PMID- 23077345 OWN - NLM STAT- MEDLINE DCOM- 20130620 LR - 20211021 IS - 1944-9917 (Electronic) IS - 0888-8809 (Print) IS - 0888-8809 (Linking) VI - 26 IP - 12 DP - 2012 Dec TI - Calcium signaling regulates trafficking of familial hypocalciuric hypercalcemia (FHH) mutants of the calcium sensing receptor. PG - 2081-91 LID - 10.1210/me.2012-1232 [doi] AB - Calcium-sensing receptors (CaSRs) regulate systemic Ca(2+) homeostasis. Loss-of-function mutations cause familial benign hypocalciuric hypercalcemia (FHH) or neonatal severe hyperparathyroidism (NSHPT). FHH/NSHPT mutations can reduce trafficking of CaSRs to the plasma membrane. CaSR signaling is potentiated by agonist-driven anterograde CaSR trafficking, leading to a new steady state level of plasma membrane CaSR, which is maintained, with minimal functional desensitization, as long as extracellular Ca(2+) is elevated. This requirement for CaSR signaling to drive CaSR trafficking to the plasma membrane led us to reconsider the mechanism(s) contributing to dysregulated trafficking of FHH/NSHPT mutants. We simultaneously monitored dynamic changes in plasma membrane levels of CaSR and intracellular Ca(2+), using a chimeric CaSR construct, which allowed explicit tracking of plasma membrane levels of mutant or wild-type CaSRs in the presence of nonchimeric partners. Expression of mutants alone revealed severe defects in plasma membrane targeting and Ca(2+) signaling, which were substantially rescued by coexpression with wild-type CaSR. Biasing toward heterodimerization of wild-type and FHH/NSHPT mutants revealed that intracellular Ca(2+) oscillations were insufficient to rescue plasma membrane targeting. Coexpression of the nonfunctional mutant E297K with the truncation CaSRDelta868 robustly rescued trafficking and Ca(2+) signaling, whereas coexpression of distinct FHH/NSHPT mutants rescued neither trafficking nor signaling. Our study suggests that rescue of FHH/NSHPT mutants requires a steady state intracellular Ca(2+) response when extracellular Ca(2+) is elevated and argues that Ca(2+) signaling by wild-type CaSRs rescues FHH mutant trafficking to the plasma membrane. FAU - Grant, Michael P AU - Grant MP AD - Weis Center for Research, Geisinger Clinic, Danville, Pennsylvania 17822-2604, USA. FAU - Stepanchick, Ann AU - Stepanchick A FAU - Breitwieser, Gerda E AU - Breitwieser GE LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121017 PL - United States TA - Mol Endocrinol JT - Molecular endocrinology (Baltimore, Md.) JID - 8801431 RN - 0 (Receptors, Calcium-Sensing) RN - SY7Q814VUP (Calcium) RN - Hyperparathyroidism, Neonatal Severe Primary RN - Hypocalciuric hypercalcemia, familial, type 1 SB - IM MH - Calcium/metabolism MH - Calcium Signaling/*genetics MH - Cell Line MH - Cell Membrane MH - Endoplasmic Reticulum/metabolism MH - Fluorescence Resonance Energy Transfer MH - Genotype MH - HEK293 Cells MH - Humans MH - Hypercalcemia/*congenital/genetics/metabolism MH - Hyperparathyroidism, Primary/*genetics/metabolism MH - Infant, Newborn, Diseases/*genetics/metabolism MH - Protein Transport/*genetics MH - Receptors, Calcium-Sensing/*genetics/metabolism PMC - PMC5416950 EDAT- 2012/10/19 06:00 MHDA- 2013/06/21 06:00 PMCR- 2013/12/01 CRDT- 2012/10/19 06:00 PHST- 2012/10/19 06:00 [entrez] PHST- 2012/10/19 06:00 [pubmed] PHST- 2013/06/21 06:00 [medline] PHST- 2013/12/01 00:00 [pmc-release] AID - me.2012-1232 [pii] AID - 3808303 [pii] AID - 10.1210/me.2012-1232 [doi] PST - ppublish SO - Mol Endocrinol. 2012 Dec;26(12):2081-91. doi: 10.1210/me.2012-1232. Epub 2012 Oct 17.