throbber
Neuroendocrinology46: 131-136 (1987)
`
`© 1987 S. Karger AG, Basel
`s 2.75/0
`0028-3835/87/0462-0131
`
`Regional Distribution of Calcitonin Gene-Related Peptide and
`Its Specific Binding Sites in Rats with Particular Reference to the
`Nervous System
`
`Sunil J. Wimatawansa», Piers C. Emsons,
`lain Macintyre»
`sEndocrine Unit, Department of Chemical Pathology, Royal Postgraduate Medical School, London;
`bMRC Group, Institute of Animal Physiology, Babraham, Cambridge, UK
`
`Key Words. Calcitonin gene-related
`
`peptide· Nervous
`
`system·
`
`Specific binding
`
`Abstract. The concentration of calcitonin gene-related peptide (CGRP) in rat tissue extracts was determined by a speci-
`fic and sensitive radio-immunoassay,
`and the distribution of its specific binding sites was assessed by radioligand binding
`studies. A high concentration of immunoreactive CORP was found at all levels of the spinal cord, in the trigeminal nu-
`cleus,
`in trigeminal
`and dorsal
`root ganglia,
`in the thyroid gland,
`in blood vessels and in nerves. The highest density of
`specific binding sites was detected in the cerebellum, where the CORP content was minimal. The dorsal portion of the
`spinal cord contained a high concentration of CORP and its specific binding sites. Specific binding of 125I_CORPwas also
`demonstrated in a number of other areas of the brain and in certain peripheral tissues. Among the other tissues examined,
`the spleen, adrenal gland, penis,
`lungs, bladder, heart and blood vessels all contained
`a large number of CGRP binding
`sites, whereas only a negligible number of sites were found in ganglia, nerves, muscle, kidney and liver. The distribution of
`CGRP and its specific binding sites demonstrated
`here suggests that CGRP is a neuropeptide with multiple physiological
`roles.
`
`In addition to calcitonin (CI) and the carboxy terminus-
`adjacent peptide (CAP) in the rat or katacalcin in man, the
`CT gene encodes a 37-amino acid peptide named CT gene-
`related peptide (CGRP)
`[3, 29]. CT is expressed mainly in
`the C cells of the thyroid, whereas CGRP is expressed
`mainly in the nervous system [29J, although the presence of
`CGRP in thyroid gland has been reported in both rats [15,
`25,31,42]
`and in man [40J. Preliminary results of the distri-
`bution and quantitation
`of all three products of the CT gene
`in rats have been reported using specific and sensitive
`radio-immunoassays
`(RIA) [42].
`studies
`Immunocytochemistry
`and RIA quantitation
`have
`shown the presence
`of
`immunoreactive CORP
`(i-CGRP)
`in the nervous system [29, 33, 40, 42], especially in
`the spinal cord [II, 25, 42], in the cardiovascular
`system [24,
`27, 42], in the perivascular nerves often associated with the
`smooth muscles of blood vessels [29] and in a variety of
`other
`tissues [10, 24, 25. 40, 42]. Binding sites for CGRP
`have been demonstrated
`both in the rat [14] and human [39]
`
`Received: July 21,1986
`Accepted after revision: February 5, 1987
`
`in guinea-pig pancreas [30] and in
`central nervous system,
`the rat cardiovascular
`system [32].
`The first evidence for the existence of CORP in human
`was reported by isolation and characterisation of h-CGRP
`(a-hCGRP)
`from mednllary
`thyroid
`carcinoma
`[26].
`Subsequent
`investigations have revealed the presence of
`another gene which encodes
`for a second (P) CGRP in rats
`[2, 28] and in man [I, 35]. This peptide
`differs
`from the
`a-CGRP by only I amino acid in the rat [2] and by 3 amino
`acids in the human [35]. The effects of CGRP on vasodila-
`tion of rabbit skin (bio-assay) has shown that
`the three dif-
`ferent
`forms of synthetically
`available CGRP (rat a-CGRP,
`human a-CGRP
`and human p-CGRP)
`are equipotent
`[5].
`However,
`in an assay based on stimulation of cyclic AMP
`in aortic smooth muscle preparations,
`p-CG RP has been
`shown
`to be 5 times more
`potent
`than
`the a-CG RP
`[McEwan et al., unpubl. data]. Our present RIA and the lig-
`and binding assay are unable to differentiate between a-
`and p-CGRP, which are equipotent
`in these assays
`(data
`not shown). Here, we report detailed regional distribution
`of i-CGRP in the rat and its binding sites, studied by RIA
`and radio ligand binding studies, respectively.
`.
`
`to.
`
`1
`
`EX2248
`Eli Lilly & Co. v. Teva Pharms. Int'l GMBH
`IPR2018-01426
`
`

`

`132
`
`Materials
`
`and Methods
`
`the tyrosinated C-terminal deca-
`Synthetic rat CGRP (rCGRP),
`peptide (Tyr"-rCGRP28_37)and human ~-CGRP (~-hCGRP) were
`purchased from Peninsula Laboratories, Belmont, Calif., USA.
