Kidney International (1983) 23, 699–704; doi:10.1038/ki.1983.81
Suppression of parathyroid hormone secretion by aluminum
Jeremiah Morrissey, Marcos Rothstein, Gilbert Mayor and Eduardo Slatopolsky
The Renal Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, and the Department of Medicine, Michigan State University, East Lansing, Michigan
Correspondence: Dr J Morrissey, Renal Division, Department of Medicine, Washington University School of Medicine, P.O. Box 8126. 660 S. Euclid, St. Louis, Missouri 63110, USA
Received 25 April 1982; Revised 7 September 1982.
Top of pageAbstract
Suppression of parathyroid hormone secretion by aluminum. The effect of aluminum on parathyroid hormone secretion was examined using collagenase-dispersed bovine parathyroid cells. An increase in the medium aluminum concentration over the range of 0.5 to 2.0 mM, in low calcium medium, progressively inhibited the secretion of radioimmunoassayable hormone. At 2.0 mM aluminum hormone secretion was inhibited by 68% while high medium calcium, without aluminum, maximally inhibited parathyroid hormone secretion only 39%. Individually, 2.0 mM aluminum or 2.0 mM calcium inhibited isoproterenol-stimulated hormone secretion by 43%. Either metal suppressed basal and isoproterenol-stimulated cyclic AMP levels of the parathyroid cells. That the inhibitory effect of aluminum on parathyroid hormone secretion was not due to an irreversible toxic effect was demonstrated by a restoration of normal secretion when cells were returned to 0.5 mM calcium medium without aluminum. The incorporation of [3H]leucine into total cell protein, parathyroid secretory protein, proparathyroid hormone, or parathyroid hormone was not affected by aluminum. The secretion of radiolabeled protein was, however, inhibited by aluminum. These results suggest that aluminum does not affect protein biosynthesis of the parathyroid cell or the conversion of proparathyroid hormone to parathyroid hormone. Aluminum appears to directly affect the secretion of protein from dispersed parathyroid cells.
Suppression de la sécrétion d'hormone parathyroïdienne par l'aluminium. L'effet de l'aluminium sur la sécrétion d'hormone parathyroïdienne a été examiné en utilisant des cellules parathyroïdiennes bovines dispersées par la collagénase. Une élévation de la concentration d'aluminium dans le milieu entre 0,5 et 2 mM, dans un milieu pauvre en calcium, a inhibé progressivement la sécrétion d'hormone parathyroïdienne dosable radioimmunologiquement. A 2,0 mM d'aluminium, la sécrétion hormonale était inhibée de 68%, tandis qu'en milieu riche en calcium, sans aluminium, le maximum d'inhibition de la sécrétion d'hormone parathyroïdienne était de 39% seulement. Individuellement, 2,0 mM d'aluminium ou 2,0 mM de calcium inhibaient la sécrétion hormonale stimulée par l'isoprotérénol de 43%. Les deux métaux supprimaient les concentrations basales et stimulées par l'isoprotérénol d'AMP cyclique dans les cellules parathyroïdiennes. Que l'effet inhibiteur de l'aluminium sur la sécrétion d'hormone parathyroïdienne n'ait pas été dû à un effet toxique irréversible a été démontré par la restauration d'une sécrétion normale lorsque les cellules étaient remises dans un milieu à 0,5 mM de calcium sans aluminium. L'incorporation de [3H]leucine dans les protéines cellulaires totales, la protéine sécrétoire parathyroïdienne, l'hormone proparathyroïdienne ou l'hormone parathyroïdienne n'était pas affectée par l'aluminium. La sécrétion des protéines radio-marquées était, cependant, inhibée par l'aluminium. Ces résultats suggèrent que l'aluminium ne modifie pas la biosynthèse protéique de la cellule parathyroïdienne ni la conversion de l'hormone proparathyroïdienne en hormone parathyroïdienne. L'aluminium semble modifier directement la sécrétion de protéines par les cellules parathyroïdiennes dispersées.
