Open Access Articles- Top Results for Calcium-sensing receptor

Calcium-sensing receptor

External IDsOMIM601199 MGI1351351 HomoloGene332 IUPHAR: 54 ChEMBL: 1878 GeneCards: CASR Gene
RNA expression pattern
File:PBB GE CASR 210577 at tn.png
File:PBB GE CASR 211384 s at tn.png
More reference expression data
RefSeq (mRNA)NM_000388NM_013803
RefSeq (protein)NP_000379NP_038831
Location (UCSC)Chr 3:
121.9 – 122.01 Mb
Chr 16:
36.49 – 36.56 Mb
PubMed search[1][2]

The calcium-sensing receptor (CaSR) is a Class C G-protein coupled receptor which senses extracellular levels of calcium ion. In the parathyroid gland, the calcium-sensing receptor controls calcium homeostasis by regulating the release of parathyroid hormone (PTH).[1]

Signal transduction

The release of PTH is inhibited in response to elevations in plasma calcium concentrations and activation of the calcium receptor. Increased calcium binding on the extracellular side gives a conformational change in the receptor, which, on the intracellular side, initiates the phospholipase C pathway,[2][3] presumably through a G type of G protein, which ultimately increases intracellular concentration of calcium, which inhibits vesicle fusion and exocytosis of parathyroid hormone. It also inhibits (not stimulates, as some[4] sources state) the cAMP dependent pathway.[3]


Mutations that inactivate a CaSR gene cause familial hypocalciuric hypercalcemia (FHH) (also known as familial benign hypercalcemia because it is generally asymptomatic and does not require treatment),[5] when present in heterozygotes. Patients who are homozygous for CaSR inactivating mutations have more severe hypercalcemia.[6] Other mutations that activate CaSR are the cause of autosomal dominant hypocalcemia[7] or Type 5 Bartter syndrome. An alternatively spliced transcript variant encoding 1088 aa has been found for this gene, but its full-length nature has not been defined.[8]

Therapeutic application

The drug cinacalcet is an allosteric modifier of the calcium-sensing receptor.[9] It is classified as a calcimimetic, which binds to the calcium-sensing receptor and decreases parathyroid hormone release.

Calcilytic drugs which block CaSR, produce increased bone density in animal studies and have been researched for the treatment of osteoporosis. Unfortunately clinical trial results in humans have proved disappointing, with sustained changes in bone density not observed despite the drug being well tolerated.[10][11] More recent research has shown the CaSR receptor to be involved in numerous other conditions including Alzheimer's disease, asthma and some forms of cancer,[12][13][14][15][16] and calcilytic drugs are being researched as potential treatments for these.


Calcium-sensing receptor has been shown to interact with Filamin.[17][18]


