Endocrinology Vol. 141, No. 10 3696-3702
Copyright © 2000 by The Endocrine Society
Induction of Calcitonin and Calcitonin Receptor Expression in Rat Mammary Tissue during Pregnancy1
Lois A. Tverberg,
Margaret F. Gustafson,
Timothy L. Scott,
Irina V. Arzumanova,
Elayne R. Provost,
Arthur W. Yan and
Sonja A. Rawie
Department of Biology (L.A.T., M.F.G., T.L.S., I.V.A.,
S.A.R.), Hope College, Holland, Michigan 49423; Department of
Pathology (E.R.P.), Yale University, New Haven, Connecticut 06510; and
Amherst College (A.W.Y.), Amherst, Massachusetts 01002
Address all correspondence and requests for reprints to: Lois Tverberg, Ph.D., Department of Biology, Hope College, Holland, Michigan 49423. E-mail: tverberg{at}hope.edu
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Abstract
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Human breast milk samples at early time points after parturition
contain high levels of calcitonin (CT) in both normal and
thyroidectomized mothers, suggesting that mammary tissue produces CT.
Using blot hybridization and reverse-transcriptase polymerase chain
(RT-PCR) analysis of rat mammary RNA we found that CT messenger RNA is
induced at midpregnancy (day 12), remains elevated through late
pregnancy (day 19) but then decreases before the day of birth. RIA of
mammary CT revealed that levels increase from 0.3 ng/g tissue in
nonpregnant animals to peak at 1.6 ng/g on day 19 and then decline
after that, paralleling messenger RNA expression. Dilution profiles for
extracted mammary CT showed close parallelism with
monomeric rat CT. Plasma samples from thyroparathyroidectomized rats
contained 1020 pg/ml CT that did not increase during pregnancy,
suggesting that mammary CT is not released into plasma but functions
locally. Consistent with this, RT-PCR detected that the CT receptor C1a
isoform is expressed in rat mammary tissues during both pregnancy and
lactation. This is the first report that mammary tissue expresses both
CT and the CT receptor during pregnancy, suggesting that CT may have a
paracrine regulatory role in the mammary gland.
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Introduction
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CALCITONIN (CT) is secreted by thyroid C
cells in response to elevated plasma calcium levels and acts to lower
plasma Ca2+ (1, 2). Because it
inhibits osteoclast resorption of bone, it is widely prescribed to
treat osteoporosis and other degenerative bone diseases. It has been
hypothesized that CT has a role in preserving the maternal skeleton
during the calcium stress of pregnancy and lactation, as bone
development occurs in the fetus and newborn. Supporting this, plasma CT
levels are elevated during pregnancy and slightly elevated in lactating
women (3). A similar pattern of plasma CT elevation is
also found in rats (4, 5).
It has been known for several years that high levels of CT are present
in early breast milk samples (6, 7). CT is present at
equivalent levels in milk samples from both euthyroid and
thyroidectomized women (8), suggesting that CT is produced
in mammary tissues or another extrathyroidal source. The observations
that CT is up to 90-fold more concentrated in breast milk than plasma
(7) and that high-molecular-weight precursors are found in
milk (6) imply that human mammary tissue may produce CT
endogenously. Levels are highest in colostrum and drop rapidly within
days of parturition (8), suggesting that CT expression is
greatest during late pregnancy or at birth rather than during
lactation.
Evidence also exists that mammary tissues express receptors for CT. The
CT receptor (CTR) is expressed in T47D and MCF7 breast cancer cell
lines (9), and CTR messenger RNA (mRNA) has been detected
in human mammary tissue (10). Recently, transgenic mice
containing the CTR promoter fused to ß-galactosidase, showed
expression of CTR in mammary mesenchyme during embryonic development
(11). Expression shut off before birth and was not
detected in adult mouse mammary tissue, suggesting that CT may be
involved in embryonic mammary gland development. Because mammary tissue
resumes development and differentiation during pregnancy, it is
possible that expression of the receptor may be induced again at this
time.
