Endocrinology Vol. 139, No. 8 3492-3502
Copyright © 1998 by The Endocrine Society
Calcitonin Gene-Related Peptide Stimulates Potassium Efflux through Adenosine Triphosphate-Sensitive Potassium Channels and Produces Membrane Hyperpolarization in Osteoblastic UMR106 Cells1
Tomoyuki Kawase and
Douglas M. Burns
Department of Pharmacology (T.K.), Niigata University School of
Dentistry, Niigata 951, Japan; and Medical Research Service (D.M.B.),
Kansas City Department of Veterans Affairs Medical Center and
Department of Biochemistry and Molecular Biology, University of Kansas
Medical Center, Kansas City, Missouri 64128
Address all correspondence and requests for reprints to: Tomoyuki Kawase, D.D.S., Ph.D., Department of Pharmacology, Niigata University School of Dentistry, 25274 Gakkicho-dori, Niigata-city, Japan 951. E-mail: kawase@dent.niigata-u.ac.jp or dburns{at}kuhub.cc.ukans.edu
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Abstract
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In previous studies, we have shown that calcitonin gene-related peptide
(CGRP) acutely inhibits 45Ca2+ uptake in
osteoblastic UMR106 cells, and we have proposed that ATP-sensitive
potassium (KATP) channels are involved in mediating this
action of CGRP. To directly test this proposed mechanism, we have now
examined the effects of CGRP on both membrane potential (Em) and
K+ mobilization in UMR106 cells, using specific
fluorometric dye assays. CGRP (0.01100 nM) induced
membrane hyperpolarization in a dose-dependent manner, with a half
maximal effect (ED50) at approximately 0.2 nM
and a maximal effect at 100 nM. Both pinacidil (Pina; a
KATP channel opener) and forskolin (FSK) induced similar
membrane hyperpolarization, but the actions of these three agents could
be easily distinguished: both CGRP and Pina actions were well
antagonized by glibenclamide (Glib; a selective KATP
channel blocker), whereas FSK action was strongly attenuated only by
tetraethylammonium (a KCa channel blocker) or compound H-89
(an inhibitor of cAMP-dependent protein kinases). Cells pretreated with
Pina no longer responded to CGRP, but they could still respond to FSK;
furthermore, pretreatment with FSK failed to block successive treatment
with either CGRP or Pina. In parallel with observed changes in Em, CGRP
(0.01100 nM) decreased intracellular K+
concentrations ([K+]i) in a
dose-dependent manner, with an ED50 identical to that
obtained for alterations in Em. This action of CGRP was sensitive to
Glib and had only slight sensitivity to tetraethylammonium; this CGRP
effect was mimicked by Pina but not by FSK. Interestingly, CGRP
significantly elicited changes in cell shape by a Glib-sensitive
mechanism that included notable decreases in cross-sectional
cytoplasmic area. These observations strongly support our proposal that
CGRP primarily stimulates K+ efflux via activation of
KATP channels and thereby induces membrane
hyperpolarization in UMR106 cells. Furthermore, our data also suggest
that this cascade of initial cellular events may result in rapid
changes in cell morphology and decreases in cellular area of the type
that are thought to act as triggers for proliferation and/or
differentiation in many cellular phenotypes.
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Introduction
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CALCITONIN (CT) gene-related peptide
(CGRP), an amidated 37-residue neuropeptide produced from the CT gene
(1, 2), is prominent in sensory nerve fibers within the bone, marrow,
and periosteal regions of skeletal tissue (3, 4, 5, 6, 7, 8, 9, 10) and may play an
important regulatory role in bone metabolism. Several studies have
demonstrated the efferent release of CGRP and other neuropeptides from
capsaicin-sensitive peptidergic fibers (11, 12, 13, 14, 15) in several tissues, and
indirect evidence has suggested that this also occurs in bone and its
adjacent tissues (3, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19). A recent report from Imai et
al. (19) has provided striking ultramorphological support for this
idea by demonstrating in rat that osseous CGRP-containing axons possess
terminal structures that directly contact metaphyseal osteoblasts and
osteoclasts. Furthermore, this study demonstrated that these
CGRP-containing peptidergic fibers reinnervate bony surface at the same
time that osteoblasts begin to be recruited and activated during
osteogenic repair of experimentally eroded bone (19).
