Calcium fluxes at the bone/plasma interface: Acute effects of parathyroid hormone (PTH) and targeted deletion of PTH/PTH-related peptide (PTHrP) receptor in the osteocytes
Open accessAbstract
Calcium ion concentration ([Ca 2+]) in the systemic extracellular fluid, ECF-[Ca 2+], is maintained around a genetically predetermined set-point, which combines the operational level of the kidney and bone/ECF interfaces. The ECF-[Ca 2+] is maintained within a narrow oscillation range by the regulatory action of Parathyroid Hormone (PTH), Calcitonin, FGF-23, and 1,25(OH)2 D 3. This model implies two correction mechanisms, i.e. tubular Ca 2+ reabsorption and osteoclast Ca 2+ resorption. Although their alterations have an effect on the ECF-[Ca 2+] maintenance, they cannot fully account for rapid correction of the continuing perturbations of plasma [Ca 2+], which occur daily in life. The existence of Ca 2+ fluxes at quiescent bone surfaces fulfills the role of a short-term error correction mechanism in Ca 2+ homeostasis. To explore the hypothesis that PTH regulates the cell system responsible for the fast Ca 2+ fluxes at the bone/ECF interface, we have performed direct real-time measurements of Ca 2+ fluxes at the surface of ex-vivo metatarsal bones maintained in physiological conditions mimicking ECF, and exposed to PTH. To further characterize whether the PTH receptor on osteocytes is a critical component of the minute-to-minute ECF-[Ca 2+] regulation, metatarsal bones from mice lacking the PTH receptor in these cells were tested ex vivo for rapid Ca 2+ exchange. We performed direct real-time measurements of Ca 2+ fluxes and concentration gradients by a scanning ion-selective electrode technique (SIET). To validate ex vivo measurements, we also evaluated acute calcemic response to PTH in vivo in mice lacking PTH receptors in osteocytes vs littermate controls. Our data demonstrated that Ca 2+ fluxes at the bone-ECF interface in excised bones as well as acute calcemic response in the short-term were unaffected by PTH exposure and its signaling through its receptor in osteocytes. Rapid minute-to-minute regulation of the ECF-[Ca 2+] was found to be independent of PTH actions on osteocytes. Similarly, mice lacking PTH receptor in osteocytes, responded to PTH challenge with similar calcemic increases.
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BEF has a different ionic composition from systemic extracellular fluid (SEF) and establishes an extensive contact surface (215 m2, 120-fold the size of the trabecular network) with the mineralized matrix to allow efficient, short-term mineral exchange with SEF.
“BEF has a different ionic composition from systemic extracellular fluid (SEF)22 and establishes an extensive contact surface (215 m2, which is 120-fold the size of the trabecular network) with the mineralized matrix to allow efficient, short-term mineral exchange with SEF.23–26”
From Bone remodeling: an operational process ensuring survival and bone mechanical competence (2022) · cites this paper as [26]
Although their specific function has not yet been fully defined, BLCs might form an epithelial-like membrane that functions as an ion partition system between bone and systemic extracellular fluids in Ca2+ homeostasis.
“Although their specific function has not yet been fully defined, BLCs might form an epithelial-like membrane that functions as an ion partition system between bone and systemic extracellular fluids in Ca2+ homeostasis.26,90,115”
From Bone remodeling: an operational process ensuring survival and bone mechanical competence (2022) · cites this paper as [26]
Osteocytes per sé function independently of associated endocrine loops and exhibit an evolutionary advantage in mineral homeostasis, which is particularly highlighted in the rapid minute-to-minute regulation of the BEF-[Ca2+] in teleosts, as well as in mammals.
“Nevertheless, as has been recently discussed,88 osteocytes per sé function independently of associated endocrine loops and exhibit an evolutionary advantage in mineral homeostasis, which is particularly highlighted in the rapid minute-to-minute regulation of the BEF-[Ca2+] in teleosts,89 as well as in mammals.26,90”
From Bone remodeling: an operational process ensuring survival and bone mechanical competence (2022) · cites this paper as [26]
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“Indeed, calcemic responses to PTH and M-PTH(1-28) - a long acting PTH analog - were similar in both DMP1-Cre:PPRfl/fl and control mice.”
