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*PARATHYROID HORMONE
Endocrinology Vol. 138, No. 3 1170-1179
Copyright © 1997 by The Endocrine Society


Articles

Reconstitution of Calcium-Regulated Parathyroid Hormone Secretion from Streptolysin-O-Permeabilized Parathyroid Cells by Guanosine 5'-O-(Thio)Triphosphate1

Lisa M. Matovcik, Steven S. Rhee, Jean F. Schaefer and Barbara K. Kinder

Surgical Service, Veterans Administration Connecticut Healthcare System, and the Department of Surgery and Cell Biology, Yale University School of Medicine, New Haven, Connecticut 06250-8062

Address all correspondence and requests for reprints to: Lisa M. Matovcik, Ph.D., Department of Surgery, P.O. Box 208062, New Haven, Connecticut 06520-8062. E-mail: matovcik{at}aol.com


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Intracellular Ca2+ levels determine the amount of PTH secretion from parathyroid cells. Dissociated calf parathyroid cells were permeabilized with streptolysin-O (SLO) to provide an in vitro model system to examine Ca2+-dependent regulation of hormone secretion. PTH release from these cells was energy dependent and increased by cytosolic cofactors. Guanosine 5'-O-(thio)triphosphate (GTP{gamma}S) increased PTH secretion from SLO-permeabilized cells in a dose-dependent manner from 0.1–100 µM. In the absence of GTP{gamma}S there was no relationship between the ambient Ca2+ concentration and the rate of PTH secretion. However, in the presence of GTP{gamma}S, intracellular Ca2+ inhibited PTH secretion with an EC50 of approximately 0.1 µM, corresponding to physiological intracellular Ca2+ levels. Thus, the addition of GTP{gamma}S to SLO-permeabilized parathyroid cells reconstituted the inverse relationship between extracellular Ca2+ and PTH secretion that is observed in vivo and in intact cells. The data indicate that this effect is mediated at least in part by heterotrimeric guanosine triphosphatases. In addition, calcium/calmodulin-dependent protein kinase II appears to mediate low Ca2+-dependent PTH secretion from these cells.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE PARATHYROID glands maintain the concentration of ionized calcium in the extracellular fluid within a very narrow range by sensing small changes in free Ca2+ via the Ca2+ receptor (1) and responding with altered secretion of PTH (2). The parathyroid cell is unusual among secretory systems in exhibiting an inverse secretory response to extracellular calcium (Ca2+e). High Ca2+e inhibits and low Ca2+e stimulates PTH secretion (3), both by the recruitment of a larger population of actively secreting cells and an increase in the amount of PTH secreted per cell (4). The parathyroid responds to Ca2+e via the Ca2+ receptor, a member of the G protein-coupled receptor superfamily that acts as an ion sensor to directly detect the concentration of free or ionized Ca2+ in plasma. A rise in Ca2+e results in a rapid, transient release from intracellular Ca2+ stores mediated by inositol trisphosphate and a sustained increase that is also mediated by inositol trisphosphate-sensitive Ca2+ stores (5).

In intact cells, individual steps of the pathways that lead to exocytosis can be difficult to resolve. In permeabilized cell systems, the barrier imposed by the plasma membrane is eliminated, and the intracellular environment can be manipulated, facilitating the analysis of cellular signal transduction mechanisms. The bacterial toxin streptolysin-O (SLO) binds to cholesterol and causes the formation of stable pores selectively in the plasma membrane (6). SLO has been widely used to permeabilize cells, manipulate the composition of the cytosol, and study the trafficking of intracellular organelles. Most methods of cell permeabilization, such as electroporation and {alpha}-toxin, permit the exchange only of ions and small molecules. However, the larger pores formed by SLO permit the entry of probes of cellular function, such as peptides and antibodies. The cytoarchitecture of SLO-permeabilized cells is largely preserved, and intracellular organelles such as secretory granules are too large to leak out of the cell (7). Thus, SLO-permeabilized cells provide a useful model system to examine the regulation of hormone secretion.

Previous studies of permeabilized parathyroid cells have shown that although some features of the intact cell remain, others, most notably the ability to suppress PTH secretion in response to physiological levels of Ca2+, were often lost. Studies using electropermeabilized parathyroid cells to examine Ca2+-dependent PTH secretion have yielded conflicting results; Ca2+ had no effect (8), generated a biphasic response (9), or was stimulatory at high Ca2+ (10-5-10-3 M) (10). Likewise, guanine nucleotides and their analogs increased PTH secretion from electropermeabilized parathyroid cells in some studies (10, 11) and had no effect in another (9). In the present study we report that bovine parathyroid cells permeabilized with SLO in the presence of guanosine 5'-O-(thio)triphosphate (GTP{gamma}S) both retain the ability to undergo inverse, Ca2+-dependent PTH secretion and allow the entry of macromolecular probes of cellular function. This experimental model system facilitates the direct examination of the factors that regulate PTH secretion.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Materials
Bovine parathyroid glands were collected from calves at a local abattoir (DeMartino’s, Seymour, CT) or were purchased from Florida Biologicals (Highland City, FL) and shipped to the laboratory on wet ice. Collagenase D was purchased from Boehringer Mannheim (Indianapolis, IN). Ca2+/Mg2+-free MEM (Eagle’s) and trypan blue (0.4%) were purchased from Life Technologies (Gaithersburg, MD). SLO (reduced) was purchased from Wellcome Diagnostics (Dartford, UK). The catalytic subunit of cAMP-dependent protein kinase was purchased from Promega (Madison, WI). Deoxyribonuclease I, cAMP, antimycin A, 2-deoxy-D-glucose, GTP, guanosine 5'-O-(2-thiodiphosphate) (GDPßS), guanosine 5'-O-(3-thiotriphosphate), and 5'-guanylyl-5'-imidodiphosphate (Gpp[NH]p) were purchased from Sigma Chemical Co. (St. Louis, MO). CKIP and KN62 were gifts from Dr. Andrew J. Czernik, Rockefeller University (New York, NY).

