Endocrinology Vol. 140, No. 7 3363-3371
Copyright © 1999 by The Endocrine Society
Distribution of the Parathyroid Hormone 2 Receptor in Rat: Immunolocalization Reveals Expression by Several Endocrine Cells1
Ted B. Usdin,
Joanne Hilton,
Tünde Vertesi,
Gyöngyi Harta,
Gino Segre and
Éva Mezey
Laboratory of Genetics, National Institute of Mental Health
(T.B.U., J.H.), Basic Neurosciences Program, National Institute of
Neurological Diseases and Stroke (T.V., G.H., E.M.), National
Institutes of Health, Bethesda, Maryland 20892; and Endocrine Unit
(G.S.), Massachusetts General Hospital, Boston, Massachusetts
02114
Address all correspondence and requests for reprints to: Ted Usdin, Laboratory of Genetics, NIMH, Building 36/Room 3D06, 36 Convent Drive MSC4094, Bethesda, Maryland 20892-4094. E-mail:
usdin{at}codon.nih.gov
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Abstract
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The PTH2 receptor is a G protein-coupled receptor selectively activated
by PTH. We are studying the receptors distribution to guide the
investigation of its physiological function. We have now generated an
antibody from a C-terminal peptide sequence of the PTH2 receptor and
used this to study its cellular distribution. Labeling with the
antibody identified a number of endocrine cells expressing the PTH2
receptor, including thyroid parafollicular cells, pancreatic islet D
cells, and some gastrointestinal peptide synthesizing cells. There was
complete overlap of PTH2 receptor labeling with somatostatin in
pancreatic islets, and partial overlap with somatostatin in thyroid
parafollicular cells and in the gastrointestinal tract. Furthermore,
observations made previously by in situ hybridization
histochemistry, including expression throughout the cardiovascular
system, as well as by discrete populations of cells within the
gastrointestinal tract and reproductive system were confirmed. These
data suggest a broad role for the PTH2 receptor, especially within the
endocrine system, and provide a basis for experimental exploration of
its physiology.
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Introduction
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THE PTH2 RECEPTOR is a G protein-coupled
receptor selectively activated by PTH (1, 2, 3) that we identified in a
homology based screen, using common sequences within the secretin (Type
II) family of G protein-coupled receptors (1). It is most similar in
sequence and ligand recognition specificity to the PTH/PTHrP (PTH1)
receptor (4, 5). Upon amino acid sequence alignment the PTH2 and PTH1
receptors have about 50% identity. Both are activated by PTH but only
the PTH1 receptor is activated by PTH-related protein (PTHrP). Studies
of PTH action had not predicted the existence of the PTH2 receptor. The
PTH1 receptor is expressed at high levels in the kidney and skeleton,
where it most likely mediates the effects of PTH on calcium
homeostasis. Its mutation in Jansens disease (6) or in transgenic
mice (7) demonstrates a critical role in skeletal development. PTH has
effects at sites outside the kidney and bone including the vasculature,
heart, and pancreas (8, 9, 10, 11). Because Northern blot and RT-PCR analysis
indicate a near ubiquitous distribution for the PTH1 receptor (12, 13)
it could be responsible for the effects of PTH in most tissues. Most of
the effects of PTH are also produced by PTHrP, and locally produced
PTHrP is thought to be the endogenous messenger at many sites where PTH
effects are observed (14). Some effects of PTH appear to be mediated by
receptors with ligand specificity or second messenger coupling
different from the PTH/PTHrP receptor. Those described to date (15, 16)
do not correlate well with the properties of the PTH2 receptor
established in transfected tissue culture cells. Thus, considerably
more investigation is required to determine the physiological role of
the PTH2 receptor. Knowledge of the tissues and cells where the PTH2
receptor is expressed will provide an important guide for experiments
investigating its function.
Northern blots show that PTH2 receptor messenger RNA (mRNA) is most
abundant in the brain and that it is also present in lung, pancreas,
placenta, and testis (1). In situ hybridization
histochemistry reveals that many more tissues express PTH2 receptor
mRNA, and that it is expressed by distinct and often quantitatively
minor cell populations within those tissues (17). In the cardiovascular
system, it is expressed by vascular endothelium and smooth muscle,
endocardium, and myocardium. In the gastrointestinal tract scattered
cells that, based on morphology and distribution, appear to be
mucus-producing cells and endocrine cells express PTH2 receptor mRNA.
In the testis it is expressed by sperm, especially within the head of
the epididymis, and it is also present within some ovarian follicles.
