pe
pep-10503 v1 CC-BY-SA-4.0

Bone-building peptide from a cancer-linked protein (PTHrP 1-36)

A natural fragment of parathyroid hormone-related protein that stimulates new bone growth; also studied for its role in cancer-related high blood calcium. Used only as a lab research tool.

statussynthesized targetGLP-1R length36 aa refs10
status 4 / 5
prediction metrics boltz-2 1.0
ipTM0.910
pTM0.839
avg pLDDT73.6
ranking score0.771
STRUCTURE · PEP-10503 × GLP-1R
ranking0.771
target interface 4.5Å peptide drag rotate · ctrl+scroll zoom · right-click pan
boltz-2 1.0 · mmCIF ↓ download
sequence36 aa
1510152025303536
AVSEHQLLHDKGKSIQDL RRRFFLHHLIAEIHTAEI
in the news 137 articles
overview readme

What this is

Human PTHrP-(1–36) is the first 36 amino acids of parathyroid hormone-related protein (PTHrP), a signaling molecule the body makes naturally. PTHrP was originally identified as the factor secreted by tumors that causes the high blood calcium seen in many cancers — a condition called humoral hypercalcemia of malignancy — but it turned out to also be a normal regulator of bone, calcium handling, and the development of many tissues. The 1–36 fragment is the active N-terminal piece: it binds and switches on the same bone-and-kidney receptor as parathyroid hormone (PTH), which is why researchers use it as a tool to study PTH/PTHrP biology and to probe whether PTHrP-based drugs can build bone. The stored sequence here (AVSEHQLLHDKGKSIQDLRRRFFLHHLIAEIHTAEI) is the linear human 1–36 form with free N- and C-termini — no acetyl cap, amidation, or fatty-acid modification.

History

PTHrP was identified in the late 1980s as the long-suspected tumor-secreted factor responsible for humoral hypercalcemia of malignancy — the protein that "looks like" PTH to bone and kidney even though it comes from cancer cells rather than the parathyroid gland. Once the protein was cloned, attention shifted to its N-terminal region, which shares enough homology with PTH(1–34) to activate the same receptor. Orloff and colleagues (Am J Physiol, 1992) showed that synthetic PTHrP-(1–36) bound and signaled through PTHrP receptors expressed on human squamous carcinoma cells — direct evidence that the 1–36 fragment was biologically active on the same cells whose tumors were causing the hypercalcemia syndrome. The Everhart-Caye and colleagues study (J Clin Endocrinol Metab, 1996) then administered synthetic PTHrP-(1–36) to humans and showed it was pharmacologically equipotent to PTH(1–34) on renal and calcium-regulatory endpoints, anchoring PTHrP-(1–36) as the relevant "natural" fragment for human pharmacology rather than the truncated PTHrP-(1–34) used in earlier comparisons.

What it does

In the body, PTHrP-(1–36) acts on the same receptor as parathyroid hormone — the PTH1 receptor (PTH1R) — which sits on bone-forming cells (osteoblasts) and on kidney tubule cells that handle calcium and phosphate. Activating that receptor raises blood calcium, reduces urinary calcium loss (anticalciuric activity), and — when the receptor is stimulated intermittently rather than continuously — pushes bone toward new formation rather than resorption. In human cell culture, PTHrP-(1–36) also acts on pancreatic β-cells, where it drives proliferation and supports insulin-producing function with induction of the cell-cycle regulators CDK2 and cyclin E (Guthalu Kondegowda and colleagues, Diabetes, 2010). These effects make it a research tool both for cancer-related calcium dysregulation and for skeletal anabolic biology — the same biology that the FDA-approved PTHrP-(1–34) analog abaloparatide (Tymlos) and the PTH-(1–34) analog teriparatide were built on.

Evidence

  • Human: Everhart-Caye and colleagues (J Clin Endocrinol Metab, 1996) administered synthetic human PTHrP-(1–36) to human volunteers and reported pharmacological equipotency with PTH(1–34) for renal calcium and phosphate handling endpoints — the foundational human pharmacology study for the 1–36 fragment. No controlled efficacy trial of PTHrP-(1–36) for any clinical indication has been identified in the dossier sources.
  • In vitro (cancer biology): Orloff and colleagues (Am J Physiol, 1992) characterized specific binding of radiolabeled PTHrP-(1–36) on human squamous carcinoma cell lines and on epidermal keratinocytes, demonstrating receptor-mediated signal transduction on tumor cells implicated in humoral hypercalcemia of malignancy.
  • In vitro (β-cell biology): Guthalu Kondegowda and colleagues (Diabetes, 2010) showed that PTHrP enhances proliferation and function of human β-cells through PTH1R, with associated induction of CDK2 and cyclin E expression.
  • Receptor pharmacology context: Independent work on PTH1R ligands — including Hattersley and colleagues' analysis of binding selectivity for distinct PTH1R conformations (Endocrinology, 2016) and Sato and colleagues' comparison of intracellular signaling kinetics across PTH1R ligands (JBMR Plus, 2021) — places PTHrP-(1–36)'s biology in context against the synthetic PTH1R analogs teriparatide, abaloparatide, and long-acting PTH.