Our laboratory has examined whether CT and CTR are expressed in rat
mammary tissues during pregnancy and lactation. Previous investigators
tested rat mammary tissue for CT mRNAs during lactation (14 days post
partum) and did not detect expression of this transcript
(12). However, we have found that expression of rat CT
mRNA and peptide is induced during mid- to late pregnancy but then
decreases before parturition. Interestingly, CTR mRNA expression is
also induced in the mammary gland during pregnancy and lactation,
suggesting that CT may have paracrine regulatory activity in the tissue
during that time.
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Materials and Methods
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Isolation of mammary samples
For RNA samples, virgin female Sprague Dawley rats (Harlan Sprague Dawley, Inc., Indianapolis, IN) between 810 weeks old
were allowed free access to food (Formulab 5008 lab diet) and water and
were housed in a 12-h light, 12-h dark cycle. For peptide extraction,
thyroparathyroidectomized (TPTX) rats of the same age were obtained
after surgery by the supplier and were fed normal lab diet and water
containing 2% calcium lactate and 0.2 µg/ml T4
to maintain normal plasma Ca2+ and
T4 levels. Each rat was caged with an adult male
rat for insemination, and the date at which a seminal plug was found
was denoted as day 1 of pregnancy. Virgin rats of the same age were
used for nonpregnant (control) mammary samples. Rats were killed by
sedation with ketamine (100 mg/kg ip) + acepromazine (1 mg/kg ip),
followed by an intracardiac injection of Soccumb (1 ml/kg; Butler Co.,
Columbus, OH). The first, fourth, and fifth pairs of mammary glands
were isolated on days 4, 8, 12, 15, 17, and 19 of pregnancy, on the day
of birth (day 1 post partum), and on days 4 and 14 post partum.
Involuted mammary tissues were taken 2 weeks after weaning at 21 days.
Samples were individually isolated from three or four rats at each time
point and stored at -70 for later extraction of RNA or peptide. All
procedures were approved by the Hope College Animal Care and Use
Committee.
RNA hybridization blots
Total RNA was purified from inguinal mammary glands by the
guanidinium thiocyanate method (13). Poly-A selection was
performed with oligo-dT Sepharose (Ambion, Inc.; Austin,
TX), according to the manufacturers protocol, and the concentration
of the poly-A-enriched RNA was measured by optical densitometry at
260 nm. RNA samples (10 µg each) were electrophoresed on a 1.2%
formaldehyde-3-[N-morpholino)propanesulfonic acid
gel for 1 h at 100 V and then transferred and UV-cross-linked to a
positively-charged nylon membrane [Roche Molecular Biochemicals (RMB) Indianapolis, IN]. Antisense RNA probe was
synthesized to the BglII fragment of rat CT exon 4 (14)
with 1:2 digoxigenin-UTP:UTP mix using a strippable probe synthesis
kit (Ambion, Inc.). This probe is specific to CT mRNA
and does not detect CT gene-related peptide or other splicing products.
The 250-bp KpnI-XbaI fragment of mouse tri-ß-actin (15)
included with the kit was used for actin detection. Each blot was
prehybridized for 1 h at 68 C in Ultrahybe hybridization
buffer (Ambion, Inc.) with 100 µg/ml total yeast RNA
before hybridizing in the same buffer with approximately 0.1
nM CT probe for 1220 h. Blots were then washed and
incubated with alkaline phosphatase-linked antidigoxigenin Fab
fragments and detected with CDP-Star, according to manufacturers
protocols (RMB). After stripping according to kit instructions, blots
were rehybridized with actin RNA probe for 12 h, and the wash
and detection steps were repeated as before. A Bioquant image
analysis system was used to quantify CT and actin band density
on autoradiograms.
Total RNA was isolated from thyroids using TRI reagent
(Sigma, St. Louis, MO), according to the
manufacturers protocol, and optical densitometry at 260 nm was used
to determine concentration. Northern blots containing 2.5 µg of each
sample were hybridized with CT and ß-actin probes consecutively, as
described above, and the resulting autoradiograms were quantified for
CT and actin band density.
