Calcitonin and calcitonin gene-related peptide mRNA detection in a population of hyperplastic parathyroid cells also expressing chromogranin B.

BACKGROUND

In contrast to chromogranin A, chromogranin B is found only in small amounts in parathyroid tissue. We have recently shown that hyperplastic parathyroid glands occasionally show a pronounced focal chromogranin B expression. The aim of the present study was to further investigate the properties of these chromogranin B-positive cells by means of immunohistochemistry and in situ hybridization.

EXPERIMENTAL DESIGN

Routinely processed tissues from 22 normal, 86 hyperplastic, and 36 neoplastic parathyroid glands were immunohistochemically investigated with Ab against parathyroid hormone (PTH), chromogranin A and B, calcitonin, and calcitonin gene-related peptide (CGRP). Additionally, six hyperplastic glands with focal chromogranin immunoreactivity as well as chromogranin B-negative normal, hyperplastic, and neoplastic (two cases each) glands were used for in situ hybridization studies for the demonstration of calcitonin and CGRP mRNA.

RESULTS

All normal, hyperplastic, and neoplastic parathyroids were immunohistochemically PTH- and chromogranin A-positive. Twelve of 86 hyperplastic glands showed a focal chromogranin B immunoreactivity; in 10 out of these 12 cases, calcitonin could be colocalized with chromogranin B, chromogranin A, and PTH. CGRP was found in a fraction of calcitonin-positive cells in four cases. In hyperplastic glands, calcitonin mRNA was detected in areas with immunohistochemical calcitonin and chromogranin B positivity. CGRP mRNA was demonstrated only in a few cells.

CONCLUSIONS

The results from this study demonstrate that calcitonin and CGRP may be synthesized and stored in PTH-producing hyperplastic parathyroid cells. The calcitonin-positive cells also strongly express chromogranin B, which is immunohistochemically not detectable in normal parathyroid cells. The functional significance of these findings remains to be elucidated.