InfluentialPhosphate depletion in the rat: Effect of bisphosphonates and the calcemic response to PTH
Jara, A., Lee, E., Stauber, D. J., Moatamed, F., Felsenfeld, A. J., & Kleeman, C. R. (1999) · Kidney International · doi:10.1046/j.1523-1755.1999.00395.x · Cited by 28 · cited 4× · see citing works
“The hormone (100 nM human PTH(1-34) was added to the metatarsal medium and the Ca 2+ fluxes at the bone site were recorder for 5 consecutive minutes.”
InfluentialHow is plasma calcium held constant? Milieu interieur of calcium
Kurokawa, K. (1996) · Kidney International · doi:10.1038/ki.1996.262 · Cited by 28 · cited 4× · see citing works
“The hormone (100 nM human PTH(1-34) was added to the metatarsal medium and the Ca 2+ fluxes at the bone site were recorder for 5 consecutive minutes.”
InfluentialSelective stimulation of net calcium efflux from chick embryo tibiae by parathyroid hormone in vitro
Ramp, W. K., & McNeil, R. (1978) · Calcified Tissue International · doi:10.1007/bf02010774 · Cited by 27 · cited 1× · see citing works
“out of bone, and maintaining Ca 2+ level in the bone fluid lower than that in the general extracellular fluid (67).”
Electrical potential difference across bone membrane
Trumbore, D. C., Heideger, W. J., & Beach, K. W. (1980) · Calcified Tissue International · doi:10.1007/bf02408535 · Cited by 26 · cited 3× · see citing works
“In addition, it has been proposed that bone lining cells (BLCs), covering the quiescent surfaces of bone, might constitute a “bone membrane” (10, 41-48), acting as a partition system between BECF and ECF (48-51).”
Soares, A. M., Arana-Chavez, V. E., Reid, A. R., & Katchburian, E. (1992) · Europe PMC (PubMed Central) · Cited by 23 · see citing works
Coupling between phosphate and calcium homeostasis: a mathematical model
Granjon, D., Bonny, O., & Edwards, A. (2017) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00271.2017 · Cited by 23 · cited 3× · see citing works
“Ca 2+ homeostasis (30-32), but its hormonal regulation remains unsettled despite its importance in the overall plasma Ca 2+ homeostasis.”
A model of calcium homeostasis in the rat
Granjon, D., Bonny, O., & Edwards, A. (2016) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00230.2016 · Cited by 22 · cited 4× · see citing works
“Ca 2+ homeostasis (30-32), but its hormonal regulation remains unsettled despite its importance in the overall plasma Ca 2+ homeostasis.”
InfluentialREEVE, J. (1978) · Clinical Endocrinology · doi:10.1111/j.1365-2265.1978.tb02181.x · Cited by 21 · cited 4× · see citing works
“exchange at the bone/plasma interface is higher than the average daily flux due to bone turnover regardless of the degree of mineralization or turnover state (19).”
InfluentialShin, M.-M., Kim, Y., Kim, S. N., Kim, G.-S., & Baek, J. (2003) · Experimental & Molecular Medicine · doi:10.1038/emm.2003.23 · Cited by 21 · cited 1× · see citing works
“Deviation of plasma Ca 2+ from set-point modulates osteoclastogenesis (54) and has profound effects on bone cell fate and activities, by means of the Ca 2+ sensing receptor (CaSR) and independently of systemic calciotropic peptides (55).”
A potential kidney - bone axis involved in the rapid minute-to-minute regulation of plasma Ca2+
Nordholm, A., Mace, M. L., Gravesen, E., Ølgaard, K., & Lewin, E. (2015) · BMC Nephrology · doi:10.1186/s12882-015-0019-3 · Cited by 20 · cited 7× · see citing works
“Indeed, calcemic responses to PTH and M-PTH(1-28) - a long acting PTH analog - were similar in both DMP1-Cre:PPRfl/fl and control mice.”
