Endocrinology Vol. 140, No. 5 1998-2003
Copyright © 1999 by The Endocrine Society
Parathyroid Hormone Increases mac25/Insulin-Like Growth Factor-Binding Protein-Related Protein-1 Expression in Cultured Osteoblasts1
Renata C. Pereira2 and
Ernesto Canalis
Departments of Research and Medicine, Saint Francis Hospital and
Medical Center (R.C.P., E.C.), Hartford, Connecticut 06105; University
of Connecticut School of Medicine (E.C.), Farmington, Connecticut
06030; and Universidade de Sao Paulo (R.C.P.), Sao Paulo, Brazil
Address all correspondence and requests for reprints to: Ernesto Canalis, M.D., Department of Research, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, Connecticut 06105-1299. E-mail: ecanalis{at}stfranciscare.org
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Abstract
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PTH induces the synthesis of insulin-like growth factor I (IGF-I) and
regulates the expression of IGF-binding proteins (IGFBP) in osteoblast
cultures. IGFBP-related protein-1 (IGFBP-RP-1), the product of the
mac25 gene, binds IGF-I, IGF-II, and insulin. We tested the actions of
PTH on the expression of mac25/IGFBP-RP-1 in cultures of
osteoblast-enriched cells from 22-day-old fetal rat calvariae (Ob
cells). PTH at 0.110 nM for 648 h increased
mac25/IGFBP-RP-1 messenger RNA (mRNA) levels in Ob cells, an effect not
altered by cycloheximide. PGE2 increased mac25/IGFBP-RP-1
mRNA levels, but indomethacin did not modify basal or PTH-stimulated
mac25/IGFBP-RP-1 expression. The decay of mac25/IGFBP-RP-1 mRNA in
trans-criptionally arrested Ob cells was not modified by PTH, and
PTH increased the rate of IGFBP-RP-1 transcription. GH, insulin, bone
morphogenetic protein-2, fibroblast growth factor-2, platelet-derived
growth factor BB, IGF-I, and IGF-II did not modify mac25/IGFBP-RP-1
expression, whereas transforming growth factor-ß1 was modestly
stimulatory. In conclusion, PTH stimulates mac25/IGFBP-RP-1
transcription in osteoblasts, an effect that could be relevant to the
actions of PTH in bone.
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Introduction
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INSULIN-LIKE growth factor I (IGF-I) is an
important local regulator of bone formation, and its activity can be
modified at the level of synthesis, receptor binding, and IGF-binding
proteins (IGFBP) (1, 2, 3). Recent studies have shown that in addition to
the six characterized IGFBPs, the protein encoded by the mac25 gene
shares biochemical and functional properties with the IGFBPs and has
been termed IGFBP-7 or IGFBP-related protein-1 (IGFBP-RP-1) (2, 4). The
protein encoded by mac25 has a molecular mass of 31,000 and has
4045% similarity and 2025% amino acid sequence identity with
IGFBPs (2, 4, 5, 6, 7). It is also identical to tumor adhesion factor and
prostacyclin-stimulating factor (8, 9, 10). Although the protein encoded
by mac25 binds IGF-I and IGF-II, it has higher affinity for insulin and
inhibits insulin-stimulated phosphorylation of its receptor, suggesting
that the product of mac25 acts primarily as an insulin-binding protein
(11). The product of mac25 stimulates cell growth in BALB/c3T3 cells,
enhancing the mitogenic effects of IGF-I, whereas in selected
osteosarcoma cells it inhibits cell growth, suggesting additional and
diverse biological functions (8, 12). The mac25 gene is expressed by a
variety of normal and malignant cells of epithelial and mesenchymal
origin, although its expression by skeletal cells has not been reported
(4, 5, 6, 10). Mac25 expression is increased after exposure to retinoic
acid and glucocorticoids, but it is not known whether polypeptide
hormones and growth factors regulate its expression (6) (Pereira,
R. C., et al., unpublished observations).
PTH has complex effects on bone formation and resorption (13). PTH has
mitogenic effects on cells of the osteoblastic lineage, and when
osteoblasts are continuously exposed to PTH, it inhibits collagen
synthesis (13, 14). However, intermittent exposure of bone cells to PTH
results in anabolic effects in vitro and in vivo
(14, 15). PTH is a major inducer of IGF-I, and selected stimulatory
effects in bone seem to be mediated by IGF-I (14, 16). Skeletal cells
express the six classic IGFBPs, and the actions of PTH in bone could be
modified by effects on IGFBP expression (17, 18, 19). For example, through
its ability to stimulate cAMP, PTH is likely to induce the expression
of IGFBP-5, a binding protein that can stimulate bone cell growth (18, 20). In view of the known actions of PTH on the IGF-IGFBP axis and on
the possible relationship between mac25 gene expression and cell
regulation, we postulated mac25/IGFBP-RP-1 gene regulation by PTH in
osteoblasts.