Preparation of isolated parathyroid cells and measurement of PTH secretion
Dispersed cells were isolated from calf parathyroids as previously described (12, 13, 14). Briefly, parathyroid glands were trimmed of connective tissue, minced to a fine slurry with scissors, placed into a polypropylene tube, and digested by shaking with 0.024% collagenase D and 0.004% deoxyribonuclease I in Ca2+/Mg2+-free MEM (Eagle’s) supplemented with 0.5 mM CaCl2, 0.5 mM MgSO4, 0.1 mM L-methionine, and 20 mM HEPES, pH 7.47. The resulting bovine parathyroid cells were separated from the rest of the tissue by mechanical disruption and filtration, then from debris, nonviable cells, and red cells on a 35% (vol/vol) self-forming Percoll gradient. Secretion was monitored by measuring intact PTH released into the medium by commercial double antibody RIA in which the sample containing PTH is incubated simultaneously with an antibody to the midregion/C-terminal fragment of PTH (amino acids 39–84) immobilized on a bead and another radiolabeled antibody to the N-terminal region 1–34. The assay is specific for the biologically active and intact molecule (Allegro Intact PTH, Nichols Diagnostics, San Juan Capistrano, CA).

SLO permeabilization
SLO was dissolved in water, stored in aliquots at -70 C, and thawed no more than once. Dispersed bovine calf parathyroid cells (1.5 x 105 in a volume of 30 µl) were added to 270 µl permeabilization buffer, consisting of 139 mM potassium glutamate, 5.0 mM HEPES (pH 7.0), 2.0 mM ATP, 5.0 mM EGTA, 4.0 mM MgSO4, and 0.4 IU/ml SLO. Sufficient CaCl2 was added to result in the desired free Ca2+ concentration at pH 7.00 (15).

Preparation of parotid cytosol
Parotid glands were removed from Sprague-Dawley rats and trimmed of blood vessels and connective tissue. The parotids were homogenized using six strokes by hand with a ground glass Dounce homogenizer at 5% (wt/vol) in 0.3 M sucrose, 10 mM Tris (pH 7.6), 2.0 mM EDTA, 1.0 mM dithiothreitol, 5 µg/ml leupeptin, aprotinin, and antipain, and 2.5 µg/ml pepstatin and chymostatin. This homogenate was centrifuged at 600 x g for 10 min at 4 C, and the resulting postnuclear supernatant was centrifuged at 180,000 x g for 10 min at 4 C. The supernatant is parotid cytosol.

Transmission electron microscopy
Bovine parathyroid glands were cut into approximately 5-mm cubes; isolated dispersed parathyroid cells were pelleted at 600 x g. Both were fixed overnight in 3% glutaraldehyde and 0.1 M sodium cacodylate, pH 7.4, then postfixed for 1 h with 1% osmium tetroxide and 0.1 M sodium cacodylate, pH 7.4. After Epon embedding, 80-nm sections were cut and stained with 10% uranyl acetate in 25% ethanol and lead citrate (80 mM lead nitrate, 120 mM sodium citrate in 0.15 N NaOH), then examined with a Philips 300 electron microscope (Philips Electronics, Rahway, NJ).

Other methods
The total Ca2+ concentration in the secretion medium was measured photometrically using arsenazo III as a calcium-binding agent (16) by the clinical chemistry laboratory, Yale University School of Medicine. Lactate dehydrogenase (LDH) activity was measured according to manufacturer’s instructions, using a quantitative colorimetric assay (Sigma procedure 500), in which pyruvic acid is converted to lactic acid in the presence of NADH. In the presence of 2,4-dinitrophenylhydrazine, residual pyruvate produces a colored phenylhydrazone that is inversely proportional to LDH activity. ATP levels were determined by the quantitative bioluminescent measurement of light emitted by ATP-dependent luciferase catalysis of the oxidation of D-luciferin (Sigma FL-AA). A Beckman LS6000IC scintillation counter equipped with a single photon monitor (Beckman, Fullerton, CA) was used to measure light emission.

