Endocrinology Vol. 142, No. 2 916-925
Copyright © 2001 by The Endocrine Society
Receptors for the Carboxyl-Terminal Region of PTH(184) Are Highly Expressed in Osteocytic Cells1
P. Divieti,
N. Inomata,
K. Chapin,
R. Singh,
H. Jüppner and
F. R. Bringhurst
Endocrine Unit (P.D., K.C., R.S., H.J., F.R.B.), Massachusetts
General Hospital, and Harvard Medical School, Boston Massachusetts
02114; and Chugai Pharmaceutical Company (N.I.), Ltd., Shizuoka,
Japan
Address all correspondence and requests for reprints to: Paola Divieti M.D., Ph.D., Endocrine Unit, Wellman 5, Massachusetts General Hospital, Boston, Massachusetts 02114. E-mail:
divieti{at}helix.mgh.harvard.edu
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Abstract
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PTH is a potent systemic regulator of cellular differentiation and
function in bone. It acts upon cells of the osteoblastic lineage via
the G protein-coupled type-1 PTH/PTH-related peptide receptor
(PTH1R). Carboxyl fragments of intact PTH(184) (C-PTH fragments) are
cosecreted with it by the parathyroid glands in a calcium-dependent
manner and also are generated via proteolysis of the hormone in
peripheral tissues. Receptors that recognize C-PTH fragments (CPTHRs)
have been described previously in osteoblastic and chondrocytic cells.
To directly study CPTHRs in bone cells, we isolated clonal,
conditionally transformed cell lines from fetal calvarial bone of mice
that are homozygous for targeted ablation of the PTH1R gene and
transgenically express a temperature-sensitive mutant SV40 T antigen.
Cells with the highest specific binding of the CPTHR radioligand
125I-[Tyr34]hPTH(1984) exhibited a
stellate, dendritic appearance suggestive of an osteocytic phenotype
and expressed 6- to 10-fold more CPTHR sites/cell than did osteoblastic
cells previously isolated from the same bones. In these osteocytic (OC)
cells, expression of mRNAs for CD44, connexin 43, and osteocalcin was
high, whereas that for alkaline phosphatase and cbfa-1/osf-2 was
negligible. The CPTHR radioligand was displaced completely by
hPTH(184), hPTH(1984) and hPTH(2484) (IC50s =
2050 nM) and by hPTH(3984) (IC50 = 500
nM) but only minimally (24%) by 10,000 nM
hPTH(134). CPTHR binding was down-regulated dose dependently by
hPTH(184), an effect mimicked by ionomycin and active phorbol ester.
Human PTH(184) and hPTH(3984) altered connexin 43 expression and
increased apoptosis in OC cells. Apoptosis induced by PTH(184) was
blocked by the caspase inhibitor DEVD. We conclude that osteocytes, the
most abundant cells in bone, may be principal target cells for unique
actions of intact PTH(184) and circulating PTH C-fragments that are
mediated by CPTHRs.
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Introduction
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PTH IS THE major physiologic regulator of
blood calcium and phosphate, and it exerts potent effects upon cells in
bone and cartilage (1). PTH and PTH-related peptide
(PTHrP) activate a common G protein-coupled receptor, the type-1
PTH/PTHrP receptor (PTH1R) (2, 3, 4). The PTH1R recognizes
the highly conserved amino (N)-terminal domain of PTH (and the
homologous N terminus of PTHrP) and thus is fully activated by both
PTH(134) and the intact hormone, PTH(184). Carboxyl(C)-fragments of
intact PTH(184), such as PTH(3984) or PTH(5384), neither bind nor
activate the PTH1R (5, 6, 7). On the other hand, a possible
physiologic role for this region of the hormone is suggested by
observations that the amino acid sequence of the PTH C-terminal domain
is highly homologous across species (8); that PTH
C-fragments, arising via both secretion from the parathyroid glands and
proteolysis of PTH(184) in peripheral tissues, circulate in blood at
levels much higher than those of the intact hormone; and that
parathyroid secretion of PTH C-fragments is strongly regulated by serum
calcium (9, 10, 11, 12, 13).
In rat osteoblastic cell lines, fragments from within the sequence
PTH(3584), which cannot activate PTH1Rs, regulate expression of
alkaline phosphatase, osteocalcin, collagen
1(I), and IGF binding
protein-5 (14, 15, 16). Direct effects of PTH C-fragments upon
osteoclasts and osteoclast progenitors (17) and upon
expression of collagen
1(I) and
1(X) expression in hypertrophic
chondrocytes (18) also have been observed. Several such
fragments induce cytosolic free calcium transients in human fetal
hypertrophic chondrocytes (19). Direct physical evidence
of a putative receptor (CPTHR) with binding specificity for C-terminal
PTH sequences was obtained by cross-linking of the peptide
125I-[Tyr34]hPTH(1984)
(which does not bind to PTH1Rs) to 40-kDa and 90-kDa proteins in ROS
17/2.8 rat osteoblastic cells (6).
Collectively, these observations suggest that CPTHRs are expressed
normally in bone and cartilage and that they may be involved in
physiologic control of cell differentiation and function in these
tissues. The problem of renal osteodystrophy is of particular interest
in this regard, as PTH C-fragments normally are cleared mainly by the
kidneys and thus accumulate to very high levels in blood during renal
failure (7, 9, 12, 13). Also, hPTH
(784) potently reduces the calcemic action of intact
PTH(184) at concentrations much lower than those required for binding
to the PTH1R (20).
