
Primary hyperparathyroidism (PHPT) is a common cause of bone loss that is modeled by continuous PTH (cPTH) infusion. Here we show that the inflammatory cytokine IL-17A is upregulated by PHPT in humans and cPTH in mice. In humans, IL-17A is normalized by parathyroidectomy. In mice, treatment with anti-IL-17A antibody and silencing of IL-17A receptor IL-17RA prevent cPTH-induced osteocytic and osteoblastic RANKL production and bone loss. Mechanistically, cPTH stimulates conventional T cell production of TNFα (TNF), which increases the differentiation of IL-17A-producing Th17 cells via TNF receptor 1 (TNFR1) signaling in CD4(+) cells. Moreover, cPTH enhances the sensitivity of naive CD4(+) cells to TNF via GαS/cAMP/Ca(2+) signaling. Accordingly, conditional deletion of GαS in CD4(+) cells and treatment with the calcium channel blocker diltiazem prevents Th17 cell expansion and blocks cPTH-induced bone loss. Neutralization of IL-17A and calcium channel blockers may thus represent novel therapeutic strategies for hyperparathyroidism.
Physiology, T-Lymphocytes, T cells, bone, hyperparathyroidism, Mice, Animals, Humans, Th17 cells, Molecular Biology, IL-17; IL-17 antibody; IL-17R; PTH; T cells; Th17 cells; bone; hyperparathyroidism, Tumor Necrosis Factor-alpha, IL-17R, Interleukin-17, Cell Biology, Calcium Channel Blockers, Hyperparathyroidism, Primary, IL-17 antibody, IL-17, Bone Diseases, Metabolic, Receptors, Tumor Necrosis Factor, Type I, PTH, Signal Transduction
Physiology, T-Lymphocytes, T cells, bone, hyperparathyroidism, Mice, Animals, Humans, Th17 cells, Molecular Biology, IL-17; IL-17 antibody; IL-17R; PTH; T cells; Th17 cells; bone; hyperparathyroidism, Tumor Necrosis Factor-alpha, IL-17R, Interleukin-17, Cell Biology, Calcium Channel Blockers, Hyperparathyroidism, Primary, IL-17 antibody, IL-17, Bone Diseases, Metabolic, Receptors, Tumor Necrosis Factor, Type I, PTH, Signal Transduction
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 92 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 1% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