Statistical significance was calculated using the paired t test (Figs. 4Go and 5BGo) or ANOVA (Figs. 5AGo, 7AGo, and 8Go). A four-parameter model of the sigmoidal relationship between PTH secretion and Ca2+ concentration in intact (Fig. 1Go) and permeabilized (Fig. 7BGo) cells was performed using the Systat program, based on the model described by E. M. Brown (3). In this model, A is the maximal value of PTH secretion, B is the slope of the curve at the midpoint, C is the midpoint, and D is the minimum value of PTH secretion. The values were calculated based on the equation (17): Y = {(A - D)/[1 + (X/C)B]} + D.



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Figure 4. Effect of parotid cytosol on PTH secretion from permeabilized parathyroid cells. Dispersed parathyroid cells (1.5 x 105) were incubated at 37 C for 10 min in permeabilization buffer with 10-7 M free Ca2+ and 30 µg parotid cytosol. The amount of intact PTH present in the medium was measured by RIA for intact polypeptide and expressed as a percentage of the amount secreted in the absence of cytosol. Results shown are the mean and SD of three experiments, each performed in duplicate.

 


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Figure 5. Effect of cAMP on PTH secretion from permeabilized parathyroid cells. A, Dispersed parathyroid cells (1.5 x 105) were incubated at 37 C for 10 min in 300 µl permeabilization buffer with 10-7 M free Ca2+ and cAMP. A total of 20 experiments were performed in duplicate; however, not all concentrations of cAMP were examined in all experiments; n ranges from 3–20 among the data points reported for individual concentrations of cAMP.

 


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Figure 7. Reconstitution of inverse calcium-dependent PTH secretion from the permeabilized parathyroid cell. A, In the absence of GTP{gamma}S, PTH secretion from SLO-permeabilized parathyroid cells is not calcium dependent. Dispersed parathyroid cells (1.5 x 105) were incubated at 37 C for 10 min in 300 µl permeabilization buffer with 10-8-10-3 M free Ca2+. A total of 10 experiments were performed in duplicate; however, not all concentrations of Ca2+ were examined in all experiments; n ranges from 3–10 among the data points reported for individual [Ca2+]. B, In the presence of GTP{gamma}S, PTH secretion from SLO-permeabilized parathyroid cells is inversely related to the calcium concentration. Dispersed parathyroid cells were treated as described in Fig. 6AGo with the addition of 100 µM GTP{gamma}S. A total of six experiments were performed, each in duplicate.

 


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Figure 8. Effect of aluminum fluoride on PTH secretion from permeabilized parathyroid cells. Dispersed permeabilized parathyroid cells were incubated in the presence or absence of 30 µM AlCl3 and 30 mM NaF. Results shown are the mean and SD of six experiments, each assayed in duplicate.

 


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Figure 1. PTH secretion from isolated intact parathyroid cells. Dispersed parathyroid cells (5 x 105/ml) were incubated at 37 C for 60 min in Ca2+/Mg2+-free MEM supplemented with 0.5 mM MgSO4, 3.2 mM L-methionine, 10 mM HEPES (pH 7.47), 0.2% BSA, and varying concentrations of CaCl2. The amount of PTH present in the medium was measured by RIA for intact polypeptide. Results shown are the mean and SD of eight experiments, each assayed in duplicate.

 

    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Calcium suppresses iPTH release from intact cells
Parathyroid cells were isolated from calf parathyroid glands. The average yield from all such preparations over the course of 1 yr was 3.15 ± 0.87 x 105 cells/parathyroid gland (n = 64). An average preparation used 37 glands (~100 mg each) and yielded 1.2 x 107 cells. To test the sensitivity of these isolated dispersed cells to Ca2+e, they were incubated in medium containing 0.3–3.9 mM Ca2+, and the amount of intact PTH (iPTH) secreted into the medium was measured. As shown in Fig. 1Go, PTH release has a sigmoidal relationship to Ca2+e. The resulting curve can be defined by four parameters (3), A is the percent maximum PTH release, B is the slope of the curve at the set-point, C is the set-point (Ca2+ concentration at which half-maximal inhibition of secretion is observed), and D is the percent minimum PTH release. In this preparation of intact dispersed cells, A = 93.03, B = 14.51, C = 1.44, and D = 37.55, similar to the findings of Brown (3), who observed values of A = 100, B = 11.9, C = 1.27, and D = 32 in dispersed bovine calf parathyroid cells, and with those of Habener and Potts (18) and Shoback et al. (19), who observed set-points of 1.4 and 1.3 mM Ca2+, respectively, in bovine calf parathyroid tissue slices and bovine calf dispersed parathyroid cells.

Parathyroid cells treated with SLO are permeable
Uptake of the dye trypan blue (mol wt, 961) was measured to assess the permeability of parathyroid cells treated with SLO to small molecules. After permeabilization with 0.4 IU/ml SLO for 10 min at 37 C, greater than 90% of the cells were stained with trypan blue. Uptake was observed in 2–8% of intact unpermeabilized cells, demonstrating that 92–98% of the cells were viable.