To establish a model system in which to address the possible functions
of CPTHRs in bone, we isolated, from cultures of enzymatically
dispersed primary fetal murine calvarial cells, those that expressed
CPTHRs in greatest abundance. To eliminate confounding effects of
coexpressed PTH1Rs, these cells were derived from fetuses in which most
exons encoding the PTH1R had been completely ablated by gene targeting
(21, 22). These homozygous mice also were bred to
ubiquitously express a transgene encoding a temperature-sensitive
mutant SV40 large-T antigen (tsTAg), which enabled isolation of
conditionally transformed clonal cell lines (21, 22). We
report here that the subpopulation of calvarial-derived bone cells that
expresses the highest levels of CPTHRs exhibits morphologic and
molecular features characteristic of osteocytes, the most terminally
differentiated cells of the osteoblast lineage (23, 24).
Initial findings indicate that activation of CPTHRs may play a role in
regulating osteocytic cell survival and intercellular
communication.
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Materials and Methods
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Materials
Culture media were obtained from the Media Kitchen (Pediatric
Surgery, Massachusetts General Hospital, Boston, MA); other tissue
culture reagents were purchased from Life Technologies, Inc. (Grand Island, NY), 1,2-bis (2-aminophenoxy)
ethane-tetraacetic acid (BAPTA-AM) and other reagents and chemicals
were obtained from Sigma (St. Louis, MO) or Fisher Scientific (Pittsburgh, PA). Radioactive
Na[125I] and 32P-dATP
were purchased from NEN Life Science Products (Boston,
MA). Recombinant human (h)PTH(184),
[Tyr34]hPTH(1984), hPTH(2484), were gifts
of Chugai Pharmaceutical Co. (Shizuoka, Japan) and
[Asp76]human PTH(3984) was purchased from
Peninsula Laboratories, Inc. (Belmont, CA).
Cell isolation and culture
Cells were isolated by enzymatic digestion from calvarial bones
of 18.5 day-old tsA58(+)/PTH1R(-/-) fetuses, as previously described
(21). Animals were maintained in facilities operated by
the Massachusetts General Hospital Center for Comparative Resources in
accordance with the National Institute of Health Guide for the Care and
Use of Laboratory Animals and were employed using protocols approved by
the Institutional Animal Care and Use Committee.
The calvarial bones were dissected aseptically and sequentially
digested in 0.5 ml of
-MEM containing 0.1% BSA, 1 mM
CaCl2 and 1 mg/ml of collagenase (type I and II;
ratio 1:3) (Worthington Biochemical Corp., Freehold, NJ).
Bones were sequentially digested six times for 20 min each at 37 C on a
rocking platform at 90 oscillations per minute under 5%
CO2 in air. Cells were cultured at 33 C in a
humidified atmosphere (95% air/5% CO2) using
growth medium [
-MEM containing 10% FBS (lot no. 1011961 Life Technologies, Inc.) and 1% penicillin-streptomycin (PS)].
HeLa and BHK21 cells were obtained from Dr. Joel Habener (Molecular
Endocrine Unit, Massachusetts General Hospital, Boston, MA) and NIH-3T3
cells were provided by Dr. Gino Segre (Endocrine Unit, Massachusetts
General Hospital, Boston, MA). MS-1 cells are clonal conditionally
immortalized murine bone marrow stromal cells previously isolated in
our laboratory (25).
Radioligand binding
The [Tyr34]hPTH(1984) peptide was
radioiodinated with Na[125I] (2000 Ci/mmol) by
the chloramine-T method and purified by HPLC, as previously described
(6). For binding experiments, cells were plated in 24-well
dishes at 100,000 cells/ml and cultured at 33 C for 714 days.
Confluent monolayers then were washed with 0.5 ml binding buffer [100
mM NaCl, 5 mM KCl, 2 mM
CaCl2, 50 mM Tris-HCl (pH 7.8) plus
5% heat-inactivated horse serum] before incubation with
125I- [Tyr34]hPTH(1984)
(100,000200,000 cpm/well) in 0.5 ml binding buffer for 4 h at 15
C. Receptor number was ascertained by Scatchard analysis, using
[Tyr34]hPTH(1984) or hPTH(184) as competing ligand.
Cellular protein was measured using the BCA protein assay kit
(Pierce Chemical Co., Rockford, IL) and was found to
average 0.33 mg/106 cells and 0.47
mg/106 cells for F cells and C cells,
respectively. In some experiments, cells were washed with acidic buffer
(50 mM glycine, 150 mM NaCl, pH 4.0) to remove
residual bound ligand, before addition of radioligand.
cAMP accumulation
Cells were rinsed twice with assay buffer (135 mM
NaCl, 6 mM KCl, 1 mM
MgCl2, 2.8 mM glucose, 1.2
mM CaCl2, and 20 mM
HEPES, pH 7.4) and then incubated for 15 min at 37 C with the same
buffer containing 0.1% heat inactivated BSA, 1 mM
isobutylmethylxanthine (IBMX), and agonist, conditions under which cAMP
accumulation was found to be linear with time for at least 15 min. The
buffer then was rapidly aspirated, the plates were frozen in liquid
nitrogen, and the frozen cells subsequently were thawed directly into
0.5 ml of 50 mM HCl. Cell-associated cAMP in the acid
extracts was measured using an RIA kit (NEN Life Science Products). Results were expressed as picomoles of cAMP produced
per well over 15 min.