`cx.-hCGRP was supplied
`by Dr J. Pless (Sandoz, Basel, Switzer-
`land). Cellulose-coated sheep anti-rabbit gamma globulin was ob-
`tained from IRE, Fleurus, Belgium. Male Wistar rats weighing
`180-210 g were obtained from A. Tuck & Son Ltd. (Laboratory An-
`imal Breeding Station, Essex, UK). J25I-CGRP (spec. act. 2,000 Ci/
`mmol) was obtained from Amersham International, UK. Aprotinin
`(Trasylol) was obtained from Bayer (FRG) and Bacitracin was
`from Sigma (Poole, UK).
`
`Tissue Extraction
`To minimise blood contamination of tissues, animals were ex-
`sanguinated through the dorsal aorta following ether anaesthesia.
`Brain dissections were carried out as previously described [13, 19]
`and tissues collecred on dry ice. Wet weights were recorded and
`tissues homogenised in an acid mixture [4](I MHCl, 15%TFA, 5%
`formic-acid (v/v) and 1 M NaCI) on ice. The homogenateswere
`centrifuged at 7,000 g for 15 min at 4 0 C and the pellets rehomoge-
`nised in fresh acid mixture and recentrifuged. Pooled supernatants
`were applied to C·18 Sep-Pak disposable cartridges (Waters Asso-
`ciates) primed with methanol and eluted with amixture of metha-
`nol, water and trifluroacetic acid (TFA), (90:9:1; v/v). The extracts
`were vacuum-dried and stored at -20 "C. The recoveries of synthe-
`tic rCGRP and mI-rCGRP added to [he control tissues (n= 8) were
`85±0.6 and 87 ±0.8% (mean ± SEM), respectively.
`
`Preparation
`Membrane
`Membranes were prepared by a modification of a previously
`described method [34].Fresh rat tissues were dissected and placed
`in 15 vol of ice-cold 50 roM Tris/HCl buffer (pH 7.5) containing
`0.32 M sucrose, 1 mM dithiothreitol and 5 mM EDTA. They were
`homogenised with a Dounce homogeniser at 4 °C and the homo-
`genate was centrifuged at 1,000 g for 10 min. The supernatant was
`then centrifuged for 30 min at 30,000 g and the pellet resuspended
`in 10vol of 50 mMTris/HCl
`buffer. Following further centrifuga-
`tion at 30,000 g for 30 min, the pellet was finally resuspended in
`fresh 50 mMTris/HCl
`buffer and the protein concentrations were
`determined by the method of Lowry et at. [23].The final protein
`concentration was adjusted to 2 mg protein/ml with assay buffer
`(50 mMTris/HCl,
`10 mMKCI, 5 mMMgS04, bacitracin O.l%, ap-
`rotinin 100 KIU/ml and 30 mMsodium azide). Aliquots (1-2 rot)
`were immediately frozen on dry ice and stored at -70 °C and used
`within 6 weeks of preparation.
`
`Studies
`Receptor Binding
`The labelled peptide (2.5 fmol of [12SI]His-hCGRP)was incu-
`bated with rat tissue membranes (400 ug of protein) in the presence
`of 1%(w/v) heat-inactivated bovine serum albumin, in a total vol-
`ume of 300 ul for 50 min at 23 °C (equilibrium conditions) in poly-
`propylene micro-centrifuge
`tubes
`(Sarstedt). After
`incubation,
`700 ~l of assay buffer containing 1%BSA was added to each tube
`and immediately centrifuged at 11,000gfor 2 min. The supernatant
`was discarded and the pellet
`layered with another 750 ~l of the
`same buffer, recentrifuged and the supernatant discarded. The ra-
`dioactivity present
`in the pellets was measured using an NE·1600
`
`Wimalawansa/Emson/MacIntyre
`
`gamma counter (Nuclear Enterprises) with a counting efficiency of
`60%. Specific binding was calculated from the total amount
`of
`12sI_CGRP bound minus the amount bound in the presence
`of
`0.5 ~M unlabelled peptide and expressed as 12'iI_CGRP bound
`(fmol/g membrane protein). For rat cerebellar
`tissues,
`lC50 for
`I2SI-CGRP was 6·4fmol/tube and the Ka 0.24 nM(data not shown).
`
`Radio-Immunoassay
`Radio-iodination ofthe Cvterminal decapeptide ofrCGRP was
`carried out by a modification of the chloramine T method [16] and
`the products were purified by high-performance liquid chromatog-
`raphy (HPLC). Antiserum (CG·39) was raised in rabbit against
`the
`same decapaptide coupled to ovalbumin [26]. Prior to RIA, sam-
`ples were dissolved in 20 ul of 0.01 Mformic acid, neutralised with
`500 JlI of the assay buffer and centrifuged. RIA was performed as
`previously described [43]using a non-equilibrium assay with addi-
`tion of label after 3 days. The antiserum-bound peptide was preci-
`pitated by sheep anti-rabbit gamma globulin after a further 2 days
`of incubation. Extracts were assayed in at least two dilutions
`in
`duplicate and results were expressed as picomoles per gram wet
`weight of tissues. 50% displacement of the tracer required 20 fmol
`ofrCGRP, with a detection limit ofO.5 fmol/assay tube. Intra- and
`inter-assay variations were 5 and 9%, respectively.
