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*PARATHYROID HORMONE
Endocrinology Vol. 142, No. 4 1534-1545
Copyright © 2001 by The Endocrine Society


ARTICLES

Selective and Nonselective Inverse Agonists for Constitutively Active Type-1 Parathyroid Hormone Receptors: Evidence for Altered Receptor Conformations1

Percy H. Carter, Brian D. Petroni, Robert C. Gensure, Ernestina Schipani, John T. Potts Jr. and Thomas J. Gardella

Endocrine Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114

Address all correspondence and requests for reprints to: Thomas J. Gardella, Endocrine Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114. E-mail: Gardella{at}helix.MGH.Harvard.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The spontaneous signaling activity of some G protein-coupled receptors and the capacity of certain ligands (inverse agonists) to inhibit such constitutive activity are poorly understood phenomena. We investigated these processes for several analogs of PTH-related peptide (PTHrP) and the constitutively active human PTH/PTHrP receptors (hP1Rcs) hP1Rc-H223R and hP1Rc-T410P. The N-terminally truncated antagonist PTHrP(5-36) functioned as a weak partial/neutral agonist with both mutant receptors but was converted to an inverse agonist for both receptors by the combined substitution of Leu11 and D-Trp12. The N-terminally intact analog [Bpa2]PTHrP(1–36)—a partial agonist with the wild-type hP1Rc—was a selective inverse agonist, in that it depressed basal cAMP signaling by hP1Rc-H223R but enhanced signaling by hP1Rc-T410P. The ability of [Bpa2]PTHrP(1–36) to discriminate between the two receptor mutants suggested that H223R and T410P confer constitutive receptor activity by inducing distinct conformational changes. This hypothesis was confirmed by the observations that: 1) the double mutant receptor hP1Rc-H223R/T410P exhibited basal cAMP levels that were 2-fold higher than those of either single mutant; and 2) hP1Rc-H223R and hP1Rc-T410P internalized 125I-PTHrP(5–36) to markedly different extents. The overall results thus reveal that two different types of inverse agonists are possible for PTHrP ligands (nonselective and selective) and that constitutively active PTH-1 receptors can access different conformational states.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE TYPE-1 PTH receptor (PTH/PTHrP receptor or P1Rc) mediates the homeostatic calcium-regulating actions of PTH and the paracrine developmental actions of PTH-related peptide (1). Three different constitutively active mutant PTH-1 receptors have been identified in patients with Jansen’s metaphyseal chondrodysplasia, a rare disease characterized by hypercalcemia and short stature (2, 3, 4, 5). Each of these activating mutations occurs near the cytoplasmic terminus of one of the transmembrane domains: the His223->Arg mutation in TM 2 (2), the Thr410->Pro mutation in TM6 (4, 5), and the Ile458->Arg mutation in TM7 (3). In COS-7 cell expression systems, these mutations resulted in 4- to 10-fold increases in the basal level of cAMP, relative to the basal level of cAMP in cells expressing the wild-type PTH-1 receptor (2, 3, 4, 5). Confirmation of the predicted in vivo hyperactivity of these mutant receptors was provided by a recent study of transgenic mice in which it was shown that the targeted expression of hP1Rc-H223R in chondrocytes rescues the lethal phenotype associated with the deletion of the gene for PTH-related peptide (6).

We have previously reported that certain competitive antagonists for the PTH receptor act as inverse agonists with these constitutively active PTH-1 receptors, in that they reduce the elevated basal cAMP signaling (7). The capacity of a competitive antagonist to behave as an inverse agonist when studied with a constitutively active G protein-coupled receptor has been described for a number of other ligand/receptor systems (for review see Ref. 8). The molecular mechanisms that underlie inverse agonism and constitutive receptor activity have been discussed, largely in theoretical terms (9, 10), but these are still only poorly understood processes. The continued interest in understanding both the structural basis for inverse agonism, as well as the mechanisms by which these ligands modulate receptor signaling activity, is likely to provide important insights into the fundamental mechanism(s) of ligand recognition and receptor activation for the G protein-coupled receptors (11). In our field, potent peptidic inverse agonists for the constitutively active variants of the PTH-1 receptor could serve as useful reagents in studying the transgenic mouse models that are now being developed to dissect the role of the receptor in development (6). In addition, small molecule mimmetics of these peptides could provide a therapeutic benefit to patients with Jansen’s metaphyseal chondrodysplasia.

Our earlier work revealed that the N-terminally truncated peptides [Leu11,D-Trp12]PTHrP(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)NH2 and [D-Trp12]PTH (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)NH2 were inverse agonists with both the hP1Rc-H223R and hP1Rc-T410P constitutively active receptors (7). These two antagonist/inverse agonist peptides exhibited 3- to 30-fold higher apparent binding affinities than did the other (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) antagonist peptides in the study, and each contained Leu and D-Trp at positions 11 and 12, respectively. These observations suggested two possibilities regarding the molecular basis for inverse agonism in PTH/PTHrP ligands: 1) all high affinity N-terminally truncated antagonists act as inverse agonists for the constitutively active PTH-1 receptors; and 2) Leu11, D-Trp12, or their combination serves as a structural determinant of inverse agonism. We addressed these possibilities in the present study by using two newly described high-affinity antagonist peptides—[Ile5,Trp23,Tyr36]PTHrP(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, 35, 36)NH2 and [Bpa2,Ile5,Trp23,Tyr36]PTHrP(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, 35, 36)NH2 (12)—both of which were previously shown to be approximately 17-fold more potent as competitive antagonists with the wild-type PTH-1 receptor than was [Leu11,D-Trp12,Trp23,Tyr36]PTHrP(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, 35, 36)NH2, and neither of which contained the Leu11 or D-Trp12) substitutions. As described herein, our analysis of these peptide analogs and their derivatives reveal that neither of our initial hypotheses was entirely correct and that different mechanistic modes of inverse agonism in the PTH/PTHrP system are possible. Furthermore, the discovery that [Ile5,Bpa2,Trp23,Tyr36]- PTHrP1–36NH2 acted as a selective inverse agonist for hP1Rc-H223R led us to reinvestigate the mechanisms of constitutive activation used by hP1Rc-H223R and hP1Rc-hT410P, and, in so doing, to determine that the H223R and T410P mutations induce different activated states of the receptor.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Peptides
Amino acid sequences of the peptides used are summarized in Table 1Go. All peptides used in this study contained a free amino terminus (with the exception of [desNH2-Ala1,Tyr34]hPTH(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)NH2) and a carboxamide at the C-terminus; all PTHrP(x-36) analogs contained the modifications of Ile5 (unless truncated at residue 7), Trp23 and Tyr36 (13). In most cases, these shared peptide modifications are not indicated in the subsequent textual references to the peptide analogs. The peptide [Nle8,18,Tyr34]bPTH(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)NH2 {PTH(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)} was purchased from Bachem (Torrance, CA). All other peptides were prepared on a PE Applied Biosystems (Norwalk, CT) model 430A peptide synthesizer using Fmoc main-chain protecting group chemistry, HBTU/HOBt/DIEA (1:1:2 molar ratio) for coupling reactions, and TFA-mediated cleavage/sidechain-deprotection (MGH Biopolymer Synthesis Facility, Boston, MA). Each peptide was purified by HPLC, lyophilized, reconstituted in 10 mM acetic acid, and stored at -80 C. The purity, identity, and stock concentration of each compound was secured by analytical HPLC, mass spectrometry, and amino acid analysis, respectively. Radiolabeling was performed using 125I-Na (2,200 Ci/mmol, NEN Life Science Products) and chloramine-T; the resultant [125I-Tyr]-ligand was purified by HPLC.