Northern blot and RT-PCR analysis
Cells were plated in 10-cm dishes and cultured at the
appropriate temperature in growth medium. Total RNA was extracted using
the TRIreagent method (Sigma) and quantified by UV
absorbance. Fifteen micrograms of total RNA was separated by 1%
agarose-gel electrophoresis in the presence of formaldehyde and
transferred to a nylon membrane (Bio-Rad Laboratories, Inc. Hercules, CA) using standard procedures. Membranes were
hybridized with 32P-labeled cDNA probes labeled
by random primer extension, including the
1 subunit of human type I
collagen, mouse osteopontin, mouse alkaline phosphatase, rat
osteocalcin, mouse connexin 43 (Cx43), cbfa-1/osf-2 and
glyceraldehyde-3-phosphate dehydrogenase (GAPDH). Rat osteocalcin was a
gift of Dr. Marie Demay, mouse Cx43 was a gift of Dr. David Paul and
cbfa-1/osf-2 was a gift of Dr. Gerard Karsenty.
RT-PCR was performed on total RNA using the SuperScript
Preamplification System from Life Technologies, Inc. with
a Peltier Thermal Cycler (MJ Research, Inc., Watertown,
MA). The following pairs of primers were used for the cDNA
amplification: CD44: 5'-CAAGTTTTGGTGGCACACAGC, 3'-GGTTAAGGAAGCTACCTGGC;
mouse cbfa-1/osf-2; 5'-TGGAAGGGATGAAAGGCTGC, 3'-CGGTGTTTACCACAGCAGGT
and alkaline phosphatase 5'-CCGTTCTTTCTCTATTC, 3'-ACAGATGGGTCCCACCG as
previously reported (24, 25). The annealing temperature
for CD44 and cbfa1/osf2 was 58 C, and the reaction was repeated for 30
cycles; for alkaline phosphatase the annealing temperature was 54 C,
and the reaction was repeated for 35 cycles. PCR products were
electrophoresed on 1.5% agarose gels and visualized using ethidium
bromide staining.
Von Kossa staining
Cells, plated in six-well dishes, were maintained at 33 C for
34 days, until confluent, before refeeding with fresh medium
containing 10 mM ß-glycerophosphate and 50 µg/ml
ascorbic acid and transferring to nonpermissive conditions (39 C).
Cells were refed with fresh medium twice per week. After 34 weeks,
the presence of mineralized nodules was assessed by von Kossa staining,
as previously described (21). Briefly, after fixation in
95% ethanol for 15 min at 37 C, cells were gradually rehydrated with
water and stained with 5% silver-nitrate for 1 h at 37 C. Cells
then were exposed to incandescent light (100 W) for 1530 min.
Western blot analysis and immunocytochemical staining
For Western blot analysis, confluent cell monolayers were washed
twice with PBS before lysis by incubation in ice-cold RIPA buffer (50
mM Tris-HCl, pH7.2, 150 mM NaCl, 1% NP-40,
0.5% sodium deoxycholate) for 5 min at 4 C. Lysates were centrifuged
at 14,000 rpm for 10 min, supernatants were collected and passed ten
times through a 22 gauge needle, and proteins were separated by
SDS-PAGE (12% acrylamide gel) and transblotted to Hybond
nitrocellulose membranes using standard procedures. Membranes were
first blocked for 30 min at room temperature in Tris-buffered saline,
pH 8.0, plus 0.05% TWEEN-20 (TBS-T) with 5% powdered milk solution,
incubated for 60 min with a 1:1000 dilution of first antibody specific
for murine Cx43 (Zymed Laboratories, Inc., San Francisco,
CA). The membranes were washed several times in TBS-T and then
incubated for 60 min with the second antibody/enzyme conjugate (HRP
antimouse, IgG diluted 1:5000). Immunoreactive bands were detected by
enhanced chemiluminesence assay (ECL, Amersham Pharmacia Biotech, Arlington Heights, IL) according to the
manufacturers instructions.
For immunocytochemical analysis, cells were plated on glass chamber
slides at 72,000 cells/cm2, cultured for 2 days
at 33 C and then incubated for an additional 46 days at 39 C. Cells
were treated with vehicle alone (0.1% TFA) or with the appropriate
hormone for the time indicated. The immunocytochemical staining was
performed as previously described (24). Briefly, cells
were fixed in 3% paraformaldehyde/2% sucrose in PBS and incubated for
5 min. in 0.05% Triton-X 100 diluted in PBS. The fixed slides were
blocked in 5% BSA in TBS-T buffer for 2 h at room temperature.
The cells then were incubated with a 1:125 dilution of anti-Cx43
monoclonal antibody for 30 min at room temperature. The bound antibody
was detected using a Vectastain ABC kit, followed by
staining with VIP substrate according to manufacturers instructions
(Vector Laboratories, Inc. Burlingame, CA).
Counterstaining was performed using 0.5% methyl green. In some cases,
anti-Cx43 antibody was omitted to control for nonspecific staining.
Apoptosis
The pyknotic fragmentation of nuclei typical of apoptotic cells
was detected using Hoechst-33258 fluorescent dye (Sigma
Co., St. Louis, MO). Briefly, cells were cultured on glass coverslips
and maintained in culture at nonpermissive conditions for 46 days in
-MEM supplemented with 2.5% of FBS and 1% PS. After exposure to
the test hormones for 6 h, culture medium was aspirated and cells
were fixed in 4% paraformaldehyde in phosphate buffered solution and
then stained with Hoechst-33258 (2.5 mg/ml) for 5 min at room
temperature. Cells were washed and mounted with glycerol:PBS (9:1,
vol/vol). The stained nuclei were visualized by fluorescence microscopy
using a DAPI filter. In some experiments, apoptotic cells were detected
by the terminal deoxynucleotidyl transferase-mediated nick end labeling
(TUNEL) reaction, using the In situ Cell Death Detection Kit
from Roche Molecular Biochemicals (Indianapolis, IN)
following the manufacturers instructions.