`
`Specificity
`None of the following peptides at a concentration of I nmol/
`tube resulted in displacement of tracer in either RIA or radioligand
`binding assay: corticotrophin, ACIH 1-39, LHRH, Pro-opio-mela-
`nocortin (National
`Institute of Health, Bethesda, Md., USA), so-
`matostatin, glucagon, substance P, bombesin, human and porcine
`insulin, corticotrophin-releasing
`factor, growth 1 hormone, oxyto-
`cin, vasopressin, prolactin,
`leu- and met-enkephalins,
`secretin, gao
`stric inhibitory peptide (Sigma Ltd., Poole, UK) katacalcin and
`CAP (Peninsula). Salmon CT (Sandoz) with 30% homology
`to
`CG RP and human CT (Ciba-Geigy) with 19% homology [25] were
`both able to displace receptor-bound CGRP, but only at 104 and
`105 molar excess, respectively.
`
`Results
`
`Its Binding
`
`Regional Distribution ofCGRPand
`Sites in the Rat Nervous Tissues
`Immunoreactive CGRP. The highest concentrations
`of
`i-CORP were found in the trigeminal nucleus (635 pmollg)
`followed by the dorsal root ganglia, dorsal half of the spinal
`cord and trigeminal ganglia (table I), Levels were intermed-
`iate in the trigeminal and sciatic nerves, medulla and pons,
`pituitary
`and substantia
`nigra. However,
`concentrations
`were found to be low in the hypothalamus, midbrain
`and
`striatum, and minimal
`in the hippocampus,
`cerebral cortex
`and cerebellum, The i-CORP content decreased
`steadily
`between the cervical and the lumbar
`regions of the spinal
`cord, but in contrast a markedly high level was found in the
`sacral
`region.
`
`I
`
`2
`
`

`

`133
`
`300
`150
`
`100
`150
`
`100
`50
`
`0
`
`-cc"r»
`
`~E~
`
`•
`il
`
`-o
`U
`
`a 600
`
`ct 500
`
`J2'400
`
`~::: •••••i100
`
`Ii
`
`o
`
`b
`l'
`tn
`
`co8 10 _I
`
`Distribution ofCGRP and Its Receptors
`
`Table I. The tissue concentration
`of immunoreactive CGRP
`and its specific binding sites .in the nervous system of the rat
`
`Tissue
`
`Cerebellum
`Grey matter
`White matter
`Spinal cord (cervical)
`Dorsal portion
`Ventral portion
`Upper cervical
`Lower cervical
`Thoracic
`Lumbar
`Sacral
`Substantia nigra
`Medulla and pons
`Olfactory tubercle
`Striatum
`Hypothalamus
`Retina
`Olfactory bulb
`Midbrain
`Hippocampus
`Cerebral cortex
`Pituitary
`Trigeminal nucleus
`Trigeminal ganglion
`Dorsal
`root ganglion
`Trigeminal nerve
`Sciatic nerve
`
`125I_CGRPbound
`fmoll g protein
`(n~4)
`
`i-CGRP
`pmollg wet weight
`(n e B)
`
`2,385 ± 67
`2,968 ± 51
`1,381 ± 33
`1,603 ± 61
`2,011 ± 55
`1,235 ± 73
`1,625 ± 52
`1,732 ± 60
`1,130 ± 29
`1,566 ± 41
`1,711 ± 51 ,
`690 ± 31
`635 ± 34
`512 ± 25
`458 ± 27
`415 ± 32
`370 ± 31
`355 ± 22
`341 ± 24
`252 ± 22
`195 ± 19
`174 ± 13
`76 ± 5
`14 ± 2
`II ± 2
`5 ± I
`5 ± I
`
`1.0 ± 0,1
`1.6 ± 0.2
`0,6 ± 0,1
`265,0 ± 6,9
`370,0 ± 10,2
`35,S ± 3,1
`311.0±11.1
`237,0 ± 93
`172,0 ±
`8,1
`86,8 ± 3.5
`270.5 ± 7,8
`20.1 ±
`1.0
`72,6 ± 2.6
`9.7 ±
`1.0
`5.2 ± 0.4
`10.0 ± 0,9
`10.3 ±
`0.8
`6.1 ± 03
`10,5 ± 0.9
`12.0 ± 03
`1.0 ± 0,1
`31.5 ±
`1.6
`635.0 ± 17.5
`182.0 ± 9,6
`411.0 ± 13,1
`91.6 ± 5.0
`85.0 ± 2.9
`
`Values are presented as means ± SEM.
`
`70
`60
`'0•
`50l
`"" 40
`-g
`30
`c,
`0.- 10
`"
`
`0
`
`Illll_
`~
`-c
`c
`ro
`c;
`.~
`c ~ ~
`• c •
`~ D
`" U
`C ~
`<f
`S}
`<t
`
`t
`ro
`I
`
`g,
`3 •
`tissues
`Fig. 1. Specific binding sites and i-CORP in non-neural
`(mean±SEM).
`I25I-CGRP bound (n=4)
`(a) and i-CORP concen-
`tration (n - 8)(b),
`
`Specific Binding Sites. The highest concentration
`of
`specific
`binding
`was
`found
`the
`cerebellum
`In
`(2,385 ± 67 fmol/g protein) where the content of i-CORP
`was minimal (I pmol/ g) (table I). High concentrations of
`specific binding sites were also found in the spinal cord
`(1,603 ± 61 fmol/g protein) where i-CORP levels were also
`high (265 pmol/g), Markedly different numbers of specific
`binding sites were found in the grey and white matter of the
`cerebellum, and in the dorsal and ventral halfs of the spinal
`cord. Higher numbers of specific binding sites were also
`found in the hypothalamus,
`substantia nigra, medulla and
`pons, olfactory tract, striatum, mid brain and hippocampus
`in comparison to the cerebral cortex, pituitary and the trige-
`minal nucleus. Minimal or no specific binding was detected
`in the sensory ganglia and on nerve trunks. Non-specific
`binding Wasrelatively constant at 4-6% of the total radioac-
`tivity added to the membranes.