Tippins et al. (20) and Roos et al. (21)
originally reported that pharmacological doses of CGRP inhibit
osteoclastic bone resorption, but several studies (22, 23, 24) now indicate
that this effect is mediated by cross-binding to CT receptors (with a
300-fold lower biopotency). Michelangeli et al. (25) first
convincingly demonstrated that exogenous CGRP stimulates the production
of cAMP in osteogenic osteosarcoma cells and further demonstrated that
the ability of cellular fractions, enzymatically released from bone, to
respond to CGRP correlates directly with the degree to which they
possess the osteoblastic phenotype (26). Numerous additional studies
have now verified that low doses of CGRP are indeed able to produce
modest (2- to 3-fold or higher) increases in cAMP in both osteosarcoma
and primary osteoblastic cells (7, 27, 28, 29, 30). The microhistologic and
ultramorphological data and the overall pattern of in vitro
CGRP action on skeletal cells has led to the proposal that this
neuropeptide exerts anabolic actions on skeletal and mineral
metabolism, largely by recruiting and/or activating osteoblastic cells
(7, 16, 17, 18, 28, 29, 31). The response of cultured osteoblastic cells to
low levels of CGRP seems to be mediated by a specific CGRP receptor on
osteoblasts (32) (also Burns, unpublished observations). CGRP has
previously been shown to stimulate the formation of osteogenic cell
colonies from cultured rat bone marrow stromal cells (17) and, more
recently, to stimulate in vitro mineralization in
osteoblastic cell cultures (31). Furthermore, CGRP is associated in
rats with heterotropic bone formation induced by demineralized bone
matrix (18), with the calcification of secondary and tertiary dentin
(3, 16), with repair of damaged metaphyseal bone in an adjuvant
arthritic rat model (19), and with repair of tibial fractures (33).
Most recently, the reports from Vignery and co-workers have
demonstrated additional bioactivity for CGRP on osteoblasts, and their
pilot experiments strongly suggest that exogenous CGRP produces
appreciable stimulation of bone formation in rat, at least in part,
through direct stimulation of osteoblastic parameters (30, 34, 35).
It is now important to understand how CGRP exerts its neurogenic
actions on osteoblasts. An analogous situation is found in vascular
smooth muscle, where CGRP acts as a rapid and potent vasodilator.
Originally, this vascular action of CGRP was explained solely by
cAMP-dependent mechanism(s) (36, 37, 38); however, a more recent mechanism
has been demonstrated whereby CGRP directly activates ATP-sensitive
potassium (KATP) channels to induce hyperpolarization of
the plasma-membrane and then produces relaxation of the smooth muscle
cell (39, 40). In osteoblastic cells, the existence of
calcium-activated potassium (KCa) channels has been
demonstrated by electrophysiological studies (41, 42), and
KATP channels have now been identified to be present and
capable of playing a role in osteoblastic physiology (43, 44). It has
become important to develop an understanding of the properties of
osteoblastic KATP channels and the mechanism(s) that
regulate(s) related cellular parameters, such as membrane potential
(Em).
In previous studies (45, 46), we interpreted data from
pharmacological experiments with cultured osteoblastic cells as
strongly suggesting that osteoblasts possess both L-type
Ca2+ and KATP channels and that CGRP acts on
one or both of these channels to attenuate Ca2+ influx
across the plasma membrane. To further investigate the mechanism
mediating CGRPs actions in osteoblastic cells, we now directly
examine CGRPs ability to influence cellular Em and to alter
intracellular K+ concentration
([K+]i) in UMR106 osteoblast-like cells, by
using fluorescent dye assays. Our results indicate that CGRP primarily
acts on KATP channels to first induce a significant
K+ efflux that, in turn, produces hyperpolarization of the
plasma membrane. These data strongly support our previous proposal that
these actions of CGRP cause the observed attenuation of transmembrane
Ca2+ influx.
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Materials and Methods
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Materials
Rat CGRP (Peptide Institute, Osaka, Japan) was dissolved in
distilled water (DW) to a concentration of 100 µM.
Glibenclamide (Glib) and tetraethylammonium (TEA) chloride were
obtained from Sigma Chemical Co. (St. Louis, MO). Stock solutions of
pinacidil (Pina; Eli Lilly Co., Indianapolis, 2IN) and Glib were
prepared in dimethylsulfoxide (DMSO) to 20 mM and 2
mM, respectively. Bis-(1, 3-dibutylbarbituric
acid)trimethine oxonol [DiBAC4(3)] (Molecular Probes,
Inc., Eugene, OR) was dissolved in ethanol (EtOH) to 20 mM
stock, while the acetoxymethyl ester of PBFI (PBFI-AM) (Molecular
Probes, Inc.) was dissolved in DMSO to 1 mM stock.
Valinomycin (Calbiochem-Novabiochem International, San Diego, CA) and
nigericin (Sigma) were dissolved in EtOH to 1 mM stock and
EtOH:DMSO (1:1) to 5 mM stock, respectively.
N-[2-(p-bromocinnamylamino)ethyl]-5-isoquinolinesulfonamide
dihydrochloride (H-892HCl), from Biomol Research Laboratories, Inc.