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Table 1. N-terminal sequences of PTHrP and PTH analogs

 
Cell culture and DNA transfection
Stock solutions of EGTA/trypsin and antibiotics were obtained from Life Technologies, Inc. (Gaithersburg, MD); FBS was obtained from HyClone Laboratories, Inc. (Logan, UT). COS-7 cells were cultured at 37 C in DMEM supplemented with FBS (10%), penicillin G (20 U/ml), streptomycin sulfate (20 µg/ml), and Amphotericin B (0.05 µg/ml) in a humidified atmosphere containing 5% CO2. The wild-type and mutant PTH-1 receptor complementary DNAs (cDNAs) were contained in the pcDNA1 vector (Invitrogen, Carlsbad, CA) (5, 14). The plasmid encoding hP1Rc-H223R/T410P was constructed by replacing a SacI-SacI restriction DNA fragment of hP1Rc-T410P, which extended from the 5' polylinker region to a site corresponding to the middle of extracellular loop 2, with the corresponding fragment of hP1Rc-H223R. The COS-7 cells were transfected in 24-well plates when the cells were of 85–95% confluency using DEAE-dextran (15). For each well, 200 ng of plasmid DNA was used [except for the expression normalization studies (see Fig. 6Go), where varied amounts of DNA were used]. All DNA was purified by cesium chloride/ethidium bromide gradient centrifugation. Assays were conducted 72–96 h after transfection, at which point approximately 20% of the cells expressed surface wild-type PTH receptors at a density of about 5 x 106 per cell (15).



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Figure 6. Effects of combining the H223R and T410P mutations on PTH-1 receptor function. A, COS-7 cells were transiently transfected using plasmid DNA; 200 ng/well) encoding either hP1Rc-WT, hP1Rc-H223R, hP1Rc-T410P, or hP1Rc-H223R/T410P, and then subsequently treated with either buffer alone (solid columns) or buffer containing 1 µM [Nle8,21, Tyr34]-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 )NH2 (hatched columns). The data (mean ± SEM) are from three independent experiments, each performed in duplicate or triplicate. B and C, COS-7 cells were transfected with hP1Rc-WT DNA at 1.6 ng or 400 ng of DNA per well or with hP1Rc-H223R/T410P DNA at 400 ng/well. In panel B, the cells were treated as in A. In panel C, the level of cell-surface expression of the receptor was measured using a primary antibody directed against the receptor’s extracellular domain and an iodinated secondary antibody. The data of panels B and C were extracted from a larger experiment (performed three times in duplicate) in which the amount of DNA used in the transfection for each receptor varied from 0.2–400 ng per well in 2-fold increments. When the resulting surface expression levels (and cAMP responses) were measured, the expression levels of hP1Rc-WT and hP1Rc-H223R/T410P were most closely matched (P = 0.5) using 1.6 and 400 ng of DNA encoding the respective receptors. The data (mean ± SEM) are from the three experiments performed in duplicate. D, COS-7 were cells transfected with DNA encoding hP1Rc-H223R/T410P (200 ng/well) and subsequently treated with varying doses of [Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({blacksquare}), [Leu11,D-Trp12, Trp23, Tyr36]-PTHrP(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 35 36 )NH2 ({triangleup}), [Nle8,21, Tyr34]-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 )NH2 (•), [Bpa2, Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({square}), [Trp2, Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({blacktriangleup}), [Arg2, Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({circ}), or [desNH2-Ala1, Tyr34]-hPTH(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 )NH2 (X), and then assayed for cAMP accumulation. In panels A, B, and D, the differences between the basal and PTH(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 )-modulated cAMP levels for hP1Rc-H223R/T410P were statistically different (P = 0.04, 0.00001 and 0.0002, respectively). The data (mean ± SEM) were derived from three to six independent experiments, each performed in duplicate; in each experiment, the cAMP values were normalized to the cAMP level detected in the absence of added ligand (100%).

 
cAMP accumulation assays
Assays of transfected COS-7 cells were performed in 24-well plates. Cells were rinsed with 0.5 ml of binding buffer (50 mM Tris-HCl, 100 mM NaCl, 5 mM KCl, 2 mM CaCl2, 5% heat-inactivated horse serum, 0.5% FBS, adjusted to pH 7.7 with HCl) and treated with 100 µl of binding buffer containing varying amounts of peptide analog and 200 µl of cAMP assay buffer (DMEM containing 2 mM 3-isobutyl-1-methylxanthine, 1 mg/ml BSA, 35 mM HEPES-NaOH, pH 7.4). The medium (total volume = 300 µl) was removed after a 30 min incubation at room temperature. The cells were then frozen (-80 C), lysed with 0.5 ml 50 mM HCl, and refrozen (-80 C). The cAMP content of the diluted lysate was determined by RIA. Nonlinear regression was used to calculate the EC50 values for cAMP accumulation and to curve-fit the data (see below).

Competitive antagonism studies
The cAMP accumulation protocol described above was used for studies of antagonist peptides with some minor modifications. Cells were rinsed with 0.5 ml binding buffer and treated successively with 100 µl of binding buffer containing an antagonist peptide, 100 µl of cAMP assay buffer, and 100 µl of cAMP assay buffer containing the agonist PTH (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) ([Nle8,21,Tyr34]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)NH2) or inverse agonist {[Leu11,D-Trp12]-PTHrP(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, 35, 36) or [Leu11,D-Trp12]-PTHrP(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, 35, 36)} for a final volume of 300 µl. The cells were then incubated for 30 min at room temperature and processed as above for quantification of intracellular cAMP levels.