`
`Other Tissues
`The highest concentration of i-CORP outside the ner-
`vous system was found to be in_the the thyroid gland
`(fig, I), No significant binding could
`(287± 18,8 pmol/g)
`however be demonstrated in this tissue. A high concentra-
`tion of i-CORP and also a high number of specific binding
`sites were found in the adrenal gland. However, the spleen
`contained the highest concentration of specific binding sites
`fmol/g protein) outside the nervous system, de-
`(475±41
`spite the presence of minimal amounts of CORP (0.7 pmol!
`g). In addition,
`i-CORP was measured in the pancreas,
`penis, bladder and intestine. Specific binding was also found
`in several other tissues including penis, lungs, bladder and
`pancreas, but was negligible in muscles, kidney and liver.
`The heart contained only a small quantity (I pmol/g) of
`CORP, but large amounts of its binding sites (95 ± 6 fmol/g
`protein), particularly in the right atrium (not shown).
`
`3
`
`

`

`134
`
`Discussion
`
`The main purpose of this study was to determine the dis-
`tribution of CGRP and its specific binding sites in rat tis-
`sues with special
`reference ot the nervous system. The dis-
`tribution
`of CGRP-producing
`cells and pathways
`in the
`central and peripheral
`nervous
`system and in endocrine
`and other systems suggests potential
`functions
`in nocicep-
`tion, ingestive behaviour
`and modulation
`of the autonomic
`and endocrine
`systems
`[29], cardiovascular
`homeostasis
`and mineral metabolism [28]. The high concentration
`of
`i-CGRP in the neural ganglia and dorsal half of the spinal
`cord with lower levels in the ventral half of the spinal cord
`described
`here
`reinforces
`the possible
`involvement
`of
`CGRP in the modulation
`of sensory activity. The high lev-
`els of i-CORP found in cervical and sacral areas of the spi-
`nal cord could be due to the abundance
`of autonomic
`outflow in these
`areas
`[18J. However,
`this needs
`to be
`proven either by immunocytochemistry
`or by further quan-
`titation of i-CORP in microdissected
`areas in the autono-
`mic outflow. There are only low levels of i-CORP in the
`mid brain, hypothalamus,
`cerebral cortex and cerebellum,
`despite the high number of specific binding sites in the last
`region. The presence of CORP and its specific binding sites
`in the olfactory area of the brain is consistent with the pos-
`sible role of CORP as a neuromodulator/neurotransmitter
`in this sensory pathway.
`The present study has shown the presence of a high con-
`centration of i-CORP as well as a high number of specific
`binding sites in the dorsal spinal cord when compared with
`the ventral spinal cord. No significant
`specific binding was
`found in the trigeminal or dorsal root ganglia and on nerve
`trunks. The relative concentrations
`of specific binding sites
`demonstrated
`in the present
`study are not
`in agreement
`with the ratios previously reported [14, 39J. The highest con-
`centration
`of specific binding sites were detected in the
`cerebellum followed by the spinal cord. Goltzman and Mit-
`chell [14], found specifig binding of CGRP in rat pituitary
`membranes
`comparable
`to that
`in spinal cord and several
`fold greater
`than in the cerebellum. Tschopp
`et a!. [39],
`however, could not find any CGRP binding sites on human
`pituitary membranes. The present
`study shows
`that
`the
`number of specific binding sites for CORP on the pituitary
`membranes was some 14-fold less than that of cerebellum.
`Similarly, binding in the brain stem was found to be 4-fold
`less than in the cerebellum. Marked differences
`in CGRP-
`specific binding sites exist in different areas of the cerebel-
`lum and spinal cord, and this is consistent with the autora-
`diographic
`localization
`of CGRP binding sites [17]. This
`distribution
`of specific binding sites and i-CORP suggests
`that CORP may playa
`part
`in sensory neurotransmission
`and in cerebellar
`function.
`CGRP has been shown to inhibit basal and stimulated
`gastric
`acid and pepsin
`secretion
`[22J together with a
`
`Wimalawansa/Emson/Maclntyre
`
`a
`
`and neuroten-
`lowering of plasma gastrin, enteroglucagon
`sin [22]. Furthermore, CGRP has been shown to cause
`dose-related
`contraction
`of intestine in rats [7J and contrac-
`tion of the guinea-pig ileum which could be blocked by ei-
`ther antihistamine
`or anticholinergic
`drugs [38]. The inte-
`raction of CGRP with its receptors has been shown to re-
`lease amylase from exocrine pancreas
`in a dose-dependent
`manner
`[30], perhaps
`to assist
`the digestion
`of
`food.
`Furthermore,
`the
`finding
`of a high concentration
`of
`i-CORP and its specific binding sites in mesenteric
`arteries
`(not shown) supplying the viscera could reflect a role in the
`diversion of the blood supply following a meal and perhaps
`enhancing absorption.
