Structural pharmacology of PTH and PTHrP

Elsevier

Available online 22 April 2022

Vitamins and HormonesAbstract

Parathyroid hormone (PTH) and PTH-related peptide (PTHrP) regulate extracellular phosphate and calcium homeostasis as well as bone remodeling. PTH is a classic endocrine peptide hormone whose synthesis and negative feedback by multiple factors control release from the parathyroid glands. PTHrP is ubiquitously expressed (pre- and postnatally) and acts in an autocrine/paracrine manner. This review considers the structural pharmacology and actions of PTH and PTHrP, biological consequences of inherited mutations, engineered analogs that illuminate similarities and differences in physiologic actions, and targeted therapeutic opportunities.

Keywords

Parathyroid hormone

Parathyroid hormone-related peptide

Mineral metabolism

Bone biology

Receptor signaling

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