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Am J Physiol Renal Physiol 296: F1291-F1296, 2009. First published April 8, 2009; doi:10.1152/ajprenal.90557.2008
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N-methyl-D-aspartate receptors are expressed in rat parathyroid gland and regulate PTH secretion

Eva Parisi,1 Yolanda Almadén,3 Mercé Ibarz,4 Sara Panizo,1 Anna Cardús,1 Mariano Rodriguez,3 Elvira Fernandez,2,* and Jose M. Valdivielso1,*

1Research Laboratory, 2Nephrology Department, and 4Biochemistry Department Hospital Universitari Arnau de Vilanova, IRBLLEIDA, Lleida, Spain; and 3Unidad de Investigación and Nephrology Department, Hospital Universitario Reina Sofia, Córdoba, Spain

Submitted 17 September 2008 ; accepted in final form 5 April 2009

N-methyl-D-aspartate receptors (NMDAR) are tetrameric amino acid receptors which act as membrane calcium channels. The presence of the receptor has been detected in the principal organs responsible for calcium homeostasis (kidney and bone), pointing to a possible role in mineral metabolism. In the present work, the presence of the receptor was determined in normal parathyroid glands (PTG) by real-time PCR, immunoprecipitation, and immunohistrochemistry. Healthy animals showed a decrease in blood parathyroid hormone (PTH) levels 15 min after the treatment with NMDA. This effect was also observed in animals with high levels of PTH-induced EDTA injection, but not in uremic animals with secondary hyperparathyroidism (2HPT). Normal rat PTG incubated in media with low calcium concentration (0.8 mM CaCl2) showed a decrease in PTH release when NMDA was added to the media. This effect of NMDA was abolished when glands were coincubated with MK801 (a pharmacological blocker of the NMDA channel) or PD98059 (an inhibitor of the ERK-MAPK pathway). Glands obtained from animals with 2HPT showed no effect of NMDA in the in vitro release of PTH, together with a decrease in the expression of NMDAR1. In conclusion, NMDA receptor is present in PTG and is involved in the regulation of the PTH release. The mechanism by which NMDAR exerts its function is through the activation of the MAPK cascade. In uremic 2HPT animals the receptor expression is downregulated and the treatment with NMDA does not affect PTH secretion.

secondary hyperparathyroidism; ERK-MAPK



Address for reprint requests and other correspondence: J. M. Valdivielso, Laboratorio de Investigación HUAV-UDL, Hospital Universitari Arnau de Vilanova, Rovira Roure 80, 25198 Lleida, Spain (e-mail: valdivielso{at}medicina.udl.es)







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