`ef-
`CORP has been shown to have potent cardiovascular
`fects including positive chronotropic
`and inotropic
`actions
`on the heart [9,24,32,38]
`and to cause vasodilation
`in man
`[6, 12, 36] and in the rabbit [5,6], hamster
`[6] and rat [8]. The
`positive inotropic action of CORP, however, may be due to
`the reflex sympathetic
`stimulation
`as shown by a rise of
`plasma noradrenaline
`levels after administration
`of CG RP
`[8,9,36]. Nevertheless, direct action on the heart cannot be
`excluded,
`in view of the presence of the CGRP-specific
`bin-
`ding sites.
`of i-CORP and its specific bin-
`The high concentrations
`ding sites in peripheral
`arteries may be important
`in in-
`creasing blood supply during exercise.
`It
`is possible
`that
`some of the specific binding sites demonstrated
`in highly
`vascular
`tissues, such as penis and lungs, could be due to
`the binding sites present on the blood vessels. The spleen
`contained
`the highest
`concentration
`of specific binding
`sites outside the nervous system (fig. I), and this may reflect
`the known ability of the spleen to pool blood in certain situ-
`ations. Whether
`this high specific binding reflects
`splenic
`vessels or some other component
`in the spleen remains
`to
`be elucidated.
`The finding
`of a high concentration
`of
`CORP and its specific binding sites in the peripheral vascu-
`lature together with the proven potent vasodilatory
`activity
`ofCGRP [5, 6,12,36] makes it likely that the peptide has an
`important
`role as a neuromodulator
`of peripheral vascular
`tone.
`in plasma from normal man
`CGRP has been measured
`[12] and in rat [43] plasma. Furthermore,
`high concentra-
`tions of i-CGRP have been found in both the thyroid and
`plasma [26] of patients with medullary thyroid carcinoma.
`In the rat thyroid, CG RP has been shown to coexists with
`CT in the C cells and with substance P in the perivascular
`nerve
`fibers
`[15]. On HPLC of Sep-pak
`(C-18)-purified
`thyroid extracts,
`the predominant
`i-CGRP peak co eluted
`with the synthetic rCGRP(l_37) [31]. In addition, gel-perme-
`ation studies of rat thyroid extracts revealed that 70% of the
`total
`yield
`of
`i-CGRP
`co eluted with
`the
`synthetic
`rCGRP(l-37), suggesting the presence of monomeric CORP
`in the thyroid gland [Wimalawansa,
`unpub!. data]. CGRP
`receptors
`associated with smooth muscle cells have been
`
`i
`
`4
`
`

`

`Distribution
`
`of CGRP and Its Receptors
`
`135
`
`shown to be linked to adenylate cyclase [20, 32], but no sim-
`ilar interaction
`has been demonstrated
`in the CNS [14]. Re-
`cently,
`it has also been reported that CORP may act on vas-
`cular smooth muscle indirectly via an endothelial
`cell- de-
`studies are needed
`pendent mechanism [6, 20], but further
`to elucidate
`the nature and in particular
`the cellular
`locali-
`sation of specific binding sites in blood vessels by autora-
`diography or by immunocytochemical
`techniques.
`in
`Although CORP has been shown to be present
`role has been estab-
`plasma [12, 43], no definitive humoral
`lished. However,
`the distribution
`of i-CORP and its specific
`binding sites strengthen the postulated
`actions of CORP as
`a neuromodulator
`involving more than one function. No
`conclusions
`can be drawn about
`the differential
`expression
`of the two calcitonin genes or the possibility of subclasses
`of receptors.
`It has been shown that CGRP coexists at a
`higher
`concentration
`with other neuropeptides
`such as
`substance P in the trigeminal
`and dorsal
`root ganglia [21,
`41] and also in sensory nerve fibres [15, 24]. It has also been
`shown to coexist with acetylcholine
`in neurones
`in the hy-
`poglossal,
`facial and ambiguous nuclei
`[37] of rat brain.
`The widespread
`distribution
`of CORP and its specific
`binding sites suggests that CORP (whether a, ~ or both)
`may have a physiological
`role.
`In view of the close struc-
`tural homology between the a- and ~-CORP,
`the differen-
`tiation of the a- and ~-gene expression may be difficult
`using conventional
`immunological methods,
`and more
`easily approached
`using gene-specific probes.
`
`Acknowledgements
`
`and
`We would like to thank Drs S.L Girgis, D.W.R. Macdonald
`S.D. Brain for helpful criticism of the manuscript. This study was
`supported in part by a grant from British Heart Foundation.
`
`References
`
`Alevizaki, M.; Shiraishi, A.; Rassool, F.V.; Ferrier, G.J.M.;
`Macintyre,
`I.; Legon, 5.: The calcitonin-like
`sequence of the B
`CGRP gene. FEBS Lett. 206:47-52 (1986).
`2 Amara, 5.0.; Arriza, J.L.; Leff, S.E.; Swanson, L.W.; Evans,
`R.M.; Rosenfeld, M.G.: Expression
`in brain of a messenger
`RNA encoding a novel neuropeptide
`homologous
`to calcitonin
`gene-related peptide. Science 229: 1094-1097 (1985).