The permeability of SLO-permeabilized cells to large molecules was assessed by the degree of leakage of the cytosolic 140-kDa protein LDH. After permeabilization with 0.4 IU/ml SLO for 10 min at 37 C, cells were separated from their medium by centrifugation at 100 x g for 10 min. The amount of LDH released into the medium was compared to that present in the cells. Before incubation in SLO-containing permeabilization buffer, no LDH was released into the medium. After 5 min, more than 50%, and after 10 min, more than 70% of the total cellular LDH were released into the medium. No LDH was detectable in the medium after a 10-min incubation in the absence of SLO. Thus, bovine parathyroid cells are rendered permeable to both small and large molecules by SLO, as assessed by the criteria of trypan blue uptake and LDH release.

The ultrastructural appearance of permeabilized parathyroid cells was examined by transmission electron microscopy and compared to that of the intact gland (Fig. 2Go). In the intact gland (Fig. 2AGo), the cisternae of the endoplasmic reticulum (er) were arranged in parallel, and the ribosomes were attached. The mitochondria (m) appeared cylindrical, and the secretory granules (sg) and plasma membrane (arrowheads) were intact. In the dispersed intact cells (Fig. 2Go, B and C), the endoplasmic reticulum was disrupted, but the ribosomes remained attached for the most part, the mitochondria were somewhat swollen, and the cristae were disrupted; the secretory granules and plasma membrane remained intact. In the permeabilized cells (Fig. 2Go, D and E), the secretory granules and some Golgi stacks (g) remained intact. There was considerable vacuole formation in both the dispersed and the permeabilized cells; vacuoles were larger and more abundant in the SLO-treated cells, and mitochondrial disruption was more pronounced in some instances. The plasma membrane remained grossly intact in the permeabilized cells; SLO-induced pores have been described to be about 100 Å in diameter and are not visible in Fig. 2EGo.



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Figure 2. Ultrastructural appearance of permeabilized parathyroid cells. A, Intact bovine parathyroid gland (magnification, x17,500). B, Isolated dispersed intact parathyroid cells (magnification, x22,500). C, Isolated dispersed intact parathyroid cells (magnification, x59,400). D, Permeabilized parathyroid cells (10 min at 37 C with 0.4 IU/ml SLO; magnification, x22,500). E, SLO-permeabilized parathyroid cells (magnification, x48,600). n, Nucleus; sg, secretory granule; m, mitochondrion; g, Golgi complex; er, endoplasmic reticulum. Arrowheads point to the plasma membrane.

 
Concentration dependence and time course of PTH release from SLO-permeabilized cells
The optimal concentration of SLO for permeabilizing parathyroid cells was determined empirically to be the lowest concentration at which PTH secretion is observed at 10-7 M Ca2+. This concentration, 0.4 IU/ml (Fig. 3AGo), is identical to that used to permeabilize pancreatic acinar cells and examine regulated amylase secretion (15, 20). Identical rates of PTH secretion were observed from cells permeabilized for 10 min at 37 C or for 10 min on ice followed by incubation in the potassium glutamate permeabilization buffer at 37 C for 10 min in the absence of SLO. A higher concentration of SLO was required to attain maximum release at 0 C (2.0 IU/ml) than at 37 C (0.4 IU/ml).



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Figure 3. Concentration and time dependence of SLO-permeabilized parathyroid cells. A, Isolated dispersed parathyroid cells were incubated with the indicated concentration of SLO on ice for 10 min in permeabilization buffer with 10-7 M Ca2+ and 10-4 M GTP{gamma}S. A representative experiment of three performed is shown. B, Isolated dispersed parathyroid cells were incubated with 0.4 IU/ml SLO on ice for the indicated time in permeabilization buffer with 10-7 M Ca2+. A representative experiment of four performed is shown.

 
The kinetics of PTH release from SLO-permeabilized parathyroid cells were examined during the first hour after permeabilization. Dispersed parathyroid cells (5 x 105/ml) were incubated at 37 C in permeabilization buffer with 10-7 M free Ca2+, and the cumulative PTH released was measured at 5, 10, 20, 30, 45, and 60 min (Fig. 3BGo). Three independent experiments were performed in which more than 93% of maximum PTH release was reached by 20 min. No further secretory activity was observed after this time. No significant loss of ATP from the permeabilized cells was detected after 60 min of secretion, thus, the availability of ATP is not the limiting factor in sustaining secretion. Based on the above findings, a 10-min incubation was chosen for subsequent experiments.

The secretory rate of eucalcemic permeabilized cells was faster than but comparable to that of intact parathyroid cells. SLO-permeabilized cells secreted 63 ± 31 (n = 51) pg iPTH/105 cells in 10 min at 37 C when incubated in 10-7 M Ca2+, an approximation of the [Ca2+i]. When intact cells were incubated at their set-point of 1.4 mM Ca2+ for 1 h, 61 ± 26 pg iPTH/105 cells (n = 8) were secreted; intact cells secreted PTH in a linear manner during the first hour of incubation.