Within the kidney, its mRNA was detected within a very small number of
cells near the vascular pole of glomeruli.
We have now developed an antibody specifically recognizing the PTH2
receptor. We thought that it was important to confirm that the PTH2
receptor protein was expressed by cells where its mRNA was previously
detected because protein expression does not necessarily parallel that
of the mRNA encoding it. Labeling with the antibody also led to
detection of cells not previously known to express the PTH2 receptor,
and double-labeling contributed to their identification.
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Materials and Methods
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Antibody generation and purification
Rabbits were immunized with the synthetic peptide
RQIDSHVTLPGYVWSSSEQDC conjugated to keyhole limpet hemocyanin
(synthesized and conjugated by the biopolymer synthesis facility at
Massachusetts General Hospital (Boston, MA). IgG was purified from the
serum using protein A Sepharose (Amersham Pharmacia Biotech, Inc., Piscataway, NJ; (18)). Antibody was affinity purified as
described (18) after coupling 0.5 mg of the antigen peptide to
Sulfolink gel (Pierce Chemical Co., Rockford, IL)
according to the manufacturers protocol. Protein A or affinity
purified antibody was used at a final concentration of approximately
0.30.4 micrograms/ml.
Cell culture and Western blots
HEK293 cells stably expressing the human PTH1 or PTH2 receptor
have previously been briefly described (19). Incubation with 1
µM PTH produces an approximately 50-fold stimulation of
cAMP accumulation in either cell line, 1 µM PTHrP
produces similar stimulation in only the PTH1 receptor expressing
cells, and there is no significant stimulation by either peptide in
nontransfected HEK293 cells. Saturation analysis using binding of
125I-rPTH (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34) to membranes prepared from these cells
indicates a receptor density of approximately 1 pmol/mg protein in each
cell line (Hoare, S., and T. Usdin, unpublished observations). For
Western blots P2 membranes were prepared from confluent plates of
HEK293 derived cell lines. Pellets were suspended directly in gel
loading buffer or first digested with PNGase F (New England Biolabs, Inc., Beverly MA) according to the suppliers protocol.
Electrophoresis and transfer to nitrocellulose membranes were performed
according to the protocols supplied with the 10% Nu-PAGE gels and
transfer buffer (Novex, San Diego, CA). Membranes were
stained with Ponceau-S to verify even transfer, the positions of
molecular weight standards marked, and then blocked by incubation in
Blotto (18) for 60 min followed by incubation with primary antisera,
and then horseradish peroxidase coupled secondary antibody for 1 h
diluted in Blotto. Antibody binding was detected using enhanced
chemiluminescence (SuperSignal Ultra; Pierce Chemical Co.).
Immunohistochemical methods
Immunostaining protocols and reagents are described in detail on
the world wide web
(http://intramural.nimh.nih.gov/lcmr/snge/Protocols/IHH/immuno.html).
Standard indirect immunofluorescence or avidin-biotin horseradish
peroxidase histochemistry (ABC) was performed on 4% paraformaldehyde
perfused 12-µm thick cryostat sectioned tissue. A few sections are
from tissue frozen and sectioned before fixation. This material was
postfixed in 4% paraformaldehyde and is noted in the relevant figure
legends. Tissue was from 150200 g Sprague Dawley rats
(Taconic, Germantown, NY) or rat embryos of the noted ages
except for the mouse bone described (see Fig. 10
). Fixed,
decalcified, paraffin sectioned mouse femur was obtained from Molecular
Histology Laboratories (Rockville, MD). It was deparaffinized in xylene
and then rehydrated through decreasing concentrations of ethanol and
incubated in PBS before labeling, as performed for other tissues.

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Figure 10. PTH2 receptor immunoreactivity in bone. Sections
from the proximal end of an adult mouse femur are shown. The region
used for higher power images is indicated by the rectangle in a low
magnification view of autofluorescence photographed through fluoroscein
optics (a). Two of the cells showing PTH2 receptor immunoreactivity,
detected with a Cy3 labeled secondary antibody, are indicated by
arrows (a). Parallel staining with antibody absorbed
against the peptide used to generate the antibody shows only
autofluorescence, which has a much more homogenous appearance than the
nonabsorbed antibody labeling (c). Scale bar, 100
microns (a), 10 microns (b and c).