Top of pageReferences
- Avioli LV: Renal osteodystrophy, in Metabolic Bone Disease, edited by Avioli LV, Krane SM. New York, Academic Press, vol. 2, 1978, pp. 149–215
- Kanis JA, Cundy T, Paterson A, Cameron EC, Graham R, Russell G: Pathophysiology and treatment of osteomalacia in renal failure. Dialysis Transplant 10:490–508, 1981
- Ritz E, Bommer J: Pathogenesis of renal secondary hyperparathyroidism. Dialysis Transplant 10:479–488, 1981
- Coburn JW, Slatopolsky E: Vitamin D, parathyroid hormone, and renal osteodystrophy, in The Kidney, edited by Brenner B, Rector F. Philadelphia, W. B. Saunders Co., 1981, pp. 2213–2305
- Massry SG, Ritz E, Verberckmoes R: Role of phosphate in the genesis of secondary hyperparathyroidism. Nephron 18:77–81, 1977
- Van Stone J, Frank DT, Brandsford WR: The effect of decreased renal function with and without renal mass on 1,25-dihydroxycholecalciferol production in rats. J Lab Clin Med 89:1168–1174, 1977
- Clarkson EM, Luck VA, Hynson WV, Bailey RR, Eastwood JB, Woodhead JS, Clements VR, O'Riordan JLH, DeWardener HE: The effect of aluminum hydroxide on calcium, phosphorus and aluminum balances, the serum parathyroid hormone concentration and the aluminum content of bone in patients with chronic renal failure. Clin Sci 43:519–531, 1972 | PubMed |
- Cournot-Witmer G, Zingraff J, Plachot JJ, Escaig F, Lefevre R, Boumati P, Bourdeau A, Garabedian M, Galle P, Bourdon R, Drueke T, Balsan S: Aluminum localization in bone from hemodialyzed patients: Relationship to matrix mineralization. Kidney Int 20:375–385, 1981 | PubMed | ChemPort |
- Ott SM, Maloney NA, Alfrey AC, Coburn JW, Sherrard DJ: Prevalence of aluminum (Al) in bone from uremic patients. Kidney Int 21:138, 1981
- Parsons V, Davies C, Goode C, Ogg C, Siddiqui J: Aluminum in bone from patients with renal failure. Br Med J 4:273–275, 1971
- Maloney NA, Ott SM, Alfrey AC, Miller NL, Coburn JW, Sherrard DJ: Histological quantitation of aluminum in iliac bone from patients with renal failure. J Lab Clin Med 99:206–216, 1982 | PubMed | ISI | ChemPort |
- Hodsman AB, Sherrard DJ, Alfrey AC, Ott S, Brickman AS, Miller NL, Maloney NA, Coburn JW: Bone aluminum and histomorphometric features of renal osteodystrophy. J Clin Endocrinol Metab 54:539–546, 1982 | PubMed | ISI | ChemPort |
- Platts MM, Goode GC, Hislop JJ: Composition of the domestic water supply and the incidence of fractures and encephalopathy in patients on home dialysis. Br Med J 2:657–660, 1977
- Ward MK, Feest TG, Ellis HA, Parkinson IS, Kerr DNS, Herrington J, Goode GL: Osteomalacic dialysis osteodystrophy: Evidence for a waterborne aetiological agent, probably aluminum. Lancet 1:841–844, 1978
- Elliott HL, Dryburgh F, Fell GS, Sabet S, MacDougall AI: Aluminum toxicity during regular hemodialysis. Br Med J 1:1101–1103, 1978
- Parkinson IS, Ward MK, Feest TG, Fawcett RWP, Kerr DNS: Fracture dialysis osteodystrophy and dialysis encephalopathy. Lancet 1:406–409, 1979
- Pierides AM, Edwards WG, Cullum UX, McCall JT, Ellis HA: Hemodialysis encephalopathy with osteomalacic fractures and muscle weakness. Kidney Int 18:115–120, 1980
- Alfrey AC, Heff A, Miller N, Berl T, Berns A: Interrelationship between calcium and aluminum metabolism in dialyzed uremic patients. Miner Electrolyte Metabol 2:81–87, 1979
- Dent CE, Winter CS: Osteomalacia due to phosphate depletion from excessive aluminum hydroxide ingestion. Br Med J 1:551–552, 1974
- Alfrey AC, LeGendre GR, Kaehng WD: The dialysis encephalopathy syndrome. Possible aluminum intoxication. N Engl J Med 294:184–188, 1976 | PubMed | ISI | ChemPort |