InfluentialTalmage, R. V., & Mobley, H. T. (2009) · General and Comparative Endocrinology · doi:10.1016/j.ygcen.2009.03.027 · Cited by 18 · cited 9× · see citing works
“Experiments and models addressed to assess the contribution of PTH [see (13, 15, 18) for reviews] have suggested that the level of blood/bone equilibrium might vary with the level of PTH, but the direct experimental evidence for the PTH effect at the bone surface in eliciting a fast homeostatic response is lacking.”
InfluentialPhysical chemistry of biological apatites
Rey, C. C., & Combes, C. (2016) · Elsevier eBooks · doi:10.1016/b978-1-78242-338-6.00004-1 · Cited by 18 · cited 4× · see citing works
“5 nanocrystals as well as to the organic phase (24, 25) that are instantly exchangeable with the plasma (26).”
InfluentialIon-selective self-referencing probes for measuring specific ion flux
Reid, B., & Zhao, M. (2011) · Communicative & Integrative Biology · doi:10.4161/cib.16182 · Cited by 16 · cited 5× · see citing works
“Via the unique opportunity offered by SIET to obtain direct real-time measurements of Ca 2+ fluxes and concentration gradients at the bone/plasma Ca 2+ interface (34, 57, 58, 60), and by applying the previously validated method of ex vivo metatarsal bones in physiological conditions (33), we have now been able to prov…”
InfluentialWang, Lewin, & Ølgaard, K. (1999) · European Journal of Clinical Investigation · doi:10.1046/j.1365-2362.1999.00443.x · Cited by 16 · cited 1× · see citing works
“In all these studies, the rapid recovery of plasma [Ca 2+ ] was examined after EGTA-related induction of hypocalcemia in parathyroidectomized rats, and rats treated with PTH (73).”
Bicarbonate Dependence of Ion Current in Damaged Bone
Rubinacci, A., Ponti, A. D., Shipley, A. M., Samaja, M., Karplus, E., & Jaffe, L. F. (1996) · Calcified Tissue International · doi:10.1007/bf02509442 · Cited by 15 · cited 5× · see citing works
“As previously described (44), the unique design of the experimental chamber and the use of mineral oil was aimed at reducing to a reasonable minimum the exchange of CO2 between the incubation medium and the ambient atmosphere.”
InfluentialSelf-citationClaudin expression in the bone-lining cells of female rats exposed to long-standing acidemia
Wongdee, K., Riengrojpitak, S., Krishnamra, N., & Charoenphandhu, N. (2010) · Experimental and Molecular Pathology · doi:10.1016/j.yexmp.2009.12.005 · Cited by 14 · cited 1× · see citing works
“Recently, this view is sustained by the observation that claudins (tight junction membrane proteins) have been reported to regulate and restrict paracellular ion transport at the bone/plasma interface according to the metabolic demand (79, 80).”
Recent Progress in Osteocyte Research
Pajevic, P. D. (2013) · Endocrinology and Metabolism · doi:10.3803/enm.2013.28.4.255 · Cited by 14 · cited 1× · see citing works
“mineralized matrix without the need to activate an osteoclast-like function of matrix lysis (35) since they are ideally placed to establish a direct and extensive contact to a mineralized matrix (36, 37); can regulate virtually every phase of the mineralization process (36); can dissolve minerals through canaliculi by…”
Parathyroid hormone and plasma calcium control: an editorial.
Talmage, R. V., Lester, G. E., & Hirsch, P. F. (2000) · PubMed · Cited by 14 · see citing works
Rubinacci, A., Benelli, F. D., Borgo, E., & Villa, I. (2000) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.2000.278.1.e15 · Cited by 13 · cited 3× · see citing works
“Isolation of metatarsal bones was done as previously described (33, 42-44).”
