A M . ZOOLOGIST, 7:843-855 (1967). Parathyroid Glands of Amphibians. I. Parathyroid Structure and Function in the Amphibian, with Emphasis on Regulation of Mineral Ions in Body Fluids John R. Cortelyou and Dolores J. McWhinnie Department of Biological Sciences, De Paul University, Chicago, Illinois 60614 SYNOPSIS. Parathyroid glands of amphibians develop from the pharyngeal pouches and are located adjacent to the external jugular vein and hypoglossal nerve. They are composed of whorls of compact epithelial cells covered by a vascular capsule of connective tissue. Possibly two cell types are present: (a) peripheral clear cells, which are implicated in elaboration of hormone and contain secretory granules, and (b) dense reserve cells. During winter, the parathyroids undergo degeneration, characterized by morphological details which vary with the species; this is followed by regeneration in the spring. Parathyroidectomy may cause hyperexcitability, but rarely does tetanic death occur. Parathyroidectomized amphibians, like mammals, become hypocalcemic and hyperphosphatemic. In contrast to higher vertebrates, however, parathyroprivic anurans show an elevated urine phosphorus, which is presently interpreted as a reflection of the increased plasma load due to absence of a hormonally-induced, soft-tissue accumulation of phosphate. Further, parathyroidectomized frogs are hypercalciuric, possibly because of the lack of hormone-mediated mesonephric reabsorption. In both mammals and amphibians, treatment with exogenous parathormone induces hypercalcemia, hypercalciuria, and hypophosphatemia. The absence of change in the urine phosphorus content of hormone-treated frogs, associated with its decline in plasma, may be a consequence of metabolic variations based upon the heterothermic nature of the Amphibia. STRUCTURE OF THE GLAND The parathyroid glands of amphibians were discovered by Leydig in 1852, and Maurer (1888) described their development from the ventral surfaces of the pharyngeal pouches. The glands develop during larval stages in anurans, but at the time of metamorphosis in urodeles (Baldwin, 1918); they are not found in neotenous axolotls or Necturus. In general, two pairs are present in the Anura (except Bombina bombina and Alytes obstetricus; von Brehm, 1963a), whereas a single pair is found in urodeles (e.g., Salamandra atra, S. maculosa, Triton alpestris, Scholz, 1933; Triturus viridescens, Cortelyou, unpublished observations). Scholz (1933), however, found 4 glands in several species (Triton cristatus, T. taeniatus). Anuran parathyroids are located in the pre-cardial region, lateral and posterior to the thyroid, dorso-lateral to the hypoglossal nerve, and adjacent to the external jugular This work was supported by research grants Nos. G-13403 and GB-1485 from the National Science Foundation. vein; the vascular Kiemenreste lies medial to the parathyroids (Waggener, 1929; Cortelyou, et ah, 1960). In urodeles, they are found in a similar location (Scholz, 1933). Accessory parathyroid tissue has been identified in some species of anurans (von Brehm, 1963a). The parathyroid glands of these lower vertebrates are composed of compact whorls of epithelial cells. Surrounding the parenchyma is a capsule of connective tissue containing fibroblasts, collagenous fibers, nerves, and capillaries. Immediately under the capsule is a basement membrane attached to the epithelial cells. Since the gland is generally avascular (Schlumberger and Burk, 1953; Isono, 1960; Lange and von Brehm, 1965), except in Rana catesbeiana (Waggener, 1929), R. temporaria, Xenopus laevis (von Brehm, 1963a), and R. clamitans (Rogers, 1965), the pathway for egress of hormone to the surrounding capillary bed is unknown. However, in some toads (Hara, et ah, 1959; Isono, 1960; Boschwitz, 1961) and frogs (Lange and von Brehm, 1965; Rogers, 1965) intercellular canals are present, which are often filled 843 844 JOHN R. CORTELYOU AND DOLORES J. MCWHINNIE with a dense material, possibly representing the secretory product (Yamada, 1963). The cells of the parathyroids are packed closely, with an average of 10 mju, intercellular distance, and are interdigitated in R. temporaria and Bufo