PMID- 11668634 OWN - NLM STAT- MEDLINE DCOM- 20020110 LR - 20061115 IS - 1098-1004 (Electronic) IS - 1059-7794 (Linking) VI - 18 IP - 5 DP - 2001 Nov TI - An acceptor splice site mutation in the calcium-sensing receptor (CASR) gene in familial hypocalciuric hypercalcemia and neonatal severe hyperparathyroidism. PG - 411-21 AB - We studied family members of a large kindred expressing both familial hypocalciuric hypercalcemia (FHH) and neonatal severe hyperparathyroidism (NSHPT) and found, by PCR amplification of the extracellular calcium-sensing receptor (CASR) gene exons and flanking intronic sequences, that FHH individuals were heterozygous for a g to t substitution in the last nucleotide of intron 2 (IVS2-1G>T). Defects in messenger RNA splicing were investigated by illegitimate transcription of the CASR gene in lymphoblastoid cells from an FHH affected individual, as well as by transfection of a CASR minigene harboring this mutation into HEK293 cells. The mutation resulted predominantly in exon III skipping causing a shift in exon IV reading frame and introduction of a premature stop codon leading to a predicted truncated protein of 153 amino acids. Interestingly, it was noted that exon III splicing is not 100% efficient in parathyroid, thyroid, and kidney; an exon III-deleted transcript is produced approximately 15% of the time. This is the first description of a splice site mutation in the CASR gene and provides an explanation of the clinical phenotype of the patients. CI - Copyright 2001 Wiley-Liss, Inc. FAU - D'Souza-Li, L AU - D'Souza-Li L AD - Department of Medicine, McGill University and Royal Victoria Hospital, Montreal, Canada. FAU - Canaff, L AU - Canaff L FAU - Janicic, N AU - Janicic N FAU - Cole, D E AU - Cole DE FAU - Hendy, G N AU - Hendy GN LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Mutat JT - Human mutation JID - 9215429 RN - 0 (Codon, Nonsense) RN - 0 (RNA Splice Sites) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Calcium-Sensing) RN - 0 (Receptors, Cell Surface) SB - IM MH - Alternative Splicing/*genetics MH - Base Sequence MH - Cell Line MH - Codon, Nonsense/genetics MH - DNA Mutational Analysis MH - Exons/genetics MH - Female MH - Humans MH - Hypercalcemia/*genetics MH - Hyperparathyroidism/*genetics MH - Infant, Newborn MH - Introns/genetics MH - Male MH - Mutation/*genetics MH - Nuclease Protection Assays MH - Open Reading Frames/genetics MH - Pedigree MH - RNA Splice Sites/*genetics MH - RNA, Messenger/analysis/genetics MH - Receptors, Calcium-Sensing MH - Receptors, Cell Surface/chemistry/*genetics/metabolism MH - Sequence Deletion/genetics MH - Transcription, Genetic/genetics MH - Transfection EDAT- 2001/10/23 10:00 MHDA- 2002/01/11 10:01 CRDT- 2001/10/23 10:00 PHST- 2001/10/23 10:00 [pubmed] PHST- 2002/01/11 10:01 [medline] PHST- 2001/10/23 10:00 [entrez] AID - 10.1002/humu.1212 [pii] AID - 10.1002/humu.1212 [doi] PST - ppublish SO - Hum Mutat. 2001 Nov;18(5):411-21. doi: 10.1002/humu.1212.