  1. ^ D'Souza-Li L (Aug 2006). "The calcium-sensing receptor and related diseases". Arquivos Brasileiros De Endocrinologia E Metabologia 50 (4): 628–39. PMID 17117288. doi:10.1590/S0004-27302006000400008. 
  2. ^ InterPro: IPR000068 GPCR, family 3, extracellular calcium-sensing receptor-related Retrieved on June 2, 2009
  3. ^ a b Coburn JW, Elangovan L, Goodman WG, Frazaõ JM (Dec 1999). "Calcium-sensing receptor and calcimimetic agents". Kidney International. Supplement 73: S52–8. PMID 10633465. 
  4. ^ Costanzo, Linda S. (2007). BRS Physiology (Board Review Series). p. 260. ISBN 978-0-7817-7311-9. 
  5. ^ Pidasheva S, Canaff L, Simonds WF, Marx SJ, Hendy GN (Jun 2005). "Impaired cotranslational processing of the calcium-sensing receptor due to signal peptide missense mutations in familial hypocalciuric hypercalcemia". Human Molecular Genetics 14 (12): 1679–90. PMID 15879434. doi:10.1093/hmg/ddi176. 
  6. ^ Egbuna OI, Brown EM (Mar 2008). "Hypercalcaemic and hypocalcaemic conditions due to calcium-sensing receptor mutations". Best Practice & Research. Clinical Rheumatology 22 (1): 129–148. PMC 2364635. PMID 18328986. doi:10.1016/j.berh.2007.11.006. 
  7. ^ Mancilla EE, De Luca F, Baron J (Jul 1998). "Activating mutations of the Ca2+-sensing receptor". Molecular Genetics and Metabolism 64 (3): 198–204. PMID 9719629. doi:10.1006/mgme.1998.2716. 
  8. ^ "Entrez Gene: CaSR calcium-sensing receptor (hypocalciuric hypercalcemia 1, severe neonatal hyperparathyroidism)". 
  9. ^ Torres PU (Jul 2006). "Cinacalcet HCl: a novel treatment for secondary hyperparathyroidism caused by chronic kidney disease". Journal of Renal Nutrition 16 (3): 253–8. PMID 16825031. doi:10.1053/j.jrn.2006.04.010. 
  10. ^ Nemeth EF, Shoback D (Jun 2013). "Calcimimetic and calcilytic drugs for treating bone and mineral-related disorders". Best Practice & Research. Clinical Endocrinology & Metabolism 27 (3). PMID 23856266. doi:10.1016/j.beem.2013.02.008. 
  11. ^ John MR, Harfst E, Loeffler J, Belleli R, Mason J, Bruin GJ et al. (Jul 2014). "AXT914 a novel, orally-active parathyroid hormone-releasing drug in two early studies of healthy volunteers and postmenopausal women". Bone 64. PMID 24769332. doi:10.1016/j.bone.2014.04.015. 
  12. ^ Kim JY, Ho H, Kim N, Liu J, Tu CL, Yenari MA et al. (Nov 2014). "Calcium-sensing receptor (CaSR) as a novel target for ischemic neuroprotection". Annals of Clinical and Translational Neurology 1 (11). PMID 25540800. doi:10.1002/acn3.118. 
  13. ^ Aggarwal A, Prinz-Wohlgenannt M, Tennakoon S, Höbaus J, Boudot C, Mentaverri R et al. (Feb 2015). "The calcium-sensing receptor: A promising target for prevention of colorectal cancer". Biochimica Et Biophysica Acta. PMID 25701758. doi:10.1016/j.bbamcr.2015.02.011. 
  14. ^ Dal Prà I, Chiarini A, Armato U (Feb 2015). "Antagonizing amyloid-β/calcium-sensing receptor signaling in human astrocytes and neurons: a key to halt Alzheimer's disease progression?". Neural Regeneration Research 10 (2). PMID 25883618. doi:10.4103/1673-5374.152373. 
  15. ^ Dal Prà I, Chiarini A, Armato U (Feb 2015). "Antagonizing amyloid-β/calcium-sensing receptor signaling in human astrocytes and neurons: a key to halt Alzheimer's disease progression?". Neural Regeneration Research 10 (2). PMID 25883618. doi:10.4103/1673-5374.152373. 
  16. ^ Yarova PL, Stewart AL, Sathish V, Britt RD, Thompson MA, P Lowe AP et al. (Apr 2015). "Calcium-sensing receptor antagonists abrogate airway hyperresponsiveness and inflammation in allergic asthma". Science Translational Medicine 7 (284). PMID 25904744. doi:10.1126/scitranslmed.aaa0282. 
  17. ^ Hjälm G, MacLeod RJ, Kifor O, Chattopadhyay N, Brown EM (Sep 2001). "Filamin-A binds to the carboxyl-terminal tail of the calcium-sensing receptor, an interaction that participates in CaR-mediated activation of mitogen-activated protein kinase". The Journal of Biological Chemistry 276 (37): 34880–7. PMID 11390380. doi:10.1074/jbc.M100784200. 
  18. ^ Awata H, Huang C, Handlogten ME, Miller RT (Sep 2001). "Interaction of the calcium-sensing receptor and filamin, a potential scaffolding protein". The Journal of Biological Chemistry 276 (37): 34871–9. PMID 11390379. doi:10.1074/jbc.M100775200. 