Energy dependence of PTH release in SLO-permeabilized parathyroid cells
To determine whether PTH secretion from permeabilized parathyroid cells is energy dependent, cells were metabolically depleted by incubation for 30 min with 10 µM antimycin A and 6 mM 2-deoxyglucose. PTH secretion from permeabilized depleted cells was less than 10% of that from undepleted cells. After recovery in the absence of antimycin A and 2-deoxyglucose, secretion from permeabilized cells returned to more than 70% of that from undepleted cells.

Parotid cytosol stimulates PTH secretion from SLO-permeabilized parathyroid cells
To determine whether there are cytosolic cofactors necessary for the regulated secretion of PTH, rat parotid cytosol was added upon permeabilization (Fig. 4Go). Parotid cytosol resulted in a 2-fold increase in PTH secretion from the SLO-permeabilized parathyroid cells; in the presence of cytosol, secretion was 205 ± 19% of that in the absence of cytosol (P = 0.01). However, the addition of cytosol did not replace a soluble factor(s) necessary to confer Ca2+ sensitivity to the permeabilized cells; changes in the ambient Ca2+ concentration over the range of 10-9-10-5 M had no effect on cytosol-induced secretion (data not shown). Boiling the parotid cytosol for 3 min eliminated its ability to stimulate secretion; however, heating it at 56 C for 30 min had no effect on secretion. Parathyroid cytosol was not used in these studies because it contains a small amount of PTH that is detected in the radioimmunometric secretion assay; this PTH is most likely liberated from secretory granules or the biosynthetic pathway upon preparation of the cytosol. No PTH immunoreactivity was detected in parotid cytosol by radioimmunometric assay.

SLO-permeabilized parathyroid cells do not secrete in response to cAMP
Although agents that increase intracellular cAMP are secretagogues in intact cells (21), the addition of cAMP to permeabilized parathyroid cells did not result in increased PTH secretion. At physiological intracellular Ca2+ (10-7 M), there was no correlation between the cAMP concentration (10-8-10-3 M) and PTH secretion (r = 0.08; Fig. 5Go). Similarly, cAMP had no effect on PTH secretion from permeabilized cells at either 10-8 or 10-3 M Ca2+ (data not shown). The phosphodiesterase inhibitor 3-isobutyl-1-methylxanthene (1.0 mM) had no effect when added in combination with cAMP. The addition of cAMP-dependent protein kinase catalytic subunit to SLO-permeabilized cells increased secretion by about 30%, but this effect was small compared to the severalfold increase in secretion induced by agents that increase cAMP in intact cells.

Guanine nucleotides stimulate PTH secretion
Poorly hydrolyzable GTP analogs, such as GTP{gamma}S, stimulate regulated exocytosis from a number of different permeabilized cell types, including the parathyroid (22, 23). The addition of either GTP{gamma}S or GppNHp to the permeabilization buffer resulted in a dose-dependent increase in PTH secretion from parathyroid cells (Fig. 6Go). The maximally effective concentration of GTP{gamma}S was 100 µM. The maximally effective concentration of GppNHp was 10 µM. Addition of GTP in the same manner (100 µM) had no effect on PTH secretion, suggesting that a stable GTP analog is required. Likewise, permeabilization in the presence of GDPßS (100 µM) had no effect on PTH secretion at 10-9, 10-7, or 10-5 M Ca2+ (data not shown). Simultaneous addition of 100 µM GDPßS had no effect on the secretion induced by 10 µM GTP{gamma}S. This finding is consistent with the previous observation by Oetting at al. that GDPßS had no effect on secretion from electropermeabilized parathyroid cells when added alone, but differs from this previous work in which it did inhibit the secretion induced by GppNHp (10, 22). Addition of 100 µM GTP to the permeabilization buffer did not alter the free calcium concentration (24).



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Figure 6. Effect of GTP analogs on PTH secretion from permeabilized parathyroid cells. Dispersed parathyroid cells (1.5 x 105) were incubated at 37 C for 10 min in 300 µl permeabilization buffer with 10-7 M free Ca2+ and increasing amounts of GTP{gamma}S or GppNHp. The amount of intact PTH present in the medium was measured by RIA for intact polypeptide. The results shown are the mean and SD of nine experiments with GTP{gamma}S, each assayed in duplicate, and the mean and SD of three experiments with GppNHp, each assayed in duplicate.

 
GTP{gamma}S reconstitutes calcium-dependent suppression of PTH release from permeabilized parathyroid cells
In the absence of GTP{gamma}S there was no relationship between the Ca2+ concentration (10-8-10-3 M) and PTH secretion in SLO-permeabilized parathyroid cells (r = 0.20; Fig. 7AGo). In the presence of 10-4 M GTP{gamma}S, however, there was an inverse relationship between PTH release and the ambient Ca2+ concentration (Fig. 7BGo). The resulting sigmoidal curve could be accurately described using the same four-parameter model (3) that was applied to the intact cells (Fig. 1Go), where A, the percent maximal secretion, = 97.88; B, the slope of the curve at the midpoint, = 13.29; C, the set-point, = -10-7.12; and D, the percent minimal secretion, = 53.86. The set-point of SLO-permeabilized cells corresponded to physiological intracellular Ca2+ levels (~10-7 M). The slopes of the curves generated by the intact and the permeabilized cell preparations were similar. GTP{gamma}S conferred Ca2+ dependence on PTH secretion from SLO-permeabilized parathyroid cells and restored the inverse relationship between [Ca2+]e and PTH secretion that was observed in vivo and in intact cells.

