Endocrinology Vol. 139, No. 3 1300-1305
Copyright © 1998 by The Endocrine Society
Triiodothyronine Modulates Interleukin-6 Synthesis in Osteoblasts: Inhibitions in Protein Kinase A and C Pathways1
Haruhiko Tokuda,
Osamu Kozawa,
Atsushi Harada,
Ken-ichi Isobe and
Toshihiko Uematsu
Department of Internal Medicine (H.T.) and Department of
Orthopedics (A.H.), Chubu National Hospital, National Institute for
Longevity Sciences, Obu, Aichi 474; Department of Pharmacology, Gifu
University School of Medicine (O.K., T.U.), Gifu 500; and Department of
Basic Gerontology, National Institute for Longevity Sciences (K.I.),
Obu, Aichi 474, Japan
Address all correspondence and requests for reprints to: Haruhiko Tokuda, Department of Internal Medicine, Chubu National Hospital, National Institute for Longevity Sciences, Obu, Aichi 474, Japan.
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Abstract
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In osteoblast-like MC3T3-E1 cells, we recently reported that
PGE1 and PGF2
induce interleukin (IL)-6
synthesis via activation of protein kinase A and protein kinase C,
respectively. Moreover, in the case of IL-1-induced IL-6 synthesis in
these cells, we showed that protein kinase C activation by IL-1 limits
the IL-6 synthesis. In the present study, we investigated the effect of
T3 on IL-6 synthesis induced by these agonists in MC3T3-E1
cells. T3, which by itself had little effect on IL-6
synthesis, significantly reduced the IL-6 synthesis induced by
PGE1 in a dose-dependent manner in the range between 10
pM and 10 nM. T3 also reduced
PGE1-induced activation of protein kinase A. T3
inhibited the IL-6 synthesis induced by cholera toxin, an activator of
Gs, or forskolin, which directly activates adenylate
cyclase. However, T3 did not affect
(Bu)2cAMP-induced IL-6 synthesis. In addition,
T3 reduced PGF2
-induced IL-6 synthesis dose
dependently in the range between 10 pM and 10
nM. T3 also inhibited IL-6 synthesis induced by
12-O-tetradecanoylphorbol-13-acetate, an activator of
protein kinase C. On the other hand, T3 markedly enhanced
IL-1-induced IL-6 synthesis. This enhancement by T3 was
potentiated in protein kinase C down-regulated cells. T3
hardly affected the protein kinase C activation induced by
PGF2
or IL-1. These results strongly suggest that
T3 modulates IL-6 synthesis at two points in osteoblasts as
follows; one is exerted at the point between adenylate cyclase and
protein kinase A, and the other is at a point downstream from protein
kinase C activation.
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Introduction
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IT IS well known that hyperthyroidism is a
major cause of secondary osteoporosis (1). The receptor of thyroid
hormone belongs to steroid hormone receptor superfamily (2). It is
generally accepted that the effects of thyroid hormone, as well as
other steroid hormones, are exerted through binding to its specific
intracellular receptors and subsequently activating the expression of
the gene network (2). Bone metabolism is maintained by two types of
functional cells, osteoblasts and osteoclasts, which are responsible
for bone formation and bone resorption, respectively (3). Accumulating
evidence indicates that osteoblasts, rather than osteoclasts, possess
receptors for many bone resorptive agents (3), suggesting that
osteoblasts also play an important role in the regulation of bone
resorption. In hyperthyroidism, the serum levels of osteocalcin and
alkaline phosphatase, markers of mature osteoblast phenotype (4, 5),
and the excretion of pyridinoline and hydroxypyridinoline cross-link,
which reflects bone resorption, are elevated (5). It is clinically
recognized that both bone formation and resorption are increased in
hyperthyroidism, and the imbalance results in the bone loss. By
histomorphometric analysis, it has been shown that osteoclast numbers
and resorbing surfaces with loss of trabecular bone are increased (5).
T3 receptor is recognized in osteoblasts including
osteoblast-like MC3T3-E1 cells (6, 7). It has been reported that
thyroid hormone increases alkaline phosphatase activity and secretion
of osteocalcin, insulin-like growth factors, and insulin-like growth
factor-binding proteins in osteoblasts, and that it modulates
proliferation of osteoblasts (5, 6, 7). Therefore, it is probable that the
effects of thyroid hormone on bone metabolism are mainly attributable
to the modulation of osteoblast functions.
