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School of Biological Sciences, University of Auckland, Auckland, New Zealand (D.L.H.); Howard Florey Institute (G.C., P.M.S.) and Department of Pharmacology (A.C.), University of Melbourne, Victoria, Australia; and School of Life and Health Sciences, Aston University, Birmingham, United Kingdom (D.R.P.)
Received October 21, 2004; accepted February 3, 2005
Abstract
Calcitonin (CT) receptors dimerize with receptor activity-modifying proteins (RAMPs) to create high-affinity amylin (AMY) receptors, but there is no reliable means of pharmacologically distinguishing these receptors. We used agonists and antagonists to define their pharmacology, expressing the CT(a) receptor alone or with RAMPs in COS-7 cells and measuring cAMP accumulation. Intermedin short, otherwise known as adrenomedullin 2, mirrored the action of 
CGRP, being a weak agonist at CT(a), AMY2(a), and AMY3(a) receptors but considerably more potent at AMY1(a) receptors. Likewise, the linear calcitonin gene-related peptide (CGRP) analogs (Cys(ACM)2,7)hCGRP and (Cys(Et)2,7)hCGRP were only effective at AMY1(a) receptors, but they were partial agonists. As previously observed in COS-7 cells, there was little induction of the AMY2(a) receptor phenotype; thus, AMY2(a) was not examined further in this study. The antagonist peptide salmon calcitonin8-32 (sCT8-32) did not discriminate strongly between CT and AMY receptors; however, AC187 was a more effective antagonist of AMY responses at AMY receptors, and AC413 additionally showed modest selectivity for AMY1(a) over AMY3(a) receptors. CGRP8-37 also demonstrated receptor-dependent effects. CGRP8-37 more effectively antagonized AMY at AMY1(a) than AMY3(a) receptors, although it was only a weak antagonist of both, but it did not inhibit responses at the CT(a) receptor. Low CGRP8-37 affinity and agonism by linear CGRP analogs at AMY1(a) are the classic signature of a CGRP2 receptor. Our data indicate that careful use of combinations of agonists and antagonists may allow pharmacological discrimination of CT(a), AMY1(a), and AMY3(a) receptors, providing a means to delineate the physiological significance of these receptors.
), although an assortment of related peptides has recently been identified, including intermedin (IMD), also known as AM2 (Katafuchi et al., 2003; Roh et al., 2004; Takei et al., 2004). Although only weakly homologous in terms of amino acid sequence, several common features are shared, including an N-terminal ring structure that is the key to agonist activity. Nonetheless, the similarity in peptide structure leads to promiscuity for many of these peptides across their cognate receptors. Numerous biological activities have been attributed to these peptides. CT, for example, is involved in bone homeostasis (Sexton et al., 1999). AMY is likely to be involved in nutrient intake and regulating blood glucose levels (Cooper, 1994). CGRP and AM are both potent vasodilators, with AM necessary for vascular integrity (Hinson et al., 2000; Shindo et al., 2001; Brain and Grant, 2004). As with many other peptides, significant advances in understanding the physiological, pathophysiological, and clinical potential of CT family members are hampered by a lack of selective pharmacological agents that can be used to define function. Progress has been particularly slow for the CT peptide family because, until recently, the molecular nature of the cognate receptors for AMY, CGRP, and adrenomedullin was unknown.
There is now some clarity regarding the nature of the receptor that probably mediates many of the effects of CGRP. It consists of a complex between a seven-transmembrane protein belonging to the secretin family of G protein-coupled receptors (GPCRs), the CT receptor-like receptor (CL), with receptor activity modifying protein (RAMP)1 (McLatchie et al., 1998). When these proteins are coexpressed, classic CGRP1-like pharmacology is observed (McLatchie et al., 1998; Hay et al., 2004). However, if CL is instead coexpressed with either of the two other RAMP family members, RAMP2 or RAMP3, adrenomedullin is recognized most effectively (McLatchie et al., 1998). Thus, RAMPs act as pharmacological switches. It was soon realized that the function of RAMPs may be much broader, and there are now several examples of secretin family GPCRs with which these proteins are likely to interact (Christopoulos et al., 1999, 2003; Leuthauser et al., 2000).