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Tissue culture cells were grown on glass coverslips, rinsed briefly
with PBS, fixed for 10 min in 4% formaldehyde, rinsed extensively with
PBS, and then incubated with primary and secondary antibodies as
described above for tissue. Absorbed (control) antibody solution was
prepared by incubating antibody diluted to the working concentration
overnight at 4 C in blocking buffer containing 1 µg/ml peptide
antigen (not conjugated to keyhole limpet hemocyanin).
In situ hybridization histochemistry. The in situ
hybridization data presented in this manuscript are from detailed
reexamination of material generated in a previous study (17).
Immunological reagents
Fluorescent secondary antibodies were indocarbocyanine (Cy3),
fluorescein isothiocyanate (FITC), or aminomethylcoumarin acetate
conjugates of donkey immunoglobulin prepared for multiple labeling
(Jackson ImmunoResearch Laboratories, Inc., West Grove,
PA). Labeling with horseradish peroxidase used Vectastain
ABC elite reagents (Vector Laboratories, Inc., Burlingame,
CA). Antibody 10A8 recognizing MG160 (a Golgi selective marker (20, 21)
used at 1:100) was a gift of Nicholas K. Gonatas (University of
Pennsylvania). Mouse monoclonal antibody to caveolin-3 (used at 1
µg/ml) was from Transduction Laboratories, Inc.
(Lexington, KY). Rat monoclonal antibody to somatostatin was from
PharMingen (San Diego, CA). Rabbit antibody to
somatostatin (used at 1:400) was from INCSTAR Corp.
(Stillwater, ME). Guinea pig antibody to insulin (used at 1:2000) was
from INCSTAR Corp. Rabbit antibody to histidine
decarboxylase (used at 1:2000) was from Euro-Diagnostica (Malmö,
Sweden).
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Results
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Antibody production and specificity
Rabbits were immunized with a peptide corresponding to residues
480500 of the rat PTH2 receptor (GenBank Entry U55836), which are
within its intracellular C-terminus. The deduced rat and human receptor
sequences differ at only 3 out of the 21 amino acids in this sequence,
so we attempted to use cells expressing the cloned human receptor to
screen the antibodies. Antibodies from two rabbits immunized with this
peptide produce strong labeling of HEK293 cells stably expressing the
human PTH2 receptor, detected either with a fluorescent secondary
antibody (Fig. 1
) or a horseradish
peroxidase coupled secondary antibody (not shown). Preimmune serum does
not label the PTH2 receptor-expressing cells, and no labeling of either
the parent HEK293 cells (not shown) or HEK293 cells stably expressing
the human PTH1 receptor (which should express the same endogenous
epitopes as the parent cells) is detected. Similarly, there is intense
labeling of 2030% of COS-7 cells transfected with PTH2 receptor cDNA
but no labeling of cells in mock transfected cultures (not shown).
Several bands are labeled in Western blots of PTH2 receptor-enriched
membranes (Fig. 2
), probably representing
a combination of multiple glycosylation states and aggregation or
oligomerization of the receptor. The highest mobility major band
migrates with an apparent molecular weight of 84K, consistent
with the size seen following western blotting of a C-terminal epitope
labeled PTH2 receptor (Clark, J., and T. Usdin, unpublished
observations), and labeling of the receptor with a radioactive
photoaffinity ligand (2). Following digestion with PNGase F, the
mobility of the high mobility major band increases to an apparent
molecular weight of 63K, consistent with the predicted size of the
protein based on its cDNA sequence. No signal is seen in membranes
prepared from the parent HEK293 cells or ones expressing the PTH1
receptor. The limited sequence identity between the antigen and the rat
PTH1 receptor is identical to that with the human PTH1 receptor, and no
significant labeling is detected in rat kidney tubules (see Fig. 12
).
Absorption of the antibody with the peptide used to generate it
eliminates tissue labeling (see examples shown in Figs. 5
and 10
), and
specific staining is absent when preimmune serum is used to label
tissue (see examples shown in Figs. 9
and 11
).

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Figure 1. Antibody labeling of tissue culture cells
expressing the PTH2 receptor. HEK293 cells stably expressing the human
PTH2 receptor are shown in the first and second
columns (ah) or the PTH/PTHrP (PTH1) receptor in the
third and fourth columns (ip) receptor.
Cells labeled with preimmune serum from rabbit no. 1 are in the
first row (a, b, i, j); preimmune serum from rabbit no.