The addition of parotid cytosol did not induce a further increase in the maximum amount of secretion observed in the presence of GTP{gamma}S. PTH secretion at 10-7 M Ca2+ in the presence of 100 µM GTP{gamma}S and 30 µg cytosol was 99 ± 4% of that in the absence of cytosol (n = 3, experiments performed in duplicate). The parotid cytosol did not reconstitute the inverse dependence of PTH secretion on Ca2+ in the absence of GTP{gamma}S. An unanticipated finding occurred; GppNHp (100 µM) did not confer Ca2+ dependence to PTH secretion in this cell model. There was no correlation between secretion and Ca2+ concentration (10-10-10-4 M; n = 4; data not shown).

Aluminum fluoride increases PTH secretion from permeabilized cells
To examine the role of heterotrimeric GTP-binding proteins in this system, parathyroid cells permeabilized with SLO were treated with AlF4- to selectively activate heterotrimeric and not small G proteins. In six of seven experiments performed, AlF4- increased PTH secretion (P < 0.01; n = 6; Fig. 8Go); in two of these experiments the increase was large, and in four the increase was modest. AlF4- did not further increase PTH secretion induced by GTP{gamma}S (not shown).

Calcium/calmodulin-dependent protein kinase II (CaM kinase II) mediates PTH secretion from permeabilized cells
CaM kinase II, abundant in the parathyroid gland (25, 26), is activated by increased Ca2+ and has been implicated in regulating secretion from nerve terminals (27). To examine the role of CaM kinase II in PTH secretion, parathyroid cells permeabilized with SLO were treated with the CaM kinase II inhibitor CKIP, a synthetic peptide that corresponds to amino acids 281–302 of the {alpha}-subunit in which alanine is substituted for threonine 286 and inhibits CaM kinase II with a Ki of approximately 5 µM (27). In the presence of 100 µM GTP{gamma}S, CKIP inhibited PTH secretion in a dose-dependent manner at low ambient Ca2+ (10-9 M; Fig. 9AGo); 30–50% inhibition was observed at 30 µM CKIP. CKIP had no effect on secretion at high ambient Ca2+ (10-5 M). In a preliminary experiment shown in Fig. 9BGo, KN62, a membrane-impermeant CaM kinase II inhibitor that blocks calmodulin binding, inhibited PTH secretion at 10-9 M Ca2+ to approximately the same extent as CKIP.



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Figure 9. Effect of CaM kinase II inhibitors on PTH secretion. A, Dispersed permeabilized parathyroid cells were incubated with various concentrations of CKIP at 10-9 or 10-5 M Ca2+. GTP{gamma}S (100 µM) was included in all samples. The experiment shown is representative of three performed, each in duplicate. B, Dispersed permeabilized parathyroid cells were incubated with CKIP (5 µM) or KN62 (5 µM) at 10-9 M Ca2+.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Much progress has been made in the last several years characterizing the cellular events that follow a change in extracellular Ca2+ and result in an increase in intracellular Ca2+ and the resulting suppression of PTH secretion. Elucidation of the Ca2+-dependent pathways that are activated by a rise in Ca2+i and that lead to secretory granule release can be facilitated by the use of a model system that permits direct access to the cell interior. Many methods have been used to permeabilize cells; those most commonly used to study cellular signal transduction mechanisms include high voltage electric discharge, mild nonionic detergents, i.e. saponin and digitonin, and pore forming bacterial toxins, i.e. {alpha}-toxin or SLO (28). Ions, nucleotides, and other molecules smaller than ~1000 daltons can pass through pores formed by electropermeabilization or {alpha}-toxin, whereas larger molecules (up to ~140 kDa) can permeate pores formed by SLO.

SLO binds to cholesterol and introduces stable pores selectively into the plasma membrane (7). Regulated secretion is maintained in many types of secretory cells permeabilized by SLO (6). For example, in the pancreas, investigations of individual steps in the pathways that lead to exocytosis show that Ca2+-dependent amylase secretion occurs with an EC50 similar to that of intact cells and is modulated by protein kinase C and a G protein(s) (20). In the SLO-permeabilized mast cell, GTP-dependent hexosaminidase secretion is enhanced by Ca2+ (29). Thus, SLO-permeabilized cells can provide a useful model system to examine the regulation of exocytosis.

Several studies have been performed to examine Ca2+-dependent PTH secretion from electropermeabilized parathyroid cells. An early study reported that PTH secretion was not responsive to Ca2+ concentration, but could be induced in response to protein kinase A activation by cAMP and to protein kinase C activation by phorbol ester (8). Subsequent studies reported that electropermeabilized parathyroid cells increased PTH secretion in direct (not inverse) proportion to Ca2+, but only at very high levels (1 µM to 1 mM); no effect was observed at 1 nM to 1 µM Ca2+ (10). Pocotte et al. observed a biphasic response to Ca2+, with peak secretion occurring near the physiological concentration ~(10-7 M) (9, 30). Our results showed no dependence of PTH secretion on Ca2+ concentration in SLO-permeabilized cells unless a stable guanine nucleotide was added, and then secretion changed in inverse relation to Ca2+. These findings suggest that GTP-mediated pathways play a role in modulating PTH secretion in response to the Ca2+i concentration.