It is noteworthy that RAMPs have a strong interaction with the CT receptor, the closest relative to CL (Christopoulos et al., 1999). Together, RAMPs and the CT receptor generate receptors with high affinity for AMY, with the precise nature of these receptors depending on the CT receptor splice variant and cellular background (Tilakaratne et al., 2000). To our knowledge, there have been no other reports of a distinct molecular entity capable of responding to AMY with such high affinity. It is noteworthy that early attempts to clone the AMY receptor usually produced the CT receptor; thus, it is likely that CT receptor/RAMP complexes mediate at least some of the effects of AMY in vivo, although this has yet to be directly tested. It is crucial to note that there is no reliable means of distinguishing CT from AMY receptors or AMY receptor subtypes pharmacologically in functional systems. Although comprehensive binding and agonist-interaction analyses have been performed, there has been no critical analysis of the way that antagonists interact with these receptors. This type of information may allow the different biological effects of AMY and related peptides to be attributed to distinct receptor subtypes. It can also provide a basis for the rational design of more selective agents. This is important because an AMY analog (Pramlintide) has now reached late-stage development for glycemic control in diabetic patients, illustrating the clinical importance of this peptide.
Therefore, in this study, we have sought to address this issue by transfecting the CT receptor [CT(a); Poyner et al., 2002] with or without RAMPs into COS-7 cells that do not endogenously express phenotypically significant levels of RAMPs, CT receptors, or CL. We have identified several key aspects of pharmacology that relate to the way that AMY and its related peptides have historically been reported to act in tissues.
Materials and Methods
Materials. Human AM, human adrenomedullin22-52 (AM22-52), rat AMY8-37, human CGRP, human CGRP8-37, human 
CGRP, and acetyl-(Asn30,Tyr32)-calcitonin8-32 (AC187) were purchased from Bachem (Bubendorf, Switzerland). Salmon calcitonin8-32 [sCT8-32] was from Peninsula Laboratories (Belmont, CA), and human Tyr0CGRP, (Cys(Et)2,7)-CGRP, (Cys(Acm)2,7)-CGRP, and rat AMY (rAMY) were from Auspep (Parkville, Australia). AC413 was a generous gift from Dr. Andrew Young (Amylin Pharmaceuticals Inc., La Jolla, CA). Human CT was obtained from the American Peptide Co., Inc. (Sunnyvale, CA). IMD short (IMDS) was a generous gift from Dr. Teddy Hsu (Stanford University School of Medicine, Stanford, CA; Roh et al., 2004). Peptide sequences are detailed in Fig. 1. Bovine serum albumin (BSA) and 3-isobutyl-1-methylxanthine were from Sigma-Aldrich (St. Louis, MO), and amplified luminescent proximity homogenous assay (ALPHA)-screen cAMP kits were purchased from PerkinElmer Life and Analytical Sciences (Boston, MA). Dulbecco's modified Eagle's medium (DMEM), fetal bovine serum (FBS), and HEPES were from Invitrogen (Carlsbad, CA). Cell culture plastic ware was manufactured by NUNC A/S (Roskilde, Denmark), and Metafectene was purchased from Scientifix (Cheltenham, VIC, Australia). 125I-Labeled goat anti-mouse IgG was obtained from PerkinElmer Life and Analytical Sciences. Na-125I (100 mCi/ml) was supplied by MP Biomedicals (Irvine, CA). 125I-Salmon CT (specific activity, 700 Ci/mmol) was iodinated in-house as described previously (Findlay et al., 1980). N-Succinimidyl 3-94-hydroxy,5,-[125I]iodophenyl propionate (Bolton-Hunter reagent; 2000 Ci/mmol) was from Amersham Biosciences UK, Ltd. (Little Chalfont, Buckinghamshire, UK). 125I-Rat amylin (specific activity, 2000 Ci/mmol) was iodinated by the Bolton-Hunter method and purified by reverse phase high-performance liquid chromatography as described previously (Bhogal et al., 1992). All other reagents were of analytical grade.
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Expression Constructs. Double hemagglutinin (HA) epitope-tagged human CT(a) receptor was prepared as described previously (Pham et al., 2004). This receptor is the Leu447 polymorphic variant of the receptor (Kuestner et al., 1994). Human RAMP1, RAMP2, and RAMP3 and human CL receptor were a gift from Dr. Steven Foord (McLatchie et al., 1998).