RT-PCR
Primers for RT-PCR for CT were specific for the amplification of
spliced rat CT mRNA and not other CT gene-splicing products.
Oligonucleotides to exon 3 (5'-TAC TGG CTG CAC TGG TGC-3') and
CT-specific exon 4 (5'-ACC CAT AAT AGC CCA GAG AA-3') were used in PCR
reactions with an expected product size of 335 bp (14)
These also distinguish complementary DNAs (cDNA)s amplified from
spliced RNA from that of genomic DNA that would have an expected size
of about 1 kb. All RNAs were verified for integrity before use in
RT-PCR by observing ribosomal RNA bands by gel electrophoresis. For RT,
1 pmol of oligo dT primer was incubated with 5 µg total RNA, 2.5
mM deoxynucleotide 5'-triphosphates, 5 U ribonuclease
inhibitor, and 1 U avian myeloblastosis (AMV) reverse transcriptase in
a vol of 20 µl AMV buffer for 1 h at 42 C (reagents from
Promega Corp., Madison, WI). Subsequent PCR reactions
included 1 µl of the resulting cDNA in a 25-µl reaction containing
0.5 µM of each of the CT gene exon 3 and exon 4 primers,
200 µM deoxynucleotide triphosphates, 0.25 U Taq
polymerase (Promega Corp.), and 1.5 mM
MgCl2 in the supplied buffer. The PCR reaction
was incubated for 5 min at 94 C, followed by 30 cycles of 30 sec at 94
C, 1.5 min at 55 C, 2 min at 72 C, and a final incubation at 72 C for 5
min.
PCR products were visualized and photographed under ethidium bromide
fluorescence on a 1.5% agarose gel and then transferred and
UV-cross-linked to a positively-charged membrane (RMB). For DNA blot
hybridizations, a digoxigenin-labeled CT DNA probe was synthesized
using a PCR synthesis kit (RMB), according to manufacturers
directions. A subcloned BglII fragment of CT exon 4 was used as a
template for a PCR reaction incorporating digoxigenin-11-deoxyuridine
5-triphosphate using polylinker primers. CT probe was incubated with
the filter overnight at 45 C, and the probe was detected as described
for RNA blots.
The one-tube Access RT-PCR reaction kit (Promega Corp.)
was used in studies to detect CTR expression. We used primers outside
the insertion site to distinguish the two species, with a predicted
product size of 511 bp for C1a and 622 bp for C1b. An upstream primer
beginning at + 742 of the cDNA with the sequence 5'-GGG ATC TTC TTG TTT
TTC AAG AAC CT-3', and a downstream primer beginning at +1231 with the
sequence 5'-ACA TGT AGG CCT CGG CTT CAT-3', were used to detect the
reported rat CTR sequence (16). The upstream primer flanks
the expected intron 7 splice site (17), to permit
annealing only to spliced cDNAs. Each PCR reaction contained 1 µg
total RNA, 1 mM of each primer, 1.5 U Tfl polymerase, and
3U AMV reverse transcriptase. The RT occurred at 48 C for 45 min and
was followed by 40 cycles of: 30 sec at 94 C, 1 min at 62 C, and 2 min
at 68 C; with a final extension step at 68 C for 7 min. All RNAs used
in RT-PCR reactions to detect CT or CTR were also amplified in separate
reactions with ß-actin primers to validate PCR conditions. As a
control for contamination, a tube containing all reagents, but no cDNA,
was included in each experiment.
RIA
For CT extraction, mammary tissues were homogenized in 10 vol of
0.1-M acetic acid, boiled for 10 min, and then incubated on
ice for 10 min. The samples were centrifuged at 4 C for 20 min at
2,000 x g, followed by 30 min at 270,000 x
g. The infranatant was removed and frozen at -70 C until
the RIA was performed. Extraction efficiency was 40% using mammary
tissues spiked with a known quantity of rat CT. From plasma samples, CT
was extracted using a C18 SEP-COLUMN, according to manufacturers
instructions (Peninsula Laboratories, Inc., Belmont, CA).
