We have utilized the adenylate cyclase stimulator, cholera toxin, as a tool to test the role of cyclic AMP as a mediator of the effects on bone resorption by the calcium-regulating hormones, parathyroid hormone (PTH) and calcitonin. The effects on bone resorption were studied in an organ culture system using calvarial bones from newborn mice. Cyclic AMP response was assayed in calvarial bone explants and isolated osteoblasts from neonatal mouse calvaria. Cholera toxin caused a dose-dependent cAMP response in calvarial bones, seen at and above approx. 1–3 ng/ml and calculated half-maximal stimulation (EC 50) at 18 ng/ml. The stimulatory effect of cholera toxin could be potentiated by the phosphodiesterase inhibitor isobutylmethylxanthine (IBMX, 0.2 mmol/l). Cyclic AMP accumulation in the bones was maximal after 4–6 h, and thereafter declined. However, activation of the adenylate cyclase was irreversible and the total amount (bone + medium) of cAMP produced, in the presence of IBMX (0.2 mmol/l), increased with time, for at least 48 h. In osteoblast-like cells cholera toxin (1 μg/ml) stimulated the cellular levels of cAMP with a peak after 60–120 min, which could be potentiated with IBMX. The total cAMP accumulation indicated an irreversible response. In short-term bone organ cultures (at most, 24 h) cholera toxin, at and above 3 ng/ml, inhibited the stimulatory effect of PTH (10 nmol/l) on 45Ca release from prelabelled calvarial bones. The inhibitory effect of cholera toxin (0.1 μg/ml) on 45Ca release was significant after 6 h and the calculated IC 50 value at 24 h was 11.2 ng/ml. Cholera toxin (0.1 μg/ml) also inhibited PTH-stimulated (10 nmol/l) release of Ca 2+, inorganic phosphate (P i), α-glucuronidase, β- N-acetylglucosaminidase and degradation of organic matrix (release of 3H from [ 3H]proline-labelled bones) in 24 h cultures. 45Ca release from bones stimulated by prostaglandin E 2 (1 μmol/l) and 1α-hydroxyvitamin D 3 (0.1 μmol/l) was also inhibited by cholera toxin (0.3 μg/ml) in 24-h cultures. The inhibitory effect of cholera toxin on bone resorption was transient, and in long-term cultures (120 h) cholera toxin caused a dose-dependent, delayed stimulation of mineral mobilization (Ca 2+, 45Ca, P i), degradation of matrix and release of the lysosomal enzymes β-glucuronidase and β- N-acetylglucosaminidase. The calculated EC 50 value for 45Ca release in 120 h cultures was 0.8 ng/ml. Cholera toxin-stimulated (0.01 μg/ml) 45Ca release could be inhibited by calcitonin (0.1 U/ml) but not by indomethacin (1 μmol/I). We conclude that cholera toxin-stimulated cAMP accumulation in bone transiently inhibits bone resorption, indicating that cAMP may be a mediator of the effect of calcitonin but that the nucleotide does not mediate the rapid bone-resorptive effects of PTH. The late bone-resorptive effect of cholera toxin suggest that cAMP may be involved in a delayed action of PTH on bone resorption.
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