Parathyroid Hormone-Related Protein 1-36
Also known as: hPTHrP(1-36), Parathyroid hormone-related peptide (1-36), PTHrP 1-36, PTHrP(1-36)
Summary
PTHrP(1-36) is an N-terminal fragment of parathyroid hormone-related protein that acts as a full agonist at the PTH1 receptor. It has been investigated as an anabolic agent for osteoporosis and has shown bone-forming activity in clinical studies. Unlike teriparatide (PTH 1-34), PTHrP(1-36) may have a more favorable cardiovascular and hypercalcemic profile in some contexts.
Mechanism of Action
Binds and activates the PTH1 receptor (PTH/PTHrP receptor), stimulating adenylyl cyclase and PKA signaling, promoting osteoblast activity, increasing bone formation, and modulating renal calcium and phosphate handling similar to PTH(1-34)
Routes of Administration
Goals & Uses
- Anabolic bone therapyMusculoskeletalModerate
- Hypercalcemia of malignancy researchOncology / Calcium MetabolismLow
- Reduction of fracture riskOsteoporosisLow
- Increase bone mineral densityBone HealthModerate
Contraindications
- HypercalcemiaMetabolic DisorderHigh
- Severe renal impairmentOrganModerateKidney function concerns
- Paget's disease of boneBone DisorderModerate
- History of skeletal malignancy or bone metastasesOncologyHigh
Adverse Effects
- Elevated bone turnover markersLaboratoryCommon
- Hypercalcemia / hypercalciuriaMetabolicCommon
- Injection site reactionsLocalCommon
- NauseaGastrointestinalUncommonFeeling of sickness or urge to vomit
- Dizziness / orthostatic hypotensionCardiovascularUncommon
Drug Interactions
- BisphosphonatesLow
- DigoxinHigh
- Calcium and Vitamin D supplementsLow
- Thiazide diureticsModerate
Population Constraints
- Pediatric patientsAgeRelative
- Elderly patients (>75 years)AgeRelative
- Pregnant womenReproductiveRelative
- Patients with nephrolithiasis historyRenalRelative
Regulatory Status
- European UnionInvestigationalNo marketing authorization; research use only
- United StatesInvestigationalStudied under IND in Phase I/II trials; no NDA filed or approved as of knowledge cutoff
- United KingdomInvestigationalNo MHRA approval; research compound
Not approved by FDA, EMA, or other major regulatory agencies. Studied in Phase I/II clinical trials for osteoporosis. No approved indication as of current knowledge cutoff.
Evidence & Sources
No sources recorded yet.