Parathyroid-hormone related protein (PTHrP) is the primary factor in humoral hypercalcemia of malignancy and is highly secreted by breast cancers. The pro-hormone undergoes posttranslational processing and cleavage to give rise to mature secretory peptides, one of which is midregion PTHrP (38-94/95/101) containing a nuclear localisation sequence (NLS) in amino acids (87)(88)(89)(90)(91)(92)(93)(94)(95)(96)(97)(98)(99)(100)(101)(102)(103)(104)(105)(106). The current study investigates whether the NLS in midregion PTHrP is important in breast cancer growth. PTHrP-(67-101), a midregion PTHrP fragment containing NLS-(87-101) significantly increased growth of MCF-7 and MDA-MB231 cells (126.3 and 121.3% of control respectively in serum conditions), independent of PTHR1 whereas PTHrP-(67-86), which lacks the NLS did not. Fluorescent-labelled PTHrP-(67-101) translocated to the nucleus, whereas PTHrP-(67-86) remained cytosolic and a scrambled(1NLS) peptide was not internalised. In comparison, no growth influence or uptake was seen in non-tumour breast cells (Hs578Bst). Increases in intracellular calcium mobilisation were observed in breast cancer cells stimulated with both PTHrP-(67-101) and PTHrP-(67-86) (EC 50 of 3.2 pM and 2.2 pM respectively for MCF-7 cells), whereas inositide turnover was not detected. Both nuclear uptake and calcium signalling were attenuated in the presence of EGTA, but not with U73122 or N-terminal PTHrP peptides. Our studies indicate that the NLS-containing midregion PTHrP peptide is dependent on both internalisation and nuclear translocation to induce growth in breast cancer cells. These findings highlight the importance of midregion PTHrP and its receptor in breast cancer growth and may provide potential targets for future therapeutic intervention. ' 2006 Wiley-Liss, Inc.Key words: PTHrP; breast cancer; NLS; calcium signalling; midregion PTHrP Parathyroid hormone-related protein (PTHrP) was first identified as a tumour-derived protein that was the primary factor in humoral hypercalcemia of malignancy (HHM). 1-3 The first 13 amino acids of PTHrP and parathyroid hormone (PTH) share significant homology 4,5 and it is this sequence which interacts with the parathyroid hormone receptor 1 (PTHR1). 6 As a result, tumour-derived PTHrP enters the circulation and activates PTHR1 in both the bone and kidney to induce PTH-like activity, the outcome of which is hypercalcaemia and osteoclast-mediated bone resorption. 1,2,7 PTHrP is expressed in breast epithelium and is associated with normal mammary gland function, cell growth and differentiation. [8][9][10][11][12] Studies using PTHrP knockout mice resulted in mammary epithelial cell degeneration, 13 emphasising the importance of PTHrP in breast growth. Breast cancers, in most cases, secrete high levels of PTHrP, [14][15][16] and as a result malignancy associated HHM is very common. The expression of PTHrP has also been reported to be higher in breast cancer skeletal metastases than in the primary tumour. 14,17,18 The role of PTHrP may therefore be biolog...