PMID- 19179454 OWN - NLM STAT- MEDLINE DCOM- 20090622 LR - 20100322 IS - 1479-6813 (Electronic) IS - 0952-5041 (Linking) VI - 42 IP - 4 DP - 2009 Apr TI - Calcium-sensing receptor mutations and denaturing high performance liquid chromatography. PG - 331-9 LID - 10.1677/JME-08-0164 [doi] AB - The calcium-sensing receptor (CASR), a plasma membrane G-protein-coupled receptor, is expressed in parathyroid gland and kidney, and controls systemic calcium homeostasis. Inactivating CASR mutations are associated with familial hypocalciuric hypercalcemia (FHH) and neonatal severe hyperparathyroidism, and activating mutations cause autosomal dominant hypocalcemia (ADH). CASR mutation identification plays an important role in the clinical management of mineral metabolism disorders. We describe here a high-throughput method using screening with denaturing high performance liquid chromatography (DHPLC) to initially interrogate 12 amplicons covering translated exons and exon/intron boundaries, followed by sequencing of any amplicon with a modified melting curve relative to wild type, and direct sequencing of a 13th amplicon encoding the COOH-terminal tail to distinguish causative mutations from three common missense single nucleotide polymorphisms. A blinded analysis of 32 positive controls representing mutations throughout the CASR sequence, as well as 22 negative controls, yielded a concordance rate of 100%. We report eight novel and five recurrent FHH mutations, along with six novel and two recurrent ADH mutations. Thus, DHPLC provides a rapid and effective means to screen for CASR mutations. FAU - Cole, David E C AU - Cole DE AD - Departments of Laboratory Medicine and Pathobiology, Medicine, and Genetics, University of Toronto, Ontario, Canada. FAU - Yun, Francisco H J AU - Yun FH FAU - Wong, Betty Y L AU - Wong BY FAU - Shuen, Andrew Y AU - Shuen AY FAU - Booth, Ronald A AU - Booth RA FAU - Scillitani, Alfredo AU - Scillitani A FAU - Pidasheva, Svetlana AU - Pidasheva S FAU - Zhou, Xiang AU - Zhou X FAU - Canaff, Lucie AU - Canaff L FAU - Hendy, Geoffrey N AU - Hendy GN LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090129 PL - England TA - J Mol Endocrinol JT - Journal of molecular endocrinology JID - 8902617 RN - 0 (Mutant Proteins) RN - 0 (Receptors, Calcium-Sensing) SB - IM EIN - J Mol Endocrinol. 2010 Apr;44(4):257 MH - Chromatography, High Pressure Liquid/*methods MH - Computational Biology MH - DNA Mutational Analysis MH - Exons/genetics MH - Genome, Human/genetics MH - Humans MH - Mutant Proteins/genetics MH - Mutation/*genetics MH - Mutation, Missense/genetics MH - Receptors, Calcium-Sensing/*genetics MH - Reproducibility of Results EDAT- 2009/01/31 09:00 MHDA- 2009/06/23 09:00 CRDT- 2009/01/31 09:00 PHST- 2009/01/31 09:00 [entrez] PHST- 2009/01/31 09:00 [pubmed] PHST- 2009/06/23 09:00 [medline] AID - JME-08-0164 [pii] AID - 10.1677/JME-08-0164 [doi] PST - ppublish SO - J Mol Endocrinol. 2009 Apr;42(4):331-9. doi: 10.1677/JME-08-0164. Epub 2009 Jan 29.