vulgaris (Lange and von Brehm, 1965). The parathyroid cells of R. esculenta have smoother surfaces, and occasionally the membranes are discontinuous; this has been suggested as an indication of communication between cells and the external environment (Montsko, et al., 1963a). Attachment zones with tonofibrils have been observed in parathyroid cells of R. clamitans (Rogers, 1965). Although only a single cell type has been definitively identified in amphibian parathyroids (Shapiro, 1933; Cortelyou, et al., 1960; Boschwitz, 1961; Montsko, et al., 1963a), there is some evidence that a functional difference exists in R. clamitans between dark and light parathyroid cells (Rogers, 1965). The dark cells, forming the main mass of the gland, are rich in organelles and secretory granules; light cells, found near blood vessels of the subcapsular plexus and parenchyma, have few mitochondria, Golgi bodies, and secretory granules, and these have been interpreted as inactive by Rogers (1965). A somewhat different localization of active and inactive cells was described for toads and R. temporaria by Isono (1960) and Lange and von Brehm (1965). Peripheral cells, designated as clear cells, are larger and have a lighter nucleus than the elongated, central, dense cells. These cell types also vary in fine structure and cytochemical characteristics. Dense cells contain few mitochondria and poorly developed organelles. In contrast, the clear cells have welldeveloped organelles, including numerous mitochondria, lipid droplets, vesicular and lamellar Golgi, membrane-bound multivesicular compound bodies, and endoplasmic reticulum composed of rough vesicles, tubules or flattened sacs, and free clusters of ribosomes (Montsko, et al., 1963a; Lange and von Brehm, 1965). Moreover, the clear cells contain a higher proportion of oxidative enzymes, basophilia, lipids, and glycogen than is evident in dense cells (Isono, el al., 1959; von Brchin, 1963«). As a consequence of these differences in ultrastructure and chemical components, it was inferred that the clear cells are responsible for elaboration of hormone, while the dense cells are interpreted to be resting or reserve cells (von Brehm, 1963a). Further evidence for the involvement of clear cells in synthesis of parathormone was adduced by the presence of membranebound secretory granules, 0.1 to 1.5 /*. in diameter. These have been observed in B. vulgaris (Hara, et al, 1959; Isono, 1960; Lange and von Brehm, 1965), R. esculenta (Montsko, et al., 19636), R. temporaria (Lange and von Brehm, 1965), and R. clamitans (Rogers, 1965). The origin of the granules, which contain dense paniculate material, is unknown, and no clear association exists between them and the endoplasmic reticulum or Golgi apparatus. However, it has been suggested by Lange and von Brehm (1965) that the dense material occasionally seen in the Golgi substance of parathyroid cells in R. temporaria represents prosecretory granules. No granules have been seen in the Golgi apparatus of R. esculenta, but Montsko, et al. (19636) described the budding of vesicles from the Golgi material, which became filled with paniculate material and are then indistinguishable from typical secretory granules. The secretory granules may be identical to the DDD-diazo-blue B granules in the clear cells of the parathyroids of B. vulgaris (Yamada, 1963). These granules have also been observed on the outer surface of the cell membrane, and within the intracellular channels, indicating that they may be the secretory product of the gland. Since, however, the DDD-diazo-blue B reaction (2,2'-dihydroxy-6,6'-dinaphthyl disulfide) identifies disulfide and sulfhydryl groups, neither of which are numerous in parathormone, Yamada (1963) has suggested that the hormone is associated with a sulfhydrylrich carrier protein. Recent electron microscopic studies on the parathyroid glands of R. pipiens have been done in our laboratories. Low magnifications (Fig. 1) show large nuclei containing 1 to 2 nucleoli. Mitochondria are PARATHYROID GLANDS OF AMPHIBIANS 845 present, as are large and small vesicles which are variously filled with homogene- ous material. Occasonally, however, fine dense particulates have been observed with- FIG. 1. Survey electron micrograph of a portion of the parathyroid gland of liana pipiens. Nuclear profiles (X) are oval with indentations, nucleoli (n), and dispersed chromatin. Numerous mitochondria (M) and vesicles (V) are present. Cell mem- branes bound contain ments. (C) are extensively folded. MembranemultivesicuJar compound bodies (MVC) particulates, vesicles, and membrane fragX 7,500. 