Salmon calcitonin (sCT) forms an amphipathic helix in the region 9-19, with the C-terminal decapeptide interacting with the helix (Amodeo, P., Motta, A., Strazzullo, G., Castiglione Morelli, M. A. (1999) J. Biomol. NMR 13, 161-174). To uncover the structural requirements for the hormone bioactivity, we investigated several sCT analogs. They were designed so as to alter the length of the central helix by removal and/or replacement of flanking residues and by selectively mutating or deleting residues inside the helix. The helix content was assessed by circular dichroism and NMR spectroscopies; the receptor binding affinity in human breast cancer cell line T 47D and the in vivo hypocalcemic activity were also evaluated. In particular, by NMR spectroscopy and molecular dynamics calculations we studied Leu
23,Ala
24-sCT in which Pro 23 and Arg 24 were replaced by helix inducing residues. Compared with sCT, it assumes a longer amphipathic ␣-helix, with decreased binding affinity and one-fifth of the hypocalcemic activity, therefore supporting the idea of a relationship between a definite helix length and bioactivity. From the analysis of other sCT mutants, we inferred that the correct helix length is located in the 9-19 region and requires long range interactions and the presence of specific regions of residues within the sequence for high binding affinity and hypocalcemic activity. Taken together, the structural and biological data identify well defined structural parameters of the helix for sCT bioactivity.The most recognized action of calcitonin (CT) 4 is the inhibition of osteoclast-mediated bone resorption. This forms the basis for its primary clinical use in the treatment of bone-related disorders such as Paget disease, osteoporosis, and hypercalcemia of malignancy (1). CT activity also includes modulation of renal ion excretion, analgesia, inhibition of appetite, and gastric acid secretion as well as influence on reproduction via the effects on embryological implantation and sperm function (Ref. 1 and references therein). Recently, CT has been put forward as an ideal agent for treatment of osteoarthritis (2).CT is a single-chain polypeptide hormone of 32 amino acids with an N-terminal disulfide bridge between positions 1 and 7 and a C-terminal amidated proline. CT species so far studied can be subdivided into three major classes: human/rodent, artiodactyl, and teleost/avian; of these, the members of the teleost/avian group are generally the most potent, although relative potency varies in a species-and isoform-specific manner (3). The higher potency combined with a longer in vivo halflife has led to fish-like CT, exemplified by salmon CT (sCT), as the standard form of CT used for the clinical treatment of bone disorders (4). However, the usefulness of CT is limited by the development of clinical resistance. This can be due to development of circulating antibodies against non-human CT (5) and/or loss of responsiveness to CT, presumably via receptor down-regulation and inhibition of new receptor synthesis (6). ...