Mechanism

PTHrP-(1–36) is an agonist at PTH1R, a class B G-protein-coupled receptor (Gardella and colleagues, Pharmacological Reviews, 2015). The N-terminal residues of PTHrP and PTH share the segment that drives receptor activation, while the more C-terminal portion of the 1–36 fragment contributes high-affinity binding at the receptor's extracellular domain. Engagement of PTH1R couples primarily to Gαs/adenylyl cyclase, raising cytosolic cAMP and activating PKA-dependent transcriptional programs; the receptor also couples through Gαq/PLC pathways and modulates IP3-mediated calcium signaling, with sustained PTH1R stimulation modulating IP3 accumulation via cAMP "junctions" (Meena and colleagues, J Cell Sci, 2014). PTHrP-(1–36) and PTH(1–34) preferentially engage somewhat different active-state conformations of PTH1R — distinct R0/RG preferences that map onto differences in signaling duration after receptor internalization (Dean and colleagues, Mol Endocrinol, 2006; Hattersley and colleagues, Endocrinology, 2016; Sato and colleagues, JBMR Plus, 2021). These conformational and kinetic differences are believed to underlie why PTHrP-derived ligands and PTH-derived ligands produce subtly different downstream skeletal effects, including the more selectively anabolic profile attributed to the PTHrP-analog abaloparatide. Gesty-Palmer and colleagues (Sci Transl Med, 2009) further showed that β-arrestin-biased agonism at PTH1R can promote bone formation independent of classical G-protein activation, broadening the mechanistic landscape PTHrP-(1–36) sits within. Receptor-level regulation in vivo also involves intracellular scaffolding partners such as Kindlin-2, which modulates PTH1R-driven bone formation in mouse osteoblasts (Fu and colleagues, Signal Transduction and Targeted Therapy, 2020). Detailed affinity values (Ki, IC50) for PTHrP-(1–36) at PTH1R are not reported in the dossier sources.

Known effects

  • Calcium and phosphate handling — Equipotent to PTH(1–34) on renal calcium and phosphate endpoints in humans (Everhart-Caye and colleagues, 1996).
  • Anticalciuric activity — Reduced urinary calcium loss in the same human pharmacological comparison (Everhart-Caye and colleagues, 1996).
  • Receptor binding on tumor cells — Specific PTH1R binding and signaling on squamous carcinoma cell lines; mechanistic substrate of humoral hypercalcemia of malignancy (Orloff and colleagues, 1992).
  • β-cell proliferation and function — Enhanced human β-cell growth with CDK2/cyclin E induction in vitro (Guthalu Kondegowda and colleagues, 2010); not validated in vivo or in human endpoint studies.

Safety signals

No systematic toxicology or adverse-event dataset specific to exogenous PTHrP-(1–36) has been extracted from the dossier sources beyond what the foundational human pharmacology study reported. Aggregate safety understanding of the receptor target PTH1R — including the rodent thyroid C-cell signal that anchored the original teriparatide label and the hypercalcemia-handling considerations that apply to all PTH1R agonists — derives from work on the approved analogs teriparatide and abaloparatide rather than from PTHrP-(1–36) itself.

Regulatory status

  • US (FDA): Not approved. PTHrP-(1–36) is a research peptide; no marketing authorization for any indication.
  • EU (EMA): Not assessed.
  • Related approved drugs at the same receptor: Abaloparatide — a synthetic PTHrP-(1–34) analog, brand name Tymlos — and teriparatide — recombinant human PTH-(1–34) — are FDA-approved for osteoporosis and act at the same PTH1 receptor as PTHrP-(1–36).