(Plymouth Meeting, PA), was dissolved in DMSO to a stock concentration
of 5 mM. Unless otherwise specified, all stock solutions
were diluted in physiological saline solution (PSS) or appropriate
aqueous solution, to the required working concentration, immediately
before use.
Cells and cell culture
Rat osteosarcoma UMR106 cells were obtained from Dainippon
Pharmaceutical Co. (Osaka, Japan) and maintained in DMEM (GIBCO, Grand
Island, NY) supplemented with 10% FCS (FCS; Filtron, Brooklyn,
Australia) in humidified 5% CO2-95% air at 37 C. For all
experiments reported here, cells were seeded at a density of 3 x
105 cells/4 ml·60-mm dish and cultured for 2 days in
DMEM+10% FCS and for 1 additional day in DMEM containing 2% FCS. For
Em measurements, cells were seeded on glass coverslips placed on the
bottoms of 60-mm dishes.
Measurements of Em
The methodology introduced by Civitelli et al. (47)
was slightly modified and applied here. After rinsing with warmed PSS,
cells attached on coverslips were preincubated in PSS containing 0.5
µM DiBAC4(3) and 0.1% FCS for 4050 min and
then directly subjected to the fluorometric assay using a Shimazu
RF-300 spectrofluorometer (Kyoto, Japan) equipped with a
thermostatically controlled (37 C) cuvette chamber and an electric
stirrer. Excitation wavelength was 493 nm (ND filter no. 4) and
emission wavelength 513 nm (ND filter no. 16), with 10 nm bandwidth for
both. At these wavelengths, the signal was least influenced by
coverslips. For fluorescence intensity (FI; y-axis), the same scale
(arbitrary unit) was used throughout all the figures presented.
We attempted, but could not achieve, calibration between changes in the
FI emission of DiBAC4(3) and calculated mV of the cellular
Em. Unfortunately, this bis-oxonol dye binds several ionophores
(e.g. valinomycin or gramicidin) to form a fluorescent
precipitate that severely interferes with attempts at calibrating the
cellular FI signal (47) (also Kawase et al., unpublished
observations).
Measurement of [K+]i
After rinsing with warmed PSS, cells were loaded with 1
µM PBFI-AM in PSS for 90 min in a CO2
incubator. Cells were then detached with 0.05% trypsin (GIBCO) plus
0.52 mM EDTA in Ca2+, Mg2+-free
Dulbeccos modified phosphate buffer saline [PBS(-)] and suspended
in PSS at a density of 56 x 105 cells/ml. Cell
fluorescence was measured by a dual-wavelength ratiometric method,
essentially as described previously (48, 49): For excitation, both 338
and 380 nm (as isobestic point) were employed; and for emission, 465 nm
was used for both excitation wavelengths. Bandwidths were fixed at 10
nm for both wavelengths.
Calibration of the PBFI signal
According to the method of Kasner et al. (48, 49),
the combination of valinomycin (final concentration = 1
µM) and nigericin (final concentration = 5
µM) was added to cell suspensions to equally distribute
K+, both inside and outside the plasma membrane, and to
equilibrate the transmembrane pH gradient. Cells loaded with PBFI were
incubated for 15 min in calibrating solution using different known
[K+]o solution, and the FI ratio was
measured. The resulting standard curve (not shown) was employed to
calibrate the recorded PBFI signal vs. a [K+]
standard curve.
2-D analysis of cell volume
Cells in subconfluent cultures were washed twice with warmed PSS
and preincubated with PSS in the presence or absence of Glib for 10
min. Cells were then treated with CGRP in the presence or absence of
Glib for 10 min on a warmed pad (approximately 37 C) and observed under
an inverted microscope (Nikon, Tokyo, Japan). At the indicated
treatment times, cells were photographed and subjected to 2-D analysis
using NIH image software (version 1.55, NIH, Bethesda, MD) installed on
a Macintosh computer.
Statistical analysis
Most results in figures are expressed as the mean ±
SD of 515 independent samples, unless otherwise
specified, and the statistical significance was calculated with
two-tailed, unpaired Students t test. Each trace is
representative of the data from those independent experiments. Only the
data shown in Fig. 10
were analyzed with paired Students t
test (N = 20 cells in each experiment, and nearly identical
results were obtained from three additional independent
experiments).

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Figure 10. Photos, The effects of CGRP
on the morphology of adherent subconfluent cultures of UMR106 cells.
Cells were treated for 10 min, either with vehicle alone (A and B) or
with CGRP (100 nM; C and D). A third (parallel) set of
cells was pretreated with Glib (1 µM) for 10 min and then
cotreated with Glib and CGRP for 10 min (100 nM; E and F).