Self-citationThe Role of Parathyroid Hormone in the Maintenance of Plasma Calcium Levels in Rats
Kalu, D. N., Hadji-Georgopoulos, A., SARR, M. G., SOLOMON, B. A., & Foster, G. V. (1974) · Endocrinology · doi:10.1210/endo-95-4-1156 · Cited by 13 · cited 1× · see citing works
“Our study challenges earlier reports that have hypothesized that bone-mediated minute-to-minute regulation of plasma Ca 2+ by PTH are due to Ca 2+ transport from bone without osteolysis (66).”
Calcium‐sensing receptor and recovery from hypocalcaemia in thyroparathyroidectomized rats
Huan, J., Martus, G., Ølgaard, K., & Lewin, E. (2007) · European Journal of Clinical Investigation · doi:10.1111/j.1365-2362.2007.01770.x · Cited by 13 · cited 1× · see citing works
“[Ca 2+ ] in thyro-parathyroidectomized rats was significantly impaired in rats treated with the CaSR activators, R-568 and gentamycin (77).”
Hirai, T., Kobayashi, T., Nishimori, S., Karaplis, A. C., Goltzman, D., & Kronenberg, H. M. (2015) · Endocrinology · doi:10.1210/en.2014-1835 · Cited by 12 · cited 1× · see citing works
“Perilacunar osteocytes remodeling (68), and synergic osteoclastic activity through the RANK/RANKL pathway (69), which are expected to be reduced due to the ablation of PTH/PTHrp receptor, might require a time longer that the fast and reversible fluxes of Ca 2+”
Large calcium fluxes that are not related to remodeling exist.
PARFITT, A. M. (2003) · Bone · doi:10.1016/j.bone.2003.06.001 · Cited by 9 · see citing works
Calcium Intake and Cardiovascular Disease Risk
Reid, I. R., Avenell, A., Grey, A. B., & Bolland, M. J. (2017) · Annals of Internal Medicine · doi:10.7326/l17-0135 · Cited by 7 · see citing works
Flagged first, then by citations
3 of the 86 references couldn’t be matched to a known paper.
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Bone remodeling: an operational process ensuring survival and bone mechanical competence
Bolamperti, S., Villa, I., & Rubinacci, A. (2022) · Bone Research · doi:10.1038/s41413-022-00219-8 · Cited by 482 · see citing works
Self-citationTurner, M. E., Beck, L., Hill Gallant, K. M., Chen, Y., Moe, O. W., Kuro-o, M., Moe, S. M., & Aikawa, E. (2024) · Arteriosclerosis, Thrombosis, and Vascular Biology · doi:10.1161/atvbaha.123.319198 · Cited by 54 · see citing works
Systemic Bone Loss After Fracture
Osipov, B., Emami, A. J., & Christiansen, B. (2018) · Clinical Reviews in Bone and Mineral Metabolism · doi:10.1007/s12018-018-9253-0 · Cited by 47 · see citing works
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Hung, J. T., Webb, S. E., Palumbo, C., Lesniak, A. M., Shipley, A. M., Rubinacci, A., Kunkel, J. G., & Miller, A. L. (2019) · Fisheries Science · doi:10.1007/s12562-019-01353-9 · Cited by 8 · see citing works
“Thus, our data indicate that scales show a similar short-term Ca2+-related homeostatic activity to that previously reported for mammalian bone (Marenzana et al. 2005; Dedic et al. 2018).”
