ligand specificity of the CTR is
determined by the membrane-embedded portion of the receptors, whereas
the amino-terminal, extracellular domain of the receptors affects
binding affinity for the respective agonist. SCT apparently conforms
best to these structural requirements for binding and signaling of
mammalian CTRs, perhaps also explaining in part its sustained receptor
binding and activation of cAMP (7, 8, 9). While these tentative models of
the CTRs and the CTs may help to explain the molecular basis of optimal
ligand-receptor interactions, they do not directly address the
evolutionary enigma: why are fish CTs orders of magnitude more potent
in mammals than mammalian CTs?
The recently cloned receptor for CT-gene-related-peptide (CGRP) may
provide some insights about regulation of the ligand specificity of the
CTR (12, 13). Luebke et al. (12) cloned a 146-amino acid
protein that binds with high affinity to CGRP, the alternate mRNA
splice product of the CT gene. This newly identified protein has no
homology to any known receptor. It seems rather to be a CGRP binding
protein that confers specificity to the recently cloned CGRP receptor
(13), the newest member of the G protein-coupled receptor family. A
nonreceptor ligand binding mechanism similar to CGRPs might exist
that confers receptor specificity for the CTs, which are CGRPs
splicing siblings (12, 13).
The isoforms of the CTR may also provide some clues about its
evolutionary molecular biology. An isoform that is expressed in rat
brain seems to preferentially recognize SCT, and binding sites for SCT
are present at several sites in the CNS (9, 10, 14). Could it be that
SCT or an SCT-like ligand is produced by mammals? There is some
evidence for this in both man and murine. The presence and secretion of
SCT-like immunoreactive material have been described in the CNS of
several mammalian species, including humans (15, 16, 17). This location is
consistent with a role of a SCT-like peptide acting as a
neurotransmitter, perhaps through an SCT-specific isoform of the CTR
(8, 9, 18). Another fishy link between human and murine mineral
metabolism may be provided by stanniocalcin; this antihypercalcemic
hormone originally identified in fish has been recently identified in
humans (19). Finally it is also notable that another nonmammalian CT,
chicken CT, also seems more potent in humans than human CT and may be
expressed in humans (1, 5, 20). Cloning of the salmon CTR as well as
the chicken CTR should provide insight into molecular interactions
among CTs and their receptors and may provide the answer to another
Darwinian riddle: which came first for human mineral metabolism, the
chicken or the roe?
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Footnotes
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1 This work was supported by the NIH, the National Cancer Institute,
and the Department of Veterans Affairs. 
Received November 19, 1996.
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