Plasma CT extraction efficiency was also approximately 40%. The final
eluate was lyophilized and resuspended in RIA buffer. Mammary tissue
and plasma samples were then assayed using an RIA protocol, according
to manufacturers instructions (Peninsula Laboratories, Inc.). The polyclonal rabbit antirat CT antiserum used in the
assay showed no cross-reactivity with salmon, chicken, or eel CT, as
well as CT gene-related peptide, CT C-terminal peptide, katacalcin
(PDN-21), or amylin. The limit of detection of the RIA was 8 pg/tube.
The intraassay variation was approximately 35% for samples from the
same tissue processed independently but assayed at the same time. The
interassay variation averaged 28% between tissues from different rats
in separate assays.
DNA assay
Mammary tissue homogenates were also assayed for DNA content
using a diphenylamine assay (18) that is specific for
deoxyribose and does not detect ribonucleic acids. Trichloroacetic acid
(2.5%) was added to a 2-ml aliquot of mammary homogenate from the
peptide-extraction procedure, and samples were centrifuged at
2,000 x g for 20 min. Pellets were resuspended in 5%
trichloroacetic acid and heated in a 90-C water bath for 15 min. After
a second centrifugation (12,000 x g, 10 min),
supernatants were assayed for DNA concentration immediately or stored
at -20 C. For the assay, a standard curve of herring sperm DNA between
0200 µg/ml was used. Diphenylamine reagent, composed of 1%
diphenylamine (wt:vol) and 2.75%
H2SO4 (vol:vol) in
concentrated (17 M) glacial acetic acid, was
added to the DNA samples in a 1:2 sample:reagent volume ratio. After
boiling 10 min, absorption at 600 nm was measured in a
spectrophotometer.
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Results
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CT mRNA detection by hybridization blot analysis
We used RNA hybridization to detect CT mRNA present in samples
extracted from rat mammary tissues at various time points during
pregnancy and lactation and from virgin animals (Fig. 1A
). It is important to normalize
expression to that of a nonregulated gene because mammary tissue
increases in glandular content during pregnancy; and during lactation,
high milk peptide gene expression dilutes all other mRNAs. We therefore
determined the CT/ß-actin expression ratio at all time points. On
hybridization blots, we saw that CT mRNA levels were induced between
day 8 and day 12 of pregnancy and then decreased abruptly between day
19 and the day of birth (Fig. 1A
, top panel). No CT
expression was detectable before day 8 of pregnancy or after the day of
birth. Rehybridization with actin probe showed that, when milk protein
expression is fully induced during lactation (after day 4 post partum),
actin and other transcripts are diluted until milk production ceases at
involution (Fig. 1A
, middle panel). However, CT mRNA levels
dropped before birth, confirming that CT is shut off rather than
diluted by other RNAs. CT normalization to actin mRNA level, from
several blots, containing samples from 34 rats at each time point,
revealed an approximately constant level of expression of CT in mammary
tissue from day 12 to day 19 of pregnancy (Fig. 1B
).

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Figure 1. Detection of CT mRNA in mammary tissues by RNA
hybridization blot. A, Poly-A selected RNA (10 µg) from mammary
samples from virgin rats (con) or the indicated days during pregnancy,
birth, lactation, or involution were hybridized with a probe for CT
(top panel). Thyroid total RNA (2 µg) was included as
a positive control for CT. The same blot was stripped and rehybridized
with an actin probe (middle panel). Ethidium
bromide-stained 18 S ribosomal RNA from the same gel before transfer is
shown in the bottom panel. B, Mammary CT mRNA expression
normalized to actin. Autoradiograms were analyzed by densitometry, and
CT/actin density ratio was calculated. One RNA sample (day 15 of
pregnancy) was included on each blot to normalize for differences in
detection sensitivity, and the CT:actin RNA ratio was arbitrarily set
at 100. The error bar on day 15 was therefore calculated
from its interassay variability. Means with SE
bars for 34 rats at each time point are shown. n.d.,
No CT mRNA detectable; Invol, involution.