`3 Amara, S.G.; Jonas, Y.; Rosenfeld, M.G.; Ong, E.S.; Evans,
`R.M.: Alternative RNA processing in calcitonin
`gene expres-
`sion generates mRNAs
`encoding different polypeptide
`prod-
`ucts. Nature 298: 240-244 (1982).
`4 Bennett, H.P.J.; Hudson, AM.; McMartin, c.; Prudon, G.E.:
`Use of octadecasilyl
`silica for the extraction and purification
`of
`peptides in biological
`samples. Biochem. J. /68:9-13
`(1977).
`5 Brain, S.D.; MacIntyre,
`I.; Williams, T.J.: A second form of
`human calcitonin gene-related peptide which is a potent vaso-
`dilator. Eur. J. Pharmacal. /24: 349-352 (1986).
`
`J.R.; Morris, H.R.; MacIn-
`6 Brain, S.D.; Williams, T.J.; Tippins,
`gene-related
`peptide
`tyre, I.: Calcitonin
`is a potent vasodilator.
`Nature 313:54-56
`(1985).
`J.; Bueno, L.: Calcitonin
`gene-
`7 Fargeas, M.J.; Fioramonti,
`related peptide: brain and spinal actions on intestinal motility.
`Peptides 6: 1167-1171 (1985).
`8 Fisher, L.A.; Kikkawa, D.O.; Rivier, J.E.; Amara, 5.G.; Evans,
`R.M.; Rosenfeld, M.G.; Vale, W.W.; Brown, R.R.: Stimulation
`of noradrenergic
`sympathetic
`outflow by calcitonin
`gene-
`related peptide. Nature 305: 534-536 (1983).
`9 Gennari, C.; Fischer, J.A.: Cardiovascular
`actions of calcitonin
`gene-related
`peptide in humans. Calcif. Tissue into 37: 581-584
`(1985).
`10 Ghatei, M.A.; Gu, J.; Mulderry, P.K.; Blank, M.A.; Allen,
`J.M.; Morrison,
`1.P.B.; Polak,
`J.M.; Bloom, S.R.: Calcitonin
`gene-related
`peptide
`(CGRP)
`in the female urogenital
`tract.
`Peptides 6:809-815
`(1985).
`11 Gibson, S.J.; Polak, J.M.; Bloom, S.R.; Sabate, I.M.; Mulderry,
`J.FB.; Kelly,
`P.K.; Ghatei, M.A; McGregor, G.P.; Morrison,
`J.S.; Rosenfeld, M.G.: Calcitonin
`gene-related
`peptide
`im-
`munoreactivity
`in the spinal cord of man and of eight other spe-
`cies. J. Neurosci. 4:3101-3111
`(l984).
`J.e.; Bevis,
`Stevenson,
`12 Girgis,
`S.l.; Macdonald,
`D.W.R.;
`P.J.R.; Lynch, c.. Wimalawansa,
`S.J.; Self, C.H.; Morris, H.R.;
`MacIntyre,
`gene-related
`I.: Calcitonin
`peptide: potentvasodi-
`lator and major product of the calcitonin gene. Lancet
`ii: 14~16
`(1985).
`studies of catechola-
`Iversen, L.L.: Regional
`J.;
`13 Glowinski,
`mines in the rat brain. J. Neurochem.
`13:655-669 (1966).
`gene-
`14 Goltzman, D.; Mitchell,
`J.:
`Interaction
`of calcitonin
`related peptide
`at receptor
`sites in target
`tissues. Science 227:
`1343-1345 (1985).
`15 Grunditz, T,; Ekman, R.; Hakanson, R.; Rerup, e.; Uddman,
`R.: Calcitonin
`gene-related
`peptide in thyroid nerve fibers and
`C cells: effects on thyroid hormone
`secretion and response to
`hypercalcemia.
`Endocrinology
`119: 2313-2324 (1986).
`16 Hunter, W.M.; Greenwood, Fe.: The preparation
`of P'Llabel-
`led human growth hormone
`of high specific activity. Nature
`194:495-496
`(1962).
`Hillyard, c.r.,
`17 Inagaki, S.; Kito, S.; Kubota, Y; Girgis,S.;
`I.: Autoradiographic
`Maclntyrc,
`localization
`of calcitonin
`gene-related
`peptide
`binding sites
`in human and rat brains.
`Brain Res. 374:287-298.
`J.M.K.: Disorders of the autonomic
`18 Johnson, R.H.; Spalding,
`nervous
`system '(Blackwell, Oxford 1974).
`19 Koening,
`J.F; Kippel, R.A: The rat brain (Williams and Wit-
`kins, Baltimore 1963).
`Butera, L.; Dusting, G.J.; MacDo-
`20 Kubota, M.; Moseley,J.M.;
`nald, P.S.; Martin, T.J.: Calcitonin
`gene- related peptide stimu-
`lates cyclic AMP formation
`in rat aortic smooth muscle cells.
`Biochem. biophys. Res. Commun.
`/32:88-94
`(1985).
`21 Lee, Y.; Kawai, Y.; Shiosaka, S.; Takami, K.; Kiyama, H.; Hil-
`lyard, C.J.; Girgis, S.; MacIntyre,
`1.; Emson, P.C.; Tohyama,
`M.: Coexistence
`of
`calcitonin
`gene-related
`peptide
`and
`substance
`Pclike peptide
`in single cells of the trigeminal
`gan-
`glion of the rat: immunohistochemical
`analysis. Brain Res. 330:
`194-196 (1985).