It is well known that interleukin (IL)-6 is a pleiotropic
multifunctional cytokine that regulates diverse cell functions such as
promotion of B cell differentiation and T cell activation and induction
of acute-phase proteins (8, 9). It is recognized that IL-6 is produced
and secreted in a variety of cells. As for bone metabolism, it has been
reported that IL-6 stimulates bone resorption and induces osteoclast
formation (10, 11). Bone resorptive agents such as IL-1, PTH, tumor
necrosis factor-
, and platelet-derived growth factor have been
reported to stimulate IL-6 production and its secretion in cultured
osteoblasts (10, 12, 13, 14). Therefore, accumulating evidence suggests
that IL-6 secreted from osteoblasts is an important downstream effector
of bone resorptive agents. PGs are well recognized as important
modulators of bone metabolism (3). We reported that PGE1
stimulates IL-6 synthesis via activation of protein kinase A in
osteoblast-like MC3T3-E1 cells (15). In addition, we recently showed
that PGF2
induces IL-6 synthesis through protein kinase
C, which is activated through both phosphoinositide hydrolysis by
phospholipase C and phosphatidylcholine hydrolysis by phospholipase D
in these cells (16). As for T3 effect on IL-6 synthesis in
bone cells, it has only been reported that T3 potentiates
the stimulatory effect of IL-1 on IL-6 production in fetal rat limb
bone cultures (17). However, the detailed mechanism of the effect of
T3 on IL-6 synthesis has not yet been clarified.
In the present study, we investigated the effect of T3 on
IL-6 synthesis induced by several agonists in osteoblast-like MC3T3-E1
cells. Herein, we show that T3 modulates IL-6 synthesis at
two points in osteoblasts as follows: one is exerted at the point
between adenylate cyclase and protein kinase A, and the other is at a
point downstream of protein kinase C activation.
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Materials and Methods
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Materials
T3, PGE1, PGF2
, cholera
toxin, forskolin, (Bu)2cAMP, and
12-O-tetradecanoylphorbol-13-acetate (TPA) were
purchased from Sigma Chemical Co. (St. Louis, MO). IL-1 was purchased
from Funakoshi Pharmaceutical Co. (Tokyo, Japan). Mouse IL-6 enzyme
immunoassay (EIA) kit, an assay system for protein kinase C and
[
-32P]ATP (3000 Ci/mmol) was purchased from Amersham
Japan (Tokyo, Japan). An assay system for protein kinase A was
purchased from Promega Corp. (Madison, WI). Other materials and
chemicals were obtained from commercial sources. T3 was
dissolved in 0.1 M NaOH. PGE1,
PGF2
, and forskolin were dissolved in ethanol. TPA was
dissolved in dimethyl sulfoxide. The maximum concentration of ethanol
or dimethyl sulfoxide was 0.1%, which did not affect the assay for
IL-6.
Cell culture
Cloned osteoblast-like MC3T3-E1 cells were maintained as
previously described (15). In brief, the cells (5 x
104) were seeded into 35-mm diameter dishes in 2 ml
-MEM
containing 10% FCS. After 5 days, the medium was exchanged for 2 ml
-MEM containing 0.3% FCS. The cells were used for experiments after
24 h. When indicated, the cells were pretreated with 0.1
µM TPA for 24 h, as previously reported (18).
Assay for IL-6
The cultured cells were pretreated with T3 for
8 h, and then stimulated by PGE1, PGF2
,
cholera toxin, forskolin, (Bu)2cAMP, TPA, or IL-1 in 1 ml
-MEM containing 0.3% FCS for 48 h. T3 was
maintained in the culture medium during the treatment with agonists.
The conditioned medium was collected, and IL-6 in the medium was
measured by an IL-6 EIA kit.
Assay for protein kinase A activity
The cultured cells were pretreated with T3 for
8 h, and then stimulated by PGE1 at 37 C for 10 min in
1 ml of an assay buffer (5 mM HEPES, pH 7.4, 150
mM NaCl, 5 mM KCl, 5.5 mM glucose,
0.8 mM MgSO4 and 1 mM
CaCl2) containing 0.01% BSA. The reaction was terminated
by aspirating the medium, and the protein kinase A activity was
determined by a protein kinase A assay system.