Cell Culture and Transfection. COS-7 cells were subcultured as described previously (Zumpe et al., 2000). One day before transfection, COS-7 cells were seeded into 25- or 75-cm2 cell culture flasks at high density to achieve 90 to 100% confluence for transfection the next day. The cells were then transfected using Metafectene according to the manufacturer's instructions, with the following amounts of DNA: For 25-cm2 flasks, 1.25 µg of receptor DNA [CT(a) or CL] and 1.9 µg of RAMP or pcDNA3 DNA; for 75-cm2 flasks, 3.8 µg of receptor DNA, and 5.7 µg of RAMP or pcDNA3 DNA. The transfection mix was removed after 16-h incubation, and the cells were recovered in complete media (DMEM with 5% FBS) for 8 h. The cells were then serum-starved for a further 16 h to minimize basal cAMP levels.
Measurement of cAMP Production. Cells transfected with CT(a) or CL plus pcDNA3, RAMP1, -2, or -3 were harvested approximately 40 h after transfection. The cells were counted and diluted to 20,000 cells per 10 µl and incubated, mixing for at least 30 min in serum and phenol red-free DMEM containing 0.1% (w/v) BSA and 1 mM 3-isobutyl-1-methylxanthine (stimulation buffer). Agonist and antagonist dilutions were prepared in stimulation buffer and added to white 384-well plates, either alone or in combination, to a total volume of 10 µl. After incubation of cells with stimulation buffer, 20,000 cells were added per well in a volume of 10 µl. The plates were centrifuged very briefly to ensure thorough mixing of these small volumes. The plates were then incubated for 30 min at 37°C. Drug-stimulated receptor activity was terminated by the addition of 20 µl of lysis buffer [0.3% (v/v) Tween 20, 5 mM HEPES, 0.1% (w/v) BSA in water, pH 7.4]. After addition of lysis buffer, the plates were again centrifuged briefly to ensure thorough mixing. The cAMP in the lysed cells was assayed in the same wells using ALPHA-screen assay kits. A cAMP standard curve was included in each assay. In brief, cAMP was measured with acceptor and donor beads that were prepared in lysis buffer and added to the plates according to the manufacturer's instructions. After overnight incubation in the dark, the plates were read with an ALPHA-screen protocol on a Fusion plate reader (PerkinElmer Life and Analytical Sciences).
Radioligand Binding. When harvested for cAMP assay (see above), the same transfected COS-7 cells were also seeded into 24-well culture plates at a density of approximately 250,000 cells per well. These cells were then assayed for receptor binding to either 125I-rAMY or 125I-sCT the next day (16 h later). Cells were initially washed with 500 µl of phosphate-buffered saline (PBS) and incubated for 30 min at 37°C in 500 µl of binding buffer [FBS-free DMEM with 0.1% (w/v) BSA]. Wells contained either 50 pM 125I-sCT or 100 pM 125I-rAMY. Nonspecific binding levels were determined by competing with 10–7 M sCT or 10–6 M rAMY, respectively. Cells were then washed twice with 500 µl of PBS and were solubilized with 0.5 ml of 0.5 M NaOH with the cell lysate counted for 
-radiation using a PerkinElmer -counter (COBRA Auto-gamma, Model B5010; 75% efficiency).
For full-curve competition binding experiments, cells in 75-cm2 flasks were transfected for 5 h using Metafectene, with 3.7 µg of CT(a) and either 5.2 µg of pcDNA3, RAMP1, or RAMP3 DNA. The cells were allowed to recover for 16 h and then harvested and seeded at around 80 to 90% confluence into 48-well plates. These were then allowed to adhere and recover for a further 16 h. Competition binding was performed for 2 h at room temperature. Each well contained 225 µl of DMEM + 0.1% BSA, 200 pM 125I-rAMY, and 25 µl of competing peptide (10–12–10–7 M) or buffer control. Cells were washed once with PBS, lysed, and counted as described above.
