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This version published online on December 30, 2003
Endocrinology, doi:10.1210/en.2003-1097
A more recent version of this article appeared on April 1, 2004
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Submitted on August 22, 2003
Accepted on December 12, 2003

Skeletal abnormalities in Pth-null mice are influenced by dietary calcium

Dengshun Miao1, Bin He1, Beate Lanske1, Xiu-Ying Bai1, Xin-Kang Tong1, Geoffrey N. Hendy1, David Goltzman1, and Andrew C. Karaplis1*

1 Calcium Research Laboratory and Department of Medicine, McGill University Health Centre and Royal Victoria Hospital, McGill University, Montreal, Canada H3A 1A1; Department of Medicine and Lady Davis Institute for Medical Research, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Canada H3T 1E2; Department of Oral and Developmental Biology, Forsyth Institute and Harvard School of Dental Medicine, Boston, MA 02115

* To whom correspondence should be addressed. E-mail: akarapli{at}ldi.jgh.mcgill.ca.

We have examined the role of parathyroid hormone (PTH) in the postnatal state in a mouse model of PTH deficiency generated by targeting the Pth gene in ES cells. Mice homozygous for the ablated allele, when maintained on a normal calcium intake, developed hypocalcemia, hyperphosphatemia, and low circulating 1,25-dihydroxyvitamin D3 [1,25(OH)2D3] levels consistent with primary hypoparathyroidism. Bone turnover was reduced, leading to increased trabecular and cortical bone volume in PTH-deficient mice. When mutant mice were placed on a low calcium diet, renal 25-hydroxyvitamin D 1 {alpha}-hydroxylase (Cyp27b1) expression increased despite the absence of PTH, leading to a rise in circulating 1,25(OH)2D3 levels, marked osteoclastogenesis, and profound bone resorption. These studies demonstrate the dependence of the skeletal phenotype in animals with genetically depleted PTH on the external environment as well as on internal hormonal and ionic circulatory factors. They show that while PTH action is the first defense against hypocalcemia, 1,25(OH)2D3 can be mobilized, even in the absence of PTH, to guard against extreme calcium deficiency.




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