`22 Lenz, H.J.; Mortrud, M.T.; Rivier, J.E.; Brown, M.R.: Calcito-
`nin gene-related peptide inhibits basal, pentagastrin,
`histamine,
`
`5
`
`

`

`136
`
`Wimalawansa/Emson/Maclntyre
`
`f I
`
`1
`
`36 Struthers, A.D.; Brown, M.J.; Macdonald, D.W.R.; Beacham,
`J.L.; Stevenson, J.e.; Morris, H.R.; MacIntyre, 1.: Human cal-
`citonin gene-related peptide (HCGRP): a potent endogenous
`in man. Clio. Sci. 70: 389-393 (1986).
`vasodilator
`37 Takami, K.; Kawai, Y.; Lee, Y.; Girgis, S.; Hillyard, C.J.; Mac
`Intyre, T.; Emson, P.e.; Tohyama, M.: Immunohistochemical
`evidence for the coexistence of calcitonin gene-related peptide
`and
`choline
`acetyltransferase-like
`immunoreactivity
`in
`neurones of the rat hypoglossal,
`facial and ambiguus nuclei.
`Brain Res. 328:386-389
`(1985).
`38 Tippins, J.R.; Morris, H.R.; Panico, M.; Etienne, T.; Bevis, P.;
`Girgis, S.l.; Macintyre,
`I.; Azria, M.; Attinger, M.: The myo-
`tropic and plasma-calcium modulating effects of calcitonin
`gene-related
`peptide
`(CORP). Neuropeptides
`4: 425--434
`(1984).
`39 Tschopp, F.A.; Henke, H.; Peermann, J.B.; Tobler, P.H.; Jan-
`zer, R.; Hokfelt, T.; Lundberg, J.M.; Cuello, C.; Fischer, J.A.:
`Calcitonin gene-related peptide and its binding sites in the
`human central nervous system and pituitary. Proc. natn. Acad.
`Sci., USA 82:248-252 (1985).
`gene-
`40 Tschopp, F.A.; Tobler, P.H.; Fischer, J.A.: Calcitonin
`related peptide in the human thyroid, pituitary and brain. Mol.
`cell. Endocrinol.
`36: 53-57 (1984).
`J.M.; Horss-
`41 Weisenfeld-Hallin,
`Z.; Hokfelt, T.; Lundberg,
`mann, W.O.; Reinecke, M.; Tschopp, F.A.; Fischer, J.: Immu-
`noreactive
`calcitonin gene-related
`peptide
`and substance
`P
`coexist
`in sensory neurones and interact
`in spinal behavioral
`responses. Neurosci. Lett. 52: 199-204 (1984).
`S.J.; Self, C.H.; Girgis, s.i.: Emson, P.C.;
`42 Wimalawansa,
`Dawbam, D.; MacIntyre, 1.: The calcitonin gene-related pep-
`tide family: characterization
`and regional distribution
`in the
`rat.
`13th Meet.
`Int. Found. Biochemical Endocrinology;
`Neuroendocrine Molecular Biology, 18, Edinburgh (1985).
`43 Zaidi, M.; Bevis, P.J.R.; Abeyasekera, G.; Girgis, S.L; Wimala-
`wansa, S.J.; Morris, H.R.; MacIntyre, 1.: The origin of calcito-
`nin gene-related peptide in the rat. J. Endocr. 110: 185-190
`(1986).
`
`Sunil J. Wimalawansa,
`Endocrine Unit,
`Department of Chemical Pathology,
`Royal Postgraduate Medical School,
`Du Cane Road,
`London W12 OHS (UK)
`
`stimulated gastric acid secretion. Gut 26:
`
`and bethanecol
`550-555 (1985).
`23 Lowry, D.H.; Rosebrough, N.J.; Farr, A.L.; Randall, R.J.: Pro-
`tein measurement with the Falin phenol
`reagent. J. bioI. Chern.
`193:265-275
`(1951).
`24 Lundberg, J.M.; Franco-Cereceda, A.; Hua, X.; Hokfelt, T.; Fi-
`scher, l.A.: Coexistence of substance P and calcitonin gene-
`related peptide-like
`immunoreactivity
`in sensory nerves in rela-
`tion to cardiovascular
`and bronchoconstrictor
`effects of capsai-
`cin. Em. J. Pharmacal.
`108:315-319
`(1985).
`25 MacIntyre, 1.: The calcitonin gene peptide family and the ner-
`vous system;
`in: Labrie, Proulx, Proc. 7th Int. Congr. Endocri-
`nology, pp. 930-933 (Excerpta Medica, Amsterdam 1984).
`26 Morris, H.R.; Panico, M.; Etienne, T.; Tippins, J.; Girgis, 5.1.;
`MacIntyre, 1.: Isolation and characterization of human calcite-
`nin gene-related peptide. Nature 308:746-748 (1984).
`27 Mulderry, P.K.; Ghatei, M.A.; Rodrigo, J.; Allen, J.M.; Rosen-
`feld, M.G.; Polak, J.M.; Bloom, S.R.: Calcitonin gene-related
`peptide in cardiovascular
`tissues of the rat. Neuroscience 14:
`947-953 (1985).