Competition binding assays
Binding reactions were performed in 24-well plates. Cells were rinsed with 0.5 ml of binding buffer and then treated successively with 100 µl binding buffer, 100 µl of binding buffer containing various amounts of unlabeled competitor ligand, and 100 µl of binding buffer containing approximately 100,000 cpm of 125I-tracer (ca. 26 fmol; final volume = 300 µl). Incubations were 4 h at 15 C, except for experiments designed for Scatchard analysis, which were incubated 6 h at 4 C. Cells were then placed on ice, the binding medium was removed, and the monolayer was rinsed three times with 0.5 ml of cold binding buffer. The cells were subsequently lysed with 0.5 ml 5 N NaOH and counted for radioactivity. The nonspecific binding for each experiment was determined by competition with a 1 µM dose of unlabeled [Nle8,21,Tyr34]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)NH2. The maximum specific binding (B0) was the total radioactivity bound in the absence of unlabeled ligand, corrected for nonspecific binding. Nonlinear regression was used to calculate binding IC50 values (see below).

Antibody binding analyses
Indirect antibody binding studies were performed to quantify levels of receptor surface expression in intact transfected COS-7 cells. The primary antibody was an affinity purified rabbit polyclonal antibody (anti-H2) that recognizes an epitope in the amino-terminal extracellular domain of the human PTH-1 receptor, and the secondary antibody was 125I-labeled goat antirabbit Ig. The binding and washing steps were performed as described (5).

Photochemical cross-linking
Photochemical cross-linking was carried out with transiently transfected COS-7 cells as described (12). All manipulations were executed on ice using chilled reagents. COS-7 cells in 6-well plates were rinsed with 2.0 ml binding buffer, treated with 1 ml of binding buffer containing ca. 4 x 106 cpm (ca. 1 pmol) of 125I-[Bpa2]PTHrP(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, 35, 36), and incubated for 4 h at 13 C. The cells were then chilled on ice, the medium was removed, and the cells were rinsed twice with 1 ml of binding buffer. Next, the cells were covered with 800 µl of binding buffer and exposed to irradiation with a Black-Ray UV lamp (366 nM, 7 mW/cm2, source-to-cell = 4.5 cm) for 15 min on ice in a cold room (4 C). The medium was withdrawn and the cells were rinsed twice with 2 ml of ice-cold acid-saline buffer and twice with 2 ml of ice-cold binding buffer. The cells were lysed with 250 µl of a Triton buffer (50 mM Tris-HCl, 10% Triton X-100, 1 mM phenylmethylsulfonyl fluoride, 0.05 mg/ml Bacitracin, 150 mM NaCl, pH 7.8) for 30 min at 0 C before being harvested (50 µl rinse with the Triton buffer) and centrifuged at 2,000 x g for 20 min at 4 C. The supernatant was collected and equal-volume aliquots were analyzed using SDS-PAGE (5–20% acrylamide gradient) (16) followed by autoradiography of the dried gel at -80 C with an intensifying screen. For the experiment shown (see Fig. 5Go), the relative cross-linking efficiency for each receptor was determined by excising the major band (~80 kDa) from the dried gel, counting the radioactivity, dividing the resultant CPMs by the total radioactivity that specifically bound to that receptor (determined in a parallel experiment in which the cells were washed with neutral buffer instead of acid buffer), and normalizing the resulting value to the corresponding value obtained for hP1Rc-WT.



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Figure 5. Cross-linking of [Bpa2]PTHrP(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 35 36 ) to wild-type and constitutively active PTH-1 receptors in COS-7 cells. The analog 125I-[Bpa2, Ile5, Trp23, Tyr36]PTHrP(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 35 36 )NH2 was bound to COS-7 cells transiently transfected with either hP1Rc-WT, hP1Rc-H223R, or hP1Rc-T410P and, after washing the cells with neutral binding buffer to remove unbound ligand, was exposed to UV irradiation. The cells were then washed again with acid-saline buffer, lysed with SDS loading buffer, and equal-volume aliquots of the resulting lysates were analyzed by SDS-PAGE/autoradiography. The relative cross-linking efficiencies calculated in this experiment for each receptor mutant, compared with hP1Rc-WT (1.0), were 3.4 (H223R) and 1.6 (T410P). The results were replicated in two other independent experiments.

 
Internalization assays
Cells were treated as above for competition binding assays, but incubations were at room temperature. At each time point, the binding process was terminated by the removal of the binding medium and the cell monolayer was washed three times with either 0.5 ml of binding buffer (pH 7.7), to determine total cell-associated cpm, or 0.5 ml of acid-saline buffer (50 mM glycine, 150 mM NaCl, adjusted to pH 2.5 with HCl), to determine the internalized cpm. The cells were then lysed with 0.5 ml 5 N NaOH and counted for radioactivity. Nonspecific binding (subtracted) was determined at each time point and for each washing condition using COS-7 cells transfected with pcDNA1.

Other data calculation
Calculations were performed using Microsoft Corp. Excel. Nonlinear regression analyses of binding and cAMP dose-response data were performed using the four-parameter equation: yP = Min + [(Max - Min)/(1 + (IC50/x)slope)]. The Excel Solver function was used for parameter optimization, as described previously (12, 17). Scatchard transformations of homologous competition binding data performed with iodinated PTH(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) (26 fmol/well) and varying amounts of the same noniodinated ligand (1.2–300 pmol/well) were used to calculate cell surface expression levels and apparent dissociation constants (kDapps). The calculations assumed a transfection efficiency of 20% a cell density of 500,000 cells per well (verified in several representative transfections), and a single class of ligand-binding sites. The statistical significance between two data sets was determined using a one-tailed Student’s t test, assuming unequal variances for the two sets.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Based on the hypotheses described above, we first compared the abilities of two newly described N-terminally truncated PTHrP antagonist analogs to function as inverse agonists in COS-7 cells transiently transfected with the constitutively active mutant PTH receptors hP1Rc-H223R and hP1Rc-T410P. As previously found for [Leu11,D-Trp12]-PTHrP(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), [Leu11,D-Trp12]-PTHrP(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, 35, 36)NH2 depressed intracellular cAMP levels in a dose-dependent fashion in cells expressing either hP1Rc-H223R or hP1Rc-T410P (Fig. 1Go, B and C). At the highest peptide concentration tested, the maximum reductions achieved for the H223R and T410P receptors were 42% and 51% of the corresponding basal cAMP levels, respectively, and these reductions from basal were significant (P < 0.0001). In contrast, PTHrP(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, 35, 36)NH2 did not act as an inverse agonist with either hP1Rc-H223R or hP1Rc-T410P, but instead, induced a weak partial agonist response with hP1Rc-H223R (27% of the maximum PTH(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)-induced response for this receptor) and was nearly inert with hP1Rc-T410P (Fig. 1Go, B and C). The inability of PTHrP(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, 35, 36) to behave as an inverse agonist with the two constitutively active receptors was not due to weak binding affinity, as the IC50 values observed for this analog in competition binding analyses performed with either mutant receptor were 3- to 4-fold lower than the corresponding IC50 values observed for [Leu11,D-Trp12]PTHrP(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, 35, 36) (hP1Rc-H223R: 7.2 ± 1.8 nM vs. 28 ± 9 nM, P = 0.02; hP1Rc-T410P: 6.0 ±1.5 nM vs. 22 ± 9 nM, P = 0.05, Table 2Go).



