Nephrol Dial Transplant (2000) 15: 1109-1111
© 2000 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
The emerging role of parathyroid hormone-related protein as a renal regulating factor
Bone and Mineral Metabolism Laboratory and Renal Research Laboratory, Fundación Jiménez Díaz and Universidad Autónoma, Madrid, Spain
Introduction
Parathyroid hormone (PTH)-related protein (PTHrP) was initially isolated from tumours associated with humoural hypercalcaemia of malignancy [1]. Both PTH and PTHrP share homology in their N-terminal region, and bind to the type 1 PTH/PTHrP receptor (PTHR), first cloned in osteoblasts and renal tubular cells, activating both adenylate cyclase and phospholipase C/protein kinase C [2]. However, while PTH is a regulator of mineral homeostasis, acting mainly on bone and kidney, PTHrP is now known to be widely expressed in non-malignant foetal and adult tissues [3]. Furthermore, PTHrP post-translational processing generates various fragments, including the PTH-like region and other mid- and C-terminal domains lacking PTH homology [4,5]. These fragments, interacting with specific receptors, appear to act as autocrine/paracrine regulators of cell growth and/or differentiation, at least in some tissues [1,3]. Although knowledge of the physiological role of
PTHrP and its receptors in renal tissue
PTHrP and renal regeneration after acute renal failure
PTHrP and renal disease progression
Future perspectives
Notes
References
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