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CT mRNA detection by RT-PCR
We used RT-PCR to examine expression of mammary CT because of the
increased sensitivity of RT-PCR. Also, because mRNA makes up a small
proportion of total RNA used in RT-PCR, transcript dilution effects
should be minimized. Figure 2
shows that
RT-PCR with mammary RNA generates products of the expected size from
tissues from mid- to late pregnancy (day 12 to day 19), but not in
early pregnancy or after parturition, when visualized on ethidium
bromide-stained gels. We then transferred the amplified DNAs to nylon
filters and hybridized with a CT-specific DNA probe to confirm their
identity (Fig. 2B
). The increased sensitivity of hybridization could
detect amplified cDNAs during early stages of pregnancy and up to the
fourth day after birth but still did not detect CT expression later, at
day 14 of lactation. This is consistent with the lack of expression
reported by others at day 14 using less sensitive methods
(12). In contrast, actin was detectable by RT-PCR at all
times during pregnancy and lactation. These results confirm
hybridization blot results and indicate that CT mRNA is mainly present
in mammary tissue in late pregnancy.

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Figure 2. RT-PCR detection of CT mRNA in mammary
tissues. A, Total RNA was isolated from rat mammary tissues at various
days during pregnancy, on the day of birth, and during lactation.
Reverse-transcribed cDNAs were amplified by PCR using primers specific
for spliced CT mRNAs (upper panel) or ß-actin mRNA
(lower panel). Resulting amplified DNAs were
electrophoresed on a 1.5% agarose gel and stained with ethidium
bromide. A 100-bp ladder is included as a reference marker (M). B, DNA
from the gel in A was transferred to a nylon membrane and hybridized to
a DNA probe to the CT gene exon 4.
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CT peptide in mammary tissue and plasma
We used RIAs to measure CT peptide levels in mammary tissue at
different time points during pregnancy and lactation. Rats were
thyroparathyroidectomized to ensure that CT produced in thyroid or
parathyroid would not be detected. At least 4 weeks elapsed between
surgery and tissue harvest, to allow for residual CT to be eliminated.
RIA of mammary tissue extracts revealed that CT levels rose from below
0.3 ng/g wet weight in nonpregnant tissues to peak at approximately 1.6
ng/g on day 19 of pregnancy (Fig. 3A
, solid bars). Peptide levels declined by the day of birth and
further decreased to approximately 0.6 ng/g by day 4 post partum.
Because glandular differentiation during pregnancy increases cellular
content of mammary tissue, DNA content was assayed to examine whether a
correlation exists between CT expression and cellular proliferation.
DNA content of the tissue was found to steadily increase through
pregnancy and into lactation (Fig. 3A
, white bars). In
contrast, CT peptide levels peaked at day 19 and decreased thereafter,
correlating with CT mRNA levels.

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Figure 3. CT peptide expression in mammary tissue. A, RIA
quantification of mammary CT peptide during pregnancy and lactation. CT
peptide content, after correcting for recovery inefficiency, is
indicated by the solid bars. Tissue DNA content is
indicated by the white bars. Means with SE
bars for 34 rats at each time point are shown. B,
Parallelism studies between monomeric rat CT and mammary CT. Increasing
volumes of extract (10100 µl) from mammary tissue at day 19 of
pregnancy were compared, in an RIA, with self-competition by synthetic
rat CT-monomer (diamonds). Two independent assays are
shown by square and triangle symbols,
each the average of duplicate samples.
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A dilution assay was performed with CT peptide extracted from mammary
tissue to assess the antigenic similarity between mammary CT and
monomeric rat CT, since large-molecular-weight precursors were isolated
from human milk samples (6). In two separate experiments,
increasing volumes of extract from mammary tissues at day 19 of
pregnancy were assayed for CT peptide and then evaluated for
parallelism with a standard curve produced with synthetic rat
CT-monomer. Figure 3B
shows that both assays exhibited strong
parallelism with monomeric rat CT. This implies that little to no
binding of CT is occurring by factors present in the extract, and that
the extracted CT peptide is recognized with nearly equal affinity by
the RIA antibodies as monomeric CT.