Open questions

  • Controlled efficacy in humans. The published human pharmacology of PTHrP-(1–36) establishes equipotency to PTH(1–34) on calcium/phosphate endpoints, but a definitive controlled efficacy trial for any clinical indication (e.g., osteoporosis) has not been identified in the dossier sources.
  • β-cell translation. The in vitro evidence for human β-cell proliferation via PTH1R (Guthalu Kondegowda and colleagues, 2010) has not been translated into animal or human endpoint data in the dossier sources.
  • Conformational selectivity in vivo. The R0/RG selectivity differences between PTHrP-(1–36), PTH(1–34), and engineered analogs like abaloparatide (Hattersley and colleagues, 2016; Sato and colleagues, 2021) are mechanistically interesting, but the in vivo consequences of those differences for the native PTHrP-(1–36) ligand — as opposed to the engineered analogs — are not fully mapped.

Related peptides

  • Abaloparatide (Tymlos) — synthetic PTHrP-(1–34) analog, FDA-approved for osteoporosis; closest PTHrP-family clinical drug. (Plain text — internal card id not verified.)
  • Teriparatide / PTH-(1–34) — recombinant human PTH-(1–34); the originally approved PTH1R anabolic and the comparator in essentially every PTHrP-(1–36) human pharmacology study.
Hypotheses4 directions▾ collapse

Research directions for this peptide, selected from the current sources — hypotheses you can explore and model. None of it is proven yet; tap any one to see the full thinking.

openupdated 2026-06-05

If the peptide only works on bone receptors, should we stop hoping it will also treat diabetes?

If the target is wrong, scientists can save years of effort and focus on making the peptide better at building bone, rather than chasing a metabolic effect that may not exist.

The hypothesis
The GLP-1R annotation is a false positive: the high ipTM reflects PTH1R binding, and the peptide does not meaningfully engage GLP-1R in a cellular context.
Why it’s plausible
PTHrP 1-36 shares no obvious sequence homology with known GLP-1R agonists (exendin-4, GLP-1 7-36). The high pLDDT and ipTM in the structure prediction could be driven by the strong PTH1R interface rather than a genuine GLP-1R interaction. If GLP-1R binding is artifactual, then drug-development efforts should not be diverted toward metabolic indications.
Why it matters
Resolving this would prevent wasted preclinical effort on a metabolic indication that lacks a molecular basis, and refocus attention on bone-selective engineering.
Plausibility.85
Novelty.30
Impact.50
Basis · grounding3 computed/notes
[1]
sequenceAVSEHQLLHDKGKSIQDLRRRFFLHHLIAEIHTAEI lacks the N-terminal His-Ala-Glu-Gly motif characteristic of GLP-1R agonists
[2]
structureboltz-2/complex ipTM=0.90975022315979 pLDDT=73.6: high confidence may be driven by PTH1R homology rather than GLP-1R specificity
[3]
noteThe peptide is described as activating the same receptor as PTH, with no prior literature linking it to GLP-1R signaling
openupdated 2026-06-05

If doctors could apply the peptide directly at a fracture site, might it heal bones that refuse to mend on their own?

If true, patients with complex fractures or non-unions could avoid repeated surgeries and long disability by using a peptide-enhanced bone graft.

The hypothesis
PTHrP 1-36 could accelerate fracture healing in non-union bone defects by providing a local, short-lived anabolic signal that recruits osteoprogenitors without systemic hypercalcemia.
Why it’s plausible
PTHrP is a normal regulator of bone and tissue development. The 1-36 fragment is small enough for local delivery (scaffold, hydrogel, or paste) and has free termini amenable to matrix conjugation. Because it is the same N-terminal fragment used to study PTHrP-based bone drugs, its osteoanabolic activity is established; what is less explored is whether local, rather than systemic, delivery can bypass the hypercalcemia risk and treat recalcitrant fractures.
Why it matters
If true, PTHrP 1-36 would become a candidate for orthobiologics: a peptide-based bone graft enhancer for complex fractures and spinal fusion.
Plausibility.70
Novelty.30
Impact.70
Basis · grounding1 paper · 1 computed/note
[1]
noteResearchers use PTHrP 1-36 to probe whether PTHrP-based drugs can build bone; it is the active N-terminal fragment
[2]
paper
10.1210/jc.81.1.199: PTH/PTHrP peptide pharmacology provides precedent for dose-dependent bone receptor activation
doi: 10.1210/jc.81.1.199
openupdated 2026-06-05

If cutting off those three arginines weakened the signal, would that reveal a new way to fine-tune bone drug strength?

If true, drug designers could dial bone drug potency up or down by adjusting that arginine cluster, creating safer or longer-lasting treatments.

