Fish-like calcitonins (CTs), such as salmon CT (sCT), are widely used clinically in the treatment of bone-related disorders; however, the molecular basis for CT binding to its receptor, a class II G protein-coupled receptor, is not well defined. In this study we have used photoaffinity labeling to identify proximity sites between CT and its receptor.
Calcitonins (CTs)1 are 32-amino acid peptide hormones with a wide spectrum of biological activity. The most recognized action is the inhibition of osteoclast-mediated bone resorption, which forms the basis for its primary clinical use in the treatment of bone-related disorders such as Paget disease, osteoporosis, and hypercalcemia of malignancy (1-3). CT, however, also has activity that includes modulation of renal ion excretion (4 -7), analgesia (8), inhibition of appetite (9), and gastric acid secretion (10 -12), as well as effects on reproduction via effects on embryological implantation and sperm function (13-15).Calcitonin receptors (CTRs) belong to the class II subfamily of G protein-coupled receptors, which also includes receptors for other peptides such as parathyroid hormone (PTH) and PTH-related peptide, secretin, vasoactive intestinal peptide, glucagon, glucagon-like peptide-1, growth hormone-releasing hormone, calcitonin gene-related peptide, and corticotropinreleasing factor. These peptide hormone class II G proteincoupled receptors share 30 -50% amino acid identity as well as a number of conserved structural motifs and are thought to interact with their ligands in a similar manner (16 -18).Alternative RNA splicing yields multiple CTR mRNA isoforms. In man, at least six potential variants exist (19 -26); however, the most common hCTR isoforms differ by the presence (hCTR b ) or absence (hCTR a ) of a 16-amino acid insert between amino acids 174 and 175, within the first intracellular loop of the receptor (23). Of these, the hCTR a is the major human receptor isoform and is expressed in essentially all tissues known to express the CTR.CTs from different species 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 (19,(27)(28)(29)(30)(31). The higher potency combined with a longer in vivo half-life has led to fish-like CTs, exemplified by salmon CT (sCT), being the principle form of CT used for the clinical treatment of bone disorders (32, 33).However, the usefulness of CT is limited by the development of clinical resistance. This can be due to the development of circulating antibodies against non-human CT (34 -38), but it also occurs from loss of responsiveness to CT, presumably via receptor down-regulation and inhibition of new receptor synthesis (39 -41). The optimal use of CTs remains unresolved, a situation that stems in part from lack of understanding of the bimolecular interaction between CT and its receptor and how