Measurement of Cell Surface Expression by Antibody Binding. As for binding assays, at the time of harvesting for cAMP assay, transfected COS-7 cells were plated into 24-well plates and later assayed for cell-surface expression of the HA-tagged receptor. Cells were rinsed twice with 0.5 ml of binding buffer [50 mM Tris-HCl, pH 7.7, 100 mM NaCl, 5 mM KCl, 2 mM CaCl2, and 1% (w/v) BSA, adjusted to pH 7.7 with HCl] followed by addition of 2 µg of HA-specific mouse antibody in 250 µl of binding buffer to each well. Cells were incubated for 3 h at 4°C, with gentle agitation. Cells were then rinsed three times with binding buffer, and 125I-labeled goat anti-mouse IgG (diluted to give 200 pM/250 µl per well) was added to the cells. The cells were incubated for a further 3 h at 4°C and then rinsed three times with binding buffer. Cells were solubilized with 0.5 ml of 0.5 M NaOH, and the cell lysate was counted for -radiation. Nonspecific binding was determined from the wells that received 125I-labeled goat anti-mouse IgG but not the anti-HA primary antibody.
Data Analysis and Statistics. Data were analyzed using Prism 4.02 (GraphPad Software Inc., San Diego, CA). In each assay, the quantity of cAMP generated was calculated from the raw data using a cAMP standard curve. For agonist responses, concentration-effect curves were fitted to a four-parameter logistic equation (Motulsky and Christopoulos, 2003).
For calculation of antagonist potency, agonist concentration-response curves in the absence and presence of antagonist were globally fitted to the following equation using Prism (Motulsky and Christopoulos, 2004):
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In all cases, potency and affinity values were estimated as logarithms (Christopoulos, 1998). Data shown are the mean ± S.E.M. Comparisons between mean values were performed by unpaired t tests or one-way analysis of variance, as appropriate. Unless otherwise stated, values of p < 0.05 were taken as statistically significant.
Results
COS-7 cells were chosen for transfection studies as they have been shown to lack phenotypically significant levels of endogenous RAMPs, CT receptors, and CL (Hay et al., 2003). Without significant background expression of such receptor components, defined receptor subtypes can be accurately compared.
Agonist Pharmacology. The approach taken to generate a detailed pharmacological analysis of the molecularly defined AMY receptors was to compare the effects of all available antagonists against the major agonists that were capable of eliciting reliable receptor activation. Therefore, we initially examined agonist-induced cAMP responses in cells transfected with CT(a) alone or in combination with individual RAMPs to assess the relative agonist activation profiles of the receptors defined as CT(a), AMY1(a), AMY2(a), and AMY3(a), respectively. In most experiments, cell surface expression of the CT(a) was confirmed by binding of an anti-HA antibody to the epitope tag incorporated into the N terminus of the receptor (Fig. 2). In addition, in some experiments 125I-sCT binding was also performed and confirmed that similar levels of the receptor protein were expressed at the cell surface (data not shown). Expression of the AMY receptor phenotype was confirmed by concomitant 125I-rAMY binding (data not shown).
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As shown in Table 1 and in accordance with previous results, hCT displayed equivalent high potency in cells transfected with CT(a) or AMY1(a) receptors but had 
10-fold lower potency at AMY3(a) receptors (p < 0.05; n = 6). In contrast, rAMY and the CGRPs had low potency at the CT(a) receptor and exhibited 100-fold increased potency at the AMY1(a) receptor. As seen previously in this cellular background, preliminary analysis of radioligand binding and cAMP response indicated very little induction of AMY2(a) phenotype with pEC50 values for rAMY at this receptor equivalent to that seen with CT(a) alone (data not shown; Christopoulos et al., 1999; Tilakaratne et al., 2000). rAMY had high potency at the AMY3(a) receptor, but the CGRPs showed only modest increases in potency (<10-fold) at this receptor. At all receptor phenotypes, Tyr0-hCGRP was weaker than unmodified hCGRP, but it exhibited similar modulation of potency to - and -CGRP at AMY1(a) receptors.
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IMD displays efficacy at CL/RAMP-based receptors (Roh et al., 2004; Takei et al., 2004). We examined the interaction of the short form of this peptide, IMDS, with CT and AMY receptors and compared it with the behavior of the peptide at CGRP and AM receptors. IMDS had low potency at CT(a) and AMY2(a) receptors and displayed a similar increase in potency at AMY1(a) (40-fold) and AMY3(a) (<10 fold) receptors, as seen for the CGRPs (Fig. 3; Table 2). This contrasts with the interaction of IMDS at CGRP and AM receptors assayed in the same cellular background where IMDS displayed similar high efficacy at all three receptors but differed from the activity of hCGRP at these receptors, which only had high potency at the CGRP1 receptor (Fig. 3; Table 2).