There are limitations to the ability of a permeabilized cell model to examine the role of second messenger systems that rely on the structural integrity of intracellular organelles and their organization. The minimum level of PTH secretion is higher than that in the intact cells, reflecting a loss of the ability of the cell to suppress secretion in response to high Ca2+ levels. A similar loss has been observed when dispersed cells are compared to the intact animal; cells in vitro have a higher level of Ca2+-insuppressible secretion than parathyroid glands in vivo (3). The SLO-permeabilized cells described above did not exhibit cAMP-dependent PTH secretion, confirming findings from the majority of studies in electropermeabilized parathyroid cells (10, 11, 22). With the exception of one study (8), permeabilized parathyroid cells have not been found to retain the capacity of the intact cell to secrete PTH in response to cAMP. This loss of sensitivity to cAMP, and to the cAMP-dependent protein kinase catalytic subunit, suggests that soluble downstream effectors are lost or that a scaffolding complex with the cAMP-dependent protein kinase anchoring protein(s) necessary for the correct localization and function of the enzyme was not intact (31).

The first evidence that G proteins are involved in vesicular transport was the observation that addition of GTP{gamma}S to permeabilized mast cells was sufficient to induce their degranulation (32). Subsequently, both large heterotrimeric G proteins and small G proteins of the rab family have been implicated in nearly every step of transport along the exocytic pathway in a variety of cell types, and the roles of specific G proteins are now being identified (23). GTP analogs stimulate exocytosis in many kinds of secretory cells, such as parathyroid cells, pancreatic exocrine cells, mast cells, and the insulinoma cell line RINm5F. In adrenal chromaffin cells, GTP analogs potentiate Ca2+-induced secretion via a protein kinase C pathway; when PKC is inhibited, the GTP analogs directly inhibit exocytosis (33). Recently, a complex of the small G protein rac complexed to the guanine nucleotide exchange inhibitor rho (GDI) has been identified as a factor that modulates secretion from SLO-permeabilized mast cells (34).

It was recognized a decade ago that G proteins are necessary for Ca2+-dependent suppression of PTH secretion. The hydrolysis-resistant guanine nucleotide analog GppNHp stimulated PTH secretion in electropermeabilized cells via a mechanism independent of phosphoinositide hydrolysis or cAMP accumulation (11). Inhibition of G{alpha}i with pertussis toxin abolished the inhibitory effects of agents that inhibit cAMP production in the intact cell and blocked the suppression of PTH secretion by high Ca2+ (35). Recently, several G proteins have been described in the bovine parathyroid; messenger RNA for heterotrimeric G{alpha}i subunits belonging to each of the four major functional classes have been identified (36), and the small G protein rabphilin 3 (Rab 3) has been identified by two-dimensional immunoblot (37). Our preliminary work suggests that the addition of a synthetic peptide corresponding to the effector domain of Rab 3A also increases secretion (Kinder, B. K., and L. M. Matovcik, unpublished data). Thus, both large and small G proteins are likely to be involved in PTH secretion, either at different steps in the secretory pathway or by release from separate pools of secretory granules. The mechanism by which either large or small G proteins mediates the suppression of PTH secretion in response to an increase in Ca2+e remains largely undefined, however. An approach that has been used to implicate G proteins in cellular processes in other cell types is the addition of peptides or antibodies with known specificity to SLO-permeabilized cells. The development of a parathyroid cell model that undergoes regulated PTH secretion facilitates this approach.

Just as past studies of electropermeabilized parathyroid cells have differed in their findings with respect to the relationship between calcium and PTH secretion, they also differ in the observed effects of GTP analogs. In one study, GTP{gamma}S had no effect on PTH secretion from electropermeabilized adult bovine parathyroid cells (9). In another study, GppNHp acted as a potent secretagogue for calf electropermeabilized parathyroid cells, increasing PTH secretion 7-fold and, notably, altering the Ca2+ responsiveness of the cells so that they secrete less PTH as Ca2+ rises from 10-7 to 10-4 M (22). The site of action of the guanine nucleotide was later determined to be distal to cAMP accumulation and phosphoinositide metabolism (11). In the present study we unexpectedly found that although GppNHp was somewhat more potent in inducing PTH secretion than GTP{gamma}S, it did not reconstitute the inverse Ca2+ dependence of the intact cell. Structural differences between the imido- and the thio-phosphorylated GTP analogs may confer different affinities for selective G proteins and result in different effects. Differential effects of GTP analogs on secretion have been observed; for example, in SLO-permeabilized adrenal chromaffin cells, basal levels of catecholamine exocytosis are elevated by GppNHp, but not GTP{gamma}S (38). Structural differences between the imido- and the thio-phosphorylated GTP analogs may confer different affinities for selective G proteins and result in different effects.