Further reading

  • Hendy GN, D'Souza-Li L, Yang B, Canaff L, Cole DE (Oct 2000). "Mutations of the calcium-sensing receptor (CASR) in familial hypocalciuric hypercalcemia, neonatal severe hyperparathyroidism, and autosomal dominant hypocalcemia". Human Mutation 16 (4): 281–96. PMID 11013439. doi:10.1002/1098-1004(200010)16:4<281::AID-HUMU1>3.0.CO;2-A. 
  • Fukumoto S (Mar 2002). "[Calcium-sensing receptor in bone cells]". Nihon Rinsho. Japanese Journal of Clinical Medicine. 60 Suppl 3: 57–63. PMID 11979955. 
  • Tfelt-Hansen J, Schwarz P, Brown EM, Chattopadhyay N (May 2003). "The calcium-sensing receptor in human disease". Frontiers in Bioscience 8: s377–90. PMID 12700051. doi:10.2741/1068. 
  • Hu J, Spiegel AM (Aug 2003). "Naturally occurring mutations of the extracellular Ca2+-sensing receptor: implications for its structure and function". Trends in Endocrinology and Metabolism 14 (6): 282–8. PMID 12890593. doi:10.1016/S1043-2760(03)00104-8. 
  • Aida K, Koishi S, Inoue M, Nakazato M, Tawata M, Onaya T (Sep 1995). "Familial hypocalciuric hypercalcemia associated with mutation in the human Ca(2+)-sensing receptor gene". The Journal of Clinical Endocrinology and Metabolism 80 (9): 2594–8. PMID 7673400. doi:10.1210/jc.80.9.2594. 
  • Aida K, Koishi S, Tawata M, Onaya T (Sep 1995). "Molecular cloning of a putative Ca(2+)-sensing receptor cDNA from human kidney". Biochemical and Biophysical Research Communications 214 (2): 524–9. PMID 7677761. doi:10.1006/bbrc.1995.2318. 
  • Chou YH, Pollak MR, Brandi ML, Toss G, Arnqvist H, Atkinson AB et al. (May 1995). "Mutations in the human Ca(2+)-sensing-receptor gene that cause familial hypocalciuric hypercalcemia". American Journal of Human Genetics 56 (5): 1075–9. PMC 1801464. PMID 7726161. 
  • Garrett JE, Capuano IV, Hammerland LG, Hung BC, Brown EM, Hebert SC et al. (May 1995). "Molecular cloning and functional expression of human parathyroid calcium receptor cDNAs". The Journal of Biological Chemistry 270 (21): 12919–25. PMID 7759551. doi:10.1074/jbc.270.21.12919. 
  • Pollak MR, Brown EM, Estep HL, McLaine PN, Kifor O, Park J et al. (Nov 1994). "Autosomal dominant hypocalcaemia caused by a Ca(2+)-sensing receptor gene mutation". Nature Genetics 8 (3): 303–7. PMID 7874174. doi:10.1038/ng1194-303. 
  • Pollak MR, Brown EM, Chou YH, Hebert SC, Marx SJ, Steinmann B et al. (Dec 1993). "Mutations in the human Ca(2+)-sensing receptor gene cause familial hypocalciuric hypercalcemia and neonatal severe hyperparathyroidism". Cell 75 (7): 1297–303. PMID 7916660. doi:10.1016/0092-8674(93)90617-Y. 
  • Janicic N, Soliman E, Pausova Z, Seldin MF, Rivière M, Szpirer J et al. (Nov 1995). "Mapping of the calcium-sensing receptor gene (CASR) to human chromosome 3q13.3-21 by fluorescence in situ hybridization, and localization to rat chromosome 11 and mouse chromosome 16". Mammalian Genome 6 (11): 798–801. PMID 8597637. doi:10.1007/BF00539007. 