Assay for protein kinase C activity
The cultured cells were pretreated with T3 for
8 h, and then stimulated by PGF2
or IL-1 at 37 C
for 10 min in 1 ml of an assay buffer (5 mM HEPES, pH 7.4,
150 mM NaCl, 5 mM KCl, 5.5 mM
glucose, 0.8 mM MgSO4 and 1 mM
CaCl2) containing 0.01% BSA. The reaction was terminated
by aspirating the medium, and the protein kinase C activity was
determined by a protein kinase C assay system.
Determination
The absorbance of EIA samples was measured at 450 nm with EL 340
Bio Kinetic Reader (Bio-Tek Instruments, Inc., Winooski, VT). The
radioactivity of 32P samples for protein kinase A and
protein kinase C activity was determined with a Beckman LS-6500IC
liquid scintillation spectrometer (Palo Alto, CA).
Statistical analysis
The data were analyzed by one-way ANOVA followed by Bonferroni
method for multiple comparison between pairs, and P <
0.05 was considered significant. All data are presented as the
mean ± SEM of triplicate determinations.
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Results
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Effect of T3 on PGE1-induced IL-6 synthesis
in MC3T3-E1 cells
We recently reported that PGE1-stimulated IL-6
synthesis is mediated by activation of protein kinase A in
osteoblast-like MC3T3-E1 cells (15). We first examined the effect of
T3 on the IL-6 synthesis induced by PGE1.
T3 (10 nM), which by itself had little effect
on IL-6 synthesis, significantly inhibited the PGE1-induced
IL-6 synthesis (Fig. 1
). The inhibitory
effect of T3 was dose dependent in the range between 10
pM and 10 nM (Fig. 1
). The maximum effect of
T3 was observed at 10 nM, and the IL-6
synthesis was suppressed to about 10% of control (Fig. 1
). The
viability of the cells treated with 10 nM T3
for 48 h was more than 90%, as assessed by trypan blue
staining.

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Figure 1. Effect of T3 on
PGE1-induced IL-6 synthesis in MC3T3-E1 cells. Cultured
cells were pretreated with various doses of T3 for 8 h
and then stimulated by 10 µM PGE1 () or
vehicle ( ) for 48 h. Each value represents mean ±
SEM of triplicate independent cell preparations. Similar
results were obtained with two additional and different cell
preparations. *, P < 0.05 compared with value of
PGE1 alone.
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Effect of T3 on PGE1-induced protein kinase
A activation in MC3T3-E1 cells
We confirmed that H-89, a specific protein kinase A inhibitor
(19), markedly reduced PGE1-induced IL-6 synthesis (data
not shown), as previously reported (15). So, we next examined the
effect of T3 on PGE1-induced protein kinase A
activation in these cells. PGE1 (10 µM)
significantly activated protein kinase A (Table 1
). T3 (10 nM),
which by itself hardly affected protein kinase A activity, markedly
reduced PGE1-induced activation of protein kinase A (Table 1
).
Effects of T3 on cholera toxin-, forskolin-, or
(Bu)2cAMP-induced IL-6 synthesis in MC3T3-E1 cells
To clarify whether or not the inhibitory effect of
T3 on the PGE1-induced IL-6 synthesis is
exerted at a point upstream from Gs or adenylate cyclase,
we next examined the effect of T3 on cholera toxin- or
forskolin-induced IL-6 synthesis. Cholera toxin is known to be an
activator for Gs, a GTP-binding protein that mediates
stimulative signals to adenylate cyclase (20). Forskolin is a direct
activator of adenylate cyclase (21). T3 markedly reduced
the IL-6 synthesis induced by cholera toxin (1 µg/ml) dose
dependently in the range between 10 pM and 10
nM (Fig. 2A
). The maximum
effect was observed at 10 nM, and the cholera toxin-induced
IL-6 synthesis was reduced to about 50% of control.
Forskolin-induced IL-6 synthesis was also inhibited by
T3 in a dose-dependent manner in the range between 10
pM and 10 nM, and the maximum effect of
T3 was observed at 10 nM, a dose that caused a
60% reduction (Fig. 2B
). However, T3 hardly affected
(Bu)2cAMP-induced IL-6 synthesis up to 10 nM
(Fig. 2C
).
