We used Hoxa3 knockout mice and other mouse models to study the role of the
fetal parathyroids in fetal calcium homeostasis. Hoxa3-null fetuses lack p
arathyroid glands, and absence of parathyroid hormone (PTH) was confirmed w
ith a rodent PTH immunoradiometric assay. The ionized calcium level of Hoxa
3-null fetuses was significantly lower than that of wild-type or heterozygo
us littermates or of the mother. Both the rate of placental calcium transfe
r and the plasma PTHrP level were normal in Hoxa3 mutants and their heteroz
ygous siblings. Because we had previously observed an increase in placental
calcium transfer in PTH/PTHrP receptor I-null (Pthr1-null) fetuses, we ass
ayed plasma PTHrP in those mice. Prhr1-null fetuses had plasma PTHrP levels
11-fold higher than those of their littermates. Northern analysis, immunoh
istochemical, and in situ hybridization studies of Pthr1-null fetuses indic
ated that liver and placenta had increased expression of PTHrP. In summary,
loss of fetal parathyroids in Hoxa3-null fetuses caused marked hypocalcemi
a but did not alter placental calcium transfer or the circulating PTHrP lev
el. The findings in the Pthr1-null fetuses indicate that several tissues ma
y contribute to the circulating PTHrP level in fetal mice.