Endocrinology Vol. 140, No. 2 646-651
Copyright © 1999 by The Endocrine Society
Parathyroid Hormone-Related Protein Markedly Potentiates Depolarization-Induced Catecholamine Release in PC12 Cells via L-Type Voltage-Sensitive Ca2+ Channels1
Michael L. Brines and
Arthur E. Broadus
Section of Endocrinology (M.L.B., A.E.B.), Department of Internal
Medicine, Yale University School of Medicine, New Haven, Connecticut
06520; and The Kenneth S. Warren Laboratories (M.L.B.), Tarrytown, New
York 10591
Address all correspondence and requests for reprints to: Michael L. Brines, Ph.D., M.D., The Kenneth S. Warren Laboratories, 765 Old Saw Mill River Road, Tarrytown, New York 10591. E-mail:
mbrines{at}kswl.org
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Abstract
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PTH-related protein (PTHrP) is a normal product of many excitable cells
of the nervous and endocrine systems. Functions of PTHrP in these
tissues are, however, currently unknown. Prior study has suggested that
a relationship exists between PTHrP and the L-type voltage-sensitive
Ca2+ channel (L-VSCC). For example, in cerebellar granule
neurons PTHrP gene transcription is regulated by Ca2+
influx specifically through this channel. Amino-terminal PTHrP products
signal via the widely expressed PTH/PTHrP receptor, which is linked to
both protein kinase A and C. These second messengers are known
modulators of L-VSCC conductance. To determine whether PTHrP can
modulate L-VSCC function, we studied catecholamine secretion in a PC12
clone expressing the PTH/PTHrP receptor but not PTHrP. We found that
PTHrP(136) (100 nM) to be an ineffective
secretagogue for resting cells, but its presence markedly potentiates
secretion to K+ depolarization. The PTHrP-augmented
catecholamine secretion depends entirely upon L-VSCC Ca2+
influx and rapidly inactivates. Similar effects were produced by
(Bu)2cAMP but not by carbachol. These observations support
the hypothesis that PTHrP can regulate L-VSCC conductance. In the
normal adrenal medulla that expresses both PTHrP and its receptor,
PTHrP may act in an autocrine/paracrine fashion to modify catecholamine
secretion.
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Introduction
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PTH-RELATED PROTEIN (PTHrP) was
identified a decade ago as the tumor product that mediates humoral
hypercalcemia of malignancy (reviewed in Refs. 1, 2). It is now
known that PTHrP and PTH are two members of a small gene family and
that one consequence of this heritage is a highly homologous sequence
at the N terminus of each of these peptides. These N-terminal products
appear to signal via a common G protein-coupled receptor known as the
type I PTH/PTHrP receptor (reviewed in Refs. 3, 4). This receptor is
the target of PTHs classic regulatory effects on mineral metabolism
in bone and kidney. While PTH is expressed in a very few sites, the
type I receptor and PTHrP are widely expressed in adult and fetal
tissues, the most common single pattern being PTHrP expression in
epithelial surfaces and structures and receptor expression in
immediately adjacent stromal cells (reviewed in Ref. 2). This pattern
has been taken as prima facie evidence of paracrine PTHrP
function. The best documented such function in the adult is as a
compliance-regulatory factor in smooth muscle structures such as the
stomach (5), uterus (6, 7), and urinary bladder (8); PTHrP is a
stretch-induced product in these sites and acts as a potent smooth
muscle relaxant that permits such structures to accommodate gradual
filling. Recent gene manipulation experiments in mice have revealed
that PTHrP also serves as a developmental regulatory molecule in the
epidermis (9), the mammary epithelium (10), and
chondrocytes/endochondral bone (11, 12). The specific function of PTHrP
in a number of these sites is to control the rate at which cellular
programs of differentiation proceed.
It is becoming clear that there are additional layers of complexity as
regards both the ligand and receptor branches of this small signaling
family. The PTHrP primary sequence is subject to posttranslational
processing into midregion and C-terminal peptide species in a
cell-specific fashion, and there is increasingly strong evidence for
unique functions of each of these peptides, the former in the control
of placental calcium transport and the latter in regulating osteoclast
formation/activity (reviewed in Ref. 1 . Receptors for these products
have yet to be identified. A second receptor has been cloned from a
brain cDNA library and termed the PTH-2 receptor because it responds
only to N-terminal PTH (13); a candidate ligand for this receptor that
is not PTH has been partially purified from the hypothalamus (14). PTH
itself is expressed in a few none-hypothalamic sites in the brain
(15, 16, 17), and both the type I receptor and PTHrP are products of a
number of neuronal populations (18, 19). Thus, in the central nervous
system, there is evidence for at least two receptors that
recognize N-terminal PTH-like proteins in a sequence-specific fashion
and at least three PTH-like peptides that might signal via these
receptors.
Among the many tissues coexpressing PTHrP and the type 1 receptor are
excitable secretory cells. In these neurons and neuroendocrine cells
the peptide is secreted in a regulated fashion upon depolarization
(20, 21, 22) and is likely available to interact with nearby receptors.
Results of our previous study (20) have demonstrated that cerebellar
granule cells maintained in primary culture under depolarizing
conditions express high levels of PTHrP messenger RNA (mRNA). PTHrP
gene transcription critically depends upon Ca2+ influx
mediated by high voltage-activated Ca2+ channels of the
dihydropyridine-sensitive subtype (L-type voltage-sensitive Ca
channels; L-VSCCs). Increases in PTHrP mRNA synthesis occur in a
Ca2+/calmodulin kinase-dependent manner with a slow latency
of onset of several hours. In the absence of L-VSCC Ca2+
influx, no transcription is observed, irrespective of the intracellular
Ca2+ levels. These findings have recently been confirmed by
Ono and co-workers (21).
Neuroendocrine cells share many characteristics with neurons, including
electrical excitability and Ca2+-dependent secretion. A
number of cell lines exist that are functionally intact and therefore
of potential use for study of PTHrP action. One clonal cell type, which
is derived from a mouse pheochromocytoma (PC12), is widely used to
study stimulus-secretion coupling. PC12 cells not differentiated by
nerve growth factor recapitulate much of the normal functional activity
of the adrenal medulla, synthesizing high levels of catecholamines,
principally dopamine and norepinephrine. These products are released in
a regulated manner by depolarization, almost entirely by L-VSCC
Ca2+ influx (23, 24). We have employed a clone that
expresses PTH/PTHrP type 1 receptor mRNA but not PTHrP itself, which
allows the effects of PTHrP to be observed without potential
interference by release of endogenous peptide.
The PTHrP/PTH receptor has been shown by transfection studies to signal
via both the protein kinase A and protein kinase C (PKC) second
messenger cascades (25). Although pharmacological activation of either
(or both) of these systems in undifferentiated PC12 cells is not
secretagogic, protein kinase A or cAMP analogs markedly
potentiate depolarization-induced secretion (26, 27). In contrast, the
effects of PKC are controversial in undifferentiated PC12 cells, with
both amplification and inhibition of secretion reported (28, 29).
However, PKC is known to inhibit strongly L-VSSC Ca2+
influx (30, 31, 32), which is required for secretion of catechols in this
cell line (23). Further, in PC12 cells receptor-mediated PKC
stimulation markedly inhibits pharmacologically or physiologically
induced cAMP generation (33). Thus, it was unclear a priori
how PTH/PTHrP receptor occupancy might affect catecholamine secretion.
We report here that PTHrP markedly but transiently increases
catecholamine secretion via a L-VSSC-dependent mechanism. These
observations are consistent with an autocrine/paracrine role for PTHrP
to selectively amplify stimulus-secretion coupling within the adrenal
medulla.
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Materials and Methods
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PC-12 cells (gift from L. Kaczmerek, Yale University) were
maintained in growth medium consisting of RPMI 1640 (BRL Gibco, Gaithersburg, MD) supplemented by 10% (vol/vol)
heat-inactivated horse serum and 5% FBS at 37 C in 95% O2
and 5% CO2 on standard polystyrene cultureware coated with
poly-L-lysine (50 µg/ml). To prepare cells for perifusion
study (see below), cells were lightly trypsinized, centrifuged, and
added to 12-mm round glass coverslips coated with
poly-L-lysine for use between 1 and 2 days after
plating.
RNA was isolated and ribonuclease (RNase) protection analysis carried
out on sister cultures as previously described (20) using RNA probes
prepared from a 343-bp PvuII-Bgll rat PTHrP cDNA
fragment, a 230-bp Sau3A-BamHI rat cyclophilin
cDNA fragment, and a 259-bp fragment of the rat PTH/PTHrP receptor DNA.
Cyclophilin was added as a loading control in each assay using a probe
prepared with a reduced specific activity because of the high relative
abundance of cyclophilin. Each sample was assessed using 20 µg total
RNA.
Solutions employed were basal (nondepolarizing) in buffer containing
(in millimolar concentration): HEPES, 10; CaCl2, 1.8; NaCl,
138; MgSO4, 0.8; KCl, 4.7; NaH2PO4,
1; glucose, 10; pargyline (to inhibit metabolism of dopamine), 0.05; pH
7.4. For stimulating (depolarizing) buffer, KCl was increased to 60
mM and NaCl was reciprocally reduced to maintain
isotonicity. PC12 cells take up extracellular catecholamines in a
Na+-dependent manner for storage within dense-core
granules. To load PC12 cells, coverslips with attached PC12 cells were
incubated with [3H]dopamine (1 µCi/ml; Amersham Pharmacia Biotech, Arlington Heights, IL.) in basal buffer with
an additional 2 µM unlabeled dopamine [the
Michaelis-Menton constant (Km) of uptake system has been
reported to be 0.72 µM (34, 35)] for 90 min at 37
C.
Regulated secretion of PC12 cells was studied by monitoring the efflux
of [3H]dopamine from labeled cells using a
constant-temperature perifusion apparatus according to the protocol of
OConnor and Kimelberg (36) and Minnema and Michaelson (36, 37). Solutions could be instantaneously switched using a gang valve and
were perifused at a constant rate of 1 ml/min through a coaxial heater
(Warner Instrument Corp., Hamden, CT) to raise the buffer temperature
to 37 C and delivered to [3H]dopamine-loaded cells
maintained in a constant temperature chamber. Dead space within the
perifusion device was
0.1 ml and was accounted for in all
experiments. Perifusate was collected each minute by a fraction
collector, mixed with scintillation fluid (Optifluor, Packard
Instruments, Meriden, CT), and radioactivity quantified using a
scintillation counter (Packard). Each experiment was terminated by
lysis and solubilization of the cells using 100 mM NaOH
(0.5 ml) followed by neutralization with 100 mM HCl (0.5
ml), after which the remaining intracellular counts were determined.
Radioactivity in perifusate was expressed as the percentage of total
remaining intracellular radioactivity during each time interval.
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Results
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RNase protection analyzes performed on this PC12 clone revealed
abundant transcripts for PTH/PTHrP receptor but not for PTHrP (Fig. 1
). This was true for cells maintained
under nondepolarizing (basal) conditions as well as for cells
depolarized for 35 h (2560 mM K+), a
condition that induces abundant PTHrP mRNA in cerebellar granule
neurons (20, 21). Additionally, conditioned medium contained
undetectable amounts of both PTHrP(136) and
PTHrP(3484) (immunoradiometric assay performed
courtesy of A. Stewart; lower detection limit
1 pmol; data not
shown).

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Figure 1. Analysis of PTHrP, PTH/PTHrP receptor, and
cyclophilin RNA of PC12 cells (lanes 14) and granule neurons (lanes
510) by protection assay. PC12 cell expressed appreciable levels of
the PTH/PTHrP receptor, but no PTHrP mRNA, in control or prolonged
depolarization. In contrast, granule neurons expressed abundant PTHrP
RNA, which increased under depolarization. Granule neurons also express
low levels of PTH/PTHrP receptor RNA, not seen under these exposure
conditions. Conditions: Lane 1, PC 12 in 5 mM K buffer;
lanes 24, PC 12 in 25 mM K for 60, 180, and 360 min,
respectively; lane 5, granule neurons in 25 mM K buffer;
lanes 610, granule cells in 50 mM K for 30, 60, 120, 180,
and 240 min, respectively.
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Cells subjected to perifusion adhered well to the
poly-L-lysine/glass coverslips at the 1 ml/min flow rates
used. After an initial 10-to 15-min washout period in nondepolarizing
medium, [3H]dopamine release reached a steady state of
1% of cellular stores per min (e.g. Fig. 2
). An abrupt change to 60 mM
K+ depolarizing medium elicited only a small, but reliable,
increase in [3H]dopamine release, in the range of
0.30.5% of intracellular stores per min (Fig. 2
, top;
experiment repeated 16 times). Repetitive exposures to depolarizing
buffer after a return to nondepolarizing medium from 545 min was
ineffective in producing further increases in
[3H]dopamine release.

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Figure 2. A, Sequental efflux of radiolabeled dopamine over
30 min with 5 mM K+ (5K) buffer followed by
alternating 5-min periods of 60K and 5K shows a minimal but significant
secretion upon depolarization. Generally, only the first stimulation
period exhibited a clear response. B, In contrast, addition of PTHrP
(100 nM) for at least 10 min produces a large and single
burst of secretion.
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Addition of PTHrP (100 nM) to the nondepolarizing basal
buffer did not change [3H]dopamine release (Figs. 2B
and 3A
; experiment repeated six times). In contrast, cells that had been
previously exposed to PTHrP responded with a large release of
[3H]dopamine, reaching about 45% of total content over
the first few minutes (Fig. 2
, bottom; range 3.510%;
experiment repeated eight times), followed by a smaller second phase
(1.52%) maintained for an additional 35 min (e.g. Fig. 3A
). Repeat exposure to PTHrP did not
further affect [3H]dopamine release (Fig. 2B
). The
potentiation of [3H]dopamine release by PTHrP was slow in
onset, requiring a minimum of
10 min. Thus, simultaneous exposure of
previously untreated cells to depolarizing buffer containing PTHrP did
not affect [3H]dopamine release (Fig. 4B
; experiment repeated five times).
Although of slow latency of onset, the amplifying effect of PTHrP was
characterized by rapid offset, as a change to depolarizing buffer
without PTHrP in a previously primed culture did not affect
catecholamine release (Fig. 4
, top; experiment repeated six
times), in contrast to when PTHrP was present during depolarization
(Fig. 3A
; experiment repeated seven times). The PTHrP-enhanced release
of [3H]dopamine was completely blocked by addition of the
dihydropyridine nitredepine [100 nM (Fig. 3B
; experiment
repeated three times)]. Nitredipine alone did not effect the
spontaneous (basal) [3H]dopamine release.

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Figure 3. The burst of [3H]dopamine secretion
facilitated by PTHrP (A) is dependent upon L channel Ca2+
influx as nitrendipine (100 nM) completely abolishes
secretion (B). Note that the basal secretion rate ( 1% of
[3H]dopamine content/min) is not nitrendipine
sensitive.
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Figure 4. PTHrP is required during depolarization to augment
[3H]dopamine secretion, even after prolonged preexposure
(A). Exposure to PTHrP is not associated with stimulated secretion in
the absence of priming (B).
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To compare the magnitude and temporal pattern of PTHrP-induced release
to that of cAMP alone, the freely diffusable cAMP analog
(Bu)2cAMP (1 mM) was substituted for PTHrP in
the perfusion buffers. Cells exposed to (Bu)2cAMP responded
to depolarization in a similar manner to those exposed to PTHrP, except
that the second, smaller release phase was distinctly prolonged (Fig. 5A
; experiment repeated five times).
Unlike PTHrP, cells primed with (Bu)2cAMP responded to
depolarizing buffer without a continued presence of
(Bu)2cAMP (data not shown). The presence of
(Bu)2cAMP did not increase the effectiveness of the
cholinergic secretagogue carbachol (1 mM) (Fig. 5B
, experiment repeated three times). Finally, prior exposure of cells to
depolarizing buffer alone for 5 min before the addition of PTHrP
effectively prevented subsequent potentiation of either PTHrP (Fig. 6
, top) or
(Bu)2cAMP (Fig. 6
, bottom).

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Figure 5. A, The potentiated secretion of
[3H]dopamine associated with PTHrP exposure is duplicated
by use of the cAMP analog (Bu)2cAMP (500 µM),
but with a much longer decay. B, Potentiation of secretion by
(Bu)2cAMP is not observed with the secretagogue carbachol,
which acts through acetylcholinergic receptors.
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Figure 6. Brief periods of depolarization (60K) block
subsequent stimulated secretion to either PTHrP or
(Bu)2cAMP (bottom).
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Discussion
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The observed catecholamine secretory response can be fully
accounted for by a cAMP effect mediated by the type 1 receptor. This
pattern is duplicated in magnitude by the cAMP analog, although the
time course is more prolonged, probably a consequence of its long
biological half-life when compared with native cAMP. The temporal
relationships of the interplay of PTHrP, cAMP, depolarization, and
regulated secretion suggest that PTHrP may act to enable brief, precise
release of stored catecholamines. Under nondepolarizing conditions the
addition of either PTHrP or cAMP analogs does not increase dopamine
secretion. This behavior would be predicted for a process that depends
upon L-VSCC Ca2+ for regulated secretion, as the
probability of finding a high conductance L-VSCC [i.e.
phosphorylated (38)] is very low under nondepolarizing conditions.
When depolarized, however, the L-VSCCs are in a conducting favored
state, and under this condition either PTHrP or (Bu)2cAMP
initiate Ca2+ influx and secretion. The secretory response
rapidly inactivates within 5 min and, at least during the duration of
the experimental observations (up to 45 min), remains off. This rapid
termination can be partially accounted for by voltage-dependent
effects, as a 5 min predepolarization effectively eliminated a
secretory response for at least 15 min after exposure. Such voltage
inactivation has been described previously in PC12 cells (39). However,
the much slower termination of secretion seen with
(Bu)2cAMP suggests that rapid termination of the effects of
cAMP is primarily biochemical and could swamp the rapid effects of
phosphatases that dephosphorylate and inactivate conductance of L-VSCCs
(40, 41).
Undifferentiated PC12 cells have been reported to express predominantly
voltage-activated Ca2+ channels of the L-VSCC type, in
contrast to PC12 cells that have been differentiated by exposure to
nerve growth factor, which express L-VSCCs and N-VSCCs about equally
(23). The finding that nitredipine completely blocks release in our
system is consistent with involvement of L-VSCCs alone in secretion.
However, the
1% basal secretory rate clearly does not depend upon
L-VSCC flux, as it is unaffected by dihydropyridine blockers. Other
investigators have demonstrated that removal of extracellular calcium
abolishes this basal efflux (42).
Phosphorylation of L-VSCCs is a common mechanism of regulation of
Ca2+ conductance in excitable cells via a variety of
protein kinase systems [reviewed by Xiong and Sperelakis(43)].
However, the direction of modulation, and therefore the biological
effect, varies for each kinase in different tissues. For neurons and
excitable endocrine cells, cAMP-dependent phosphorylation generally
amplifies conductance (38, 44), similar to cardiac muscle (41). In
vascular smooth muscle, on the other hand, cAMP-dependent
phosphorylation inhibits L-VSCC conductance, producing relaxation. PKC
also regulates L-VSCC conductance but appears to do so in many tissues
indirectly through phosphorylation effects on a regulatory protein.
Further, the response of ionic currents to PKC activation in the same
cell type appears to vary between tissues and experimental conditions
and may arise from the presence of multiple PKC isoforms or from the
physiological state of each individual cell.
The effectiveness of PTHrP [and (Bu)2cAMP] in stimulating
secretion likely arises from the known positive effects on L-VSCC
channel conductance that arises from phosphorylation of the
-subunit
of the L-VSCC by translocation of the catalytic subunit of protein
kinase A to the cell membrane (41). This same electrophysiological
study showed that intracellular phosphatases reverse this augmented
conductance within a few seconds, and this probably accounts for the
observation that stimulated secretion is not maintained, in spite of
large remaining intracellular dopamine stores. Additionally, actions of
these phosphatases could also explain why withdrawal of PTHrP from the
medium is accompanied by an rapid loss of augmented secretion. Thus,
the characteristics we observed would predict that PTHrP receptor
occupancy would give a temporally narrow, large pulse of catecholamines
released only from cells experiencing appreciable ambient PTHrP
concentrations.
The adrenal medulla is a complex tissue with multiple cell types,
including dense nerve terminals from extrinsic and intrinsic
innervation (45). The detailed cellular distribution of PTHrP and the
type 1 receptor have not yet been reported for the adrenal medulla.
However, the presence of both peptide and receptor in clonal human
pheochromocytomas (46) shows that a single chromaffin cell type can
make both protein products. As PTHrP itself is released by a
L-VSCC-dependent mechanism, it could feedback in an autocrine/paracrine
manner to modulate catecholamine secretion. The presence of a
potentiating receptor on a secretory cell predicts that its
physiological role is one of allowing a large but focused burst of
secretion only under conditions in which adequate priming has occurred
and in this manner, would ensure a precise release of secretory
materials only under appropriate conditions. This, together with the
rapid inactivation we observed, would serve to limit the secretion of
catecholamines, which are highly toxic if not regulated to within a
narrow physiological range (e.g. Refs. 47, 48). Whether
this theme of autoregulation of L-VSCC-dependent secretion is also true
for other secretory cells and neurons is a question currently under
investigation.
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Acknowledgments
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We thank M. Pouresmail for technical assistance in performing
the efflux studies and E. Holt and B. Dryer for performing the RNase
protection analyzes.
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Footnotes
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1 Supported by NIH Grants AR-30102 and DK-45735. 
Received May 19, 1998.
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