Parathyroid hormone (PTH) and its related peptide regulate endochondral ossification by inhibiting chondrocyte differentiation toward hypertrophy. However, the intracellular pathway for transducing PTH/PTH-related peptide signals in chondrocytes remains unclear. Here, we show that this pathway is mediated by mitogen-activated protein kinase (MAPK) p38. Incubation of hypertrophic chondrocytes with PTH (1-34) induces an inhibition of p38 kinase activity in a time-and dose-dependent manner. Inhibition of protein kinase C prevents PTH-induced p38 MAPK inhibition, whereas inhibition of protein kinase A has no effect. Thus, protein kinase C, but not protein kinase A, is required for the inhibition of p38 MAPK by PTH. Treatment of hypertrophic chondrocytes by PTH or by p38 MAPK inhibitor SB203580 up-regulates Bcl-2, suggesting that Bcl-2 lies downstream of p38 MAPK in the PTH signaling pathway. Inhibition of p38 MAPK in hypertrophic chondrocytes by either PTH, SB303580, or both together leads to a decrease of hypertrophic marker type X collagen mRNA and an increase of the expression of prehypertrophic marker cartilage matrix protein. Therefore, inhibition of p38 converts a hypertrophic cell phenotype to a prehypertrophic one, thereby preventing precocious chondrocyte hypertrophy. Taken together, these data suggest a major role for p38 MAPK in transmitting PTH signals to regulate chondrocyte differentiation.During endochondral ossification, chondrocytes undergo a differentiation process including proliferation, maturation, hypertrophy, and apoptosis (1). Cells from these different stages of differentiation synthesize specific molecules, for example, type X collagen is synthesized specifically by hypertrophic chondrocytes (2, 3), whereas cartilage matrix protein (CMP) 1 / matrilin-1, is a marker of prehypertrophic chondrocytes (1). Parathyroid hormone (PTH) and parathyroid hormone-related peptide (PTHrP) are major regulators of the chondrocyte differentiation process. PTH and PTHrP both bind to PTH receptors, which belong to G protein-coupled receptors (4). In a growth plate, PTH receptors are expressed at specific stages during chondrocyte differentiation, with the highest level at the prehypertrophic to hypertrophic transition (5). This suggests that PTH receptors may be important for the regulation of chondrocyte differentiation from the prehypertrophic state to the hypertrophic state. Indeed, overexpression of PTHrP or its constitutively active receptor in growth plates of transgenic mice delays endochondral bone formation (6), whereas mice with ablation of the PTH/PTHrP receptor gene develop skeletal dysplasia because of accelerated chondrocyte hypertrophy (7-9). Thus, the PTH/PTHrP receptor plays a fundamental role in the control of endochondral bone formation by transducing signals inhibiting chondrocyte hypertrophy. However, the intracellular signaling mechanism for PTH/PTHrP to regulate chondrocyte differentiation remains unknown.The PTH/PTHrP receptor may exert its biological action via at least two signaling p...