846 JOHN R. CORTELYOU AND DOLORES J. MCWHINNIE in these vesicles. Additionally, large membrane-bound bodies are seen, which contain small vesicles, remnants of membranes, and particulates (Figs. 1, 2); these appear to be indistinguishable from the multivesicular com- FIG. 2. Low power view of frog parathyroid cells. Many mitochondria (M), nuclei (N), vesicles (V), and large multivesicular compound bodies (MVC) are scattered through the cytoplasm. Note the widening between cells to torm expanded intercellular channels (IC) in which slender cytoplasmic projections (P) are often seen. X 14,000. PARATHYROID GLANDS OF AMPHIBIANS 847 pound bodies described by Lange and von Brehm (1965) in the parathyroid cells of R. temporaria. Early stages of the multi- vesicular bodies are represented by membrane-bound structures partially filled with small vesicles and membrane fragments FIG. 3. Several frog parathyroid cells showing prominent mitochondria (M). Note the vesicles (V) of various sizes which appear to be filled with homogeneous material. Several multivesicular compound bodies (MVC) are present which are only partially filled with small, clear vesicles, X H.Q00. JOHN R. CORTELYOU AND DOLORES J. MCWHINNIE (Fig. 3) - The function of these bodies remains unknown, but it has been suggested (Lange and von Brehm, 1965) that they are related to the involution of mitochondria. FIG. 4. High power electron micrograph of a secretory granule (S) in a parathyroid cell oC liana pipiens. The granule is membrane-bound and rilled with fine, dense particulates. Also shown are mito- chondria (M) with cristae, clusters of free ribosomes (R), intercellular channels (IC) the nucleus (X), and cell membrane (C). X 56,000. PARATHYROID GLANDS OF AMPHIBIANS 849 The scant endoplasmic rcticiilum in the 1965). The number and density of secretory parathyroid cells of R. pipiens is largely granules in the parathyroid cells of it. escuvesicular. Numerous ribosomes, many free lenta which have been stimulated by inin clusters (Fig. 4), and mitochondria with jection of EDTA also increased, accomclearly defined cristae (Figs. 3, 4) are scat- panied by a rise in the number of ribotered throughout the cytoplasm. Irregular somes (Montsko, et al., 1963ft). These intercellular channels (Figs. 2, 4), which events have been interpreted differently: are similar to those observed in B. viridis Montsko, et al. (19636) presented the view (Boschwitz, 1961), B. vulgaris (Hara, et al., that the parathyroids of R. esculenta have 1959; Isono, 1960), R. damitans (Rogers, a single cell type, and that hyperfunction is 1965) and R. temporaria (Lange and von attained through the elaboration of organBrehm, 1965) may provide a means of trans- elles. In contrast, von Brehm (1964) and port for the secretory product to the sub- Lange and von Brehm (1965) have stated capsular capillary network. The Golgi sub- that the parathyroids of R. temporaria, • stance of the parathyroid cells of R. pipiens stimulated to hyperfunction by injection of is similar to that of R. temporaria (Lange phosphate salt or warm-acclimation, beand von Brehm, 1965) and R. damitans come so by conversion of resting dense cells (Rogers, 1965), consisting of curved stacks to active clear cells. of flattened cisternae with numerous vesicles at their expanded distal portions. SEASONAL CHANCES IN STRUCTURE OF GLANDS Secretory granules of similar appearance For many years, it has been reported that to those described in parathyroid gland cells of R. esculenta (Montsko, et al., parathyroid glands of anuran amphibians 19636), R. damitans (Rogers, 1965), and undergo cyclical histological changes in reR. temporaria (Lange and von Brehm, sponse to seasonal fluctuations. Similar 1965) are present in R. pipiens (Fig. 4). studies have