Examination of the photomicrographs reveals that CGRP produces
noticeable retraction of the cellular cytoplasm leaving behind
psuedopodia-like processes; and in many cells, the area of cellular
cross-section noticeably decreases. Graph, The
time-course for changes in cellular area in attached UMR106 cells.
Cellular cross-sectional area was quantified by 2-D computer analysis,
as described in Materials and Methods and plotted
vs. treatment time. Note: After 10 min of treatment, the
area of CGRP-treated cells (open squares) was
significantly smaller (a) (P < 0.01 from a paired
Students t test, N = 20) by approximately 17%
than that of the vehicle control treatment (open
circles; D vs. B) or than that of cells
cotreated with Glib + CGRP (closed squares; D
vs. F).
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Results
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Figure 1
demonstrates a
dose-dependent effect of CGRP (0.01100 nM) on the resting
Em of DiBAC4(3)-loaded UMR106 cells attached to coverslips.
The indicated concentrations of CGRP were applied in succession to the
same population of cells, and the FI of DiBAC4(3) was
recorded as a direct report of cellular Em. No less than 2 min elapsed
between the observed end of one response (establishment of a new
baseline) and the start of the next application. In this manner, Em
changes could be traced cumulatively with direct reference to the
original starting Em, as shown in Fig. 1A
. CGRP elicited a discernible
response within approximately 20 sec of application; however, the
length of time required for full hyperpolarization to develop varied
with the concentrations of CGRP applied. With 0.01 nM CGRP,
full hyperpolarization was obtained within 2 min, but higher
concentrations required longer for full expression. Continuous
measurements with DiBAC4 demonstrate a progressive decline
in the FI baseline that probably represents time-dependent
photo-bleaching of the fluorescent dye itself; thus, there is a limit
to how long an experiment can provide reliable data.

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Figure 1. A, The effects of CGRP on the plasma Em in
UMR106 cells plated onto glass coverslips. The indicated concentrations
of CGRP were applied successively (from lower to higher
concentrations), with 2-min time interval (Int.), to the same coverslip
of cells. This is one of many replicate experiments. The solid
lines represent predicted baselines, which were periodically
confirmed by treating coverslips with vehicle alone (as shown below).
Throughout this study, the same scale is used for FI (arbitrary units),
so that Em shifts are comparable. B, Negative controls: DW, EtOH, DMSO,
or CT was independently applied to parallel coverslips of cells.
Lower panel, The dose-response relationship between CGRP
concentration and the change in Em (i.e.
hyperpolarization). To quantify this relationship, observed decreases
in FI (i.e. Em values), obtained at 180 sec after CGRP
application, were plotted against the applied concentration of
neuropeptide.
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Compared with independent application to individual slides of cells,
this method of cumulative application provides more reproducible data,
and this general approach has been used for all the studies reported
here. When we plot CGRP-induced hyperpolarization (measured after 180
sec of treatment) vs. CGRP concentration, we obtain a
dose-dependent relationship, where the maximal effect is obtained at
100 nM (Fig. 1
, lower panel). Assuming that the
relationship between the changes in FI of DiBAC4(3) and the
mV changes in Em are linear (47), the ED50 of CGRP is
approximately 0.2 nM in these cells. In parallel
experiments, we applied DW, EtOH (0.1%), DMSO (0.1%), or CT (100
nM) as negative controls; and we observed no appreciable
changes (Fig. 1B
).
Both Pina (1 µM), a specific opener of KATP
channels, and forskolin (FSK; 0.5 µM), a specific
activator of adenylate cyclase, induced similar membrane
hyperpolarization in UMR106 cells. Figure 2
shows the sensitivity of these
hyperpolarization events to Glib (a specific inhibitor of
KATP channels), TEA (an inhibitor of KCa
channels), or H-89 (a selective inhibitor of cAMP-dependent kinases).
As demonstrated (A), Glib (1 µM) blocked CGRP-induced
hyperpolarization, TEA (1.5 mM) was without any effect, and
H-89 (5 µM) produced only a modest attenuation of this
CGRP effect. As Fig. 2B
indicates, Pina-induced hyperpolarization is
not identical to CGRP-induced changes in Em, and it typically consists
of two major phases: a rapidly progressing initial phase that begins
within 20 sec of application but then reverses to near-baseline value,
followed by a somewhat larger but more gradual hyperpolarization that
lasts for an extended period of time. Despite these differences in
initial time-course, the overall effect produced by Pina at 180 sec is
very similar to that produced by CGRP at the same time-point. Glib
strongly inhibited the second phase of Pina-induced
hyperpolarization and also significantly attenuated the acute phase.
