Abstract
The role of parathyroid hormone related protein (PTHRP) as a humoral mediator of hypercalcaemia was investigated in a patient with lymphocyte depleted Hodgkin's disease during an episode of hypercalcaemia, using an immunohistochemical staining technique for PTHRP on the tumour tissue and an immunoradiometric (IRMA) assay for PTHRP1-86 on the patient's plasma. The plasma PTHRP was less than 0.23 pmol/l in the range found in normocalcaemic controls, and the immunohistochemical staining was not positive for protein. PTHRP did not have a role in the pathogenesis of hypercalcaemia in this patient.
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- Bundred N. J., Ratcliffe W. A., Walker R. A., Coley S., Morrison J. M., Ratcliffe J. G. Parathyroid hormone related protein and hypercalcaemia in breast cancer. BMJ. 1991 Dec 14;303(6816):1506–1509. doi: 10.1136/bmj.303.6816.1506. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Danks J. A., Ebeling P. R., Hayman J., Chou S. T., Moseley J. M., Dunlop J., Kemp B. E., Martin T. J. Parathyroid hormone-related protein: immunohistochemical localization in cancers and in normal skin. J Bone Miner Res. 1989 Apr;4(2):273–278. doi: 10.1002/jbmr.5650040221. [DOI] [PubMed] [Google Scholar]
- Ellis R. D., Beck P. R., Mondal B. K. Hodgkin's disease presenting with hypercalcaemia. J Clin Pathol. 1989 Nov;42(11):1228–1228. doi: 10.1136/jcp.42.11.1228-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Heath D. A., Senior P. V., Varley J. M., Beck F. Parathyroid-hormone-related protein in tumours associated with hypercalcaemia. Lancet. 1990 Jan 13;335(8681):66–69. doi: 10.1016/0140-6736(90)90537-f. [DOI] [PubMed] [Google Scholar]
- Jacobson J. O., Bringhurst F. R., Harris N. L., Weitzman S. A., Aisenberg A. C. Humoral hypercalcemia in Hodgkin's disease. Clinical and laboratory evaluation. Cancer. 1989 Mar 1;63(5):917–923. doi: 10.1002/1097-0142(19890301)63:5<917::aid-cncr2820630522>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
- Mayne K. M., Bunch C. Hypercalcaemia in Hodgkin's disease without hyperparathyroidism or skeletal metastases. J Clin Pathol. 1989 Feb;42(2):219–219. doi: 10.1136/jcp.42.2.219-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mercier R. J., Thompson J. M., Harman G. S., Messerschmidt G. L. Recurrent hypercalcemia and elevated 1,25-dihydroxyvitamin D levels in Hodgkin's disease. Am J Med. 1988 Jan;84(1):165–168. doi: 10.1016/0002-9343(88)90028-9. [DOI] [PubMed] [Google Scholar]
- Moseley J. M., Danks J. A., Grill V., Lister T. A., Horton M. A. Immunocytochemical demonstration of PTHrP protein in neoplastic tissue of HTLV-1 positive human adult T cell leukaemia/lymphoma: implications for the mechanism of hypercalcaemia. Br J Cancer. 1991 Oct;64(4):745–748. doi: 10.1038/bjc.1991.391. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Needle M. A., Chandra B. Hypercalcemia, Hodgkin's disease, and calcitriol. Ann Intern Med. 1984 Jun;100(6):916–916. doi: 10.7326/0003-4819-100-6-916_2. [DOI] [PubMed] [Google Scholar]
- Ralston S. H., Danks J., Hayman J., Fraser W. D., Stewart C. S., Martin T. J. Parathyroid hormone-related protein of malignancy: immunohistochemical and biochemical studies in normocalcaemic and hypercalcaemic patients with cancer. J Clin Pathol. 1991 Jun;44(6):472–476. doi: 10.1136/jcp.44.6.472. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ralston S. H. The pathogenesis of humoral hypercalcaemia of malignancy. Lancet. 1987 Dec 19;2(8573):1443–1446. doi: 10.1016/s0140-6736(87)91139-1. [DOI] [PubMed] [Google Scholar]
- Rieke J. W., Donaldson S. S., Horning S. J. Hypercalcemia and vitamin D metabolism in Hodgkin's disease. Is there an underlying immunoregulatory relationship? Cancer. 1989 May 1;63(9):1700–1707. doi: 10.1002/1097-0142(19900501)63:9<1700::aid-cncr2820630910>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]