not been done with urodeles, The granules are membrane-bound, and and although Scholz (1933) occasionally obdensely filled with fine, paniculate grains, served a lumen in the parathyroids of Salawhich are packed to yield a crystalline ap- mandra atra and 5. maculosa, he attributed pearance. In contrast to the smaller secre- this to captivity rather than to seasonal tory granules, the membrane of large gran- change. The parathyroids of many frogs ules is closely applied to the participate and toads degenerate in winter (Romeis, 1926; Waggener, 1929; Boschwitz, 1965). contents. In general, the cells show nuclear chromatoExperimental manipulation of blood calcium levels, which presumably control the lysis and pyenosis, vacuolation, and loss of functional state of the parathyroids, induces structural integrity. However, certain changes in cellular structure which strength- species-differences exist with respect to the en the view that the clear cells are involved morphological details and timing of the in synthesis of hormone. Injecting calcium seasonal changes. In R. pipiens (Cortelyou, salts into B. vulgaris or R. temporaria (von et al., 1960) the entire gland becomes reticuBrehm, 1964) increased the number of dense larized except for a layer of apparently cells, and decreased that of the clear cells; viable cells under the capsule; these cellular those remaining became vacuolated. De- changes begin in late fall and continue pressing the parathyroids of R. esculenta by through winter. Formation of a central injecting calcium salts (Montsko, et al., lumen has been reported only in R. cates19636) decreased the number of secretory beiana (Waggener, 1929) and B. viridis granules and other organelles. In contrast, (Boschwitz, 1965). stimulation of the parathyroids of R. temAlthough cytolysis appears to be initiated poraria by injecting phosphate salts in- in the center of the gland in B. viridis creased the ratio of clear/dense cells, and (Boschwitz, 1965), R. catesbeiana (Wagincreased the number of secretory granules gener, 1929) and R. pipiens (Cortelyou, et in the clear cells (Lange and von Brehm, al., 1960), observations reported by Romeis 850 JOHN R. CORTELYOU AND DOLORES J. MCWHINNIE (1926) and von Brehm (1963&, 1964) indicate that vacuolation is predominantly in peripheral cells of the parathyroids of R. temporaria. Unlike Romeis (1926), however, von Brehm (1964) did not observe extensive reticularization. Similar peripheral changes were reported in the glands of B. vulgaris, in contrast to the observation of Hara and Yamada (1963) that in February only the central cells of the gland in this species were vacuolated. It is possible that these differences in the location of cellular changes are due to variations in time sequences at which the animals were studied, differences between species, and the latitudinal position at which the investigations were done. The vacuoles are lipid-free in parathyroids of R. catesbeiana (Waggener, 1929) and R. temporaria (Romeis, 1926), but in those of B. vulgaris, Hara and Yamada (1963) identified neutral and acidic lipids. They suggested that the vacuoles are not indicative of degeneration, but represent a source of phospholipids for the reconstruction of mitochondria and Golgi substance, and thus a reaction preparatory to increasing the metabolic rate on emergence from hibernation. Until further study, however, the possibility remains that the vacuolar contents are end-products of organelle degeneration. The association between the clear cells and activity of the gland has been elucidated by studies of their fluctuations with season or temperature. Parathyroids of normal winter, or cold-acclimated R. temporaria and B. vulgaris have predominantly dense cells and few, vacuolated clear cells, while those from summer or warm-acclimated animals, have many clear cells, and few dense cells (Isono, 1960; Lange and von Brehm, 1965). Further, the DDD-diazo-blue B granules of the clear cells are numerous in summer and absent in winter (Yamada, 1963). Isono, et al., (1959) have suggested that the spring decline in glycogen within the clear cells indicates that it is being utilized as an energy source during reactivation, and