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Figure 1. cAMP-signaling responses of PTH(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 ) and N-terminally truncated PTHrP(x-36) analogs in COS-7 cells expressing wild-type and constitutively active PTH-1 receptors. Shown are the effects of the analog ligands, [Nle8,21, Tyr34]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 )NH2, (•), [Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({square}), or [Leu11,D-Trp12, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({blacktriangleup}) on the cAMP-signaling properties of hP1Rc-WT (A), hP1Rc-H223R (B), or hP1Rc-T410P (C) in transiently transfected COS-7 cells. The cells were treated with varying doses of each peptide for 30 min at room temperature, and the resulting intracellular cAMP levels were quantified by RIA. The dotted lines in B and C indicate the basal cAMP levels. The data (mean ± SEM) are from three independent experiments, each performed in duplicate.

 

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Table 2. Ligand-binding properties of wild-type and mutant PTH-1 receptors

 
The experiments described above eliminated our first possibility (vide supra), in that not all high-affinity N-terminally truncated PTHrP fragments exhibited inverse agonism. To address the second possibility, namely that inverse agonism arises from the specific substitutions at positions 11 and/or 12, we synthesized three peptides—[Leu11]PTHrP(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, 35, 36), [D-Trp12]PTHrP(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, 35, 36) and [Leu11,D-Trp12]PTHrP(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, 35, 36) (Table 1Go)—and tested their effects on cAMP-signaling by the wild-type and constitutively active mutant receptors. In cells expressing hP1Rc-WT, none of the three PTHrP(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, 35, 36) analogs produced a detectable change in basal cAMP levels (data not shown). In cells expressing the mutant receptors, the singly substituted analogs, [Leu11]PTHrP(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, 35, 36) and [D-Trp12]-PTHrP(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, 35, 36), behaved similarly to the unmodified PTHrP(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, 35, 36) parent peptide and induced weak increases or no change in cAMP production levels (Fig. 2Go, A and B). However, the doubly substituted analog [Leu11,D-Trp12]-PTHrP(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, 35, 36) depressed cAMP levels with both hP1Rc-H223R and hP1Rc-T410P (Fig. 2Go, A and B). Dose response analyses (Fig. 2Go, C and D) indicated that with both hP1Rc-H223R and hP1Rc-T410P the potency of [Leu11,D-Trp12]PTHrP(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, 35, 36) as an inverse agonist was not significantly different from that seen with [Leu11,D-Trp12]PTHrP(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, 35, 36), as the EC50s obtained for the respective peptides with hP1Rc-H223R were 59 ± 20 nM vs. (34 ± 12 nM, P = 0.2) and with hP1Rc-T410P they were 63 ± 12 nM vs. 65 ± 21 nM (P = 0.5).



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Figure 2. Effects of position 11 and 12 modifications on the inverse agonism of PTHrP(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 35 36 ). A and B, COS-7 cells were transiently transfected with either hP1Rc-H223R (A) or hP1Rc-T410P (B) and treated with buffer alone (basal), buffer containing [Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2, or buffer containing an analog of that same peptide with the substitutions of Lys11->Leu, Gly12->D-Trp, or both. The peptide concentrations were 3 µM and the treatment was for 30 min at room temperature. C and D, COS-7 cells were transiently transfected with hP1Rc-H223R (C) or hP1Rc-T410P (D), and treated with varying doses of [Ile5, Leu11,D-Trp12, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({square}) or [Leu11,D-Trp12, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 (•) for 30 min at room temperature. The dashed lines indicate the basal cAMP levels. Shown are data (mean ± SEM) from three (A, B) or four (C, D) independent experiments, each performed in duplicate.

 
Although the introduction of both the Leu11 and D-Trp12 substitutions was sufficient to confer inverse agonism to PTHrP(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, 35, 36), it had a surprisingly deleterious effect on receptor-binding affinity. Thus, with each receptor, the IC50 observed for the disubstituted peptide was approximately 15-fold higher than that observed for PTHrP(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, 35, 36) (P < 0.002). This reduction in apparent binding affinity could be largely attributed to the Gly12->D-Trp substitution, which by itself reduced affinity approximately 45-fold, relative to the binding affinity that PTHrP(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, 35, 36) exhibited for each receptor (P < 0.05) (Table 2Go). This result contrasts with the 5- to 13-fold improvement in binding affinity that the Gly12->D-Trp substitution produced in PTH(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) and PTHrP(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) (18, 19). Consistent with the high apparent binding affinity of unmodified PTHrP(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, 35, 36), relative to that of [Leu11,D-Trp12]PTHrP(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, 35, 36) and [Leu11,D-Trp12]PTHrP(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, 35, 36), PTHrP(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, 35, 36) could inhibit the inverse agonist actions of the latter two peptides (Fig. 3Go, A and B, and data not shown). We tested whether or not the inverse agonism inherent to [Leu11,D-Trp12]PTHrP(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, 35, 36) would compensate for its weaker binding affinity when assayed for competitive antagonism of PTH (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) at the wild-type PTH-1 receptor. As shown in Fig. 3CGo, this was not the case, as [Leu11,D-Trp12]PTHrP(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, 35, 36) was approximately 4-fold less effective in inhibiting PTH(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)-induced cAMP signaling at the wild-type receptor than was the unmodified PTHrP(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, 35, 36) analog (IC50s = 590 ± 170 nM vs. 145 ± 30 nM, respectively, P = 0.02), and a lower maximum inhibition was observed for the modified peptide than for the parent peptide (47 ± 7% vs. 79 ± 3%, P = 0.001).



