Parathyroid hormone-related protein (PTHrP) is a key factor behind humoral
hypercalcemia of malignancy (HHM). It is produced in most breast tumors and
may be an important local mediator of skeletal metastases due to breast; c
ancer. PTHrP may mediate local bone destruction in the absence of increased
circulating PTHrP. Calcitonin (CT) is used for treatment of HRM, but there
are data showing that CT can increase PTHrP expression and secretion in vi
tro. We have therefore studied the effect of GT on PTHrP gene expression an
d secretion in MCF-7 breast cancer cells. PTHrP mRNA decreased significantl
y after 4, 8, and 16 h incubation with 10 nM salmon calcitonin (sCT) when c
ompared with the respective controls. PTHrP mRNA also decreased significant
ly and dose-dependently after incubation with sCT at 0.1 to 10 nM for 16 h.
The PTHrP levels in the conditioned medium also decreased in a similar dos
e-dependent manner. The adenylate cyclase agonist forskolin lowered the PTH
rP mRNA dose-dependently. In cells exposed to varying concentrations of sCT
for 15 min, the cAMP levels increased dose-dependently. In conclusion, sCT
can suppress PTRrP gene expression in MCF-7 breast cancer cells. The suppr
essive effect is probably exerted mainly via the cAMP-protein kinase A path
ways. (C) 1999 Academic Press.