during the active summer months. A simultaneous decrease in lipids in the clear cells has been reported (von Brehm, 1963b). The greater activity of the glands in summer is also indicated by the increased capillary diameters (Isono, 1960). Regardless of the conflicting details of seasonal variations in amphibian parathyroid glands, it is clear that during winter, morphological and cytochemical changes occur. Vacuolation has been variously interpreted as degeneration (Romeis, 1926; Waggener, 1929; Cortelyou, et al, 1960), activation (Isono, 1960; Hara and Yamada, 1963; Boschwitz, 1965), or production of hormone exceeding its need (Lange and von Brehm, 1965). If it is true, however, that the clear cells are responsible for elaboration of hormone, and that they decrease in number and become vacuolated, (a) during winter, (b) with cold-acclimation, or (c) when activity is depressed by injection of calcium, it is more probable that the vacuolation and reticularization of the gland seen in many winter toads and frogs represents cellular degeneration and a decrease in hormonal synthesis and/or secretion. Regeneration of the gland from central growth areas (Romeis, 1926), from discrete subcapsular growth centers (Waggener, 1929), from a layer of viable cells under the capsule (Cortelyou, et al., 1960; Boschwitz, 1965), or by conversion of dense to clear cells (Lange and von Brehm, 1965) is completed in spring. GLANDULAR FUNCTION—PARATHYROIDECTOMY Early studies of amphibian parathyroids implicated the glands in such activities as control of pigmentation, retardation of growth (Thompson and Huxley, 1934), accessories of thyroid function, detoxification of metabolic by-products (Uhlenhuth, 1918, 1921), and depression of heart activity (Takacs, 1927). However, experimental investigations, either with ablation of gland or addition of hormone, have clearly indicated that, as in mammals, the parathyroids of amphibians regulate mineral metabolism. Parathyroidectomy of most amphibians does not cause tetany and death. Parathyroprivic 5. atra and S. maculosa showed no PARATHYROID GLANDS OF AMPHIBIANS tetany through one year (Scholz, 1935), and no overt hyperexcitability has been observed in R. temporaria (Romeis, 1926), R. pipiens (Cortelyou, et al., 1960), or Triturns viridescens (Cortelyou, unpublished). In contrast, Boschwitz (1961) reported that parathyroidectomized B. viridis were hyperexcitable, and tetany occurred in 2 to 8 days. Waggener (1930) found severe tetany in parathyroidectomized R. catesbeiana, and death followed in about 66 hours. There is recent evidence, however, which does not support these observations. Yoshida and Talmage (1962) parathyroidectomized R. catesbeiana, but made no mention of hyperexcitability although the frogs were observed for 2 days. Further, Houston and Husbands (1965) stated that no hyperexcitability, tetany, or death occurred in parathyroprivic bullfrogs through 7 days after ablation of glands. In light of these data, the early results of Waggener (1930) on this species must be held open to question. Although no spontaneous nervous activity has been observed in parathyroidectomized tree or grass frogs, muscle-nerve preparations have shown that some increase in excitability occurs. Kuffler (1945) reported that parathyroprivic Hyla aurea show a lowered threshold of synapses and motor endplates. Isolated gastrocnemius muscle-sciatic nerve preparations have been studied by Cortelyou, et al. (1960) using parathyroidectomized R. pipiens. Myographs were made of responses to stimuli of graded frequencies at 2 to 5 days, and 2 to 12 weeks after ablation of glands. Approximately 50% of the frogs studied during the first week showed increased excitability; the motor responses of treppe, incomplete, and complete tetanus occurred at lower stimulating frequencies than were required for normal or sham-operated animals. Hyperexcitability was further evidenced by a protracted increase in relaxation time. However, by 2 weeks after parathyroidectomy, the responses generally returned to normal. These subtle changes in neuro-muscular responses are reflections of blood calcium 851 fluctuations induced by parathyroid ablation. Although