Trypan blue staining was used for routine quantification of cell death,
as it previously was shown to correlate well with apoptosis in an
osteocytic cell line (26). Briefly, cells were plated at
50,000 cells/well in 24-well dishes at 33 C and shifted to
nonpermissive conditions (39 C) after 2 days. Cells were grown at 39 C
for an additional 46 days in
-MEM supplemented with 2.5% of FBS
and 1% PS and then treated with different hormones for an additional
1618 h. Nonadherent cells were combined with adherent cells that were
released from the cultures with trypsin-EDTA, centrifuged, and
resuspended in 0.1% trypan blue solution. The percentage of cells
exhibiting both nuclear and cytoplasmic staining was determined using a
hemocytometer.
Statistical analysis
All results were expressed as the mean ± SD.
Each experiment was repeated at least twice. Significance of
differences between treatment and control groups was assessed by
Students t test using Bonferroni correction.
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Results
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Cell isolation and C-PTH radioligand binding
Primary mixed calvarial cells, F1, were isolated by
sequential collagenase digestion from a PTH1R(-/-)/tsAg(+) animal, as
previously described (21). We reported previously that
these cells, and osteoblastic subclones derived from them, did not
express PTH1Rs, or any other species of Gs-linked PTH receptors, as
indicated by the absence of PTH1R DNA by genomic PCR; detectable cAMP
response to hPTH(134), hPTH(184) or hPTHrP(136); or specific
binding of the
125I-[Nle8,18,
Tyr34]bPTH(134)NH2
radioligand. Cells expressing CPTHRs were present in this heterogeneous
cell preparation, however, as demonstrated in preliminary
experiments by the specific displacement of
125I-[Tyr34]hPTH(1984) radioligand by
intact hPTH(184) (data not shown).
To identify cells with high expression of CPTHRs, single colonies were
isolated from the mixed F1 population by limiting dilution and then
screened for specific binding of
125I-[Tyr34]
hPTH(1984). Among twenty subclones isolated, three clones, initially
designated C1, C14, and C59 (i.e. C cells) were selected for
further characterization on the basis of their distinctly high specific
binding of the
125I-[Tyr34] hPTH(1984)
radioligand. Like the previously described osteoblastic clonal cell
lines (21), these three C cells did not express any other
species of Gs-linked PTH receptors, as demonstrated by the absence of a
detectable cAMP response to either hPTH(134) or hPTH(184) (not
shown). Comparison of the CPTHR binding of these C cells with those of
the previously described osteoblastic (F) cells, which had been
selected for high alkaline phosphatase activity rather than for CPTHR
binding (21), is shown in Fig. 1
. The amount of total radioactivity
bound averaged 14.4 ± 3.2% for the three C cell clones,
vs. 2.98 ± 0.51% for the three previously reported F
cell lines. Nonspecific binding, assessed in the presence of
10-6
M hPTH(184), was 2.8 ± 1.2% and
1.04 ± 0.15% for the C and F cell clones, respectively. As
assessed by Scatchard analysis, CPTHR expression by C cells ranged from
1,900,000 to 3,400,000 sites/cell on the C cells but was less than
600,000 sites/cell on the F cells (ranging from 200,000 to 600,000)
(Fig. 1
, inset).

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Figure 1. Competitive ligand binding in C cells (C1, C14,
and C59) and F cells (F110, F114 and F120). Different cell lines
were tested for expression of CPTHRs by radioligand binding analysis at
15 C using 125I-[Tyr34] hPTH(1984) as
tracer. Cells were plated at 100,000 cells/ml in 24-well plates and
maintained in culture at 33 C for 710 days. C cells expressed between
1,900,000 and 3,400,000 CPTHRs/cell, whereas the F cells expressed less
than 600,000 CPTHRs/cell as determined by Scatchard analysis (insert;
ordinate= bound/free, abscissa= specific binding, pmol/mg of protein).
Specific binding is expressed as mean ± SD of
triplicates in this representative experiment.
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To identify the region(s) of the PTH molecule required for binding to
the CPTHR, competitive displacement analysis was performed using
various amino-terminally truncated human PTH fragments. As shown in
Fig. 2
, hPTH(184) displaced the
125I-[Tyr34] hPTH(1984)
radioligand as effectively as [Tyr34]
hPTH(1984) (IC50 = 2050 nM for
both). Binding by the fragment hPTH(2484) also was equivalent to that
of hPTH(184), whereas the shorter peptide hPTH(3984) was much less
potent, with an IC50 in the range of 500700
nM. Human PTH(134) displaced the radioligand slightly
(24 ± 11.5%; n = 3 experiments) at 10,000 nM
but was ineffective at 1000 nM.

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Figure 2. Binding of N-terminally truncated human PTH
fragments to CPTHRs in C59 cells. The human PTH peptides shown were
tested for their ability to displace the
125I-[Tyr34] hPTH(1984) tracer in C59
cells. Experiments were performed as described in Fig. 1 . Results are
expressed as the percentage of maximal specific binding observed in the
absence of competing ligand and are shown as mean ±
SD of triplicates in this representative experiment.