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Figure 3. Antagonism of inverse agonists and classical agonists by PTHrP(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 35 36 ) analogs. A and B, Shown is the capacity of the near-neutral antagonist analog, [Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2, to block the inverse agonist action of [Leu11,D-Trp12 Trp23, Tyr36]-PTHrP(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 35 36 )NH2 in COS-7 cells expressing hP1Rc-H223R (A) or hP1Rc-T410P (B). The cells were treated with varying doses of the PTHrP(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 35 36 ) inverse agonist analog alone (•) or with a constant dose (1 µM) of the PTHrP(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 35 36 ) analog ({triangleup}). Note the small partial agonist effect that the PTHrP(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 35 36 ) analog has on these two mutant receptors. C, Shown are the capacities of [Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({blacksquare}) or [Ile5, Leu11,D-Trp12, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({square}) to inhibit the agonist response induced by [Nle8,21, Tyr34]-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 )NH2 (3 nM) in COS-7 cells transiently transfected with the wild-type hP1Rc. All data (mean ± SEM) were derived from three independent experiments, each performed in duplicate.

 
In parallel with the studies described above on truncated peptides, we also examined the antagonist [Bpa2]PTHrP(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, 35, 36) (12) (Table 1Go), as well as several new structurally related positition-2 modified PTHrP(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, 35, 36) analogs, for inverse agonism on the constitutively active mutant PTH-1 receptors (Fig. 4Go). These experiments allowed us to test whether or not the Leu11 and D-Trp12 modifications, along with the N-terminal truncation, were strictly required for inverse agonism. The effect of these position-2-substituted PTHrP(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, 35, 36) analogs on cAMP accumulation in COS-7 cells expressing the wild-type human PTH-1 receptor is shown in Fig. 4AGo, and their receptor-binding properties are presented in Table 3Go. Each of the peptides displayed a diminished maximum signaling response with hP1Rc-WT, in comparison to PTH(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), and the rank order of potency/efficacy was: PTH(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) > [Arg2]PTHrP(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, 35, 36) > [Trp2]PTHrP(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, 35, 36) > [Bpa2]PTHrP(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, 35, 36) > [D-Bpa2]PTHrP(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, 35, 36) ~ [Bpa2]PTHrP(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, 35, 36) (Fig. 4AGo). The IC50 values obtained for these peptides in competition binding analyses were nearly identical with those observed for PTH(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) (Table 3Go), and each of the peptides was capable of antagonizing the agonist actions of PTH(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) on the hP1Rc-WT (data not shown).



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Figure 4. cAMP signaling properties of PTHrP(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 35 36 ) analogs modified at position 2. COS-7 cells were transiently transfected with either hP1Rc-WT (A), hP1Rc-H223R (B) or hP1Rc-T410P (C) and then treated with varying doses of [Nle8,21, Tyr34]-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 )NH2 (•), [Arg2, Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({triangleup}); [Trp2, Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({blacksquare}), [Bpa2, Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({square}), [D-Bpa2 Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({blacktriangleup}), and [Bpa2, Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({circ}). The dashed lines indicate the basal cAMP levels observed for each receptor. Shown are data (mean ± SEM) from three independent experiments, each performed in duplicate. The analog [Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 (not shown) exhibited cAMP response profiles with each receptor that were comparable with those exhibited by [Nle8,21, Tyr34]-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 )NH2.

 

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Table 3. Ligand-binding properties of wild-type and mutant PTH-1 receptors

 
When assayed with the constitutively active hP1Rc-T410P, each of the position-2 modified analogs induced a weak partial agonist response. However, when assayed with hP1Rc-H223R, one of the peptides, [Bpa2]PTHrP(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, 35, 36), exhibited inverse agonist behavior (Fig. 4Go, B and C). An EC50 value for this response was not derived, due to the absence of a clear maximum. The response threshold occurred at a concentration of 10 nM and a 32% reduction in the basal cAMP levels occurred at the highest peptide concentration tested (1 µM, Fig. 4BGo); this reduction was significant (P = 0.002). There was strong structural specificity for this effect, as [D-Bpa2]PTHrP(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, 35, 36), which was comparable to [Bpa2]PTHrP(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, 35, 36) in regards to its cAMP-signaling and receptor-binding properties with both hP1Rc-WT and hP1Rc-T410P, was not an inverse agonist with hP1Rc-H223R. In addition, the effect was dependent on an intact amino-terminus, as [Bpa2]PTHrP(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, 35, 36) was not an inverse agonist (Fig. 4BGo). The selectivity exhibited by [Bpa2]PTHrP(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, 35, 36) was not altered by the hP1Rc-I458R constitutively active receptor, for which only [Leu11,D-Trp12]-PTHrP(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, 35, 36) and [Leu11,D-Trp12]PTHrP(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, 35, 36) were inverse agonists (data not shown). In addition to showing that N-terminal truncation is not strictly required for inverse agonism, the current results with [Bpa2]PTHrP(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, 35, 36) demonstrate that it is possible to discriminate between constitutively active PTH-1 receptors on the basis of inverse agonism.

The above results suggested that the benzophenone sidechain moiety of [Bpa2]PTHrP(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, 35, 36) was the specific structural feature of the ligand that mediated inverse agonism. Accordingly, we tested whether or not the photochemical cross-linking potential of the benzophenone group could be used to explore further its interaction with the receptors. Following binding to transfected COS-7 cells and UV irradiation, the radioiodinated Bpa2 analog specifically cross-linked to the wild-type PTH-1 receptor and each mutant receptor, as SDS-PAGE/autoradioradiographic analyses revealed a single conjugate of approximately 80 kDa for each receptor (Fig. 5Go). This band was not observed in untransfected COS-7 cells (data not shown). As can be seen in Fig. 5Go, the intensity of the band obtained with hP1Rc-H223R was greater than that obtained with hP1Rc-WT or hP1Rc-T410P (observed in three independent experiments). The cross-linking efficiency calculated for hP1Rc-H223R was approximately 3.5-fold greater than that of hP1Rc-WT, while the cross-linking efficiency calculated for hP1Rc-T410P was similar to that of the wild-type receptor. Thus [Bpa2]PTHrP(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, 35, 36) cross-linked with greater intensity to the receptor for which it was an inverse agonist (hP1Rc-H223R) than it did to the receptors for which it was a partial agonist (hP1Rc-WT and T410P) (Fig. 5Go). Previously, we observed that [Bpa2]PTHrP(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, 35, 36) cross-linked less efficiently to the wild-type PTH-2 receptor, for which it is a full agonist, than it did to the hP1Rc-WT (12). Thus, the data suggest that there is a negative correlation between the cross-linking efficiency of [Bpa2]PTHrP(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, 35, 36) and its ability to stimulate receptor-mediated increases in cAMP accumulation.