BackgroundResultInfluentialSelf-citationMathematical modeling of the role of bone turnover in pH regulation in bone interstitial fluid
Poorhemati, H., & Komarova, S. V. (2021) · Computational Biology and Chemistry · doi:10.1016/j.compbiolchem.2021.107564 · Cited by 5 · see citing works
Jamieson, L., Waters, A., Ho, K. E., Chan, H. Y. S., Hung, J. T. S., Webb, S., Chan, C. M., Shipley, A., Williamson, J. G., Beer, J., et al. (2020) · Journal of Fish Biology · doi:10.1111/jfb.14553 · Cited by 4 · see citing works
Self-citationIncreasing serotonin concentrations alter calcium metabolism in periparturient dairy goats
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Transmembrane H+fluxes and the regulation of neural induction inXenopus laevis
Leung, H. C., Leclerc, C., Moreau, M., Shipley, A., Miller, A. L., & Webb, S. (2021) · Zygote · doi:10.1017/s0967199421000630 · Cited by 3 · see citing works
“Furthermore, the ability to recapitulate a developmental event from an intact embryo in an embryonic tissue explant illustrates the robust nature of X. laevis embryos as a developmental model (DeSimone et al., 2005).”
BackgroundSelf-citationZhang, Z., Tian, H., Chen, X., Zhao, H., Du, W., Gao, H., Luo, J., & Zheng, H. (2021) · Biochemical Engineering Journal · doi:10.1016/j.bej.2021.108015 · Cited by 3 · see citing works
Tissue‐engineered parathyroid gland and its regulatory secretion of parathyroid hormone
Li, D., Guo, B., Liang, Q., Liu, Y., Zhang, L., Hu, N., Zhang, X., Yang, F., & Ruan, C. (2020) · Journal of Tissue Engineering and Regenerative Medicine · doi:10.1002/term.3080 · Cited by 2 · see citing works
Osteoporosis associated with chronic kidney disease
Ott, S. M., & Elder, G. J. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-813073-5.00054-x · Cited by 1 · see citing works
Osteocytes: More Than Just Mechanosensory Cells
Prideaux, M., & Bonewald, L. F. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.11203-6
Ion-Selective Sensors for Orthopaedic Applications: A Systematic Review
Polidori, G., Visani, A., Giavaresi, G., Serpelloni, M., & Marchiori, G. (2026) · Biosensors · doi:10.3390/bios16060302
“These include the assessment of urinary fluoride as a diagnostic marker for fluorosis [39], the monitoring of serum fluoride after spinal fusion [38], and calcium fluxes at the bone–plasma interface studied with SIET in ex vivo models [21].”
- Authors
- Dedic, C., Hung, T. S., Shipley, A. M., Maeda, A., Gardella, T., Miller, A. L., Divieti Pajevic, P., Kunkel, J. G., & Rubinacci, A.
- Affiliations
- Boston University (US)
- Massachusetts General Hospital (US)
- Hong Kong University of Science and Technology (HK)
- University of New England (US)
- IRCCS Ospedale San Raffaele (IT)
- Corresponding author
- Rubinacci, Alessandro
- Venue
- Bone
- Publisher
- Elsevier BV
- Published
- 2018-11
- Volume
- 116
- Pages
- 135-143
- ISSN
- 1873-2763 (ISSN-L)
- 8756-3282
- PMC
- PMC6158063
- OpenAlex
- W2884993033
- Cited by
- 14
- References
- 86
- Citations by year
- 2026: 1 · 2024: 1 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 1
- FWCI
- 1.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Bone (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Rare & Special e-Zone (The Hong Kong University of Science and Technology) (submittedVersion)
- Funders
- Innovation and Technology Commission - Hong Kong (ITCPD/17-9)
- National Institutes of Health (DK079161, CF06/07, DK011794, GMGS06/07)
- Agence Nationale de la Recherche
- Topics
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Keywords
- parathyroid hormone, parathyroid hormone receptor, osteocytes, calcium flux, calcium homeostasis, PTH-related protein, metatarsals
- MeSH terms
- Fibroblast Growth Factor-23, Cyclic AMP, Animals, Bone and Bones, Calcium, Colforsin, Humans, Male, Metatarsal Bones, Mice, Inbred C57BL, Osteocytes, Parathyroid Hormone, Plasma, Bone Density, Gene Deletion, Receptor, Parathyroid Hormone, Type 1
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