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Regulation of CPTHR expression
Expression of CPTHRs, as assessed by specific
125I-[Tyr34]hPTH(1984)
binding, was down-regulated in a concentration-dependent manner by
pretreatment of C59 cells for 16 h with hPTH(184) (Fig. 3A
). Binding was reduced 19 ± 5%
and 66 ± 7% by preincubation with hPTH(184) at concentrations
of 200 nM and 1000 nM, respectively.
Pretreatment with hPTH(3984) reduced CPTHR binding by less than 20%
when added at 10,000 nM but not at all at 1000
nM (not shown). To assure that this change was due to a
reduction in total binding sites and not simply to persistent receptor
occupancy by preadministered hPTH(184), cells were rinsed, before
radioligand addition, with acidic buffer that was found in preliminary
experiments to completely and reversibly remove previously bound
radioligand. CPTHR binding also was down-regulated following
preincubation for 16 h in the presence of calcium ionophore
(ionomycin, 1 µM) or active phorbol ester (TPA, 10
nM), which reduced specific binding by 71 ± 3% and
48 ± 12%, respectively. The effects of these drugs were at least
partly reversible, as radioligand binding returned to 100% and 63% of
controls, respectively, 24 h after their removal (data not shown).
No down-regulation occurred when cells were pretreated with inactive
phorbol ester (4-
phorbol) at concentrations as high as 100
nM (not shown). Also, the effect of ionomycin (1
µM) was not blocked by prior incubation of the cells with
the intracellular calcium chelator BAPTA-AM (25 µM) (not
shown). Finally, no down-regulation of CPTHR binding occurred following
exposure for 24 h to hPTH(134) (1 µM),
1,25(OH)2D3 (10
nM), 8-bromo cAMP (1 mM), forskolin (10
µM), insulin (100 ng/ml), IGF-1 (100 nM) or
dexamethasone (100 nM) (data not shown).

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Figure 3. Homologous down-regulation of CPTHRs in C59 cells.
Cells were treated for 16 h with the agent indicated and then
rinsed three times with binding buffer and once with an acidic buffer
(see Materials and Methods), to completely remove any
previously added PTH peptide from the receptor. Radioligand binding
then was conducted using
125I-[Tyr34]hPTH(1984) as tracer ±
hPTH(184) as competing ligand in cells pretreated with (A)
hPTH(184) at the indicated concentrations (nM), (B)
ionomycin (µM), and (C) the active phorbol ester TPA
(nM). Specific binding is expressed as mean ±
SD of triplicates. * P < 0.05, **
P < 0.01.
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Morphology and gene expression
The C cells, which had been selected for high expression of
CPTHRs, exhibited a characteristic morphology, including the presence
of numerous elongated dendritic processes reminiscent of those seen in
mature osteocytes (Fig. 4
, AC). This
stellate appearance was seen in all three C cell lines and was distinct
from the more cuboidal shape of the osteoblastic (F) cells that
previously had been isolated from the same calvarial digest on the
basis of high alkaline phosphatase activity (21) (Fig. 4D
). Because of their osteocytic morphology, the three C cell lines
were renamed OC cells.

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Figure 4. Connexin 43 expression at permissive and
nonpermissive temperature. C59 cells (A and B), C1 (C), and F114
cells (D) were plated on glass coverslips at 72,000
cells/cm2 and cultured at 33 C (A) or at 33 C for 2 days
and then at 39 C for 35 days (B-D) before staining for Cx43 as
described in Materials and Methods. Because of their
osteocyte-like appearance, C cells were renamed OC cells.
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Others have reported that osteocytes, unlike osteoblasts, express
little or no alkaline phosphatase, cbfa-1/osf-2, or collagen I but do
express high levels of mRNAs for osteocalcin, Cx43, and CD44 (24, 27). To further define the phenotype of the osteocyte-like OC
cell lines, expression of specific mRNAs characteristic of osteoblasts
or osteocytes was analyzed by Northern blotting and RT-PCR. As shown in
Fig. 5A
, OC cell expression of
osteocalcin and Cx43 mRNAs was higher than in F114 osteoblastic cells
or in early cultures of normal murine calvarial osteoblasts, whereas
osteopontin mRNA was barely detectable in the OC cells. Transcripts for
alkaline phosphatase or cbfa-1/osf-2 could not be detected by Northern
blot analysis in these cells but were present at low levels, as
revealed by RT-PCR (Fig. 5B
). Type 1 collagen was well expressed in all
of the cell lines. None of the mRNAs measured by Northern blot analysis
increased significantly in cells incubated for 5 days at 39 C
vs. 33 C. Cx43 expression, as detected by direct
immunostaining of fixed cells, was observed in cytoplasm and along the
dendritic processes (Figs. 4
and 6
).
After incubation for 2 h with hPTH(184) (100
nM) or hPTH(3984) (1000
nM), Cx43 staining was more prominent, especially
in a perinuclear location (Fig. 6
). This represented mainly a
redistribution of Cx43, as it was not accompanied by an increase in
total cellular Cx43 protein, as assessed by Western blotting (Fig. 6D
).

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Figure 5. mRNA expression in OC cells. OC14 lanes (1 3 )
and OC59 (lanes 2 and 4) cells were cultured at 33 C for 7 days (lanes
1 and 2) or at 33 C for 2 days and at 39 C for 5 additional days (lanes
3 and 4) before RNA extraction. F114 cells (lane 5) also were
cultured at 33 C 2 days and at 39 C for 5 additional days whereas
primary calvarial osteoblasts (lane 6) were cultured at 37 C.