The hypothesis
The RRR motif at positions 22-24 in the C-terminal half forms a transient helical extension that stabilizes the PTH1R active-state complex, and truncating after position 24 would abolish high-affinity signaling.
Why it’s plausible
The sequence AVSEHQLLHDKGKSIQDLRRRFFLHHLIAEIHTAEI contains a triple-arginine stretch (RRR, positions 22-24) just C-terminal to the core PTH-homology region. In class B GPCR peptides, the C-terminal tail often contributes to receptor stabilization beyond the minimal pharmacophore. The RRR cluster is unusual: it is not present in PTH 1-34 and may confer distinct electrostatic contacts with the PTH1R extracellular domain or transmembrane bundle. If this motif is functionally important, it explains why PTHrP 1-36 (rather than 1-34) is the biologically relevant fragment.
Why it matters
If true, the RRR motif becomes a tunable handle for engineering PTHrP analogs with altered receptor residence time and signaling bias.
Plausibility.50
Novelty.60
Impact.60
Basis · grounding3 computed/notes
[1]
sequencePositions 22-24 are RRR: a triple-arginine cluster not found in PTH 1-34, located just C-terminal to the core homology region
[2]
noteThe 1-36 fragment is the active N-terminal piece; the readme notes homology with PTH(1-34) but the extra two residues and C-terminal extension may carry distinct function
[3]
structureboltz-2/complex ipTM=0.90975022315979 pLDDT=73.6: high-confidence complex prediction is consistent with an extended binding interface beyond the minimal pharmacophore
openupdated 2026-06-05

If the peptide breaks down quickly, could that brief signal actually be better for building bone than a long one?

If true, doctors might get a bone drug that works with simple injections because its natural instability creates the exact on-off pattern bones need to grow.

The hypothesis
The free C-terminus at position 36 (no amidation) destabilizes PTH1R signaling duration relative to amidated or acylated analogs, producing a transient anabolic window that favors bone formation over prolonged resorption.
Why it’s plausible
The stored sequence has free N- and C-termini with no acetyl cap, amidation, or fatty-acid modification. In the PTH/PTHrP field, teriparatide (PTH 1-34) requires daily injection partly because of short half-life. The unmodified C-terminus of PTHrP 1-36 may be rapidly cleaved by carboxypeptidases, truncating signaling. Paradoxically, this pulsatile exposure might mimic the intermittent PTH dosing regimen known to be anabolic for bone, rather than the continuous exposure that drives catabolism.
Why it matters
If true, the unmodified peptide itself, or variants that tune C-terminal stability, could provide a built-in pharmacokinetic mechanism for bone anabolism without complex delivery devices.
Plausibility.40
Novelty.40
Impact.50
Basis · grounding1 paper · 1 computed/note
[1]
noteThe sequence is the linear human 1-36 form with free N- and C-termini, no acetyl cap, amidation, or fatty-acid modification
[2]
paper
10.1210/jc.81.1.199: PTH/PTHrP peptide assays and dose-response characterization provide context for N-terminal signaling pharmacology
doi: 10.1210/jc.81.1.199
details expand to inspect
full evidence table2 metrics
metricvaluetool
ipTM 0.90975022315979 boltz-2
ranking score 0.7706702947616577 boltz-2
3-letter notation
Ala-Val-Ser-Glu-His-Gln-Leu-Leu-His-Asp-Lys-Gly-Lys-Ser-Ile-Gln-Asp-Leu-Arg-Arg-Arg-Phe-Phe-Leu-His-His-Leu-Ile-Ala-Glu-Ile-His-Thr-Ala-Glu-Ile
recipeboltz-2 1.0
parametervalue
modelboltz-2 1.0
weights
hardwarenvidia_nim_api
mlx version
python
random seed
msa strategycolabfold_nvidia
diffusion samples1
runtime
predicted bymlx@peptide
predicted at2026-04-25
citationbibtex
peptidemodel (2026). Bone-building peptide from a cancer-linked protein (PTHrP 1-36) (pep-10503, v1). PeptideModel. https://peptidemodel.com/card/pep-10503
@peptide{pep10503,
  sequence = {AVSEHQLLHDKGKSIQDLRRRFFLHHLIAEIHTAEI},
  target   = {glp-1r},
  author   = {peptidemodel},
  year     = {2026},
  status   = {synthesized}
}
related peptides 5 by signal overlap
clinical trials 7 on ct.gov · checked 2026-05-09
ct.gov trials 7
with results 2
PubMed reviews 1
by phase
2phase 12phase 21phase 31early phase 12no phase
by status
6completed1recruiting
references 10 papers
[1]
Parathyroid hormone (PTH)-related protein(1-36) is equipotent to PTH(1- 34) in humans
Everhart-Caye, M. Journal of Clinical Endocrinology & Metabolism 1996
evidence
[2] evidence
[6] supporting
discussion no comments
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