`28 Rosenfeld, M.G.; Amara, S.G.; Evans, R.M.: Alternative RNA
`processing:
`determining neuronal
`phenotype.
`Science 225:
`1315-1320 (1984).
`29 Rosenfeld, M.G.; Mermod, J.J.; Amara, S.G.; Swanson, L.W.;
`Sawchenko, P.E.; Rivier,J.; Vale, W.W.; Evans, R.M.: Produc-
`tion of a novel neuropeptide encoded by the calcitonin gene via
`tissue specific RNA processing. Nature 304: 129-135 (1983).
`30 Seifert, H.; Sawchenko, P.; Chesnut, J.; Rivier, J.; Vale, W.;
`Pandol, S.J.: Receptor for calcitonin gene-related peptide: bin-
`ding to exocrine pancreas mediates biological actions. Am. J.
`Physiol. 249:GI47-GI51
`(1985).
`31 Self, c.n.. Wimalawansa, s.r., lohannsson, A.; Bates, D.; Gir-
`gis, S.I.; Maclntyre,
`I: A new sensitive and fast peptide immu-
`noassay based on enzyme amplification used in the determina-
`tion of CGRP and the demonstration
`of its presence in the
`thyroid. Peptides 6:627-630 (1985).
`32 Sigrist, S.; Franco-Cereceda, A.; Muff, R.; Henke, H.; Lund-
`berg, J.M.; Fischer, J.A.: Specific receptor and cardiovascular
`effects of calcitonin gene-related peptide. Endocrinology Il9:
`381-389 (1986).
`33 Skofitsch, G.; Jacobowitz, D.M.: Quantitative distribution of
`calcitonin gene-related peptide in the rat central nervous sys-
`tem. Peptides 6: 1069-1073 (1985).
`34 Snodgrass, S.R.: Use of
`'Hcmuscimol
`studies. Natnre 273: 392-394 (1978).
`J.; Lips,
`35 Steenbergh, P.H.; Hoppener,
`J.W.M.; Zandberg,
`e.J.M.;
`Jansz, H.S.: A second human calcitonin/CGRP
`gene.
`FEBS Lett. 183:403-407 (1985).
`
`for GABA receptor
`
`_____
`
`6
`
`

`

`Editor-in-Chief
`S.M. McCann, Dallas, Tex.
`
`Associate Editors
`C.P. Fawcett, Dallas, Tex.
`L. Krulich, Dallas, Tex.
`S.R. Ojeda, Dallas, Tex.
`J.e. Porter, Dallas, Tex.
`
`Neuroendocrinology
`
`for Basic and Clinical Studies on Neuroendocrine Relationships
`Journal
`International
`Official Journal of the International
`Society of Neuroendocrinology
`Founded 1965 by E. Bayusz
`Continued
`by K.M. Knigge (1973-1978), W.E Ganong (1979-1984)
`
`Ind.
`
`Editorial Board
`Indianapolis,
`N. Ben-Jonathan,
`C.A. Blake, Columbia, S.c.
`D. Cardinali, Buenos Aires
`K.J. Catt, Bethesda, Md.
`G.V. Childs, Galveston, Tex.
`W.P. Crowley, Boston, Mass.
`C. Denef, Leuven
`K. Dohler, Wedemark, FRG
`A.O. Donoso, Mendoza
`J. Epelbaum, Paris
`H.H. Feder, Newark, N.J.
`M. Ferin, New York, N.Y.
`H. Gainer, Bethesda, Md.
`R.Y. Gallo, Storrs, Conn.
`.G.A. Gudelsky, Cleveland, Ohio
`S.P. Kalra, Gainesville, Fla.
`
`Izumo
`Y. Kato,
`F. Kimura, Yokohama
`S.W.J. Lam berts, Rotterdam
`M. L'Hermite, Bruxellcs
`D. Lincoln, Edinburgh
`G.R Makara, Budapest
`K.E. Moore, East Lansing, Mich.
`C. Oliver, Marseille
`C. Rivier, San Diego, Calif.
`J.L. Roberts, New York, N.Y.
`D.K. Sarkar, La Jolla, Calif.
`P. Smelik, Amsterdam
`L.W. Swanson, La Jolla, Calif.
`E.A. Zimmerman,
`Portland, Oreg.
`1. Zucker, Berkeley, Calif .
`
`is
`'Neuroendocrinology'
`Publication data:
`published 12 times annually. Volumes 45-46
`with 6 issues each appear
`in 1987.
`Subscription
`rates: Subscriptions
`run for a full
`calendar year. Prices are given per volume,
`surface postage included.
`Personal
`subscription:
`SFr.436.80, US$291.20.
`(Must be in the name of, billed to, and paid
`by an individual. Order must be marked
`'personal
`subscriptiont.)
`Institutional
`subscription:
`SFr.624.-, U8$416.00.
`(Regular rate.)
`Members of the International Society of
`Neuroendocrinology:
`US$ 49.00.-
`American Psychological Association:
`SFr.374.40, US$249.60.
`SFr. 35.-, US$
`24.00.
`
`Airmail postage:
`(Extra per volume.)
`Microformsubscription:
`US$208.00.
`SFr.312.-,
`(Available exclusively to subscribers of the
`paper edition}
`Single issues and back volumes: In

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket