title: Parathyroid-hormone-related protein in sarcoidosis.
abstract: Parathyroid-hormone-related protein (PTHrP) is the main mediator of the humoral hypercalcemia of malignancy. It is also detected in many normal adult and fetal tissues. Altered calcium metabolism occurs in sarcoidosis, and two cases of sarcoidosis with hypercalcemia and elevated plasma PTHrP are described. An archival study of 20 lymph node biopsies with the pathological diagnosis of sarcoidosis was performed. Immunohistochemistry using a polyclonal antiserum to human PTHrP and in situ hybridization using a riboprobe to human PTHrP were performed on the lymph node biopsies. Immunohistochemistry for PTHrP was also performed on the biopsies from the two cases with elevated plasma levels. Immunohistochemical analysis detected PTHrP in macrophages within granulomata in 17 of the 20 (85%) biopsies. In situ hybridization detected a positive signal for messenger RNA in the granulomata of 11 of 19 (58%) biopsies. PTHrP immunoreactivity and PTHrP gene expression are present in sarcoid granulomata. PTHrP may contribute to the hypercalcemia of sarcoidosis.
authors.affiliation: St. Vincent's Hospital, Fitzroy, Australia.
authors.forename: H J
authors.initials: HJ
authors.lastname: Zeimer
authors.forename: T M
authors.initials: TM
authors.lastname: Greenaway
authors.forename: J
authors.initials: J
authors.lastname: Slavin
authors.forename: D K
authors.initials: DK
authors.lastname: Hards
authors.forename: H
authors.initials: H
authors.lastname: Zhou
authors.forename: J C
authors.initials: JC
authors.lastname: Doery
authors.forename: A N
authors.initials: AN
authors.lastname: Hunter
authors.forename: A
authors.initials: A
authors.lastname: Duffield
authors.forename: T J
authors.initials: TJ
authors.lastname: Martin
authors.forename: V
authors.initials: V
authors.lastname: Grill
mesh_terms: D000328:Adult; D000368:Aged; D002118:Calcium / Q000097:blood; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D017403:In Situ Hybridization; D008198:Lymph Nodes / Q000378:metabolism; D009132:Muscles / Q000378:metabolism; D044162:Parathyroid Hormone-Related Protein; D011506:Proteins / Q000235:genetics / Q000378:metabolism*; D012333:RNA, Messenger / Q000378:metabolism; D012189:Retrospective Studies; D012507:Sarcoidosis / Q000378:metabolism*
chemical_list: C470121:PTHLH protein, human; D044162:Parathyroid Hormone-Related Protein; D011506:Proteins; D012333:RNA, Messenger; D002118:Calcium