2 in the second row (c, d, k, l); sera from rabbit no. 1
following immunization in the third row (e, f, m, n);
and from rabbit no. 2 after immunization in the fourth
row (g, h, o, p). Detection of the primary antibody with a Cy3
labled secondary antibody is shown in the first column
(a, c, e, g) and the third column (i, k, m, o), and
paired photographs in the second (b, d, f, h) and
fourth (j, l, n, p) columns show nuclear
staining detected with DAPI (4',6-Diamidino-2-phenylindole) in the same
field. Note strong staining of the PTH2 receptor expressing cells by
the immune serum and the complete lack of staining by preimmune serum
and of cells expressing the PTH1 receptor. The photographs show the
entire field viewed with a 16x objective
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Figure 2. Western blot of membranes prepared from the parent
HEK293 cells (293) or ones stably expressing the PTH2 or PTH/PTHrP
(PTH1) receptor. Membranes shown in the right half of the blot were
treated with PNGase F to remove N-linked carbohydrate. The positions of
molecular weight markers are shown at the left. Very
light bands at and below 55K varied between gels and probably represent
proteolytic products. Note that all immunoreactivity is limited to the
PTH2 receptor-expressing cells.
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Figure 12. PTH2 receptor antibody labeling of a
glomerulus-associated cell in the kidney. An arrow
points to a single cell near the vascular pole of a glomerulus, which
is strongly labeled by the PTH2 receptor antibody, detected with a Cy3
labeled secondary antibody. Differential interference contrast
illumination (a) and fluorescence illumination (b) are shown.
Scale bar, 10 microns.
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Figure 5. PTH2 receptor immunoreactivity detected by the ABC
technique in the pancreas at embryonic day 17. There are a large number
of cells that are strongly labeled by the PTH2 receptor antibody in the
embryonic pancreas. A few of the labeled cells are indicated by
arrows in panel a. Panel b shows that absorbtion of the
antibody with the peptide antigen completely eliminates tissue
staining; differential interference illumination was used so that some
tissue structure would be visible. Fresh frozen tissue fixed after
sectioning was used in panels a and b. Panel c is from a perfusion
fixed animal labeled with the PTH2 receptor antibody. Note stronger
staining as well as large spaces within the tissue in panel c, probably
resulting from perfusion pressure. Scale bars, 200
microns (a and b) and 100 microns (c).
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Figure 9. PTH2 receptor immunoreactivity in the aorta.
Adjacent sections from a fresh frozen, post fixed 17-day-old rat embryo
were labeled with protein A purified preimmune (left) or
immune serum (right). Immunoreactivity was detected
using the ABC technique. Scale bars, 100 microns.
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Figure 11. PTH2 receptor antibody labeling of developing
bone. Cross-sections through two vertebral bodies are shown. Adjacent
sections from a fresh frozen, postfixed 17-day-old rat embryo were
labeled with protein A purified preimmune (left) or
immune serum (right). Immunoreactivity was detected
using the ABC technique. Scale bars, 100 microns.
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Pancreas
Some of the cells located in the outer rim of pancreatic islets
are strongly labeled by the PTH2 receptor antibody (Fig. 3
, ac). This position is characteristic
of several noninsulin-producing islet cell types. Double labeling shows
that the PTH2 receptor positive cells are somatostatin producing cells.
There is precise coincidence of labeling by PTH2 receptor and
somatostatin directed antibodies, but no overlap between the PTH2
receptor positive cells and antibody staining for insulin (Fig. 3c
),
pancreatic polypeptide, or glucagon (not shown), which are present in
distinct cells (22, 23, 24).

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Figure 3. PTH2 receptor double labeling. Top
row, PTH2 receptor, somatostatin, and insulin immunoreactivity
in a pancreatic islet. Labeling by the PTH2 receptor antibody (raised
in rabbits) was detected with an FITC (green) labeled
secondary antibody (a). Labeling of somatostatin (by a mouse monoclonal
antibody) was detected with a Cy3 (red)-labeled
secondary antibody on the same section (b). A triple exposure shows
labeling of insulin (by an antibody raised in guinea pig) detected with
an aminomethylcoumarin acetate (blue) secondary antibody
as well as labeling of the PTH2 receptor and somatostatin. The overlap
of PTH2 receptor (green) and somatostatin
(red) labeling creates orange. There is
complete overlap between the PTH2 receptor and somatostatin labeling.
Second row, PTH2 receptor (d, green) and
somatostatin (red; e) immunoreactivity in the stomach.