Either TEA or H-89 slightly attenuated Pinas effect in both phases
(B) but did not achieve statistical significance. Panel C shows that
FSK produced a profile similar to that of Pina; however, this
hyperpolarization was significantly attenuated or blocked by either TEA
or H-89, respectively, and was not affected by Glib. Thus, the
sensitivity of FSK-induced hyperpolarization to Glib, TEA, and H-89
clearly distinguished this effect from that produced by either CGRP or
Pina. These relationships (at 3 min of treatment) are summarized in
Fig. 3
: the theme exhibited by these data
are that Glib was very effective in blocking either CGRP- or
Pina-induced hyperpolarization (but that it could not attenuate
FSK-induced hyperpolarization) and that H-89 was markedly more
effective in attenuating FSK-induced hyperpolarization than it was in
limiting the action of CGRP.

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Figure 2. The effects of Glib, TEA, or H-89 on CGRP- (A),
Pina- (B), or FSK-induced hyperpolarization (C) in adherent UMR106
cells. As indicated, cells were pretreated with either Glib (1
µM), TEA (1.5 mM), or H-89 (5
µM) for 10 min; and then CGRP (100 nM), Pina
(1 µM), or FSK (0.5 µM) were applied to the
cells.
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Figure 3. The inhibitory effects of Glib, TEA, or H-89 on
the Em hyperpolarization produced by CGRP (upper), Pina
(middle), or FSK action (lower) (summary
of the data derived from Fig. 2 ). As before, the inhibition obtained at
3 min of hyperpolarization was plotted. a, P <
0.005; b, P < 0.001, vs. control.
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Figure 4
shows the interactions of CGRP,
Pina, and FSK, in terms of their ability to alter the Em of UMR106
cells. After being exposed to the maximally effective concentration of
CGRP (100 nM) for longer than 15 min, cells no longer would
respond to Pina (1 µM), but they still responded to a
subsequent treatment with FSK (0.5 µM) (A). Even after a
long exposure to FSK (B), cells responded to CGRP (although the
magnitude of this response was somewhat reduced, as was the case in the
experiment depicted in panel A). A subsequent treatment with Pina,
after this CGRP treatment, did not further induce hyperpolarization
(B). As shown in panel C, pretreatment with Pina completely blocked the
cells response to CGRP. In addition, no appreciable inhibitory
interactions were observed between FSK and Pina (D and E).

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Figure 4. The interaction of CGRP, Pina, and/or FSK to alter
Em in adherent UMR106 cells. As indicated by arrows,
CGRP (100 nM), Pina (1 µM), or FSK (0.5
µM) was applied over the indicated period of time.
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To investigate whether K+ is primarily involved in these
rapid changes in Em, we next examined intracellular K+
mobilization. In PBFI-loaded UMR106 cell suspensions, the resting
cellular level of [K+]i was estimated as
113.5 ± 18.7 mM (n = 60), which is very similar
to the value previously reported by Civitelli et al. (47).
We used cumulative applications of CGRP, as before, to demonstrate a
dose-response relationship between CGRP applied and the decreases
obtained in the [K+]i of UMR106 cells. The
maximal effect was observed at 100 nM, after 3 min of
treatment, and [K+]i was lowered by 51.9
± 7.8 mM (n = 16), to roughly 60 mM (Fig. 5
, upper). The dose-response
relationship for K+ efflux was almost identical to that
observed for altering Em (Fig. 2
): CGRP (0.01100 nM)
dose-dependently decreased [K+]i, with an
ED50 at approximately 0.2 nM. Typical
time-courses demonstrating decreases in cellular
[K+]i are shown in Fig. 6
; the effect of CGRP, Pina, and FSK are
shown as the initial lower trace in panels A, B, and C. With regard to
negative controls, neither vehicle treatments (DW, EtOH, DMSO) nor CT
produced any appreciable change in [K+]i
(Fig. 5
, lower) and were used to confirm a stable baseline
in our experiments.

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Figure 6. The effects of Glib on CGRP- (A), Pina- (B), or
FSK-induced (C) decreases in [K+]i in
suspended UMR106 cells. As indicated on these traces, cells were
initially treated with Glib (1 µM) before either CGRP
(100 nM), Pina (1 µM), or FSK (0.5
µM) were applied to the cells. In addition, each of these
experiments was also conducted in reverse, i.e. CGRP,
Pina, or FSK were first applied to demonstrate the effect, and then
Glib was applied to attempt to reverse the decrease in
[K+]i (shown as the second set of traces in
all three panels).
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Figure 6
provides pharmacological characterization of the CGRP-, Pina-,
or FSK-induced changes in [K+]i in UMR106
cell suspensions. CGRP (100 nM) produced a gradual
monophasic decline in [K+]i, just as it did
for cellular Em. Both Pina (1 µM) and FSK (0.5
µM) also produce monophasic decreases in
[K+]i more than 70% of the time (as shown
here); but in a notable number of experiments, a biphasic response
(composed of a short, slight acute phase followed by a larger and more
gradual effect) was observed. The reason for this variation in the
response of cells to Pina or FSK is not understood at the present time,
but it seems to be independent of any additional pharmacological
inhibitors.
Essentially as shown for the changes in Em demonstrated in Fig. 2
, the
CGRP-induced decrease in [K+]i was sensitive
to Glib: after pretreatment with Glib (1 µM), cells were
no longer sensitive to either CGRP or Pina (Fig. 6
, A and B). Glib did
appreciably attenuate FSK action, but this Glib effect did not achieve
statistical significance in our experiments (panel C; also see Fig. 8
).
Interestingly, Glib reproducibly induced a strong reversal in the
decrease in [K+]i observed in either CGRP- or
Pina-treated cells (second half of the lower
traces in panels A and B), whereas it elicited only small (but
reproducible) reversals in either FSK-treated (lower trace,
panel C) or untreated (upper traces in all panels)
cells.

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Figure 8. The ability of Glib and TEA to attenuate or block
the ability of CGRP, Pina, or FSK to decrease
[K+]i in suspended UMR106 cells. Using
time-courses similar to those presented in Fig. 7 , the decrease in
[K+]i, obtained 180 sec after application of
the specified pharmacological agent, was measured and plotted, as
shown. a, P < 0.001 vs. control.
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Figure 7
demonstrates the comparative
sensitivities of CGRP, Pina, or FSK action to TEA. In good agreement
with the data shown in Figs. 2
and 3
, the action of CGRP was slightly
limited by TEA pretreatment, and similar attenuation was seen in the
case of Pina action; however, the action of FSK was strongly blocked by
TEA pretreatment. Figure 8
further
summarizes the ability of Glib or TEA to block these three agents
(after 3 min of treatment). Both CGRP and Pina action were strongly
blocked by Glib, whereas FSK action was attenuated only by TEA. Careful
examination revealed that TEA produced weak attenuation of both the
CGRP and Pina effects, but this 2025% inhibition was only
statistically significant in the case of CGRP action.

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Figure 7. The effects of TEA on CGRP-, Pina-, or FSK-induced
decreases in [K+]i in suspended UMR106 cells.
Cells were pretreated with TEA (1.5 mM) for 10 min and then
treated with CGRP (100 nM), Pina (1 µM), or
FSK (0.5 µM).
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Figure 9
shows the interactions of CGRP,
Pina, and FSK on [K+]i in UMR106 cells. Cells
treated with CGRP (100 nM) did not respond to Pina (1
µM), and conversely, Pina-treated cells did not respond
to CGRP (A). On the other hand, cells treated with CGRP could still
respond to FSK (0.5 µM), and FSK-treated cells could also
respond to CGRP (B). Likewise, cells treated with Pina responded to
FSK, and FSK-treated cells responded to Pina (data not shown). These
data are essentially consistent with the results shown in Fig. 4
, D and
E, for changes produced in Em.

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Figure 9. The ability of CGRP, Pina, and FSK to interact in
their influence of [K+]i in UMR106 cell
suspensions. As indicated by arrows, CGRP (100
nM), Pina (1 µM), or FSK (0.5
µM) was applied, and after a 15-min Int., a second agent
was applied to the cell suspension.
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It has often been reported that a large K+ flux across the
plasma membrane is accompanied by immediate changes in cell volume
(50). Based on the data presented in
Figs. 19







, we were led to conduct
microscopic analysis of UMR106 cells treated with CGRP. Figure 10
presents our photomicroscopic
analyses of the changes in cell shape and the shrinkage in
cross-sectional cellular area produced within 10 min by 100
nM CGRP in adherent subconfluent cultures of UMR106 cells.
As predicted from published reports, CGRP (100 nM) did
rapidly induce changes in cell shape that began very soon after
treatment and were most obvious after 10 min of treatment (C and D).
When these shifts were analyzed by computerized 2-dimensional analysis
of cellular size (cross-sectional area), CGRP (100 nM)
significantly reduced the size of the cellular profile in a
time-dependent manner, so that a 17% reduction in cross-sectional area
was observed after 10 min of CGRP treatment (graph in lower
panel, N = 20, paired Students t test,
P < 0.01). Furthermore, pre- and cotreatment with Glib
(1 µM) blocked the ability of CGRP to produce these
changes in osteoblastic cell size or shape (E and F, and graph in
lower panel,). Thus, the ability of CGRP to hyperpolarize Em
and produce a strong K+ efflux seems to be accompanied by
significant changes in cell morphology. As for all of CGRPs
pharmacological effects in these cells, these shifts in cellular
morphology were most efficiently limited or blocked by Glib (TEA showed
no effect).