Effect of T3 on PGF2
-induced IL-6
synthesis in MC3T3-E1 cells
We recently demonstrated that PGF2
stimulates the
synthesis of IL-6 through activation of protein kinase C in
osteoblast-like MC3T3-E1 cells (16). Thus, we examined the effect
of T3 on the PGF2
-induced IL-6 synthesis.
T3 (10 nM) markedly suppressed the IL-6
synthesis induced by PGF2
(Fig. 3
). The inhibitory effect of
T3 was dose dependent in the range between 10
pM and 10 nM, and the maximum effect was
observed at 10 nM (Fig. 3
). The PGF2
-induced
IL-6 synthesis was reduced to about 30% of control by 10
nM T3. We confirmed that calphostin C, a highly
potent and specific inhibitor of protein kinase C (22), significantly
inhibited PGF2
-induced IL-6 synthesis (data not shown),
as previously described (16).
Effect of T3 on TPA-induced IL-6 synthesis in
MC3T3-E1 cells
To clarify the point at which the inhibitory effect of
T3 on PGF2
-induced IL-6 synthesis is
exerted, we next examined the effect of T3 on the IL-6
synthesis induced by TPA, which is known to be a direct activator of
protein kinase C (23). As previously reported (16), TPA (0.1
µM) alone significantly stimulated IL-6 synthesis via
activation of protein kinase C in MC3T3-E1 cells. T3
significantly reduced the TPA-induced IL-6 synthesis in a
dose-dependent manner in the range between 10 pM and 10
nM (Fig. 4
). The maximum
effect of T3 on the TPA-induced IL-6 synthesis was observed
at 10 nM, and the synthesis was reduced to about 30% of
control.

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Figure 4. Effect of T3 on TPA-induced IL-6
synthesis in MC3T3-E1 cells. Cultured cells were pretreated with
various doses of T3 for 8 h and then stimulated by 0.1
µM TPA () or vehicle ( ) for 48 h. Each value
represents mean ± SEM of triplicate independent cell
preparations. Similar results were obtained with two additional and
different cell preparations. *, P < 0.05 compared
with value of TPA alone.
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Effect of T3 on the IL-6 synthesis induced by IL-1 in
MC3T3-E1 cells
It has been reported that T3 potentiates the
stimulatory effect of IL-1 on IL-6 production in fetal rat bone
cultures (17). Recently, we reported that IL-1 activates protein kinase
C through phosphatidylcholine-specific phospholipase C in these cells,
and the activation of protein kinase C limits IL-6 synthesis induced by
IL-1 itself (24). Therefore, we further examined the effect of
T3 on IL-1-induced IL-6 synthesis in osteoblast-like
MC3T3-E1 cells. T3 significantly enhanced the IL-1-induced
IL-6 synthesis (Fig. 5
). The effect of
T3 on the IL-1-induced IL-6 synthesis was dose dependent in
the range between 10 pM and 10 nM (Fig. 5
). We
confirmed that calphostin C significantly enhanced IL-1-induced IL-6
synthesis (data not shown), as previously reported (24).

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Figure 5. Effect of T3 on IL-1-induced IL-6
synthesis in MC3T3-E1 cells. Cultured cells were pretreated with
various doses of T3 for 8 h and then stimulated by 30
ng/ml IL-1 () or vehicle ( ) for 48 h. Each value represents
mean ± SEM of triplicate independent cell
preparations. Similar results were obtained with two additional and
different cell preparations. *, P < 0.05 compared
with value of IL-1 alone.
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Effect of T3 on IL-1-induced IL-6 synthesis in protein
kinase C down-regulated MC3T3-E1 cells
It has been shown that 24-h pretreatment of TPA (0.1
µM) down-regulates protein kinase C in MC3T3-E1 cells
(18). We previously confirmed that the binding capacity of
[3H]phorbol-12, 13-dibutylate, a protein kinase
C-activating phorbol ester (23), in TPA-pretreated cells was reduced to
approximately 30% of the capacity in intact cells (16). Thus, we
examined the effect of down-regulation of protein kinase C on the
enhancement by T3 of IL-1-induced IL-6 synthesis in these
cells. As previously described (21), IL-1-induced IL-6 synthesis was
significantly amplified in protein kinase C down-regulated cells (Table 2
). The enhancement of IL-1-induced IL-6
synthesis by 10 nM T3 was markedly potentiated
in protein kinase C down-regulated cells (Table 2
).