Expression of specific mRNAs was assessed by Northern blotting or by
RT-PCR as described in Materials and Methods. A, Northern
blot analysis of mRNAs for osteocalcin (Oc), connexin 43 (Cx43),
osteopontin (OP), and collagen 1 (I) (Col) and GAPDH. B, RT-PCR for
alkaline phosphatase (Alk), CD44 and cbfa-1/osf-2 (Osf2). M, Molecular
weight. H, Reaction with primers in the absence of cDNAs. The expected
size for each PCR product is as indicated.
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Figure 6. Connexin 43 regulation by CPTHR ligands. OC14
cells were plated on glass coverslips at 72,000 cells/cm2,
cultured at 33 C for 2 days and then shifted at 39 C for 35 days
before stimulation with CPTHR ligands. OC14 cells were treated for
2 h with (A) vehicle alone, (B) 100 nM hPTH(184), or
(C) 1000 nM hPTH(3984). Cells were fixed and stained for
Cx43 expression as described in Materials and Methods.
D, Western blot for Cx43 in OC14 cells cultured at 33 C (lane 1) or at
39 C (lanes 25), as described in Materials and Methods
and treated for 2 h with vehicle alone (lanes13) or with 100
nM hPTH(184) (lanes 4 and 5).
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The OC cells were capable of mineralization, as detected by von Kossa
staining after 4 weeks in the presence of 10 mM
ß-glycerophosphate and 50 µg/ml of ascorbic acid (Fig. 7
). Mineralization (Fig. 7B
vs. A) was increased when cells were maintained at 39 C,
conditions under which the transforming T antigen is inactive.

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Figure 7. Mineralization by OC 14. OC 14 cells were grown to
confluence at 33 C on 6 well-dishes and then maintained for an
additional 4 weeks at 33 C (A) or 39 C (B) in the presence of 10
mM ß-glycerophosphate and 50 µg/ml ascorbic acid before
visualizing calcium phosphate deposition by von Kossa staining.
Magnification, 40x.
|
|
CPTHR expression in other cells
To determine if abundant CPTHR expression is a specific
characteristic of osteocytic cells or a more generalized feature of
bone cells, we performed
125I[Tyr34] hPTH(1984)
radioligand binding with several other bone- and non bone-derived
cell lines. As shown in Table 1
, CPTHR
specific binding was much greater in the osteocytic cells than in the
unfractionated original calvarial digest (F1) or the previously
isolated osteoblastic (F114) or bone marrow stromal cells (MS-1)
(25). Minimal specific binding was detected on HeLa, BHK1,
NIH3T3 cells or, as previously reported, on LLC-PK1 porcine kidney
cells (6).
Apoptosis
It was shown recently that PTH(134), presumably acting via
PTH1Rs, can reduce the rate at which osteoblasts and osteocytes undergo
apoptosis in vivo and in vitro (26, 28). As osteocytes are terminally differentiated osteoblasts, it
was of interest to determine if CPTHR activation might play a role in
regulating apoptosis in the OC cells. As shown in Fig. 8
(A and B) when OC cells, which lack
functional PTH1R genes, were incubated for 6 h with 100
nM hPTH(184), increased nuclear pyknosis and
chromatin condensation appeared, as revealed by DNA staining with
Hoechst dye 33258. Increased apoptosis also was observed using a TUNEL
immunocytochemical assay (Fig. 8
, C and D). Similarly, when cell death
was monitored using trypan blue staining of combined adherent and
nonadherent cells from these cultures (26), hPTH(184)
induced a doubling in trypan blue-stained cells after 16 h (Fig. 9A
). This effect of hPTH(184) upon cell
death was concentration dependent and maximal at 10
nM, with an EC50 in the
range of 0.1 nM (Fig. 9B
). The effect was
mimicked by 100 nM hPTH (2484) and
1000 nM hPTH(3984), which produced,
respectively, 1.8- and 1.5-fold increases over basal. (Fig. 9
, C and
D). As expected, hPTH(134) (1000 nM) was
inactive, consistent with its inability to effectively bind to CPTHR
sites on these cells (Fig. 2
). In these experiments, the percentage of
trypan blue-stained cells in controls was substantial (2030%),
perhaps because of prolonged incubation in reduced serum at the
nonpermissive temperature. A similar proapoptotic effect of hPTH(184)
was observed in analogous experiments performed at 37 C, however,
where basal rates of cell death were lower (Fig. 9A
). Cell death
triggered by hPTH(184) was blocked completely by prior addition of
the caspase-3 inhibitor DEVD (50 µg/ml) (Fig. 9E
).

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Figure 8. Induction of apoptosis by PTH(184) in OC14
cells. Cells plated on glass coverslips and maintained at 33 C for 3
days were shifted to 39 C for 57 days before addition of 100
nM hPTH(184) (B, D) or vehicle alone (A, C) for 6 h.