The present studies were undertaken to examine the effects of PTH on
mac25 or IGFBP-RP-1 gene expression and to compare them to the effects
of other polypeptide hormones and growth factors in cultures of
osteoblast-enriched cells from 22-day-old fetal rat calvariae (Ob
cells).
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Materials and Methods
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Culture technique
The culture method used was described in detail previously (21).
Parietal bones were obtained from 22-day-old fetal rats immediately
after the mothers were killed by blunt trauma to the nuchal area. This
project was approved by the institutional animal care and use committee
of Saint Francis Hospital and Medical Center (Hartford, CT). Cells were
obtained by five sequential digestions of the parietal bone using
bacterial collagenase (CLS II, Worthington Biochemical Corp., Freehold, NJ). Cell populations harvested from the third
to the fifth digestions were cultured as a pool and were previously
shown to have osteoblastic characteristics (21). Ob cells were plated
at a density of 8,00012,000 cells/cm2 and cultured in a
humidified 5% CO2 incubator at 37 C until reaching
confluence (
50,000 cells/cm2). Cells were cultured in
DMEM supplemented with nonessential amino acids and 10% FBS (both from
Summit Biotechnology, Fort Collins, CO). Ob cells were
grown to confluence, transferred to serum-free medium for 2024 h, and
exposed to test or control medium in the absence of serum for 248 h,
as indicated in the text and legends. Cultures treated for 48 h
were switched to fresh control and test solutions after 24 h. For
nuclear run-on assays, Ob cells were grown to subconfluence,
trypsinized, replated, and grown to confluence, at which time they were
serum deprived and exposed to test or control solutions for 26 h. Rat
PTH-(134) (Bachem, Torrance, CA) was dissolved in 0.05 N
HCl containing 4 mg/ml BSA and diluted 1:10,000 or more in culture
medium. Porcine insulin (Sigma Chemical Co., St. Louis,
MO) was dissolved in 0.001 N HCl and diluted 1:1,000 in
DMEM, and recombinant human GH (a gift from P. A. Kelly, Paris,
France) was dissolved in distilled water and added to DMEM. Recombinant
human transforming growth factor-ß1 (TGFß1) (a gift from
Genentech, Inc., South San Francisco, CA), bone
morphogenetic protein-2 (BMP-2; a gift from Genetics Institute, Cambridge, MA), fibroblast growth factor-2, and
platelet-derived growth factor BB (both from Austral, San Ramon, CA)
were added directly to the medium. Recombinant human IGF-I (Austral)
was dissolved in 20 mM sodium citrate and diluted 1:1,000
in DMEM, and IGF-II (a gift from Eli Lilly & Co. Research
Laboratories, Indianapolis, IN) was dissolved in 0.1 M
acetic acid and diluted 1:100 in DMEM. Cycloheximide, PGE2,
and indomethacin (all from Sigma Chemical Co.) were
dissolved in ethanol and diluted 1:1,000 or more in DMEM, and
5,6-dichlorobenzimidazole riboside (DRB; Sigma Chemical Co.) was dissolved in absolute ethanol and diluted 1:200 in
DMEM. Control and experimental cultures were exposed to equal amounts
of solvent. For RNA analysis, the cell layer was extracted with
guanidine thiocyanate at the end of the incubation and stored at -70
C. For nuclear run-on assays, nuclei were isolated by Dounce
homogenization (Kontes Co., Vineland, NJ).