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The linear CGRP analogs (Cys(Et)2,7)-CGRP and (Cys(Acm)2,7)-CGRP have been used to subclassify CGRP receptors into CGRP1 and CGRP2 receptors (Dennis et al., 1990, 1991; Poyner et al., 2002). Because AMY receptors can also function as high-affinity CGRP receptors, it was of interest to assess the potency of the linear CGRP analogs at CT and AMY receptors. Both analogs had very low potency and efficacy at CT(a), AMY2(a), and AMY3(a) receptors, but they displayed moderate potency at the AMY1(a) receptor (Table 1; Fig. 4A). However, both analogs were only partial agonists at the latter receptor exhibiting %Emax responses of 47.9 ± 5.4 and 22.8 ± 6.0, respectively, for (Cys(Et)2,7)-CGRP and (Cys(Acm)2,7)-CGRP. At the CGRP1 receptor, both analogs displayed high potency, pEC50 of 9.4 ± 0.12 (n = 5) and 9.08 ± 0.63 (n = 4) for (Cys(Et)2,7)-CGRP and (Cys(Acm)2,7)-CGRP, respectively, similar to unmodified hCGRP [9.51 ± 0.14 (n = 5)], but they were again partial agonists. However, (Cys(Et)2,7)-CGRP was considerably more efficacious than (Cys(Acm)2,7)-CGRP with %Emax values of 83.5 ± 7.2 and 8.1 ± 2.1, respectively (Fig. 4B).
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Antagonist Pharmacology. N-Terminally truncated analogs of CT and related peptides have traditionally been used as "specific" antagonists of the primary receptors at which they interact. However, the specificity of interaction across the range of CT and AMY receptor phenotypes has not been systematically addressed. We have therefore assessed the relative effectiveness of these peptide antagonists and a number of chimeras of sCT8-32 and rAMY (Fig. 1) as antagonists of CT(a), AMY1(a), and AMY3(a) receptors. Antagonist studies were not performed at the AMY2(a) receptor because of the weak AMY phenotype we observe in COS-7 cells.
Of the peptides examined, sCT8-32 was the most effective antagonist with a pKB of 8 across all receptors examined. It did not display significant selectivity, with a similar pKB observed for CT(a), AMY1(a), and AMY3(a) receptors, for each of the agonists (Table 3; Figs. 5, A and E, 6, A and E, and 7, A and E), although there was a weak trend for lower affinity at AMY1(a) receptors with either rAMY or the CGRPs as agonists (Fig. 8A).
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In contrast, the CGRP1 receptor antagonist CGRP8-37 was selective for AMY receptors over CT receptors (Fig. 8B), with no antagonism of agonist responses at CT receptors with concentrations of antagonist up to 10–5 M (Table 3; Fig. 5, B and F). However, CGRP8-37 was only a weak antagonist at AMY1(a) and AMY3(a) receptors with pKB values of <7 (Table 3; Figs. 6, B and F, and 7, B and F). With AMY as agonist, CGRP8-37 exhibited weak selectivity for AMY1(a) over AMY3(a) receptors, although this did not reach statistical significance (t test; p = 0.11) in the current study. There was an apparent agonist-dependent component to antagonism by CGRP8-37, with no effect seen at any of the receptors when hCT was used as the agonist (Table 3; Figs. 5B, 6B, and 7B).
In support of the weak effect of AM at these receptors (Table 1), AM22-52, an antagonist of AM receptors, had no effect at either CT or AMY receptors (Table 3). Confirmation of the integrity of AM22-52 was obtained in experiments with AM2 receptors, where this peptide is known to be an antagonist (data not shown; Hay et al., 2003). rAMY8-37 was almost without activity, exhibiting only very weak antagonist activity at AMY1(a) receptors, and only when rAMY was the agonist (Table 3).