Plasma from TPTX rats during pregnancy was also assayed for the
presence of CT. In nonpregnant rats, low amounts of CT were detected
(14 pg/ml), in comparison with 300500 pg/ml typically seen in
euthyroid female rats (5). During pregnancy, plasma CT
levels remained low, between 10 and 20 pg/ml plasma (Fig. 4
). No statistically significant increase
(P < 0.05) was seen at any time point during pregnancy or
lactation. The ratio of mammary CT peptide concentration to that of
plasma in TPTX rats, therefore, ranged from between 20-fold in
nonpregnant rats to 90-fold at day 19 of pregnancy.

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Figure 4. Plasma levels of CT during pregnancy. Plasma from
rats before, during, and after pregnancy were assayed for CT content.
Mean CT peptide concentration, after correcting for recovery
inefficiency, is shown. Means with SE bars
for 34 rats at each time point are shown. No statistically
significant difference in CT level was detected by ANOVA where
P < 0.05. conc., Concentration.
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Thyroidal CT mRNA expression during pregnancy
We also used RNA hybridization analysis to examine the expression
of CT mRNA in the thyroid during pregnancy, to determine if this
correlated with the increased plasma peptide levels observed in rats
and humans (Fig. 5A
.) Surprisingly,
thyroidal CT mRNA content did not change during pregnancy but was
equivalent in tissues from nonpregnant and pregnant rats as well as
during lactation (Fig. 5A
, top panel). When CT:actin ratio
of samples including day 4 of lactation from several blots were
analyzed statistically, we saw no significant change in the CT:actin
expression ratio between time points in the thyroid (Fig. 5B
). Actin
mRNA level correlated closely to ethidium bromide staining of the gel,
suggesting that expression of neither transcript changes during
pregnancy, and implying that if secretion of CT increases during
pregnancy, it must be induced by a posttranscriptional mechanism. In
comparing the CT:actin mRNA ratio of mammary tissues with that of
thyroid tissues, we found that relative CT expression in mammary tissue
during late pregnancy was approximately 35% of that in thyroid.

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Figure 5. Thyroidal CT mRNA expression during pregnancy. A,
Total thyroid RNA (2.5 µg) from one rat at each indicated time point
up until birth was blotted and hybridized with a probe for CT
(top panel) or actin (middle panel).
Ethidium bromide staining before transfer is shown in the bottom
panel. An anomalous lower-molecular-weight band was detected by
actin probe in some RNA samples. B, CT mRNA band density was normalized
to that of actin from several blots containing thyroid RNA samples from
34 rats at each time point, including day 4 of lactation. The
CT:actin RNA ratio of thyroid RNA from control (nonpregnant) rats was
set at 100, and relative expression (Rel. Expr.) was normalized to the
control on each blot. Means with SE bars at
each time point except control are shown. No statistically significant
difference in mRNA level was detected by ANOVA where P
< 0.05.
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Expression of CTR in mammary tissue
We next tested for expression of the CTR in mammary tissues at
time points through pregnancy and lactation using RT-PCR. Rat CTR mRNA
is alternatively spliced into two isoforms, C1a and C1b, which are
identical except for a 111-bp insert in the C1b isoform
(16). Whereas the C1b isoform is localized to brain, C1a
has been found in most target organs of CT. To ensure that amplified
products were from the CTR gene, PCR products were transferred and
hybridized with a different, but overlapping, CTR fragment that had
been identified by sequencing. Figure 6
shows that RT-PCR using CTR primers amplifies a product of about 500 bp
from RNA from pregnant and lactating mammary tissues, consistent with
C1a CTR expression in the gland. No amplification occurred from two
different RNA samples from nonpregnant rats, but samples from day 4 of
pregnancy through day 14 of lactation contain detectable CTR mRNA.