The receptor selectivity exhibited by [Bpa2]PTHrP(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, 35, 36) in regards to inverse agonism and photochemical cross-linking was consistent with the notion that the H223R and T410P mutations result in constitutive activity by inducing distinct conformational changes in the receptor (5). As an independent test of this hypothesis, we constructed the double mutant receptor hP1Rc-H223R/T410P. When this double mutant receptor was expressed in COS-7 cells, the resulting basal levels of cAMP production were 2.0- to 2.6-fold higher than those observed for either single mutant receptor, and 26-fold higher that seen for hP1Rc-WT (Fig. 6AGo); each of these differences was significant (P < 0.0001). The differences in the basal signaling levels of the double and single mutant receptors were not due to changes in receptor expression, as the three mutant receptors were expressed at similar levels (~25–30% wild-type hP1Rc, cf. Table 4Go). The apparent hyperactivity of hP1Rc-H223R/T410P relative to the two single mutant receptors indicates that the H223R and T410P mutations have approximately additive effects on basal signaling, and therefore supports the hypothesis that the two mutations alter receptor function through distinct conformational changes.


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Table 4. Scatchard analysis of wild-type and mutant PTH-1 receptors

 
As shown in Fig. 6AGo, treatment of the double mutant receptor with PTH (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) resulted in a small, yet significant (P = 0.04), reduction in the intracellular cAMP level, relative to the level observed with the untreated double mutant receptor. To assess whether or not the basal or PTH(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)-modulated signaling activities of hP1Rc-H223R/T410P were commensurate with that of the agonist-stimulated hP1Rc-WT, we compared the two receptors at equal levels of surface expression. This equalization was achieved by adjusting the DNA concentrations used in the COS-7 cell transfections (1.6 ng and 400 ng of DNA per well, for hP1Rc-WT and hP1Rc-H223R/T410P, respectively) to obtain equal amounts of PTH-1 receptor antibody bound to the cell surface (Fig. 6CGo). Under these conditions, the basal and PTH(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)-treated cAMP levels observed for the double mutant were 2.8-fold and 1.9-fold higher, respectively, than the cAMP level observed for the maximally stimulated hP1Rc-WT (Fig. 6BGo); these differences were significant (P = 0.003 and 0.005, respectively). These results suggest that the signaling activity of hP1Rc-H223R/T410P, in either the free or PTH(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)-occupied state, is higher than that of the agonist-stimulated wild-type receptor.

All of the peptides used so far in the study acted as inverse agonists with hP1Rc-H223R/T410P (Fig. 6DGo). We also noted that the position 2-substituted PTHrP(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, 35, 36) analogs were more effective inverse agonists with this receptor than were the truncated peptides (Fig. 6DGo). We therefore screened several position 1-modified PTH analogs for effects on the double mutant receptor. Among these, [desNH2-Ala1]PTH (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) was found to elicit the strongest inverse agonist response, resulting in a maximum 75% decrease in cAMP accumulation, relative to the untreated receptor, with an EC50 of 9.1 ± 3.8 nM (Fig. 6DGo). The [desNH2-Ala1]PTH (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) analog exhibited an apparent binding affinity for hP1Rc-H223R/T410P (11 ± 2 nM, n = 3) that was similar to that observed for the other ligands (~10 nM, Tables 1Go and 2Go). With the two other constitutively active receptors and with hP1Rc-WT, [desNH2-Ala1]PTH (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) acted as a weak partial agonist for cAMP production (data not shown), as it did previously in cells expressing native PTH receptors (20). The order of efficacy for inverse agonism on hP1Rc-H223R/T410P, therefore, did not correlate with either 1) the ability of the peptides to stimulate cAMP formation with the wild-type receptor, 2) the ability of the peptides to bind to the double-mutant receptor, or 3) the ability of the peptides to act as inverse agonists with the single mutant receptors.

In recent studies on other G protein-coupled receptors, it was found that different activating mutations had varied effects on the receptor internalization process, leading to the conclusion that the mutations induced different conformational states of the receptor (21, 22, 23). Because our results so far suggested that H223R and T410P confer constitutive activity by inducing different conformational changes, we examined their effects, as well as that of the combined mutation, on PTH-1 receptor internalization. For the wild-type PTH-1 receptor, it has been shown that agonists induce rapid internalization, whereas antagonists induce little or no internalization (24, 25, 26, 27). In the current studies we used radioiodinated PTH(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), which elicited varied agonist/inverse agonist responses with the different receptors, as well as radioiodinated PTHrP(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, 35, 36), which functioned as a near-neutral antagonist for each receptor. Internalization was measured as the specifically bound radioactivity resistant to washing with an acid/saline buffer (50 mM glycine/150 mM NaCl, pH 2.5). The PTH(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) radioligand was internalized to approximately the same extent by the wild-type, as well as each mutant receptor: 75% of total specifically bound peptide was resistant to acid washing within 60 min of incubation (Fig. 7Go). The PTHrP(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, 35, 36) radioligand revealed differences in the internalization patterns of the different receptors. With hP1Rc-WT and hP1Rc-H223R, less than 25% of the specifically bound peptide was internalized by the 60 min time-point (14% and 21%, respectively; Fig. 7Go, A and B). In contrast, with hP1Rc-T410P and hP1Rc-H223R/T410P, most of the bound PTHrP(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, 35, 36) was internalized by 60 min (59% and 63%, respectively, Fig. 7Go, C and D), as was observed with these two mutant receptors and radiolabeled PTH(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). These results indicate that T410P (as well as H223R/T410P) results in an activated PTH-1 receptor with internalization properties that are distinct from those induced by H223R.