An arrow points to one of the many cells expressing both
somatostatin and the PTH2 receptor, whereas arrowheads
point to two different cells that contain the PTH2 receptor or
somatostatin but not both. Third row, PTH2 receptor (f,
red) and histidine decarboxylase (g,
blue) immunoreactivity in the stomach. All of the
histidine decarboxylase positive cells in this field are also labeled
by the PTH2 receptor antibody, two are indicated by
arrows. An arrowhead points to one of
several cells in the section labeled by the PTH2 receptor antibody in
which histidine decarboxylase is not detected. Fourth
row, Confocal microscope imaging of PTH2 receptor and
caveolin-3 immunoreactivity in the heart. h) PTH2 receptor antibody
labeling detected with a Cy3-labeled secondary antibody. i, Caveolin-3
immunoreactivity detected in the same section with an FITC-labeled
secondary antibody. j, Images from h and i combined. The optical
section is equivalent to approximately 0.7 microns, so the overlap of
PTH2 receptor patches with caveolin-3 labeling suggests that to the
resolution provided by light microscopy they are in the same plane. The
PTH2 receptor is present in discrete regions of the membrane that
appear to be associated with areas of cell contact. Confocal microscopy
was performed on a Carl Zeiss (Thornwood, NY) LSM 410
laser scanning confocal microscope. The 488 and 568 nm lines of a
krypton/argon laser were used for fluorescence excitation of FITC and
Cy3 respectively. All scale bars in this figure, 10
microns.
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In our earlier study of PTH2 receptor mRNA distribution (17), we did
not report expression in pancreatic islets. There was less probe
hybridization over islets than over exocrine tissue, which lead us to
suggest that pancreatic islets did not contain PTH2 receptor mRNA.
However, on reexamination of slides from that study, a small number of
clearly labeled cells are indeed apparent on the rim of islets in a
position corresponding to the PTH2 receptor antibody labeling (Fig. 4
).

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Figure 4. PTH2 receptor mRNA in a pancreatic islet.
In situ hybridization of an 35S-labeled PTH2
receptor riboprobe shows labeling of several cells
(arrows) at the periphery of a pancreatic islet under
brightfield (a) and darkfield (b) illumination. A higher power
magnification of part of the field containing the two
arrows and a blood vessel (V) is shown (c, d).
Scale bars, 10 microns.
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Viewed through the microscope, there also appeared to be labeling of
cells in the exocrine pancreas. This labeling was very weak and
difficult to unequivocally document, but it was blocked by absorption
of the antibody with the antigenic peptide. Labeling of exocrine as
well as endocrine pancreatic cells is quite clear in embryos (Fig. 5
), providing additional support for the
suggestion of low level persistence of exocrine expression of the PTH2
receptor in adult rats.
Thyroid gland
Parafollicular cells within the thyroid gland are labeled by the
PTH2 receptor antibody (Fig. 6
). They
comprise a numerically minor population of cells within the thyroid
gland and, like the D-cells in pancreatic islets, were not obvious
following in situ hybridization. When slides from the
previous in situ hybridization study were reexamined,
increased grain density over cells with the distribution of
parafollicular cells was apparent (Fig. 7c
). Double labeling with antibodies to
somatostatin and the PTH2 receptor demonstrates that many of the PTH2
receptor antibody-labeled cells contain somatostatin (Fig. 7
, a and
b).

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Figure 6. PTH2 receptor immunoreactivity in tracheal
cartilage and the thyroid gland. A region of tracheal cartilage is
present in the left part of the field.
Arrowheads indicate two of the many immunoreactive
chondrocytes. The thyroid gland occupies the right part
of the field. Asterisks are within thyroid follicles. An
arrow points to a group of cells labeled by the PTH2
receptor antibody. Their position between thyroid follicles is
consistent with that of parafollicular cells. The PTH2 receptor
antibody was detected with a Cy3 labeled second antibody. Scale
bar, 10 microns.
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Figure 7. PTH2 receptor and somatostatin labeling in the
thyroid gland. Parafollicular cells are labeled by the PTH2 receptor
antibody (detected with an FITC-labeled secondary antibody; a). Many of
the same cells are labeled by an antibody to somatostatin (detected
with a Cy3 labeled secondary antibody; b). Asterisks are
within thyroid follicles that do not contain any PTH2 receptor or
somatostatin-labeled cells. In a separate experiment in
situ hybridization using an 35S-labeled PTH2
receptor riboprobe (c) shows labeling of cells in the position of
parafollicular cells (arrows). Scale
bars, 10 microns.
