PMID- 21468522 OWN - NLM STAT- MEDLINE DCOM- 20111024 LR - 20190918 IS - 1677-9487 (Electronic) IS - 0004-2730 (Linking) VI - 55 IP - 1 DP - 2011 Feb TI - New mutation in the CASR gene in a family with familial hypocalciuric hypercalcemia (FHH) and neonatal severe hyperparathyroidism (NSHPT). PG - 67-71 LID - S0004-27302011000100009 [pii] AB - A loss of calcium-sensing receptor (CASR) function due to inactivating mutations can cause familial hypocalciuric hypercalcemia (FHH) or neonatal severe hyperparathyroidism (NSHPT). NSHPT represents the most severe expression of FHH and courses as a life-threatening condition. The aim of this study was to identify and characterize a CASR mutation in a female infant brought to the health service due to dehydration, apathy, lack of breast feeding and severe hypercalcemia. Molecular analysis was performed on genomic DNA of the index case and her parents. A novel homozygous mutation (p.E519X) in CASR was identified in the proband; both mother and father had the same mutation in heterozygous state, confirming their FHH condition. The mutation results in a truncated and inactive protein due to the lack of transmembrane and intracellular domains. The identification of this novel CASR gene mutation established the basis of hypercalcemia in this family and allowed a genetic counseling. FAU - Rodrigues, Luiza Souza AU - Rodrigues LS AD - Laboratory of Molecular Genetics and Hormones, Division of Endocrinology, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil. FAU - Cau, Ana Carolina Arias AU - Cau AC FAU - Bussmann, Luciane Zgoda AU - Bussmann LZ FAU - Bastida, Gabriela AU - Bastida G FAU - Brunetto, Oscar H AU - Brunetto OH FAU - Correa, Pedro Henrique Silveira AU - Correa PH FAU - Martin, Regina Matsunaga AU - Martin RM LA - eng PT - Case Reports PT - Journal Article PL - Brazil TA - Arq Bras Endocrinol Metabol JT - Arquivos brasileiros de endocrinologia e metabologia JID - 0403437 RN - 0 (CASR protein, human) RN - 0 (Receptors, Calcium-Sensing) RN - Hypocalciuric hypercalcemia, familial, type 1 SB - IM MH - Female MH - Humans MH - Hypercalcemia/blood/*congenital/genetics MH - Hyperparathyroidism/*genetics/surgery MH - Infant MH - Infant, Newborn MH - Mutation/*genetics MH - Pedigree MH - Receptors, Calcium-Sensing/*genetics MH - Recurrence EDAT- 2011/04/07 06:00 MHDA- 2011/10/25 06:00 CRDT- 2011/04/07 06:00 PHST- 2010/07/31 00:00 [received] PHST- 2011/01/19 00:00 [accepted] PHST- 2011/04/07 06:00 [entrez] PHST- 2011/04/07 06:00 [pubmed] PHST- 2011/10/25 06:00 [medline] AID - S0004-27302011000100009 [pii] AID - 10.1590/s0004-27302011000100009 [doi] PST - ppublish SO - Arq Bras Endocrinol Metabol. 2011 Feb;55(1):67-71. doi: 10.1590/s0004-27302011000100009.