Zhenevskaya (1948) found no change in blood calcium in parathyroidectomized R. ridibunda, and only a slight decrease in R. temporaria parathyroidectomized in spring, hypocalcemia occurs in both bullfrogs and grass frogs. Waggener (1930) found the normal whole blood calcium of R. catesbeiana to be 11.9 mg%. After glands were removed, and prior to death, calcium values had decreased to 7.8 mg%. In a recent study on the same species, where no tetany or death occurred after parathyroidectomy, Houston and Husbands (1965) determined plasma calcium levels at daily intervals. At 24 hours, an 18% decrease was seen, and by the 6th day, plasma calcium had fallen 43% from the normal level. Similarly, grass frogs become hypocalcemic after removal of glands. Cortelyou (1958, 19626) and Cortelyou and co-workers (I960) studied calcium changes in whole blood and plasma of parathyroidectomized R. pipiens. During the first 4 days, whole blood calcium decreased 68% below the control level of 10.3 mg%. This gradual decline stands in contrast to the rapid fall in blood calcium of mammals, which reaches its lowest limit at 24 to 48 hr. The low titer obtained on the fourth day with R. pipiens was maintained through the first several weeks, followed by a steady rise to just sub-normal levels by the twentyninth week. Some parathyroidectomized mammals also show a tendency to return to normal blood calcium levels, but the increase is more rapid. Similar results were obtained when plasma calcium changes were studied, although the decline was less marked and slower than with total blood calcium. During the first day after parathyroidectomy, plasma calcium was not significantly different from the control level of 6.6 mg%. However, by 48 hr, it had dropped to 5.7 mg%, and by the seventh day it was 38% below normal. Hence, whether whole blood or plasma is studied, a decrease in calcium occurs during the first to second week after parathyroidectomy. This hypocalcemia is interpreted as a decline in the ability to maintain normal 852 JOHN R. CORTEI.YOU AND DOLORES J. MCWHINNIE calcium levels in the absence of parathormone-induced mobilization from bone. In contrast to mammals, the hypocalcemia in parathyroprivic R. pipiens is not reflected by a well-defined hypocalciuria. Rather, wide variations in urine calcium levels occur, which represent both hypoand hypercalciuria, with a predominance of the latter (Cortelyou, et ah, 1960; Cortelyou, 1962b). Immediately following removal of glands, hypercalciuria occurs, but this is followed by a marked decrease in urine calcium at 24 hr. Subsequently, through 8 days, hypercalciuria again appears, but declines below normal from days 8 to 18. By three weeks after ablation of glands, urine calcium approximates the control level. These results may indicate that the absence of parathormone impairs the ability of the mesonephros to reabsorb calcium, although this remains unresolved. It is postulated that the fluctuations in urine calcium represent attempts to maintain mineral equilibrium. As plasma calcium falls through the first 8 days, urine is hypercalciuric; these changes may be caused by the expected decrease in mobilization from bone coupled with a lack of calcium reabsorption. When, however, plasma calcium reaches its lowest limits (second to third week), a homeostatic mechanism may be established which elevates the renal threshold to calcium, resulting in the observed drop in calcium excretion, and initiating the gradual increase in blood calcium levels. Although a well-defined hypocalciuria has been established for parathyroprivic mammals, it is of interest to note that Buchanan and co-workers (1959) also found a transient hypercalciuria in parathyroidectomized mice, although urine calcium did return to normal within 14 hr. Similar, but delayed responses, are evident in the frog. Following parathyroidectomy in mammals, hyperphosphatemia occurs; it has long been held that since parathormone may prevent tubular reabsorption of phosphate, in its absence increased reabsorption causes a heightened blood phosphate and a decrease in urine phosphate. Parathyroidec- toniized amphibians show quite similar changes in blood phosphorus. Houston