The peptide chimeras of rAMY and sCT8-32, AC187 and AC413, each had affinity for CT(a), AMY1(a), and AMY3(a) receptors but displayed selectivity between receptor phenotypes (Table 3; Fig. 8, C and D). AC187 was 10-fold more potent an antagonist of AMY1(a) receptors compared with CT(a) receptors when rAMY was used as the agonist (Table 3; Figs. 5G, 6G, and 8C). Likewise, AC187 was more potent at AMY3(a) receptors over CT(a) receptors when rAMY was the agonist (Table 3; Figs. 5G, 7G, and 8C), but no significant difference was seen between AMY1(a) and AMY3(a) receptors (Fig. 8C). As seen with CGRP8-37, there was an apparent agonist-dependent effect observed with the antagonist potency of AC187 when hCT was the agonist, because no significant change in AC187 potency was seen across the three receptor types (Table 3; Fig. 8C). Equivalent antagonist behavior was observed for AC413 when hCT was the agonist, with no difference in antagonist potency between CT(a), AMY1(a), and AMY3(a) receptors (Table 3; Figs. 5D, 6D, 7D, and 8D). However, additional receptor-dependent and agonist-dependent behavior was seen for AC413. For each of the receptors, AC413 was more potent when rAMY was the agonist versus when hCT was the agonist (Table 3; Figs. 5, 6, 7, H versus D, and 8D), although this was not significant at the AMY3(a) receptor. AC413 also seemed to discriminate between AMY1(a) versus AMY3(a) receptors when rAMY was used as the agonist, being more effective at AMY1(a) (Fig. 8D).
In competition for 125I-rAMY binding, sCT8-32, AC187, and AC413 each displayed high affinity at both AMY1(a) and AMY3(a) receptors, whereas CGRP8-37 had lower affinity for both receptors (Table 4). However, consistent with their lack of antagonist potency at AMY receptors, rAMY8-37 and hAM22-52 both exhibited very low affinity (Table 4).
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Discussion
Many factors alter the potency of agonists at GPCRs; affinity and intrinsic efficacy are receptor-dependent, whereas receptor density and G protein-coupling efficiency are system-dependent (Kenakin, 1997; Armour et al., 1999). In this study, we examined the effect of agonists and antagonists on CT and AMY receptors expressed at similar levels in the same cellular background to reduce system-dependent variables and to allow comparison of relative affinity and intrinsic efficacy of the agents used (Armour et al., 1999).
As seen previously (Christopoulos et al., 1999; Muff et al., 1999), coexpression of CT(a)/RAMP1 led to receptors that were potently stimulated by rAMY and CGRP, whereas CT(a)/RAMP3 expression generated receptors potently stimulated by rAMY but only moderately by CGRP. In contrast, CT(a) expressed alone responded weakly to peptides aside from hCT. hCT potently stimulated cAMP production in COS-7 cells coexpressing CT(a)/RAMP1 but was right-shifted (10-fold) in cells expressing CT(a)/RAMP3. In all cases, antagonist pKB values were equivalent across receptors when hCT was used as the agonist, suggesting that hCT stimulation of cAMP is via the same receptor [CT(a)], regardless of cotransfected RAMPs. This implies that hCT has only very low affinity for AMY receptors. This was consistent with competition binding studies where hCT had low affinity at both AMY1(a) and AMY3(a) receptors (Table 4; Christopoulos et al., 1999). Unlike CL, CT(a) expresses at the cell surface in a RAMP-independent manner (Lin et al., 1991; Kuestner et al., 1994), so cotransfection with RAMP leads to mixed populations of "free" and heterodimerized receptor. The reduced hCT potency at AMY3(a) is consistent with a marked decrease in the level of "free" CT(a), contrasting with the lack of modulation of hCT efficacy seen with RAMP1 cotransfection. This implies that CT(a) has a stronger interaction with RAMP3 than RAMP1 and is supported by the consistent reduction in CT potency with RAMP3 that is not seen with RAMP1 (Armour et al., 1999; Christopoulos et al., 1999; Muff et al., 1999; Tilakaratne et al., 2000; Kuwasako et al., 2004) and also that only RAMP3 is able to induce an AMY receptor phenotype in melanophores (Armour et al., 1999). However, it is also possible that hCT has lower efficacy at AMY3(a) versus AMY1(a) receptors.
