The N-terminal fragment 1-34 of parathyroid hormone (PTH), administered int
ermittently, results in increased bone formation in patients with osteoporo
sis. PTH and a related molecule, parathyroid hormone-related peptide (PTHrP
), act on cells via a common PTH/PTHrP receptor. To define more precisely t
he ligand-receptor interactions, we have crystallized human PTH (hPTH)-(1-3
4) and determined the structure to 0.9-Angstrom resolution. hPTH-(1-34) cry
stallizes as a slightly bent, long helical dimer, Analysis reveals that the
extended helical conformation of hPTH-(1-34) is the likely bioactive confo
rmation. We have developed molecular models for the interaction of hPTH-(1-
34) and hPTHrP-(1-34) with the PTH/PTHrP receptor. A receptor binding pocke
t for the N terminus of hPTH-(1-34) and a hydrophobic interface with the re
ceptor for the C terminus of hPTH-(1-34) are proposed.