and Husbands (1965) reported that by the sixth day after ablation of glands in R. catesbeiana, plasma phosphate had increased 100%. Cortelyou (1960a, 19626) has shown with parathyroidectomized R. pipiens that, by 2 hr, plasma phosphorus has increased 100% from the normal value of 3.62 to 7.41 mg%. This hyperphosphatemia persists 2 weeks, with a gradual decline toward control levels by day 17. Unlike mammals, however, hypophosphaturia has not been observed in parathyroprivic amphibians. In the only studies done on urine phosphorus, Cortelyou (1960a, 19626) reported a significant hyperphosphaturia in parathyroidectomized R. pipiens within 2 hr after removal of glands; this persisted 10 days, being characterized, like the hypercalciuria, by wide fluctuations. After day 10, the fluctuations subsided, and urine phosphorus decreased to normal. The duration of the hyperphosphaturia probably precludes trauma as its cause. Although Beutner and Munson (1960) ascribed a transient increase in urine phosphate in parathyroidectomized rats to trauma, it decreased in several minutes, whereas the increase in frogs is maintained significantly longer. It is unlikely that the elevated plasma phosphate is dependent upon decreased blood calcium levels, since a marked hyperphosphatemia occurs in 2 hr after ablation of glands, while plasma calcium remains normal for 24 hr. Conversely, if the hypocalcemia were dependent upon the increased blood phosphorus, it is improbable that over 24 hr would elapse before it appeared. Moreover, the hyperphosphatemia may not be caused by uninhibited phosphate reabsorption in the absence of parathormone since hyperphosphaturia occurs simultaneously and persists many days. It may also be noted that after urine phosphorus declines to normal, i.e., about the tenth day, plasma phosphorus remains high for several more days. One might inquire as to the source of this phosphate in the absence of hormone-influenced mobilization from bone. On the basis of data from hor- PARATHYROID GLANDS OF AMPHIBIANS mone-treated animals, to be discussed in the subsequent paper, it is tentatively suggested that the hormone-induced accumulation of phosphate in mitochondria of soft tissues is eliminated in parathyroidectomized frogs; the consequence of this is a slow release of phosphate to the vascular bed and a sustained, low-level hyperphosphatemia. In turn, the hyperphosphaturia may reflect the increased plasma phosphate load. GLANDULAR FUNCTION—ADDITION OF PARATHYROID EXTRACT Further information on regulation of mineral ions in amphibians by parathyroid hormone can be gained from studies of animals treated with parathyroid extract (PTE). If hormone induces mobilization of calcium from amphibian bone, this should be reflected by increases in the levels of calcium in blood and urine, as found in mammals. Although Irving and Solms (1955) reported no change in the blood calcium of Xenopus laevis, it is likely that the PTE dose they used (3 units and less) was below the quantity required to reach threshold. In contrast, Waggener (1930) found that PTE-treated R. catesbeiana were markedly hypercalcemic with substantially higher doses. Several studies on the effect of varying doses of PTE on plasma and urine calcium levels in R. pipiens have been reported by Cortelyou (1960b, 1962«, 1967). Frogs were injected with 5 units of PTE on alternate days through 14 days, and calcium levels were determined daily. A brief hypercalcemia was observed at 24 hr, but plasma calcium remained normal during the remainder of the experimental period. Urine calcium, however, was significantly elevated from the control level by 24 hr, and the hypercalciuria persisted 14 days. A transient hypercalcemia was also obtained if a single injection of 5 units was given; at 4 hr, plasma calcium had increased significantly, but earlier or later, it remained normal. Hypercalciuria also appeared at 4 hr, and was maintained through 24 hr, but had declined to normal by 48 hr. Ten and 30 units of PTE induced a 853 marked and persistent hypercalcemia for 48 hr after treatment, and this was accompanied by increases in calcium excretion. The magnitude of the hypercalciuria was greatest with 