Initial studies with IMDS indicated that it could interact, with similar potency, with CGRP and AM receptors (Roh et al., 2004). We have confirmed this observation. Its efficacy was equivalent to that of hCGRP, but there were marked differences in the relative potency of these two peptides for individual CL/RAMP combinations. However, at CT(a)-based receptors, the activity of IMDS tracked that of hCGRP. This suggests that the IMDS binding interface at CT(a)-based receptors is similar to that of the CGRPs and contrasts to its mode of interaction with CL/RAMP receptors. In our COS-7 cell background, the overall potency of IMDS was weaker at CT-based receptors than at CL/RAMP receptors, suggesting that the physiological target of IMDS is more likely to be the latter receptor family. During the preparation of this manuscript, a study examining the effect of IMD at CT(a)-based receptors in COS-7 cells was published, with similar findings to ours (Takei et al., 2004).
Unlike agonist behavior, antagonist potency is viewed as a receptor-dependent variable, and so antagonists are the preferred tool for defining receptor subtypes (Christopoulos and El-Fakahany, 1999). We have delineated the pharmacology of CT(a)-based receptors through functional analysis of the effects of N-terminally truncated analogs of CT and related peptides, including chimeras between rAMY and sCT8-32.
sCT8-32 had high affinity for all three receptor subtypes but discriminated little between them. However, the small, nonsignificant decrease in affinity against AMY versus CT receptors was similar to sCT8-32 behavior at CT(a) and AMY3(a) receptors in melanophores where higher affinity at CT(a) receptors was observed (Armour et al., 1999).
CGRP8-37 was highly selective for AMY receptors over CT receptors and was weakly selective for AMY1(a) over AMY3(a) receptors, mirroring the effects of CGRP at these receptors. However, its potency against AMY receptors was much lower than against CGRP1 (CL/RAMP1) receptors expressed in the same system [pKB 9.34 ± 0.38 (n = 5); D. L. Hay, manuscript in preparation]. As such, it is a useful research tool for investigation of receptor subtypes but only in combination with a range of other antagonists that can distinguish between CGRP-responsive receptors.
AC187 had high affinity for AMY receptors and was 10-fold selective for these receptors over CT receptors. AC187 has only low affinity for CGRP1 receptors (Howitt and Poyner, 1997; D. L. Hay, manuscript in preparation) and therefore is useful for discriminating between CL- and CT-based receptors. However, low selectivity between AMY versus CT receptors limits its usefulness.
AC413 provided the first evidence for selectivity between AMY1(a) and AMY3(a) receptors with pKB values of 7.92 and 7.10, respectively, against rAMY. Although the difference is small, the peptide may guide the design of more specific antagonists. The different pKB values of AC413 for rAMY versus hCT at CT(a) receptors are difficult to reconcile with simple competitive antagonism, where the nature of the agonist should not alter the pKB. There may be differences in the mode of binding of rAMY and hCT at this receptor. It is possible that although partially overlapping, the binding sites of hCT and rAMY at the CT(a) receptor are significantly different, allowing an allosteric interaction; such interactions are often characterized by apparent agonist-dependent antagonist pKB values (Christopoulos and Kenakin, 2002). Unlike AC187, which has only two amino acids of rAMY substituted into the sCT8-32 backbone, AC413 is also homologous to rAMY over residues 8 to 18 (Fig. 1) and so may interact with higher affinity at the site occupied by rAMY versus that occupied by hCT. On the other hand, each of the agonists may provide a unique receptor conformation, leading to alteration in system-dependent activity of the receptor that is manifest as differential antagonist affinity. However, we believe this is less likely, as such changes could be expected to alter affinity of other antagonists.
In contrast to the N-terminally truncated peptides already described, rAMY8-37 was essentially without antagonist activity at any of the receptors, consistent with its low affinity in competition binding studies (Table 4; Aiyar et al., 1995). Nonetheless, this peptide can antagonize some AMY-induced responses (Wang et al., 1993; Ye et al., 2001).