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Discussion
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In general, it is accepted that cellular Em depends on both the
distribution and selective membrane permeabilities that are
characteristic of several major cellular ions (51, 52). Furthermore,
Em, itself, is known to directly regulate ion fluxes (e.g.
attenuation or stimulation of Ca2+ influx through
voltage-dependent channels) across the plasma membrane. In osteoblastic
cells, it would be particularly important to understand
Ca2+ use because the Ca2+ ion plays crucial
roles not only in the regulation of cellular functions but also in the
process of bone formation (i.e. biomineralization of
matrix). Osteoblastic (UMR106) cells are known to possess several types
of Ca2+ channels, among them: voltage-dependent
Ca2+ (VDC) channels (53, 54) and
Na+/Ca2+ exchangers (55), each of which can be
involved in regulation of [Ca2+]i in response
to various hormonal stimuli.
Pharmacological data from our previous studies (45, 46) suggested that
CGRP initially binds to a CGRP-specific receptor and rapidly inhibits
Ca2+ influx through VDC channels. The mechanism suggested
by these data was rapid activation of KATP channels to
alter Em. In the present study, we have directly demonstrated, in
osteoblastic cells, that CGRP stimulates K+ efflux through
a Glib-sensitive pathway, at the same time that it begins to induce
membrane hyperpolarization. Based on the experiments reported herein
and the observed sensitivities of specific compounds to pharmacological
inhibitors, we suggest that Pina and CGRP employ a similar mechanism to
produce their stimulation of potassium efflux and hyperpolarization of
Em (we discuss some apparent differences below). These data are very
consistent with our indirect pharmacological data (46) and again
implicate that CGRP acts primarily on KATP channels. Thus,
we believe that the inhibitory action of CGRP on Ca2+
uptake is primarily caused by KATP channel-mediated
membrane hyperpolarization and subsequent inhibition of VDC
channels.
With regard to their actions on K+ efflux, CGRP and Pina
produce very similar overall decreases in cellular
[K+]i, and CGRP is only marginally more
sensitive to slight attenuation by TEA. With regard to the effects of
CGRP or Pina to alter Em, there are strong general similarities and
some notable minor differences. CGRP always produces a gradual
monophasic hyperpolarization of Em, whereas Pina typically displays a
biphasic effect. Although Pina and CGRP both seem to act through
activation of the KATP channel, there is no reason that
they must produce identical time courses (one compound is a 37-residue
peptide that must first bind to a membrane receptor and activate
cellular transduction pathways, whereas Pina is a smaller synthetic
molecule that is thought to bind directly to a site on the pore-forming
subunit of the KATP channel). Glib and Pina have long been
known to oppose each others action on KATP channel
activity. In the case of our experiment, Glib attenuated Pinas
initial phase in Em change by about 45% (measured at the peak), but it
more strongly blocked (70% attenuation) the second (larger and more
gradual) phase, producing effects very similar to the way in which it
limits CGRP action in these experiments. This phenomenon, taken
together with the data we have obtained from a limited number of
preliminary experiments, suggests that another type of ion channel
(quite possibly a Cl- channel) may serve as a secondary
target for Pina and may strongly contribute to the acute-phase response
to Pina. This interesting possibility should be further investigated
(because Pina is described in the literature as a specific inhibitor of
KATP channels, with no known secondary effects). However,
these experiments have not been pursued as part of our present study
because they will be extensive, and they digress (to a significant
extent) from our present focus, which is the action of CGRP in its
stimulation of osteoblastic cells.
A second way in which CGRP differs from Pina in these experiments
concerns the fact that CGRPs hyperpolarization of Em is, to some
extent, attenuated by FSK pretreatment, whereas Pina action is
unaffected by this pretreatment. It is generally thought that, in
successive application of agents that share a common effector but
employ different signaling pathways, the initial application of one
agent may sometimes reduce the cellular responses that can be obtained
by subsequent application of a second agent. However, we also observed,
in these experiments, that CGRP action is slightly attenuated by the
PKA inhibitor, H-89. In previous work (Kawase et al.,
unpublished observations), we have found, as have a number of other
laboratories, that higher concentrations of CGRP (
10 nM)
are capable of stimulating modest increases in cellular cAMP production
in UMR106 cells, so that 2- to 3-fold increases can be obtained in
cellular levels within, roughly, 5 min. In addition to the central role
of the KATP channels, therefore, we must also consider the
possibility that CGRP induces a portion of its membrane
hyperpolarization by simultaneously modulating other
K+-transporting systems, such as activating KCa
channels or even inhibiting Na+/K+-adenosine
triphosphatase, perhaps by cAMP-dependent mechanism(s). In support of
this possibility, Moreau et al. (43) recently demonstrated
that cAMP activates KCa channels in the SaOS-2 and MG-63
osteoblastic cell-lines, and activation of these channels would produce
membrane hyperpolarization. In agreement with these published data, we
also have generated data (Kawase et al., manuscript in
preparation) that strongly suggest that FSK activates KCa
channels in UMR106 cells (such activation was unaffected by Glib, but
completely blocked by TEA), without affecting KATP channels
(in these as-yet-unpublished studies, the effects of Pina and FSK were
completely independent and distinguishable). Recent published
electrophysiological data from Moreau et al. (44) indicate
that KCa and KATP channels are the primary
modulators of K+ flux in osteoblastic cells under normal
circumstances. Because we currently do not understand what contribution
KCa channel activation (which seems small) makes, with
respect to the contribution of KATP channel activation
(which seems large) to the overall stimulation of K+ efflux
and Em hyperpolarization by CGRP, we are now turning specifically to
examine how large a role KCa channel activation can play in
CGRPs osteoblastic action.