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Gastrointestinal system
Several types of cells in the gastrointestinal tract are labeled
by the PTH2 receptor antibody (Fig. 3
, dg). Mucin-producing cells
(not shown), identified by their characteristic morphology and
distribution, are labeled in the gastric epithelium. In situ
hybridization previously demonstrated labeling of additional cells,
which seemed likely to be endocrine cells, based on their frequency and
location within the epithelium. This was confirmed, and the identity of
two of the cell types established by double labeling. There is partial
overlap here between labeling by the PTH2 receptor antibody and a
somatostatin directed antibody. There is also colocalization of
labeling by an antibody to histidine decarboxylase, which has recently
been established as a marker for gastrin secreting cells (25), and the
PTH2 receptor antibody. In addition, parasympathetic ganglion cells in
the submucosal and myenteric plexuses are distinctly labeled by the
antibody throughout the gastrointestinal tract (Fig. 8
).

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Figure 8. PTH2 receptor immunoreactivity in myenteric
ganglionic cells. Labeling of ganglion cells, detected with Cy3 labeled
secondary antibody, is apparent between the circular (CM) and
transverse (TM) muscle layers of the stomach. Scale bar,
10 microns.
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Cardiovascular system
The PTH2 receptor directed antibody labels cells throughout
the cardiovascular system, including vascular endothelium and smooth
muscle, consistent with previous in situ hybridization data.
Strong labeling of cells in all parts of the heart is particularly
dramatic. Much of the antibody labeling has a punctate distribution on
or within cardiac muscle cells. These could represent localized
domains of high concentration on the cell surface, or accumulation
within intracellular organelles. The PTH2 receptor labeling is distinct
from the Golgi marker MG160 (20, 21) (data not shown). Labeling of
caveolin-3 was used to define the sarcolemma (26). At the resolution
afforded by confocal microscopy the PTH2 receptor accumulations
appear to be within the plane of the plasma membrane of cardiac
myocytes (Fig. 3
, hj). Much of the labeling seems to be associated
with cell junctions, and could be within intercalated disks, although
we cannot be certain of this without additional markers or
immunoelectronmicro-scopy.
Vasculature in most tissues is labeled by the PTH2 receptor antibody
consistent with previous observations made using in situ
hybridization. Labeling of embryonic aorta is shown in Fig. 9
.
Bone and cartilage
Chondrocytes in tracheal cartilage are clearly and intensely
labeled by the PTH2 receptor antibody (Fig. 6
). Bone has relatively
high autofluorescence and endogenous peroxidase activity, but using
affinity purified PTH2 receptor antibody we are able to detect specific
labeling of some cells within bone (Fig. 10
). The labeling has a punctate
pattern, like that of labeling by this antibody in other tissues,
whereas tissue autofluorescence has a more homogeneous appearance. The
punctate labeling is eliminated by absorption of the antibody with the
peptide antigen (Fig. 10c
). Based on their distribution, the labeled
cells seem to be primarily chondrocytes in the growth plate and
subarticular cartilage. Expression is particularly strong in developing
bone (Fig. 11
).
Kidney
Using in situ hybridization histochemistry, we
previously observed one or two cells expressing PTH2 receptor mRNA near
the vascular pole of glomeruli. The same pattern of staining is seen
with the PTH2 receptor recognizing antibody, and in this case the
signal to noise ratio is much better (Fig. 12
).
Other tissues (not shown)
PTH2 receptor labeling in other tissues generally confirms the
distribution we previously determined from in situ
hybridization histochemistry (17). The most intense labeling is of
neurons within a limited number of nuclei in the brain, as demonstrated
by in situ hybridization. There is no labeling in the
pituitary gland by the PTH2 receptor antibody. There appears to be weak
labeling of a small population of cells within the adrenal medulla.
There is also weak labeling throughout the zona glomerulosa of the
adrenal cortex. Within the parathyroid gland, a very minor population
of cells, which may be oxyphils, appeared to be weakly labeled by the
PTH2 receptor antibody, and a similar labeling pattern is seen
following in situ hybridization. PTH2 receptor antibody
labeling is present in pulmonary bronchioles, some cells within both
the white and red pulp in the spleen, and supporting cells (not
neurons) in sympathetic ganglia. PTH2 receptor protein is detected in
the testis and epididymis with the same general pattern as previously
observed for expression of PTH2 receptor mRNA. However, the intensity
of the antibody staining, relative to the intensity of the in
situ hybridization signal in the testis, is lower than that in
other organs.
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Discussion
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We performed this anatomical study to provide a foundation for
experiments examining the physiological roles of the PTH2 receptor. The
observations were made using an antibody selective for the PTH2
receptor. They support, and significantly extend, our previous survey
of the distribution of PTH2 receptor mRNA performed using in
situ hybridization histochemistry (17).