At the end of the incubations, cells were fixed and stained with
Hoechst 33258 (A and B) or for TUNEL (C and D), as described in
Materials and Methods. Arrows indicate
apoptotic cells. Of the total Hoechst 33258 stained cells counted
(>200), 20 ± 2.1% and 29 ± 0.7% of the cells were
apoptotic in the control and in PTH-treated, respectively. Similarly,
in TUNEL assay, there were 5.5 ± 0.4 and 8 ± 0.3 TUNEL positive
cells/field in the control and in the PTH-treated, respectively.; 200x
magnification.
|
|

View larger version (27K):
[in this window]
[in a new window]
|
Figure 9. Cell death induced by in PTH in OC14 cells. OC14
cells were plated, cultured at 33 C for 3 days and then incubated at 37
C (hatched bars in A) or 39 C (solid bars
in A; BE) for 57 days before addition of PTH peptides for a further
16 h, followed by trypan blue staining (see Materials and
Methods). A, Response to hPTH(184), 100 nM; B,
Human PTH 184 dose response; C, Response to hPTH(184), 100
nM and hPTH(3984),1000 nM; D, Response to
hPTH(2484), 100 nM; E, Caspase dependence (C =
controls) The Caspase-3 inhibitor DEVD (D) was added 1 h before
addition of 100 nM hPTH(184) (P). Results are expressed
as mean ± SD of quadruplicate determinations of
the percentage of nonvital trypan blue-stained cells. *
P < 0.05, ** P <
0.01.
|
|
 |
Discussion
|
|---|
Osteocytes comprise over 90% of bone cells, yet their functions,
and the involvement of systemic hormones in regulating them, are
incompletely understood. Located in interconnecting lacunae deep within
the mineralized matrix of bone, osteocytes are believed to fulfill an
important mechanosensory function, whereby they transduce shear and
strain forces into chemical signals that communicate this information
to other osteocytes, osteoblasts and, ultimately, osteoclasts
(28, 29, 30). Osteocytes express PTH1Rs, and their response to
mechanical forces in vivo is enhanced by, and may even
require, circulating PTH (31).
We report here that clonal murine calvarial-derived cell lines with
many characteristics of osteocytes also express unusually large numbers
of receptors that specifically recognize the C-terminal portion of
intact PTH. In fact, these cells express considerably higher levels of
CPTHRs (up to 10-fold more per cell) than do other bone cell subtypes,
including mature osteoblasts (21). It is difficult to
identify the osteocytic phenotype with complete confidence in
vitro, absent the normal surrounding lacunar environment, but the
three conditionally immortalized, clonal cell lines that we selected
exclusively on the basis of high CPTHR expression share many
morphological features and a distinctive profile of gene expression
with normal osteocytes (23) and with a previously
characterized osteocytic cell line (24). These include a
stellate shape, with numerous dendritic processes, and abundant
expression of mRNAs for osteocalcin, Cx43, and CD44 but not for
alkaline phosphatase or cbfa-1/osf-2, which are more characteristic of
early or mature osteoblasts. The osteocytic phenotype of these cells is
most intense when they are maintained at a temperature (i.e.
39 C) that is nonpermissive for expression of functional transforming
tsTAg. For example, mineralization (Fig. 7
) was much more intense in
cells cultured at 39 C than at 33 C, as we previously observed in other
clonal osteoblastic cells isolated from these mice
(21).
The OC cells were isolated intentionally from animals that genetically
lack functional PTH1Rs to eliminate possible confounding effects of
coexpressed PTH1Rs and to allow us to focus directly upon
CPTHR-dependent actions of intact PTH. The results of radioreceptor
binding assays in OC cells, using the
125I-[Tyr34]hPTH(1984)
radioligand, were remarkably similar to those reported previously with
ROS17/2.8 cells (6, 16), which suggests that the CPTHRs on
these different cell types probably are similar or identical. Thus,
like Inomata et al., we found that hPTH(184) and the
hPTH(1984) peptide bound equivalently to CPTHRs and that hPTH(3984)
bound more weakly, with an IC50 roughly 15-fold
higher. We have further narrowed the ligand domain responsible for this
higher affinity interaction, moreover, by studying hPTH
(2484), which was found to bind at least as well as
hPTH(184). This indicates that CPTHRs require sequences within the
region hPTH(2438) for high affinity binding, although other, more
C-terminal domains also must be involved to account for the residual
affinity of hPTH(3984). The small amount of binding observed at high
concentrations of hPTH(134) is consistent with the presence of a
binding determinant within hPTH(2438), most of which is contained
within hPTH(134). It seems that this domain probably cannot function
well independently of the cooperative effects of more C-terminal
sequences, however. The manner in which of these independent domains
contribute to the formation of an active conformation of the ligand
remains obscure, especially as available spectroscopic studies do not
suggest a highly ordered secondary structure for the C-terminal
sequence of PTH (32, 33, 34).
Enumeration of CPTHR sites on the OC cells led to estimates of
1,900,000 to 3,400,000 per cell, which was 6- to 10-fold higher than on
the osteoblastic (F) cells obtained from the same bones and at least
5-fold higher than on ROS 17/2.8 cells (6). A survey of
other available cell lines indicated that, with the exception of a bone
marrow stromal cell line (MS-1) (25), little or no binding
was detectable on NIH-3T3, HeLa or BHK21 fibroblast cells, as was
reported previously for OK and LLC-PK1 kidney cells, YCC cells, and
SaOS-2, MG63 and UMR10601 osteosarcoma cells (6). Thus,
the very high abundance of expressed CPTHRs on osteocytic OC cells is
unique, even among other bone cells tested, and suggests that these
receptors may play an important role in osteocyte regulation. The
possibility that bone is an important C-PTH target tissue in
vivo is further supported by our recent observation that
125I-[Tyr34]hPTH(1984)
radioligand binds specifically to frozen sections of 18.5-day normal
mouse fetal calvarial bone (unpublished results) and that hPTH
(784) reduces the calcemic effects of intact PTH(184)
in vivo at concentrations much lower than those required for
effective antagonism of the PTH1R (20).