  • Bikle DD, Ratnam A, Mauro T, Harris J, Pillai S (Feb 1996). "Changes in calcium responsiveness and handling during keratinocyte differentiation. Potential role of the calcium receptor". The Journal of Clinical Investigation 97 (4): 1085–93. PMC 507156. PMID 8613532. doi:10.1172/JCI118501. 
  • Pearce SH, Trump D, Wooding C, Besser GM, Chew SL, Grant DB et al. (Dec 1995). "Calcium-sensing receptor mutations in familial benign hypercalcemia and neonatal hyperparathyroidism". The Journal of Clinical Investigation 96 (6): 2683–92. PMC 185975. PMID 8675635. doi:10.1172/JCI118335. 
  • Bai M, Quinn S, Trivedi S, Kifor O, Pearce SH, Pollak MR et al. (Aug 1996). "Expression and characterization of inactivating and activating mutations in the human Ca2+o-sensing receptor". The Journal of Biological Chemistry 271 (32): 19537–45. PMID 8702647. doi:10.1074/jbc.271.32.19537. 
  • Baron J, Winer KK, Yanovski JA, Cunningham AW, Laue L, Zimmerman D et al. (May 1996). "Mutations in the Ca(2+)-sensing receptor gene cause autosomal dominant and sporadic hypoparathyroidism". Human Molecular Genetics 5 (5): 601–6. PMID 8733126. doi:10.1093/hmg/5.5.601. 
  • Freichel M, Zink-Lorenz A, Holloschi A, Hafner M, Flockerzi V, Raue F (Sep 1996). "Expression of a calcium-sensing receptor in a human medullary thyroid carcinoma cell line and its contribution to calcitonin secretion". Endocrinology 137 (9): 3842–8. PMID 8756555. doi:10.1210/en.137.9.3842. 
  • Chattopadhyay N, Ye C, Singh DP, Kifor O, Vassilev PM, Shinohara T et al. (Apr 1997). "Expression of extracellular calcium-sensing receptor by human lens epithelial cells". Biochemical and Biophysical Research Communications 233 (3): 801–5. PMID 9168937. doi:10.1006/bbrc.1997.6553. 
  • Cole DE, Janicic N, Salisbury SR, Hendy GN (Aug 1997). "Neonatal severe hyperparathyroidism, secondary hyperparathyroidism, and familial hypocalciuric hypercalcemia: multiple different phenotypes associated with an inactivating Alu insertion mutation of the calcium-sensing receptor gene". American Journal of Medical Genetics 71 (2): 202–10. PMID 9217223. doi:10.1002/(SICI)1096-8628(19970808)71:2<202::AID-AJMG16>3.0.CO;2-I. 
  • Ward BK, Stuckey BG, Gutteridge DH, Laing NG, Pullan PT, Ratajczak T (1997). "A novel mutation (L174R) in the Ca2+-sensing receptor gene associated with familial hypocalciuric hypercalcemia". Human Mutation 10 (3): 233–5. PMID 9298824. doi:10.1002/(SICI)1098-1004(1997)10:3<233::AID-HUMU9>3.0.CO;2-J. 
  • Quinn SJ, Kifor O, Trivedi S, Diaz R, Vassilev P, Brown E (Jul 1998). "Sodium and ionic strength sensing by the calcium receptor". The Journal of Biological Chemistry 273 (31): 19579–86. PMID 9677383. doi:10.1074/jbc.273.31.19579. 
  • Magno AL, Ward BK, Ratajczak T (Feb 2011). "The calcium-sensing receptor: a molecular perspective". Endocrine Reviews 32 (1): 3–30. PMID 20729338. doi:10.1210/er.2009-0043. 

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