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Table 2. Effect of protein kinase C down-regulation on
T3-induced enhancement of IL-1-induced IL-6 synthesis in
MC3T3-E1 cells
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Effects of T3 on PGF2
- or IL-1-induced
activation of protein kinase C in MC3T3-E1 cells
We further examined the effects of T3 on the
activation of protein kinase C induced by PGF2
or IL-1
in these cells. PGF2
(10 µM) and IL-1 (30
ng/ml) truly activated protein kinase C (Table 3
). T3 (10 nM),
which by itself had no effect on protein kinase C activity, affected
neither PGF2
nor IL-1-induced protein kinase C
activation in these cells (Table 3
).
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Discussion
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In the present study, we showed that PGE1-induced IL-6
synthesis was significantly inhibited by T3 in
osteoblast-like MC3T3-E1 cells. We previously reported that
PGE1 stimulates alkaline phosphatase activity via cAMP
production without affecting phosphoinositide-hydrolyzing phospholipase
C in these cells (25). Moreover, we recently demonstrated that
PGE1 induces IL-6 synthesis via activation of protein
kinase A in these cells (15). We demonstrated in this study the
reduction by T3 of PGE1-induced protein kinase
A activation, suggesting that the inhibitory effect of T3
on PGE1-induced IL-6 synthesis results from the decrease of
protein kinase A activity. To clarify the point at which T3
inhibits the IL-6 synthesis induced by the activation of cAMP-mediating
pathway, we first examined the effect of T3 on cholera
toxin-induced IL-6 synthesis in these cells. It is well known that
Gs functions as an intermediary in transmembrane signaling
from the receptor to adenylate cyclase, and mediates stimulation of
this enzyme (20). Cholera toxin ADP-ribosylates the
-subunit of
Gs and elicits continuous activation of Gs,
resulting in cAMP production (20). We showed that T3
inhibited the IL-6 synthesis stimulated by cholera toxin. Additionally,
we demonstrated that the synthesis of IL-6 induced by forskolin, was
also inhibited by T3. Thus, these findings suggest that the
inhibitory effect of T3 is exerted at a point downstream
from adenylate cyclase in osteoblast-like MC3T3-E1 cells. Furthermore,
we examined the effect of T3 on the
(Bu)2cAMP-induced IL-6 synthesis, and showed that
T3 did no longer affect the IL-6 synthesis by
(Bu)2cAMP. On the basis of our findings, it is most likely
that the inhibitory effect of T3 on the
PGE1-induced IL-6 synthesis is exerted at the point between
adenylate cyclase and protein kinase A in osteoblast-like MC3T3-E1
cells.
We next examined the effect of T3 on
PGF2
-induced IL-6 synthesis in MC3T3-E1 cells.
T3 significantly inhibited the IL-6 synthesis induced by
PGF2
. As for the signaling mechanism of
PGF2
, we previously reported that PGF2
stimulates protein kinase C through both activation of
phosphoinositide-hydrolyzing phospholipase C and
phosphatidyl-choline-hydrolyzing phospholipase D in MC3T3-E1 cells (26, 27). In addition, we recently reported that PGF2
stimulates IL-6 synthesis via activation of protein kinase C in these
cells (16). To clarify whether the inhibition by T3 of
PGF2
-induced IL-6 synthesis is exerted at a point
downstream from protein kinase C activation or not, we next examined
the effect of T3 on the IL-6 synthesis induced by TPA. We
demonstrated in this study that T3 also inhibited
TPA-induced IL-6 synthesis without affecting
PGF2
-induced activation of protein kinase C, suggesting
that the inhibitory effect of T3 is exerted at a point
downstream from protein kinase C in osteoblast-like MC3T3-E1 cells.