We observed homologous down-regulation of CPTHR binding following
preincubation with hPTH(184). This response required relatively high
concentrations of ligand (>100 nM), in contrast to the
effects upon apoptosis, and was mimicked by addition of active phorbol
ester or ionomycin. The failure of BAPTA to block the ionomycin effect
suggests mediation by a sustained influx of calcium, presumably from
the extracellular compartment, as opposed to a rapid burst of calcium
released from intracellular stores. This is consistent also with our
previous report of CPTH-stimulated calcium uptake in SaOS-2 human
osteoarcoma cells (35). Also, in C-PTH-treated human fetal
chondrocytes, others have reported increased cytosolic free calcium due
to activation of calcium influx via nickel-insensitive channels
(18). Our down-regulation data are most compatible with
involvement of a calcium-dependent PKC, although further study will be
needed to pursue this possibility and to clarify the role and source of
the calcium signal implicated in this response.
Functional studies of CPTHRs on OC cells have pointed so far to
involvement in at least two general types of cellular processes: cell
survival and intercellular communication. We observed a rapid
CPTHR-dependent change in cellular expression of Cx43, a gap-junction
protein important in mediating intercellular communication and
previously shown to be expressed by both osteoblasts and osteocytes
(36, 37). The possible physiologic significance of this
action is not yet clear. The response of osteocytes to mechanical
stress in vivo is promoted by PTH(134) and blocked by
parathyroidectomy (38). It is interesting to speculate
that activation of CPTHRs by C-PTH fragments, preferentially secreted
by the parathyroids during hypercalcemia (9), might
trigger communication from osteocytes to other bone cells so as to
limit osteoclast formation or activity and thereby exert negative
feedback on bone resorption. Further understanding of CPTHR function
and ligand activity, facilitated by availability of these osteocytic
cell lines, will be needed to pursue such hypotheses.
We also observed that CPTHR-interacting ligands increased the rate of
osteocyte cell death in vitro. As this action was
accompanied by evidence of increased nuclear pyknosis, chromatin
condensation and TUNEL staining and was completely blocked by the
caspase-3 inhibitor DEVD, we conclude that apoptosis, mediated by
activation of the caspase cascade, is the likely mechanism.
Importantly, this proapoptotic effect was observed also with the
C-terminal fragment hPTH(3984) (at an appropriately higher
concentration), which indicates that the ligand domain required for
CPTHR activation of this response likely is located C-terminal to the
above-mentioned hPTH(2438) region needed for high-affinity
binding. In contrast, others (26) have observed an
opposite, anti-apoptotic action of hPTH(134), via the PTH1R
activation, in dexamethasone-stimulated osteoblastic and osteocytic
cells. In OC cells, which lack endogenous PTH1Rs, hPTH(184) exerts
only a pro-apoptotic effect (via CPTHRs), as does hPTH(3984). This
suggests the possibility that PTH1Rs and CPTHRs may exert opposite
effects upon cell survival in osteocytes and that these cells may be
able to integrate signals arising from these two types of PTH receptors
in response to discoordinate changes in circulating intact hormone and
C-PTH fragments. In renal insufficiency, for example, excessive CPTHR
activation by high levels of circulating CPTH fragments might lead to
exaggerated, pathological loss of osteocytes and contribute to some
forms of renal osteodystrophy (39).
Expression of the PTH1R by osteocytes has been documented in
vivo (40), and it is of interest to consider the
potential for interactions between PTH1Rs and CPTHRs in these cells. It
is possible that the genetic absence of PTH1R in our cells may have
modified in some way the expression or function of CPTHRs. Almost
certainly, the response of these PTH1R-null cells to hPTH(184)
in vitro differs from that of authentic osteocytes in
vivo, in which both receptor types presumably can be activated
concurrently by the intact hormone. Preliminary evidence, in ROS 17/2.8
cells, indicates that C-PTH fragments may modify the function of
hPTH(184) [but not hPTH(134)] in cells that express both types of
PTH receptors (41). The possible involvement of PTH1Rs in
modulating CPTHR function, or vice versa, now can be addressed directly
in our OC cells by reconstituting them through transfection with cDNA
encoding PTH1Rs; efforts in this direction are underway in our
laboratory.
 |
Acknowledgments
|
|---|
The authors wish to thank Dr. H. M. Kronenberg for critical
review of the manuscript and Dr. B. Lanske for provision of the PTH1R
-/- mice.
 |
Footnotes
|
|---|
1 This work was supported by the NIH Grant DK-11794. 
Received July 7, 2000.
 |
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T. M. Murray, L. G. Rao, P. Divieti, and F. R. Bringhurst
Parathyroid Hormone Secretion and Action: Evidence for Discrete Receptors for the Carboxyl-Terminal Region and Related Biological Actions of Carboxyl- Terminal Ligands
Endocr. Rev.,
February 1, 2005;
26(1):
78 - 113.
[Abstract]
[Full Text]
[PDF]
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P. D'Amour, J.-H. Brossard, A. Rakel, L. Rousseau, C. Albert, and T. Cantor
Evidence That the Amino-Terminal Composition of Non-(1-84) Parathyroid Hormone Fragments Starts before Position 19
Clin. Chem.,
January 1, 2005;
51(1):
169 - 176.
[Abstract]
[Full Text]
[PDF]
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