Actin mRNAs were amplified from all tissue samples. Although
nonquantitative, these results indicate that the C1a isoform of the CTR
RNA is induced in mammary tissues during early pregnancy and is still
present during lactation.

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Figure 6. RT-PCR detection of CTR mRNAs. Total RNA was
isolated from mammary tissue from nonpregnant rats or on the indicated
day of pregnancy, on the day of birth, or at day 14 of lactation. Two
micrograms of total RNA was used in an RT-PCR reaction with primers
specific for CTR (upper panel) or ß-actin
(lower panel). Kidney RNA was used as a positive control
for C1a CTR expression. The negative control (-) contained all RT-PCR
reagents but no RNA. A 100-bp DNA ladder is included as a reference
marker.
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Discussion
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We have established that expression of CT and CTR are both induced
in rat mammary tissue during pregnancy. Whereas the CTR is induced in
early pregnancy and continues into lactation, transcription of CT mRNA
is, for the most part, confined to late pregnancy. If the same
expression pattern is present in humans, it is consistent with
initially high, but rapidly decreasing, CT peptide levels seen in
colostrum samples at early time points after birth (8, 19). The fact that CT gene expression is confined mainly to
middle and late pregnancy suggests that CT has physiological activity
before milk protein synthesis begins at the end of pregnancy. The CT
found in colostrum may simply be what is present in the mammary tissues
as the gland begins secretion, although it may also have a function in
milk calcium sequestration initially or in the neonate. Progesterone,
estradiol, and other maternal hormones that are present in mammary
tissue during late pregnancy are released into colostrum at high
concentrations initially that drop rapidly, in the same way that CT
does (20).
We saw that CT peptide levels in mammary tissue rose during
midpregnancy and then declined by birth. Though the decrease in mammary
CT peptide levels after birth may be partially attributable to the fact
that it is released into milk, the decreasing mRNA levels indicate that
overall mammary expression declines at that time. Some CT was present
even in nonpregnant mammary tissues, suggesting a very low basal level
of CT expression in the gland. We did find that the CT peptide present
in mammary tissue was immunologically very similar to monomeric rat CT,
which contrasts with the observation that, in human milk, some of the
CT peptide is present in large-molecular-weight forms (6).
Whether rat mammary CT is processed differently from human CT or the
peptide is later converted into larger forms in the milk is not
known.
In mammary samples from TPTX rats, CT levels were approximately 90-fold
higher than in plasma samples from the same rats, indicating that the
peptide is produced in that tissue rather than being sequestered from
circulating blood. We did not see increased CT levels in plasma samples
from TPTX rats during late pregnancy, as would be expected if mammary
tissue were contributing to systemic levels of the hormone. We also
found that thyroparathyroidectomy almost entirely eliminated CT in
plasma before, during, and after pregnancy, suggesting that thyroidal
secretion is responsible for both basal secretion and elevated plasma
CT levels during pregnancy (4). This, along with the fact
that the concentration of CT in mammary tissue during late pregnancy is
approximately 0.5% of that of the thyroid, suggests that CT produced
in the mammary gland acts as a local paracrine factor rather than as a
systemic regulator.
Coinduction of the CTR in mammary tissue during pregnancy also suggests
that CT may have a local role in the mammary gland and is analogous to
other tissues that have paracrine CT activity (21, 22, 23). In
uterine endometrium, CT expression occurs briefly in glandular
epithelial cells during implantation, and CT is secreted into the
uterine lumen (24). Paracrine activity of the hormone is
crucial for implantation to take place (25). CT is also
expressed, along with its receptor, in the glandular endothelium of the
prostate; and CT is found at appreciable levels in seminal fluid
(26). Treatment of prostatic cell lines with CT stimulates
cell proliferation (23). These observations suggest that
CT may have paracrine activity that somehow regulates
proliferation or other activity of secretory tissues.