This notion is also supported by the ineffectiveness of T3
on PGF2
-induced activation of protein kinase C. Taken
together, it is probable that T3 inhibits IL-6 synthesis at
two points as follows: one is exerted at the point between adenylate
cyclase and protein kinase A, and the other is at a point downstream
from protein kinase C. In addition, we showed that T3 did
not suppress but potentiates the IL-1-induced IL-6 synthesis. This
finding is consistent with an earlier observation that T3
enhances IL-1-induced IL-6 production in the cultures of fetal rat limb
bone cultures (17). The precise mechanism of the induction of IL-6
production by IL-1 has not yet been clarified; however, we have
recently reported that IL-1-induced activation of protein kinase C
negatively regulates IL-6 synthesis stimulated by IL-1 itself in
MC3T3-E1 cells (24). We also demonstrated in this study that the
enhancement of IL-1-induced IL-6 synthesis by T3 was
potentiated in protein kinase C down-regulated cells. Thus, it is
probable that T3 still increases IL-1-stimulated IL-6
synthesis under the condition by which protein kinase C is
down-regulated. As for the effect of protein kinase C in IL-6 synthesis
in osteoblasts, directly activated protein kinase C has a stimulatory
effect on IL-6 synthesis as previously reported (16). It has been
reported that protein kinase C mediates IL-6 synthesis induced by PTH,
platelet-derived growth factor, or PGF2
in osteoblasts
(13, 14, 16). As a whole, it is probable that protein kinase C could
regulate IL-6 synthesis both positively and negatively in osteoblasts,
and that the regulatory fashion of protein kinase C might depend on the
circumstances of intracellular signaling mechanism of each agonist.
Taking into account of the ineffectiveness of T3 on
IL-1-induced protein kinase C activation, our findings suggest that
T3 affects IL-1-induced IL-6 synthesis at a point
downstream from protein kinase C in osteoblasts, and relieves the
inhibitory effect of this protein kinase. Currently, it is recognized
that numerous signal transduction pathways other than protein kinase C,
such as mitogen-activated protein kinase, nuclear factor for IL-6,
nuclear factor-
B, etc. are involved in IL-1-induced IL-6 gene
expression (28). So, the enhancement by T3 of IL-1-induced
IL-6 synthesis shown in this study might also result from the
modulation of one (or some) of them. Further investigation would be
required to clarify the details. The potential effects of
T3 on IL-6 synthesis induced by PGE1,
PGF2
and IL-1 shown in this study are summarized in Fig. 6
.

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Figure 6. Diagram of effects of T3 on IL-6
synthesis induced by PGE1, PGF2 and IL-1 in
MC3T3-E1 cells. -, Negative regulation; AC, adenylate cyclase; PC-PLD,
phosphatidylcholine-specific phospholipase D; PI-PLC,
phosphatidylinositol-specific phospholipase C; PC-PLC,
phosphatidylcholine-specific phospholipase C; PKA, protein kinase A;
PKC, protein kinase C.
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It is well known that T3 stimulates the bone resorption in
bone organ cultures (5). However, it has been reported that
T3 at higher doses can have an inhibitory effect on bone
resorption (29), suggesting that the effect of T3 on bone
resorption is biphasic. It is well recognized that IL-6 secreted from
osteoblasts acts as an important downstream effector of bone resorbing
agents (10, 12, 13, 14). As shown in this study, it is probable that,
through the inhibitory effects on both protein kinase A and protein
kinase C pathways, T3 could modulate IL-6 synthesis induced
by various agonists in osteoblasts. Therefore, it is highly possible
that T3 modulates IL-6 synthesis induced by ubiquitous
bioactive substances such as autocoids, cytokines, and hormones through
the mechanisms shown in this study, and affects bone metabolism. These
effects of T3 on osteoblasts might contribute to the
pathogenesis of osteopathy observed in patients with
hyperthyroidism.
In conclusion, our results strongly suggest that T3
modulates IL-6 synthesis at two points in osteoblasts as follows: one
is exerted at the point between adenylate cyclase and protein kinase A,
and the other is at a point downstream of protein kinase C
activation.
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Footnotes
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1 This work was supported by a Grant-in-Aid for Scientific Research
(09671041) for the Ministry of Education, Science and Culture of Japan,
the Research Grant for Longevity Sciences (8A-2), and the Research
Grant of Cooperative Studies for Longevity Sciences for National
Sanatoria from the Ministry of Health and Welfare of Japan. 
Received September 22, 1997.
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