- Brown EM, Hurwitz S, Aurbach GD: Preparation of viable isolated bovine parathyroid cells. Endocrinology 99:1582–1588, 1976
- Morrissey JJ, Cohn DV: The effects of calcium and magnesium on the secretion of parathormone and parathyroid secretory protein by isolated porcine parathyroid cells. Endocrinology 103:2081–2090, 1978
- Hruska KA, Kopelman R, Rutherford E, Klahr S, Slatopolsky E: Metabolism of immunoreactive parathyroid hormone in the dog. J Clin Invest 56:39–48, 1975 | PubMed | ISI | ChemPort |
- Steiner AJ, Kipnis DM, Utiger R, Parker C: Radioimmunoassay for the measurement of adenosine 3',5'-cyclic phosphate. Proc Natl Acad Sci USA 64:367–373, 1969 | Article | PubMed | ChemPort |
- Harper JF, Brooker G: Femtomole sensitive radioimmunoassay for cyclic AMP and cyclic GMP after 2'-0 acetylation by acetic anhydride in aqueous solution. J Cyclic Nucleotide Res 1:207–211, 1975 | PubMed | ISI | ChemPort |
- Reisfeld RA, Lewis UJ, Williams DE: Disc electrophoresis of basic proteins and polypeptides on polyacrylamide gels. Nature (London) 195:281–283, 1962
- Blum JW, Fisher JA, Hunziker WH, Binswanger U, Picotti GB, DaPrada M, Guillebeau A: Parathyroid hormone response to catecholamines and to changes of extracellular calcium in cows. J Clin Invest 61:1113–1122, 1978
- Brown EM, Gardner DG, Windeck RA, Aurbach GD: Relationship of intracellular 3',5'-adenosine monophosphate accumulation to parathyroid hormone release from dispersed bovine parathyroid cells. Endocrinology 103:2323–2333, 1978 | PubMed | ChemPort |
- Fisher JA, Blum JW: Non-calcemic control of parathyroid hormone secretion. Miner Electrolyte Metabol 3:158–166, 1980
- Abe M, Sherwood LM: Regulation of parathyroid hormone secretion by adenyl cyclase. Biochem Biophys Res Commun 48:396–401, 1972 | Article | PubMed | ChemPort |
- Kemper B, Habener JF, Rich A, Potts JT Jr: Parathyroid secretion: Discovery of a major calcium-dependent protein. Science 184:167–169, 1974
- Kaehny WD, Alfrey AC, Holman RE, Shorr WJ: Aluminum transfer during hemodialysis. Kidney Int 12:361–365, 1977 | PubMed |
- Cann CE, Prussin SG, Gordan GS: Aluminum uptake by the parathyroid glands. J Clin Endocrinol Metab 49:543–545, 1979
- Morrissey JJ, Cohn DV: Regulation of secretion of parathormone and secretory protein-I from separate intracellular pools by calcium, dibutyryl cyclic AMP, and (1)-isoproterenol. J Cell Biol 82:93–102, 1979
- Hava M, Hurwitz A: The relaxing effects of aluminum and lanthanum on rat and human gastric smooth muscle in vitro. Eur J Pharmacol 22:156–161, 1973
- Hava M, Hurwitz A: The effect of aluminum chloride on 45Ca fluxes in isolated longitudinal smooth muscle from rat colon. Arch Int Pharmacodyn Ther 212:24–31, 1974
- Miller CA, Levine EM: Effects of aluminum salts on cultured neuroblastoma cells. J Neurochem 22:751–758, 1974
- Habener JF, Kemper BW, Potts JT Jr, Rich A: Calcium-independent intracellular conversion of proparathyroid hormone to parathyroid hormone. Endocr Res Commun 1:239–246, 1974
- Habener JF, Stevens TD, Ravazzola M, Orci L, Potts JT Jr: Effects of calcium ionophores on the synthesis and release of parathyroid hormone. Endocrinology 101:1524–1537, 1977 | PubMed | ISI | ChemPort |
- Brown EM, Gardner DG, Aurbach GD: Effects of the calcium ionophore A23187 on dispersed bovine parathyroid cells. Endocrinology 106:133–138, 1980
- Rothstein M, Morrissey J, Slatopolsky E, Klahr S: The role of Na/Ca exchange on PTH secretion. Endocrinology 111:225–230, 1982