Another unexpected observation in this study was that AlF4-, an orthophosphate analog that binds to and activates heterotrimeric, but not monomeric, G proteins (38), activated PTH secretion from SLO-permeabilized parathyroid cells. In intact cells, fluoride stimulates the accumulation of inositol trisphosphate, increases Ca2+i, and inhibits PTH secretion (40, 41). There are several possible reasons for this apparent discrepancy. AlF4- diffusing into intact cells may first come into contact with and activate G proteins at the plasma membrane that are linked to the Ca2+ receptor, increasing intracellular Ca2+. There is evidence that some of the {alpha}-subunits of heterotrimeric G proteins partially leak out of the SLO-permeabilized cell (39); thus, the predominant action of AlF4- may be activation of a more distal G protein that couples Ca2+i to secretion. Another possibility is that AlF4- is acting not on GTP but, rather, on ATP-dependent pathways and binding to cytoskeletal proteins, i.e. actin, myosin, or tubulin, and is disrupting secretory granule interactions with the cytoskeleton (42). Finally, AlF4- may be inhibiting protein phosphatases. The fluoride ion, via its property as a phosphate analog, is a nonspecific inhibitor of most classes of protein phosphatases. Phosphatase inhibition has been reported to increase secretion from some cell types and decrease secretion from others.

Another potential mediator of calcium signaling in the parathyroid is CaM kinase II, a ubiquitous multifunctional effector of Ca2+-dependent processes (43). At least 11 mammalian isoforms have been identified at the RNA level; they are found in different ratios as a holoenzyme complex in a tissue-specific manner (43). A 550-kDa holoenzyme complex composed of 50-kDa monomers is both abundant and active in parathyroid cytosol (25, 26). Many proteins, including but not limited to ones involved in cytoskeletal function, intermediary metabolism, and ion transport have been identified as in vitro or in vivo substrates for CaM kinase II (43). Phosphorylation of synapsin I releases an inhibitory constraint on neurotransmitter vesicles at the active zone of the nerve terminals, demonstrating a direct involvement of CaM kinase II in the secretion of neurotransmitters (27).

CaM kinase II is a sensor of complex patterns of changes in intracellular Ca2+. Under conditions of low Ca2+, its known isoforms have no activity in the basal state, but can be activated by calmodulin. Under conditions of high Ca2+ the enzyme is autophosphorylated and can remain autonomously active, i.e. Ca2+ independent, after the Ca2+ signal has ended (43, 44). As inhibition of the kinase at low Ca2+ blocked PTH secretion, the parathyroid form of the enzyme may be very sensitive to Ca2+, remaining active at low Ca2+. At high Ca2+, inhibiting the kinase had no effect on secretion; therefore, other Ca2+-dependent processes, i.e. hyperautophosphorylation or activation of calcineurin, may eclipse its effects (45). Alternatively, parathyroid CaM kinase II may be an uncharacterized isoform that is active at low Ca2+i and suppressed at high Ca2+i.

There are many possible substrates for CaM kinase II in the parathyroid that could be involved in the regulation of PTH secretion or PTH degradation. The cytoplasmic C-terminus of the bovine calcium receptor has consensus sequences for CaM kinase II phosphorylation (R/K x X S/T) at T877, S901, S903, and T1000 (1). It has recently been reported that rabphilin 3A is an efficient substrate for CaM kinase II (46). Rab 3A, a Ca2+-binding protein found on the synaptic vesicle and in neuroendocrine cells, binds to Rab 3A in a GTP-dependent manner. Rabphilin stimulates the GDP/GTP exchange of Rab 3A and inhibits the Rab 3A guanosine triphosphatase-activating protein-stimulated guanosine triphosphatase activity, with the net result of maintaining Rab 3A in the GTP-bound form (47). Thus, calcium-dependent phosphorylation of rabphilin could regulate (either positively or negatively) a GTP-dependent exocytic event via a parathyroid Rab 3-like protein. There are many other ways that Ca2+i might modulate GTP-dependent pathways involved in the exocytosis of PTH; the SLO-permeabilized parathyroid cell model should prove useful in defining them.


    Acknowledgments
 
The authors thank Dr. Edward M. Brown for sharing his parathyroid cell isolation protocol, Dr. V. K. Daniel of FL Biologicals for his cooperation in supplying parathyroid glands, Lillemor Wallmark for electron microscopy, and Michael T. Lipcan for performing ATP assays. We acknowledge the generous assistance of a statistician at the V.A. Connecticut Healthcare System for performing the four-parameter analysis of secretion. We also thank Dr. Philip Padfield for sharing his expertise with permeabilized pancreatic acini, and Dr. Fred S. Gorelick for many helpful conversations and for critically reading the manuscript.


    Footnotes
 
1 This work was supported by Merit Review Awards from the Department of Veterans Affairs (to L.M.M. and B.K.K.) and NIH Research Grant CA-16359 from the NCI courtesy of the Yale Comprehensive Cancer Center (to L.M.M.). Back

Received October 3, 1996.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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