Burns, Douglas M., Lisa Stehno-Bittel, and Tomoyuki Kawase. Calcitonin gene-related peptide elevates calcium and polarizes membrane potential in MG-63 cells by both cAMP-independent and -dependent mechanisms. Am J Physiol Cell Physiol 287: C457-C467, 2004; 10.1152/ajpcell.00274.2003.-Published data suggest that the neuropeptide calcitonin gene-related peptide (CGRP) can stimulate osteoblastic bone formation; however, interest has focused on activation of cAMP-dependent signaling pathways in osteogenic cells without full consideration of the importance of cAMPindependent signaling. We have now examined the effects of CGRP on intracellular Ca 2ϩ concentration ([Ca 2ϩ ]int) and membrane potential (Em) in preosteoblastic human MG-63 cells by single-cell fluorescent confocal analysis using fluo 4-AM-fura red-AM and bis(1,3-dibarbituric acid)-trimethine oxanol [DiBAC4(3)] bis-oxonol assays. CGRP produced a two-stage change in [Ca 2ϩ ]int: a rapid transient peak and a secondary sustained increase. Both responses were dose dependent with an EC50 of ϳ0.30 nM, and the maximal effect (initially ϳ3-fold over basal levels) was observed at 20 nM. The initial phase was sensitive to inhibition of Ca 2ϩ mobilization with thapsigargin, whereas the secondary phase was eliminated only by blocking transmembrane Ca 2ϩ influx with verapamil or inhibiting cAMP-dependent signaling with the Rp isomer of adenosine 3Ј,5Ј-cyclic monophosphorothioate (Rp-cAMPS). These data suggest that CGRP initially stimulates Ca 2ϩ discharge from intracellular stores by a cAMP-independent mechanism and subsequently stimulates Ca 2ϩ influx through L-type voltage-dependent Ca 2ϩ channels by a cAMP-dependent mechanism. In addition, CGRP dosedependently polarized cellular Em, with maximal effect at 20 nM and an EC50 of 0.30 nM. This effect was attenuated with charybdotoxin (Ϫ20%) or glyburide (glibenclamide; Ϫ80%), suggesting that Em hyperpolarization is induced by both Ca 2ϩ -activated and ATP-sensitive K ϩ channels. Thus CGRP signals strongly by both cAMP-dependent and cAMP-independent signaling pathways in preosteoblastic human MG-63 cells. osteoblastic cells; calcium; membrane potential; potassium channels; adenosine 3Ј,5Ј-cyclic monophosphate OVER THE PAST 15 YEARS evidence has accumulated indicating that peripheral peptidergic neurons can influence cells within target tissues through localized release of neuropeptides (2, 14 -17, 23, 27, 41). One important peripheral neuroeffector that may play a role in bone metabolism is ␣-calcitonin gene-related peptide (CGRP), a 37-residue peptide produced in specific neurons by alternative splicing of the primary transcript from the calcitonin gene (10).Numerous publications provide in vivo demonstration that CGRP innervation is associated with bone formation (and similar mineralizing processes), particularly during development, growth, or repair (for detailed review, see Refs. 16 and 17). In vitro studies have demonstrated that CGRP stimulates the osteoblastic differentiation of bone marrow mesenchymal stroma...