Interestingly, expression of CT by mammary tissues is correlated to the
rapid proliferation of alveolar secretory tissue, which in the rat
begins at about day 12 and continues until birth. Mammary tissue
undergoes extensive differentiation into a secretory tissue at this
time and produces paracrine factors that regulate its own development
(27). The hypothesis that CT plays a role in this process
is supported by the fact that CTR-expressing breast cancer cell lines
respond to CT with increased cAMP, Ca2+, and
changes in proliferation (28). It is known that during
pregnancy, intracellular cAMP levels in mammary tissue progressively
increase (29). Also, exogenous cAMP and cholera toxin
stimulate mammary growth and branching in virgin mice and in organ
culture models (30, 31, 32). Induction of cAMP in mammary
tissue during pregnancy may be one mechanism by which CT acts in the
gland.
A suggestive parallel comes from PTH-related protein (PTHrP), another
calcium-regulating hormone that is coexpressed in mammary tissue with
its receptor during embryonic development, pregnancy, and lactation
(33). PTHrP has been found to act in a paracrine manner to
regulate development of several tissues; in PTHrP-knockout mice no
mammary growth occurs, indicating a critical role in mammogenesis
(34, 35). Intriguingly, the PTH/PTHrP receptor is a
seven-transmembrane domain receptor homologous to that of CT. The fact
that another calcitropic hormone acts as a developmental regulator
suggests that CT may have a related function. The recent discovery that
the CTR is expressed in mammary mesenchyme during embryonic development
also supports this conclusion (11).
CT expression in mammary tissue may be induced by progesterone, which
increases during pregnancy but drops immediately before birth
(36). Progesterone induces CT expression in the uterus
during implantation (24) and stimulates CT secretion from
thyroid (37, 38), suggesting that it may stimulate mammary
CT expression or secretion as well. Progesterone is known to regulate
development of mammary tissue during pregnancy and also to inhibit
onset of lactation (36). A role for CT in lactational
inhibition is suggested by the fact that CT is known to oppose PRL
activity by inhibiting pituitary secretion of the hormone (39, 40). Mammary tissue produces functional PRL endogenously
(41), and it is possible that CT might inhibit mammary PRL
activity also. Whether mammary CT is involved in some of
progesterones regulatory effects or has some other activity in
mammary tissue remains to be studied.
Paradoxically, we found that the CT mRNA level in the thyroid does not
increase during pregnancy, even though several studies have shown that
plasma CT peptide levels are elevated in both rats and humans during
that time (3, 4, 5). Consistent with this, others have seen
that elevated Ca2+ appears to stimulate CT
posttranscriptionally, increasing translation and secretion of CT
without affecting thyroid CT mRNA content (42). Segond
et al. (43, 44) have found that hypercalcemia
induces posttranscriptional modifications that cause a greater amount
of CT RNA to be in a translatable form. Preliminary studies in our
laboratory have seen that thyroid CT peptide content declines during
pregnancy, suggesting a decrease in storage during that time. This
result is also consistent with other reports that thyroid CT content
decreases during times of demand (45) and suggests that
increased thyroid secretion is the source of elevated plasma CT levels
during pregnancy.
This report has established that the mammary gland produces CT during
late pregnancy and suggests that CT may act locally through receptors
coexpressed in the gland during that time. Paracrine factors have
increasingly been seen to control proliferation and differentiation of
both normal and cancerous tissues (27). Thus,
understanding the possible paracrine role of CT in mammary tissue
during pregnancy will be an important future goal.
 |
Acknowledgments
|
|---|
We gratefully acknowledge C. Newell and J. Roberts for their
technical contributions. We also thank C. Barney and J. Roberts for
their critical reviews and comments on the manuscript.
 |
Footnotes
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1 This work was supported by funding from the Hope College Howard
Hughes Medical Institute Grant, the National Science Foundation
Research Experiences for Undergraduates Program (Grant DB-19322220),
the Michigan Space Grant Consortium, and a National Institute of Health
Academic Research Enhancement Award (HD-36497). 
Received December 22, 1999.
 |
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