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Humoral hypercalcemia of malignancy
1Department of Medicine, University of Melbourne, Repatriation General Hospital, Heidelberg West, Victoria, Australia.
Clinical Biochemistry
|February 1, 1990
Summary
Researchers identified a parathyroid hormone-related protein (PTHrP) produced by tumors that causes hypercalcemia. This protein is more potent than parathyroid hormone (PTH) in biological activity and may play a role in fetal calcium regulation.
Area of Science:
- Endocrinology
- Oncology
- Biochemistry
Background:
- Humoral hypercalcemia of malignancy is linked to tumor-produced proteins acting on the parathyroid hormone (PTH) receptor.
- These proteins are immunologically distinct from PTH.
Purpose of the Study:
- To purify and clone the parathyroid hormone-related protein (PTHrP) from a human lung cancer cell line.
- To characterize the biological activity and tissue distribution of PTHrP.
Main Methods:
- Purification and cloning of PTHrP from a human lung cancer cell line.
- Synthesis of a PTHrP(1-34) peptide for bioassays.
- Immunohistochemistry to determine PTHrP tissue distribution.
- Extraction of PTHrP-like activity from ovine placenta and fetal parathyroid tissue.
Main Results:
- Isolated cDNA clones encoding a prepropeptide and a mature 141-amino acid PTHrP.
- PTHrP shares amino-terminal homology with PTH but is immunologically distinct.
- PTHrP(1-34) demonstrated significantly higher potency than PTH(1-34) in stimulating cAMP, plasminogen activity, and adenylate cyclase activation.
- PTHrP(1-34) was more potent in stimulating cAMP and phosphate excretion and reducing calcium excretion in rats.
- PTHrP was detected in squamous cell carcinomas and normal skin keratinocytes, but not in parathyroid tissues or other tumors.
- PTHrP-like activity was found in ovine placenta and fetal parathyroid tissue.
Conclusions:
- PTHrP is a key mediator of humoral hypercalcemia of malignancy.
- PTHrP exhibits distinct biological activities and tissue expression patterns compared to PTH.
- PTHrP may have a physiological role in fetal calcium homeostasis.