Subdivision of CGRP receptors was first proposed by Dennis et al. (1990, 1991), based primarily on the observation that CGRP8-37 exhibits high-affinity antagonism for only CGRP1 receptors. On the other hand, linear analogs of hCGRP [most commonly (Cys(Acm)2,7)-CGRP] have higher potency at CGRP2 receptors. However, the range of reported values for these peptides is extremely broad (Poyner et al., 2002; Hay et al., 2004), and differences seen in functional assays are not apparent in competition binding assays (Rorabaugh et al., 2001). Although it is now generally accepted that CL/RAMP1 represents the CGRP1-receptor phenotype (Poyner et al., 2002), the molecular identity of the receptor(s) giving rise to CGRP2 pharmacology is obscure. Recent work with (Cys(Acm)2,7)-CGRP and (Cys(Et)2,7)-CGRP has provided some evidence that AMY receptors may contribute to CGRP2 pharmacology (Kuwasako et al., 2004). Taken with this latter work, the current study identifies a spectrum of agonist and antagonist behavior at AMY receptors that provides a potential explanation for CGRP2 receptor pharmacology. The AMY1(a) receptor is potently activated by CGRP and its analogs and antagonized weakly by CGRP8-37, fitting in with the classic definition of the CGRP2 receptor (Dennis et al., 1990, 1991). The AMY3(a) receptor also has reasonable affinity for CGRP and is weakly antagonized by CGRP8-37 but shows little stimulation by linear CGRP analogs. Nonetheless, because these latter analogs are rarely used, it may also contribute to reports of CGRP2 receptors in the literature.
The actions of CGRP-derived agonists call for comment. Here, (Cys(Acm)2,7)-CGRP and (Cys(Et)2,7)-CGRP were partial agonists, in contrast to the data of Kuwasako et al. (2004). It is highly likely that this discrepancy may be explained by the human embryonic kidney 293 cells used by Kuwasako and colleagues having more efficient receptor coupling to G proteins, masking partial agonist behavior. In support of this, CGRP was also much more potent in their study. It is also significant that Kuwasako et al. (2004) showed that there was relatively little difference in the dissociation constants for CGRP and the two Cys-modified analogs as measured in binding studies; a consistent theme in the literature has been the failure to observe a CGRP1/CGRP2 difference using radioligand binding (Dennis et al., 1990). In the porcine aorta, (Cys(Acm)2,7)-CGRP was a partial agonist (Waugh et al., 1999).
In summary, despite the complicated pharmacology of CT/RAMP complexes, there are several useful tools in defining these receptors including agonists (rAMY and hCT) that are specific for CT and AMY receptor subtypes and antagonists (sCT8-32, AC187, and CGRP8-37) that used in conjunction can help define these receptor classes. Individual receptor subtypes, such as AMY1(a) and AMY3(a) receptors, can also be discriminated with careful use of additional agonists such as the CGRPs. However, system-dependent factors such as coupling efficiency must also be considered. Finally, it is likely that most CGRP2 receptor behavior can be attributed to existing CT/RAMP and CL/RAMP based receptors.
Acknowledgements
We thank Teddy Hsu for the providing IMDS and Andrew Young for AC413.
Footnotes
This work was supported by the National Health and Medical Research Council of Australia (grants 145702 and 299810), the Ian Potter Foundation Neuropeptide Laboratory and the University of Auckland Staff Research Fund, the Auckland Medical Research Foundation, and Lottery Health Commission (New Zealand). P.M.S. and A.C. are Senior Research Fellows of the National Health and Medical Research Council. D.R.P. was supported by the British Heart Foundation (Grant PG/03/079/15278).
Article, publication date, and citation information can be found at http://molpharm.aspetjournals.org.
ABBREVIATIONS: CT, calcitonin; CGRP, calcitonin gene-related peptide; AMY, amylin; AM, adrenomedullin; IMD, intermedin; GPCR, G protein coupled receptor; CL, calcitonin receptor-like receptor; RAMP, receptor activity modifying protein; CT(a), calcitonin receptor; rAMY, rat amylin; IMDS, intermedin short; BSA, bovine serum albumin; ALPHA, amplified luminescent proximity homogenous assay; DMEM, Dulbecco's modified Eagle's medium; FBS, fetal bovine serum; HA, hemagglutinin; PBS, phosphate-buffered saline; hCT, human calcitonin; AC187, SC[acetyl-(Asn30,Tyr32)-calcitonin8-32].
Address correspondence to: Dr. Patrick M. Sexton, Howard Florey Institute, University of Melbourne, Victoria 3010, Australia. E-mail: p.sexton{at}hfi.unimelb.edu.au
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), and (Cys(Acm)2,7)-
); + 10–7 M antagonist (
), + 10–6 M antagonist (
), and + 10–5 M antagonist (
).