30 units, and it persisted for 48 hr, while with 10 units, calcium excretion returned to normal by the second day. These data indicate that 5 units of PTE may be the threshold for observation of gross changes in blood calcium, since it produced only a weak hypercalcemia. In contrast, urine calcium responses showed a dose-dependency in both the duration and magnitude of the hypercalciuria. The elevated urine calcium subsequent to treatment with higher doses of PTE may be due to the increased load caused by the simultaneous hypercalcemia. However, hypercalciuria also occurred with 5 units of PTE, without an elevated blood calcium. It is conceivable that individual tissue sensitivities to PTE exist, and that as the "key" organ of response, bone may be induced to mobilize calcium with the low dose of 5 units; the liberated calcium may then be lost to urine to maintain blood homeostasis. When the threshold of mesonephric sensitivity is reached with higher doses of PTE, some induced reabsorption may occur which simultaneously increases the plasma load and sustains the hypercalciuria. This concept also allows a rationale for the elevated urine calcium following parathyroidectomy, since hormone is not present to promote reabsorption. Although PTE induces hypercalcemia and hypercalciuria in both mammals and amphibians, the regulation of phosphorus levels in body fluids appears to differ in higher and lower vertebrates. Subsequent to PTE-treatment of mammals, hypophosphatemia and hyperphosphaturia result; it has been held that these changes are caused by hormonal inhibition of tubular reabsorption. The typical mammalian pattern may be somewhat modified in amphibians. Schrire (1941), for example, reported that Xenopus laevis responds to PTE by an increase in blood phosphorus. No studies of urine phosphate were made, however, and no explanation for the. hyperphosphatemia was offered. 854 JOHN R. CORTELYOU AND DOLORES J. MCWHINNIE rus changes in totally parathyroidectomized Rana More extensive investigations on phospipiens. Anat. Rec. 137:346. phorus in PTE-treated R. pipiens have been Cortelyou, J. R. 1960b. The effects of commercially made by Cortelyou, et al. (1967). In the prepared parathormone on calcium and phosinitial studies, 5 units of PTE were injected phorus levels in unoperated Rana pipiens. Anat. on alternate days for 14 days, and blood Rec. 138:341. and urine phosphorus levels were deter- Cortelyou, J. R. 1962a. Changes in plasma and urine calcium and phosphorus of Rana pipiens mined daily. Plasma phosphorus declined subsequent to different dose levels of Haroidin. from the control level of 3.94 mg% to yield Am. Zoologist 2:400. a significant hypophosphatemia through Cortelyou, J. R. 1962fc. Phosphorus changes in the 14-day period. In contrast, no change totally parathyroidectomized Rana pipiens. Endocrinology 70:618-621. occurred in urine phosphorus. In a second series of studies, 5, 10, or 30 units of PTE Cortelyou, J. R. 1967. The effect of commercially prepared parathyroid extract on plasma and urine were administered, and phosphorus was calcium levels in Rana pipiens. Gen. Comp. Endetermined at intervals for 2 days. With docrinol. (In press.) all PTE doses, plasma phosphorus de- Cortelyou, ]. R., A. Hibner-Owerko, and J. Mulroy. 1960. Blood and urine calcium changes in totally creased, the hypophosphatemia appearing parathyroidectomized Rana pipiens. Endocrinolat 2 hr and persisting 48 hr. Instead of the ogy 66:441 -450. expected hyperphosphaturia, however, no Cortelyou, J. R., P. Quipse, and D. J. McWhinnie. significant increase in urine phosphorus 1967. Parathyroid extract effects on phosphorus occurred after PTE-treatment. These data metabolism in Rana pipiens. Gen. Comp. Endocrinol. 9:76-92. stand in contrast to those obtained with mammals, and leave an unbalanced ac- Hara, J., H. Isono, and A. Fujii. 1959. Electron microscopic observations of the parathyroid gland count of phosphorus distribution; for if of Bufo vulgaris japonicus. Acta Sch. Med. Gifu PTE-induced dissolution of bone mineral 7:1548-1556. does occur, and the liberated phosphorus Hara, }., and K. Yamada. 1963. 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