Northern blot analysis
Total cellular RNA was isolated using an RNeasy kit following
manufacturers instructions (Qiagen, Chatsworth, CA). The
RNA recovered was quantitated by spectrometry, and equal amounts of RNA
from control or test samples were loaded on a formaldehyde agarose gel
following denaturation. The gel was stained with ethidium bromide to
visualize RNA standards and ribosomal RNA, documenting equal RNA
loading of the various experimental samples. The RNA was then blotted
onto GeneScreen Plus charged nylon (DuPont, Wilmington,
DE), and the uniformity of transfer was documented by revisualization
of ribosomal RNA. A 1.1-kb EcoRI/XhoI restriction
fragment of the mouse mac25/IGFBP-RP-1 complementary DNA (cDNA;
provided by M. Kato, Ibaraki, Japan) was purified by agarose gel
electrophoresis (12). Mac25/IGFBP-RP-1 cDNA was labeled with
[
-32P]deoxy (d)-CTP and [
-32P]dATP
(50 µCi each at a SA of 3,000 Ci/mmol; DuPont) using the
random hexanucleotide primed second strand synthesis method (22).
Hybridizations were carried out at 42 C for 1672 h, and
posthybridization washes were performed at 65 C in 0.2 x SSC
(saline-sodium citrate) for 30 min. The blots were stripped and
rehybridized with a 752-bp BamHI/SphI restriction
fragment of the murine 18S cDNA (American Type Culture Collection, Manassas, VA) at 42 C for 1672 h, and
posthybridization washes were performed at 65 C in 0.1 x SSC. The
bound radioactive material was visualized by autoradiography on Kodak
X-AR5 film (Eastman Kodak Co., Rochester, NY), employing
Cronex Lightning Plus intensifying screens (DuPont).
Relative hybridization levels were determined by densitometry. The
Northern analyses shown are representative of three or more
cultures.
Nuclear run-on assay
To examine changes in the rate of transcription, nuclei were
isolated by Dounce homogenization in a Tris buffer containing 0.5%
Nonidet P-40. Nascent transcripts were labeled by incubation of nuclei
in a reaction buffer containing 500 µM each of adenosine,
cytidine, and guanosine triphosphates; 150 U RNasin (Promega Corp., Madison, WI); and 250 µCi [
-32P]UTP
(3000 Ci/mM; DuPont) (23). RNA was isolated by
treatment with deoxyribonuclease I and proteinase K, followed by
phenol-chloroform extraction and ethanol precipitation. Linearized
plasmid pBluescript SK+ DNA containing about 1 µg of the
mac25/IGFBP-RP-1 cDNA used for Northern blotting was immobilized onto
GeneScreen Plus by slot blotting according to the manufacturers
directions (DuPont). The plasmid vector pGL3-Basic
(Promega Corp.) was used as a control for nonspecific
hybridization, and 18S cDNA was used to estimate loading of the
radiolabeled RNA. Equal counts per min of [32P]RNA from
each sample were hybridized to cDNAs at 42 C for 72 h and washed
in 1 x SSC at 65 C for 20 min. Hybridized cDNAs were visualized
by autoradiography. The nuclear run-on assay was performed twice.
Statistical methods
Values are expressed as the mean ± SEM.
Statistical differences were determined by ANOVA, and
post-hoc examination was performed using the Bonferroni
method (24). Slopes to determine messenger RNA (mRNA) decay were
analyzed by the method of Sokal and Rohlf (25).
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Results
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Northern blot analysis of total RNA extracted from confluent
cultures of Ob cells revealed a predominant mac25/IGFBP-RP-1 transcript
of 1.1 kb, although a secondary transcript of larger size was detected
in some experiments (Fig. 1
). Control
mac25/IGFBP-RP-1 mRNA levels varied slightly, and densitometric
analysis revealed a 1020% variation in transcript levels over a 24-h
period. Continuous treatment of Ob cells with PTH caused a time- and
dose-dependent increase in mac25/IGFBP-RP-1 steady state mRNA levels.
The effect was first observed after 2 h of exposure to PTH at 10
nM, and it was maximal and of comparable magnitude after 6,
24 (Fig. 1
), and 48 h (not shown). PTH at 0.1, 1, and 10
nM after 6 h, increased mac25/IGFBP-RP-1 mRNA levels
by (mean ± SEM; n = 36) 1.2 ± 0.1-fold,
1.7 ± 0.4-fold (both P > 0.05 vs.
