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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