As to the question of CGRP specificity (i.e. binding site),
we have once again confirmed that rat CT (1100 nM) showed
no significant effects, either on Em or
[K+]i, in UMR106 cells. Furthermore, the
ED50 value for CGRP actions, calculated both from Em and
[K+]i data, is estimated as approximately 0.2
nM, which is very consistent with the low KD
value calculated from our previous rat 125I-CGRP binding
assays (Burns et al., unpublished observations). Therefore,
CGRP, most probably, binds to authentic high-affinity CGRP receptors on
osteoblasts to produce these effects; to our knowledge, these
high-affinity osteoblastic CGRP receptors have not yet been
isolated.
It frequently has been reported that KATP and/or other
K+ channels are involved in the regulation of cell size and
cell volume in a variety of cell types (50, 56). Additional recent
reports also propose that activation of K+ channels
directly or indirectly trigger cell proliferation and/or cell
differentiation by causing cell shrinkage and initiating shifts in cell
morphology (57, 58, 59). Clearly, this is an area of cell biology that
remains to be fully understood; however, we did observe significant
shrinkage in measurable cell area, and we noticed obvious retraction of
cell cytoplasm after CGRP stimulation of UMR106 cells. Furthermore, the
mechanism for these cellular changes was Glib-sensitive, once again
implicating the primary involvement of KATP channels. As
stated before, accumulated evidence suggests that CGRP is intimately
involved in controlling many aspects of bone formation and is capable
of acting as some type of an anabolic factor; but little is known, so
far, about how it actually promotes the activation of osteoblasts. In
preliminary studies (e.g. Ref. 31), we have found that both
short and extended treatments with CGRP, or with Pina, stimulate
expression of certain phenotypically important osteoblastic genes that
are involved in the differentiation and maturation of functional
osteoblasts [e.g. Col I (
1), bone sialoprotein,
osteopontin, and the osteoblast-specific transcription factor
CBFA-1]. This up-regulation of functional osteoblastic markers is,
in fact, paralleled by increased osteoblastic activity: chronic
treatment with as low as 4 nM of CGRP more effectively
promotes biomineralization in confluent primary cultures of rat
osteoblasts than does PTH (31). In light of these and other data, we
propose that CGRP acts directly on osteoblasts to change Em and produce
cell shrinkage; these changes might play important roles in triggering
activation of osteoblastic phenotypic function.
There has been very little information available about the
pathophysiological roles of K+ channels (and resulting
changes in Em) in osteoblastic functions. However, Moreau et
al. (44) have very recently demonstrated (with pharmacological,
biochemical, and electrophysiological data) that osteoblastic cells
possess both KATP and KCa channels and that
these two K+ channels are cooperatively involved in the
regulation of osteocalcin secretion. Taken together with our present
findings, those results raise the strong possibility that changes in Em
directly act as triggers for certain cellular functions, even in
nonexcitable cells such as osteoblasts. Further studies are necessary
to more fully explore this intriguing postulate.
In both our previous (45, 46) and present studies, ion fluxes and Em
measurements have been made on large populations of osteoblastic cells,
but no experiments have been performed, so far, with single cells or
preparations of single channels. To more carefully characterize and
identify the subtypes of KATP channels activated by CGRP in
osteoblasts and to more fully understand the relationship between
K+ channel activation and cellular Ca2+ use, we
now need to turn more heavily toward an approach that will allow us to
study combinations of single adherent cells. In particular, an
electrophysiological approach is now needed to complement the molecular
biology data that we are developing.
 |
Footnotes
|
|---|
1 This work was supported, in part, by a Grant-in-Aid for Scientific
Research from the Ministry of Education, Culture, and Science of Japan
and a Merit Review from the United States Department of Veterans
Affairs. 
Received November 11, 1997.
 |
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