Parathyroid hormone and parathyroid hormonerelated protein lower blood pressure and relax contracted arteries. Parathyroid hormone also attenuates angiotensin H-induced vasoconstriction. To determine the cellular mechanism or mechanisms by which parathyroid hormone analogues antagonize pressor effects, we examined the effect of these peptides on angiotensin II-induced calcium mobilization in fura 2-AMloaded cultured rat vascular smooth muscle cells. Either 100 nmol/L parathyroid hormone or parathyroid hormone-related protein significantly reduced the amount of calcium mobilized by 100 nmol/L angiotensin II. The attenuating effect of these peptides was mimicked by 10 mmol/L forskolin and 10 mmol/L isobutylmethylxanthine and was not dependent on the presence of extracellular calcium. This effect of the parathyroid hormone analogues was reduced when cells were pretreated with 100 mmol/L 2',5'-dideoxyadenosine, an adenylate cyclase inhibitor. Combined inhibition of cyclic nucleotide-dependent protein N umerous studies have consistently demonstrated that parathyroid hormone (PTH), as either intact hormone or the N-terminal 1-34 fragment of PTH [PTH(l-34)], relaxes contracted vessels and lowers blood pressure in a variety of animal species.15 PTH can also attenuate vasopressor responses to angiotensin II (Ang II) and norepinephrine when coinfused with these pressors in rats. 6 Although initially identified as a factor in the generation of hypercalcemia in a variety of malignancies, PTH-related protein (PTHrp) has subsequently been found to be present in a variety of normal tissue, including vascular smooth muscle. 7 The N-terminal fragment of this hormone, PTHrp(l-34), appears to affect target cells much like PTH(l-34) does and appears to bind to the same receptor or receptors as PTH(l-34) in bone, kidney, and renal vascular cells.
89Acute exposure to PTHrp(l-34) has been shown to cause vasodilation in vivo, 10 and it has been suggested that PTHrp may have an autocrine or paracrine function in modulating blood flow in certain tissues such as myometrium.
11Although it has been established that PTH and PTHrp acutely decrease blood pressure and relax vasReceived June 14,1993; accepted in revised form December 13, 1993.From the Department of Endocrinology, Veterans Affairs Medical Center, Sepulveda, and the UCLA School of Medicine, Los Angeles, Calif.Correspondence to Arnold S. Brickman, MD, Endocrinology Department (HIE), Sepulveda VAMC, 16111 Plummer St, Sepulveda, CA 91343. kinases eliminated the inhibitory effect of parathyroid hormone, whereas protein kinase C inhibition had no effect. Parathyroid hormone analogues decreased the amount of calcium released by inositol 1,4,5 -trisphosphate in digitoninpermeabilized vascular smooth muscle cells. This effect was inhibited by treatment with 2',5'-dideoxyadenosine. These results suggest that these peptides attenuate inositol 1,4,5-trisphosphate-sensitive calcium mobilized by angiotensin II via an adenylate cyclase-dependent mechanism. This may be a mechanism ...