PMID- 21667241 OWN - NLM STAT- MEDLINE DCOM- 20120525 LR - 20211020 IS - 1573-4978 (Electronic) IS - 0301-4851 (Linking) VI - 39 IP - 3 DP - 2012 Mar TI - A novel CASR mutation in a Tunisian FHH/NSHPT family associated with a mental retardation. PG - 2395-400 LID - 10.1007/s11033-011-0990-0 [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 have previously been identified in patients with familial hypocalciuric hypercalcemia (FHH) and neonatal severe hyperparathyroidism (NSHPT). The aim of the present study is to determine the underlying molecular defect of FHH/NSHPT disease in a consanguineous Tunisian family. Mutation screening was carried out using RFLP-PCR and direct sequencing. We found that the proband is homozygous for a novel 15 bp deletion in the exon 7 (c.1952_1966del) confirming the diagnosis of NSHPT. All the FHH members were found to be heterozygous for the novel detected mutation. The mutation, p.S651_L655del, leads to the deletion of 5 codons in the second trans-membrane domain of the CASR which is thought to be involved in the processes of ligand-induced signaling. This alteration was associated with the evidence of mental retardation in the FHH carriers and appears to be a novel inactivating mutation in the CASR gene. Our findings provide additional support for the implication of CASR gene in the FHH/NSHPT pathogenesis. FAU - Sfar, Sana AU - Sfar S AD - Research Unit 01/UR/08-14, Faculty of Medicine of Monastir, 5019 Monastir, Tunisia. sfarsana@yahoo.fr FAU - Bzeouich, Ahlem Afaya AU - Bzeouich AA FAU - Kerkeni, Emna AU - Kerkeni E FAU - Bouaziz, Sofiane AU - Bouaziz S FAU - Najjar, Mohamed Fadhel AU - Najjar MF FAU - Chouchane, Lotfi AU - Chouchane L FAU - Monastiri, Kamel AU - Monastiri K LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110612 PL - Netherlands TA - Mol Biol Rep JT - Molecular biology reports JID - 0403234 RN - 0 (DNA Primers) RN - 0 (Receptors, Calcium-Sensing) RN - Hypocalciuric hypercalcemia, familial, type 1 SB - IM MH - Base Sequence MH - DNA Mutational Analysis MH - DNA Primers/genetics MH - Female MH - Genetic Association Studies MH - Genetic Predisposition to Disease/*genetics MH - Humans MH - Hypercalcemia/*congenital/genetics MH - Hyperparathyroidism/*genetics MH - Intellectual Disability/*genetics MH - Male MH - Molecular Sequence Data MH - Pedigree MH - Polymerase Chain Reaction MH - Polymorphism, Restriction Fragment Length/genetics MH - Receptors, Calcium-Sensing/*genetics MH - Sequence Deletion/*genetics MH - Tunisia EDAT- 2011/06/15 06:00 MHDA- 2012/05/26 06:00 CRDT- 2011/06/14 06:00 PHST- 2010/07/19 00:00 [received] PHST- 2011/05/28 00:00 [accepted] PHST- 2011/06/14 06:00 [entrez] PHST- 2011/06/15 06:00 [pubmed] PHST- 2012/05/26 06:00 [medline] AID - 10.1007/s11033-011-0990-0 [doi] PST - ppublish SO - Mol Biol Rep. 2012 Mar;39(3):2395-400. doi: 10.1007/s11033-011-0990-0. Epub 2011 Jun 12.