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Figure 7. Internalization properties of wild-type and constitutively active PTH-1 receptors. COS-7 cells transiently transfected with hP1Rc-WT (A), hP1Rc-H223R (B), hP1Rc-T410P (C), or hP1Rc-H223R/T410P (D) were incubated at room temperature with the analogs 125I-[Nle8,21, Tyr34]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 )NH2 (•) or 125I-[Ile5, Trp23, Tyr36]hPTHrP(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 35 36 )NH2 ({triangleup}) (100,000 cpm per well for each radioligand). At the indicated times, the medium was removed and the cells were washed with buffer at a pH of 7.7 (to determine total bound radioactivity) or pH 2.5. (to determine internalized radioactivity). The cells were then lysed, and the radioactivity was counted. The specifically bound acid-resistant (internalized) radioactivity at each time point is shown as a percentage of the total specifically bound radioactivity at that time point. The data (mean ± SEM) are from three independent experiments, each performed in duplicate.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, we explored the structure-activity relationships that underlie constitutive activity and inverse agonism in PTH-1 receptors and PTH/PTHrP peptide ligands. Our previous finding that [Leu11,D-Trp12]PTHrP(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) and [D-Trp12]PTH(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) were inverse agonists with both hP1Rc-H223R and hP1Rc-T410P (7) left us with two possibilities: 1) all high affinity antagonists also act as inverse agonists for the constitutively active PTH-1 receptors; or 2) that the D-Trp12 substitution (with or without Leu at position-11), was an essential determinant for inverse agonism. To discriminate between these alternatives, we tested two series of peptide analogs that were based on two structurally distinct high affinity P1Rc antagonists, PTHrP(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, 35, 36) and [Bpa2]PTHrP(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, 35, 36) (12), both of which contained the native glycine at position 12, for the capacity to act as inverse agonists with hP1Rc-H223R and hP1Rc-T410P. The key results of these investigations were as follows: 1) despite having the highest binding affinity (IC50s = 6.0–11 nM) and inhibitory potency on the wild-type receptor of any antagonist peptide that we have examined thus far, PTHrP(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, 35, 36) was not an inverse agonist with either constitutively active mutant receptor; 2) neither the Leu11 nor the D-Trp12 substitution was alone sufficient to confer inverse agonistic property to PTHrP(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, 35, 36), rather, both substitutions were required and resulted in inverse agonism at both H223R and T410P; 3) [Bpa2]PTHrP- (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, 35, 36) was an inverse agonist for hP1Rc-H223R but not for hP1Rc-T410P; and 4) the structural requirements at position 2 for inverse agonism with hP1Rc-H223R were highly specific, in that [D-Bpa2]PTHrP(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, 35, 36), [Bpa2]PTHrP(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, 35, 36), [Arg2]PTHrP(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, 35, 36) and [Trp2]PTHrP(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, 35, 36) were not inverse agonists, even though they each exhibited a marked dissociation of binding affinity and cAMP-stimulating potency. These data suggest that, whereas a peptide simply needs high binding affinity and low signaling efficacy to be a competitive antagonist, specific structural features are required to be an inverse agonist with hP1Rc-H223R or hP1Rc-T410P. We have thus far identified Bpa2 (in an intact peptide), and the combination of Leu11 and D-Trp12) (in amino-terminally truncated peptides) as two structurally distinct ligand determinants of inverse agonism for constitutively active mutant PTH-1 receptors. Notably, the effectiveness of these two structural determinants at inducing inverse agonism was dependent on the length of the peptide in which they were studied. Thus, the combined substitutions Leu11 and D-Trp12 were ineffective in the context of a full-length peptide, as [Leu11,D-Trp12]PTHrP(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, 35, 36) elicited agonist responses that were comparable with those of PTH(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) with the wild-type, H223R, and T410P receptors (data not shown). Likewise, Bpa2 was ineffective in the context of a truncated peptide, as [Bpa2]PTHrP(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, 35, 36) was not an inverse agonist for H223R (Fig. 4Go).

The capacity of [Bpa2]PTHrP(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, 35, 36) to distinguish between the H223R and T410P mutant receptors on the basis of inverse agonism supports the notion that the two mutations induce constitutive activity via different mechanisms. This hypothesis was also suggested by our previous mutagenesis studies, in which we found that nearly all amino acid substitutions at position 410 in the hP1Rc resulted in constitutive activity, whereas only the His->Arg and His->Lys substitutions did so at position 223 (5). However, neither this earlier work, nor our present data with [Bpa2]PTHrP(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, 35, 36), answer the question of how the two mechanisms might differ: for example, from these data alone we could not determine whether the H223R and T410P mutations induce two different activated states of the receptor or whether they induce the same activated state via different molecular rearrangements (one of which is selectively blocked by the Bpa2 peptide). As a means to address this question, we constructed the double mutant receptor hP1Rc-H223R/T410P, as this would allow us to determine whether or not the mutations were additive or redundant, with respect to their effects on receptor function. We also examined the internalization properties of the receptors to see if they were regulated in a similar fashion. We found that the H223R and T410P mutations exerted additive effects on basal signaling (Fig. 6Go), and that hP1Rc-H223R and hP1Rc-T410P were internalized differently when occupied by the near-neutral antagonist 125I-PTHrP(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, 35, 36) (Fig. 7Go). Thus, we conclude that hP1Rc-H223R and hP1Rc-T410P adopt different active conformations, each of which is able to couple to G protein in an agonist-independent fashion, but which recruits the proteins involved in receptor internalization with different efficiencies. It is interesting to note that both of these active conformations are only partially active, in that their signaling is further stimulated by PTH(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). One possibility is that these two partially active conformations are both accessed in normal PTH stimulation of the wild-type receptor, perhaps as intermediate steps in a pathway leading to the fully active state (11). The additive effect of combining the H223R and T410P mutations on signaling is consistent with such a notion. It is interesting to speculate as to whether or not individual structural elements of PTH(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) also induce distinct conformational changes (similar to H223R and T410P) and that the sum of these changes is what is responsible for the full agonist response. By this scenario, a partial agonist is a compound that stimulates the receptor incompletely because it lacks all of the structural elements needed to induce all of the conformational changes; thus the partial agonist stabilizes a partially active conformational state. This hypothesis is clearly distinct from a two-state model, which posits that a partial agonist simply has different affinities for the inactive (R) and fully active (R1) receptor conformations (11). Overall, our results are consistent with current theories (11), which suggest that G protein-coupled receptors have the potential to adopt multiple activated conformational states, possibly in a sequential manner. Each of these states may have different affinities for ligands, G proteins, and the proteins that control receptor internalization.

Three other important questions were raised by our current studies: 1) What is the molecular basis for the difference in the behavior of the inverse agonists [Leu11,D-Trp12]PTHrP- (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, 35, 36) and [Bpa2]PTHrP(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, 35, 36)? 2) What is the molecular basis for the difference in the behavior of hP1Rc-H223R and hP1Rc-T410P? and 3) Why did every ligand tested with the hP1Rc-H223R/T410P act as an inverse agonist? Although our results do not yet answer these questions completely, there are enough data in our study and in the literature to provide some plausible explanations. A previous cross-linking study (28), as well as a mutational analysis (29), have shown that the position 2 benzophenone sidechain group of [Bpa2]PTHrP(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, 35, 36), which is clearly the determinant of inverse agonism in this ligand, interacts with the wild-type receptor near Met425 situated at the extracellular boundary of TM6. We have recent data to suggest that the benzophenone moiety of this ligand cross-links to and interacts with the same region in the constitutively active mutant hP1Rc-H223R (data not shown). It is not yet clear where in the wild-type or mutant receptor the sidechains of Leu11 and D-Trp12 in the N-terminally truncated peptides interact. The boundary of the N-terminal extracellular domain and TM1 is one candidate site, because this was the contact site for a benzophenone group attached to the position 13 sidechain of a PTH(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) cross-linking analog (30) and was also shown to contain residues that functionally interact with the 3–14 region of PTH (31). In any case, it seems likely that the putative receptor contact sites for Leu11/D-Trp12 are removed from the TM6 contact site of Bpa2, as suggested by the recent computer model of the PTH/PTH receptor complex provided by Rölz et al. (32). Although it is attractive to speculate that the functional differences observed between [Bpa2]PTHrP(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, 35, 36) and [Leu11,D-Trp12]PTHrP(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, 35, 36) arise from differences in receptor contacts used by Bpa2 and Leu11/D-Trp12, it is also worth considering that the two substitutions might induce different conformations in the peptide backbone (33), and that this is the basis for their different pharmacological profiles.

As far as the molecular basis for the differences in functional effects of H223R and T410P is concerned, it is relevant to consider how these mutations might have different effects on receptor conformation, specifically in regards to movements of the seven transmembrane helices. Evidence has been recently presented that in the WT PTH-1 receptor, a movement of the cytoplasmic terminus of TM3 away from the neighboring TM6 is required for receptor isomerization to the active state (34). It is possible that in the basal state of the wild-type receptor the threonine sidechain at position 410 plays a key role in preventing this movement. The finding that a wide array of mutations at this position resulted in constitutive activation (5) could thus be explained by the inability of the sidechains of the substituted amino acids to restrain this TM3/TM6 movement. Based on their computer modeling analysis, Rölz et al. (32) have suggested that the His223->Arg mutation in TM2 results in a Coulombic interaction with Glu465 at the base of TM7, and that this interaction promotes receptor activation. What is remarkable about our current functional data are that the benzophenone moiety of [Bpa2]PTHrP(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, 35, 36), which interacts with the extracellular boundary of TM6, does not block the constitutive activity of hP1Rc-T410P, which is altered in TM6, but rather, does so for the mutant receptor altered in TM2. This suggests that the putative interdomain interaction between TM2 and TM7 (32) can be affected by functional determinants in the ligand that bind near the extracellular terminus of TM6. Further work is clearly needed to elucidate the mechanisms involved in these processes.

The question as to why all ligands tested were inverse agonists with hP1Rc-H223R/T410P is an intriguing one. In related studies, we have observed that the corresponding double mutant mouse P1Rc and human P2Rc are also hyperactive, relative to the respective single mutant receptors, and exhibit inverse agonist responses to ligands that are otherwise agonists (data not shown). Ganguli and colleagues have recently reported that an analogous double mutant secretin receptor (H156R/T322P) is hyperactive, relative to the two single mutant receptors, and that it responds to native secretin in an inverse fashion (35). Such results seem to be consistent with recent theoretical models that postulate that the intrinsic efficacy of a ligand can vary with changing receptor conditions, and that even full agonists can behave as inverse agonists if the receptor has a very high spontaneous activation rate (36, 37). But other factors may also be involved. We considered the possibility that PTH(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) causes the double mutant receptor to couple to the inhibitory G protein (Gi); however, we found no evidence for this in experiments performed with pertussis toxin-treated cells: the reagent did not alter the inverse agonist response profiles obtained for the mutant receptor (data not shown). Another possibility invokes altered rates of receptor internalization/desensitization. For the wild-type PTH-1 receptor, receptor internalization correlates positively with second messenger signaling response (24, 25). We initially postulated, therefore, that because PTH(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) results in a lower cAMP accumulation level with hP1Rc-H223R/T410P than does PTHrP(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, 35, 36), the former peptide would be internalized by that receptor less efficiently than would be the latter. Our results clearly indicated that this was not the case, however, as PTH(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) was more completely internalized by hP1Rc-H223R/T410P than was PTHrP(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, 35, 36) (Fig. 7DGo). Whether or not this higher level of internalization seen for PTH (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) with the double mutant receptor is linked to its inverse agonist behavior is currently unknown. In this regard, however, it is worth noting that recent studies on lutropin/CG receptors (23) and {alpha}-1b receptors (21) showed that classical agonist ligands, human CG and epinephrine, respectively, elicited neutral or weak inverse agonist responses with constitutively active receptor mutants, and the ligands were more completely internalized by those receptors than by the wild-type receptors. Further work is still needed to elucidate the mechanisms of inverse agonism for the constitutively active PTH-1 receptors and the role that receptor internalization might play in this process.

In summary, our study with PTHrP analogs and constitutively active PTH-1 receptors has revealed a number of new structure/function relationships pertinent to both inverse agonism and constitutive activity for this peptide hormone/G protein-coupled receptor pair. Although there is still a high degree of uncertainty regarding the receptor conformations that are adopted by the wild-type and constitutively active PTH-1 receptors, our current work indicates that a variety of activated receptor states are possible and that these may be subject to different modes of subcellular regulation. Moreover, it seems clear that structurally distinct peptide ligands can use the varying conformational features of the constitutively active PTH-1 receptors to induce inverse agonism.


    Acknowledgments
 
We thank Ashok Khatri of the M.G.H. Biopolymer Core Facility for synthesis of the peptides, and Michael D. Luck for technical assistance during the early stages of this work.


    Footnotes
 
1 This study was supported by NIH Grant DK-11794. Back

Received September 21, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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