The antibody used in this study was raised against a peptide sequence
within the C-terminus of the PTH2 receptor. Search of GenBank reveals
no other proteins, or open reading frames, which contain this or a
similar peptide sequence. Evidence for the specificity of the antibody
labeling includes the following: 1) Using immunohistochemistry, the
antibody labels tissue culture cells expressing the PTH2 receptor but
not the parent cell lines or cells expressing the PTH1 receptor. 2) The
same specificity is seen on Western blots of membranes prepared from
these cells. 3) The size of the bands detected on Western blots is
consistent with that expected for this receptor. 4) The tissue
distribution of cells labeled by the antibody is consistent with that
determined for PTH2 receptor mRNA by in situ hybridization
histochemistry. 5) The antibody labeling is eliminated by preincubation
of the antibody with the peptide antigen. Formally, the staining seen
with this antibody must be considered PTH2 receptor-like
immunoreactivity. However, we are confident that the immunoreactivity
represents the PTH2 receptor in the majority of cells and tissues,
where in situ hybridization demonstrates the corresponding
mRNA. In several areas, including pancreatic islets and the thyroid
gland, we saw labeling by the PTH2 receptor antibody where we had not
previously observed an in situ hybridization signal. Guided
by the immunocytochemistry we did see a clear hybridization signal on
careful reexamination of the original material. The sensitivity of
detection with this antibody, especially after affinity purification,
is significantly greater than in situ hybridization. Thus,
in chondrocytes we do not have corroboration of PTH2 receptor
expression by an independent technique. The PTH2 receptor antibody
labeling was blocked by the peptide used to raise the antibody, but we
cannot completely exclude the possibility of a cross reacting
antigen.
One of the most striking, and completely new, observations made in this
study is precise overlap of expression of the PTH2 receptor and
somatostatin within pancreatic islets. This labeling of somatostatin
cells was the strongest signal observed, and it lead us to look for
colocalization of the PTH2 receptor and somatostatin in other tissues.
We observed partial overlap within the gastrointestinal tract and
within thyroid parafollicular cells. Because activation of the PTH2
receptor in vitro causes cAMP accumulation (1), and
stimulation of cAMP formation or treatment with cAMP analogs cause
somatostatin release from pancreatic D cells (27), it seems logical
that PTH2 receptor activation should stimulate or enhance somatostatin
release. While somatostatin is generally an inhibitory factor, and
influences release of both endocrine and exocrine pancreatic products
(28, 29, 30), the precise physiological role of pancreatic somatostatin
remains an area of active investigation. A biphasic effect of PTH on
insulin secretion has been described (9). It is possible that the PTH2
receptor is responsible for the higher dose inhibition of insulin
release via stimulation of somatostatin release. Pancreatic islet
function is disturbed in both uremia and primary hyperparathyroidism
(9, 31, 32, 33) and now a role of the PTH2 receptor in these conditions,
through modulation of somatostatin synthesis or release, must be
considered.
PTHrP, which acts on the PTH1 but not the PTH2 receptor, is found in
all islet cell types and appears to regulate the formation and
development of pancreatic islets (34, 35). There has not yet been
cellular localization of the PTH1 receptor in islets. Regardless of
whether PTHrP acts on the PTH1 receptor or an as yet unidentified
receptor, it seems likely that its effects are quite different than
those mediated by the PTH2 receptor, because the PTH2 receptor has such
a distinct expression by one cell type.
We previously observed PTH2 receptor mRNA in the pancreas on Northern
blots (1). It is not clear whether the small number of islet cells
labeled by the PTH2 receptor directed antibody are responsible for that
signal. In situ hybridization generated a weak signal
throughout the exocrine pancreas suggesting that low level expression
of PTH2 receptor mRNA by a large number of cells could be responsible
for the band detected on Northern blots. Consistent with this, there
also appears to be very weak labeling by the PTH2 receptor antibody in
the adult exocrine pancreas and stronger labeling in the developing
pancreas.
Thyroid parafollicular, or C, cells are labeled by the PTH2
receptor-directed antibody. This quantitatively minor cell population
was not identified during our initial in situ hybridization
survey. When that material was reexamined in light of the
immunohistochemical observations, specific labeling of cells with the
characteristic distribution of parafollicular cells was apparent. A
subset of the PTH2 receptor antibody labeled cells contain
somatostatin, as previously reported for parafollicular cells (36).
