title: In vitro production of parathyroid hormone-related protein by cholesteatoma and normal skin.
abstract: Severe inflammation and infection of the middle ear occasionally results in clinical evidence of bone resorption but with the addition of the cholesteatoma epithelium it becomes inevitable. This study examined production by the cholesteatoma epithelium of a bone resorbing factor, namely parathyroid hormone-related protein (PTH-rP), which would not be expected in inflammatory states alone. PTH-rP was detected in the conditioned medium of primary and secondary cell cultures derived from 12 cholesteatoma biopsies. The levels of PTH-rP were significantly greater than in control cultures of cells derived from normal scalp tissue. Production by the cholesteatoma epithelium may explain the increased incidence of bone resorption in this disease, particularly in cases where inflammation is minimal.
authors.affiliation: Skin Culture Laboratory, Birmingham General Hospital, UK.
authors.forename: I M
authors.initials: IM
authors.lastname: Cheshire
authors.forename: A
authors.initials: A
authors.lastname: Blight
authors.forename: W A
authors.initials: WA
authors.lastname: Ratcliffe
authors.forename: D W
authors.initials: DW
authors.lastname: Proops
mesh_terms: D016475:3T3 Cells / Q000378:metabolism / Q000528:radiation effects; D000818:Animals; D016022:Case-Control Studies; D002455:Cell Division; D002478:Cells, Cultured; D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000378:metabolism* / Q000473:pathology; D017077:Culture Media, Conditioned; D016207:Cytokines / Q000096:biosynthesis; D004848:Epithelium / Q000378:metabolism / Q000473:pathology; D005260:Female; D006801:Humans; D015603:Keratinocytes / Q000166:cytology / Q000378:metabolism; D051379:Mice; D010281:Parathyroid Hormone / Q000096:biosynthesis*; D044162:Parathyroid Hormone-Related Protein; D014176:Protein Biosynthesis; D012535:Scalp / Q000166:cytology / Q000378:metabolism; D012867:Skin / Q000166:cytology / Q000378:metabolism*
chemical_list: D017077:Culture Media, Conditioned; D016207:Cytokines; C470121:PTHLH protein, human; D010281:Parathyroid Hormone; D044162:Parathyroid Hormone-Related Protein; C025940:bone resorption factor