control), and 2.8 ± 0.3-fold (P < 0.05
vs. control and PTH at 0.1 and 1 nM),
respectively. PTH at 0.1, 1, and 10 nM after 24 h
increased mac25/IGFBP-RP-1 mRNA by 1.3 ± 0.1-fold, 1.4 ±
0.2-fold (both P > 0.05 vs. control), and
2.2 ± 0.3-fold (P < 0.05 vs. control
and PTH at 0.1 and 1 nM; Fig. 2
), respectively. To determine whether
the effects observed on mac25/IGFBP-RP-1 mRNA levels were dependent on
protein synthesis, serum-deprived confluent cultures of Ob cells were
treated with PTH in the presence or absence of cycloheximide at 3.6
µM. In earlier experiments, cycloheximide at a dose of 2
µM or higher was found to inhibit protein synthesis in Ob
cell cultures by 8085% (26). Northern blot analysis revealed that
treatment with cycloheximide for 24 h did not alter
mac25/IGFBP-RP-1 mRNA levels and did not prevent the stimulatory effect
of PTH (Fig. 3
). PGE2 also
increased mac25/IGFBP-RP-1 mRNA levels in Ob cells. The effect was
noted after 2 h and was sustained for 24 h (Fig. 4a
), when PGE2 at 100
nM and 1 µM increased mac25/IGFBP-RP-1 levels
by (mean ± SEM; n = 3) 1.9 ± 0.1- and
2.2 ± 0.1-fold, respectively (Fig. 4b
). However, indomethacin at
10 µM, a dose known to inhibit PG synthesis in skeletal
and nonskeletal cells, did not modify basal or PTH-induced
mac25/IGFBP-RP-1 expression (Fig. 5
) (27, 28).

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Figure 1. Effect of PTH at 10 nM on
mac25/IGFBP-RP-1 mRNA expression in cultures of Ob cells treated for 2,
6, or 24 h. Total RNA from control (-) or PTH-treated (+)
cultures was subjected to Northern blot analysis and hybridized with
-32P-labeled mac25/IGFBP-RP-1 cDNA. The blot was
stripped and rehybridized with labeled murine 18S cDNA. IGFBP-RP-1 mRNA
was visualized by autoradiography and is shown in the upper
panel; 18S mRNA is shown below.
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Figure 2. Effect of PTH at 0.110 nM on
mac25/IGFBP-RP-1 mRNA expression in cultures of Ob cells treated for 6
(a) or 24 h (b). Total RNA from control or PTH-treated cultures
was subjected to Northern blot analysis and hybridized with
-32P-labeled mac25/IGFBP-RP-1 cDNA. The blot was
stripped and rehybridized with labeled murine 18S cDNA. IGFBP-RP-1 mRNA
was visualized by autoradiography and is shown in the upper
panel; 18S mRNA is shown below.
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Figure 3. Effect of PTH in the presence or absence of
cycloheximide (Cx) at 3.6 µM on mac25/IGFBP-RP-1 mRNA
expression in cultures of Ob cells treated for 24 h. Total RNA
from control (-) or treated (+) cultures was subjected to Northern
blot analysis and hybridized with -32P-labeled
mac25/IGFBP-RP-1 cDNA. The blot was stripped and rehybridized with
labeled murine 18S cDNA. IGFBP-RP-1 mRNA was visualized by
autoradiography and is shown in the upper panel; 18S
mRNA is shown below.
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Figure 4. Effect of PGE2 on mac25/IGFBP-RP-1
mRNA expression in cultures of Ob cells treated for 224 h. In a,
cells were exposed to control medium (-) or PGE2 at 1
µM (+) for 2, 6, or 24 h. In b, cells were exposed
to PGE2 at 101000 nM for 24 h. Total RNA
from control or PGE2-treated cultures was subjected to
Northern blot analysis and hybridized with -32P-labeled
mac25/IGFBP-RP-1 cDNA. The blot was stripped and rehybridized with
labeled murine 18S cDNA. IGFBP-RP-1 mRNA was visualized by
autoradiography and is shown in the upper panel; 18S
mRNA is shown below.
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Figure 5. Effect of PTH in the presence or absence of
indomethacin (Indo) at 10 µM on mac25/IGFBP-RP-1 mRNA
expression in cultures of Ob cells treated for 24 h. Total RNA
from control (-) or treated (+) cultures was subjected to Northern
blot analysis and hybridized with -32P-labeled
mac25/IGFBP-RP-1 cDNA. The blot was stripped and rehybridized with
labeled murine 18S cDNA. IGFBP-RP-1 mRNA was visualized by
autoradiography and is shown in the upper panel; 18S
mRNA is shown below.
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To examine whether the effect of PTH on mac25/IGFBP-RP-1 mRNA levels
was due to changes in transcript stability, confluent cultures of Ob
cells were exposed to DMEM or PTH for 2 h, and then treated with
the RNA polymerase II inhibitor DRB in the absence or presence of PTH
at 10 nM for 6, 16, or 24 h (29). About 75% of Ob
cells are viable in the presence of DRB for 24 h, but cell
viability is impaired after exposure to DRB for longer periods of time,
as determined by trypan blue exclusion (Canalis, E., unpublished
observations). After 24 h of DRB exposure, a 35% decay in
mac25/IGFBP-RP-1 mRNA was detected, and the change was not different in
control and PTH-treated samples (Fig. 6
).
The half-life of mac25/IGFBP-RP-1 mRNA in transcriptionally arrested Ob
cells was estimated to be more than 36 h by extrapolation of the
values obtained during the first 24 h. To confirm whether PTH
modified the transcription of the mac25/IGFBP-RP-1 gene, a nuclear
run-on assay was performed on nuclei from Ob cells treated for 2 and
6 h. This assay demonstrated that PTH increased the rate of
mac25/IGFBP-RP-1 transcription by 2- to 3-fold after 2 and 6 h
(Fig. 7
).

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Figure 7. Effect of PTH at 10 nM on
mac25/IGFBP-RP-1 transcription rates in cultures of Ob cells treated
for 2 and 6 h. Nascent transcripts from control (-) or
PTH-treated (+) cultures were labeled in vitro with
[ -32P]UTP, and the labeled RNA was hybridized to
immobilized cDNA for mac25/IGFBP-RP-1. Murine 18S cDNA was used to
demonstrate loading, and pGL3-Basic vector DNA was used as a control
for nonspecific hybridization.
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The induction of mac25/IGFBP-RP-1 was virtually selective to PTH. Other
polypeptide hormones and growth factors, such as GH, insulin, and
IGF-I, tested at doses known to stimulate aspects of bone formation for
224 h (n = 45), did not modify the expression of
mac25/IGFBP-RP-1 mRNA in Ob cells (Fig. 8
) (1, 16, 30). TGFß1 at 1.2
nM for 24 h increased mac25/IGFBP-RP-1 transcripts by
(mean ± SEM; n = 5) 1.6 ± 0.1-fold,
whereas BMP-2, fibroblast growth factor-2, platelet-derived growth
factor BB, and IGF-II, tested at concentrations known to increase bone
cell replication or alter the differentiated function of the
osteoblast, for 224 h (n = 3), did not modify mac25/IGFBP-RP-1
mRNA expression (Fig. 9
) (1, 26, 31, 32, 33).

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Figure 8. Effect of GH at 1 µg/ml (50 µM),
insulin at 100 nM, and IGF-I at 100 nM on
mac25/IGFBP-RP-1 mRNA expression in cultures of Ob cells treated for 2,
6, or 24 h. Total RNA from control (C), GH-treated,
insulin-treated (I), or IGF-I-treated cultures was subjected to
Northern blot analysis and hybridized with -32P-labeled
mac25/IGFBP-RP-1 cDNA. The blot was stripped and rehybridized with
labeled murine 18S cDNA. IGFBP-RP-1 mRNA was visualized by
autoradiography and is shown in the upper panel; 18S
mRNA is shown below.
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Figure 9. Effects of growth factors on mac25/IGFBP-RP-1 mRNA
expression in cultures of Ob cells treated for 2, 6, or 24 h.
Cells were exposed to control medium (C), TGFß1 (T) at 1.2
nM, fibroblast growth factor 2 (F) at 1.7 nM,
platelet-derived growth factor BB (P) at 3.3 nM, BMP-2 (B)
at 1 nM, or IGF-II (I) at 100 nM. Total RNA
from control or treated cultures was subjected to Northern blot
analysis and hybridized with -32P-labeled
mac25/IGFBP-RP-1 cDNA. The blot was stripped and rehybridized with
labeled murine 18S cDNA. IGFBP-RP-1 mRNA was visualized by
autoradiography and is shown in the upper panel; 18S
mRNA is shown below.
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Discussion
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Recent studies have shown that PTH has significant effects on the
IGF-IGFBP axis in osteoblasts, but it has not been reported to alter
the expression of IGFBP-RPs (14, 16, 18). The present investigation was
undertaken to determine whether PTH regulates mac25/IGFBP-RP-1 in
osteoblasts. We demonstrated that PTH causes a time- and dose-dependent
increase in mac25/IGFBP-RP-1 mRNA levels in Ob cells, and that the
effect does not require de novo protein synthesis.
Experiments in transcriptionally blocked Ob cells, using the RNA
polymerase II inhibitor DRB, revealed that PTH did not modify
mac25/IGFBP-RP-1 mRNA stability (29). This, in conjunction with an
increase in the rate of transcription, indicates that PTH stimulates
mac25/IGFBP-RP-1 expression at the transcriptional, but not at the
posttranscriptional, level.
In our study, the effects of PTH on mac25/IGFBP-RP-1 synthesis were
observed at doses that modify other parameters of metabolic function in
Ob cells, suggesting that the stimulation of IGFBP-RP-1 synthesis by
PTH is physiologically relevant. IGF-I and IGF-II are abundant in
skeletal tissue, and studies in mice with targeted IGF-I and IGF-II
gene disruption and studies of transgenic mice overexpressing IGF-I and
IGF-II have documented their relevance to skeletal growth (34, 35, 36). As
PTH induces IGF-I and IGFBP-RP-1, and this protein has the potential to
bind IGFs, its induction by PTH could be a mechanism to regulate the
actions of IGFs in bone. However, IGFBP-RP-1 binds insulin with higher
affinity than IGFs, suggesting that its increased expression is more
likely to modify insulin actions (11).
The stimulatory effect observed on mac25 gene expression was fairly
selective to PTH, and it was not detected in the presence of
polypeptide hormones or growth factors, with the exception of TGFß1.
Although PTH is known to increase TGFß levels in intact bones in
culture, this is probably secondary to increased activation and release
of the growth factor from the matrix and not to a change in the
synthesis of TGFß1 by the osteoblast (37). This would indicate that
the effect of PTH on mac25/IGFBP-RP-1 in osteoblasts is independent of
its actions on TGFß.
Mac25/IGFBP-RP-1 seems to play a role in the differentiation of certain
cells, and it has been found to have stimulatory and inhibitory effects
on cell growth (7, 8, 12). It could, therefore, play a role mediating
the modest mitogenic actions of PTH and TGFß on cells of the
osteoblastic lineage (14, 38). Although PTH inhibits the
differentiation of chondrocytes and bone collagen synthesis in cells
continuously exposed to the hormone, it stimulates IGF-I production by
osteoblasts, and as a consequence it has the potential to increase the
differentiated function of this cell (1, 14, 15, 39, 40). Therefore,
the induction of mac25/IGFBP-RP-1 is compatible with the effects of PTH
in bone. Similarly, TGFß1 enhances the differentiated function of the
osteoblast, an effect compatible with the previously described effects
of mac25 in other cells (38). It is possible that mac25/IGFBP-RP-1
simply binds IGF-I, IGF-II, and insulin in osteoblasts, and its
increase by PTH may be a local mechanism to reduce the amount of
biologically active IGFs in the bone microenvironment. PTH and insulin
have opposing effects on signal transduction pathways in osteoblastic
cells, and an increase in a binding protein that prevents insulin
effects on osteoblasts may be an additional mechanism to limit the
actions of insulin in bones exposed to PTH (41, 42). However, it is
important to note that our studies do not address the function of
IGFBP-RP-1 in osteoblasts, and additional work is needed to define the
exact function of this protein in skeletal tissue.
In conclusion, the present studies demonstrate that PTH stimulates
IGFBP-RP-1 transcripts in skeletal cells through mechanisms that
involve increased transcription. The increased level of IGFBP-RP-1 in
the bone microenvironment may bind IGFs and insulin and be relevant to
the actions of PTH on bone formation.
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Acknowledgments
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The authors thank Dr. M. Kato for the murine mac25/IGFBP-RP-1
cDNA clone; Dr. P. A. Kelly, Eli Lilly & Co. Research
Laboratories, Genentech, Inc., and Genetics Institute for the gifts of GH, IGF-II, TGFß1, and BMP-2,
respectively; Ms. Cathy Boucher, Ms. Deena Durant, and Ms. Kris Sasala
for technical assistance; and Ms. Charlene Gobeli for secretarial
help.
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Footnotes
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1 This work was supported by NIDDK Grant DK-42424. 
2 Supported by a scholarship from CAPES, Universidade de Sao Paulo
(Sao Paulo, Brazil). 
Received August 31, 1998.
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