Because not all somatostatin containing cells are labeled with the PTH2
receptor antibody, it seems likely that not all parafollicular cells
express significant levels of the PTH2 receptor. Heterogeneity of
parafollicular cells is well known (36). Calcitonin has counter
regulatory effects to PTH. C cell release of calcitonin and serotonin
is regulated by a calcium sensing receptor similar to the one that
regulates PTH release from parathyroid cells (37). It is an intriguing
possibility that the PTH2 receptor provides another regulatory input to
these cells, perhaps stimulating calcitonin release when PTH levels are
high. The PTH2 receptor could also be involved in regulation of other
endocrine functions of parafollicular cells.
A question left unanswered by our in situ hybridization
study (17) was whether the PTH2 receptor is present in the skeletal
system. PTH2 receptor antibody labeling is clearly present in tracheal
cartilage. We also see labeling of cells in bone growth plates and
subarticular cartilage. Based on location, most of these cells appear
to be chondrocytes. Because of the high autofluorescence and endogenous
peroxidase activity of bone, we were not able to perform useful double
labeling with the current reagents and techniques; thus, the potential
expression of PTH2 receptors by other bone cells and the precise
identity of the PTH2 receptor expressing cells remains to be addressed.
The labeling pattern seen overlaps with the distribution of the PTH1
receptor demonstrated by in situ hybridization (38, 39).
Mutation of either the PTH1 receptor or the peptide PTHrP has dramatic
effects on bone and cartilage maturation (7, 40, 41). As in other areas
of apparent PTH2 receptor expression, selective ligands and genetic
studies will be required to determine its physiological function.
PTH2 receptor expression in parafollicular cells and chondrocytes
suggests that it may be involved in development or maintenance of the
skeletal system, or in calcium metabolism. Parafollicular cells are
derivatives of the ultimobranchial body, a calcium regulating organ of
phylogenetically older animals. Jüppner and colleagues (42) used
the PTH1 receptor as a probe and identified a receptor more homologous
to the PTH2 receptor in zebra fish. They did not detect a PTH1
receptor-like gene. These observations suggest that the PTH2 receptor
may be part of phylogenetically older regulatory systems.
The PTH2 receptor has a punctate distribution in many cells. In the
heart, where we have examined this most closely using confocal
microscopy and double labeling with an antibody directed at caveolin,
these clusters appear to be on the plasma membrane. Use of additional
markers and/or electron microscopy may be required to further define
the receptors subcellular localization. This aggregation could reflect
the effects of tonic activation by a circulating ligand. A similar
distribution is seen in tissue culture cells expressing the PTH2
receptor, and in this case incubation with PTH causes redistribution to
a population of larger, clearly perinuclear, spots (unpublished
observations).
Many of the cells that express the PTH2 receptor are hormone secreting,
and the colocalization with somatostatin is striking. The PTH2 receptor
could be involved in the specific regulatory functions of each of the
cells that express it. These possibilities need to be experimentally
addressed. There are reports of PTH action in many of these tissues
including the heart, vasculature, and exocrine and endocrine pancreas
but PTHrP effects have also been described. PTH activates the PTH2
receptor in tissue culture cells expressing it, but relatively high
concentrations are required. Depending on the experimental conditions
(buffer, incubation time, temperature, phosphodiesterase inhibition,
etc.) we have observed EC50s for PTH stimulation of cAMP
accumulation ranging from 0.510 nM. Because the receptor
density, efficiency of coupling, and second messenger systems may
differ in the cells that endogenously express the PTH2 receptor, it is
difficult to predict what concentration of PTH is required to cause a
physiological effect. Circulating levels of PTH are reported to be in
the picomolar range. We recently obtained evidence for another peptide
that activates the PTH2 receptor (19). Either PTH or a novel ligand, or
both, could be the endogenous effector(s) of the PTH2 receptor. Based
on the broad, yet cell-specific, distribution demonstrated in this
study the PTH2 receptor is likely to have a significant physiological,
and possibly clinical, role.
 |
Acknowledgments
|
|---|
We would like to thank Dr. Miklós Palkovits for his help
with interpretation of some of the histology, Drs. Palkovits and Leszek
Wojnowski for comments on the manuscript, and Alissa Parmalee for
labeling embryonic tissue. Ricardo Dreyfuss provided superb
photographic support. Dr. Carolyn Smith generously performed confocal
microscopy.
 |
Footnotes
|
|---|
1 This work was supported by the NIMH and NINDS intramural research
programs and in part by Grant DK-47237 (to G.V.S.) from the NIH. 
Received December 16, 1998.
 |
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