PMID- 26386835 OWN - NLM STAT- MEDLINE DCOM- 20170310 LR - 20191210 IS - 1435-5604 (Electronic) IS - 0914-8779 (Linking) VI - 34 IP - 6 DP - 2016 Nov TI - Identification and functional analysis of a novel CaSR mutation in a family with familial hypocalciuric hypercalcemia. PG - 662-667 AB - The calcium-sensing receptor (CaSR) is a G-protein-coupled receptor that plays an essential role in maintaining calcium homeostasis. In the present study, we analyzed the CaSR gene in a Korean family with familial hypocalciuric hypercalcemia (FHH). Genetic studies were performed by direct sequence analysis of the CaSR gene in genomic DNA obtained from peripheral leukocytes. A novel heterozygous G to T substitution at nucleotide position 1711 in exon 6, resulting in the G571W mutation, was identified in the CaSR gene in a 26-year-old female with asymptomatic hypercalcemia, a low calcium/creatinine clearance ratio, and normal intact parathyroid hormone. To study CaSR expression, the mutation was introduced by site-directed mutagenesis into a wild-type (WT) CaSR-expressing pCR3.1 vector, and COS-7 cells were transfected with either the WT or mutant CaSR-containing vector. Transfected cells loaded with Fura-2/AM, a fluorescent indicator of Ca(2+), were assessed for CaSR function by the change in intracellular calcium [as measured by the 340 nm/380 nm fluorescence intensity ratio (F340/F380)] made in response to challenge with extracellular Ca(2+). Both WT and G571W cells had equivalent amounts of CaSR protein in the cell membrane. However, after challenge with extracellular Ca(2+), cells transfected with G571W CaSR responded with a lower F340/F380 ratio than those transfected with WT CaSR and showed decreased sensitivity to extracellular Ca(2+) concentrations. The G571W mutation had therefore impaired the CaSR function. In conclusion, we identified a novel loss-of-function mutation, G571W, in the CaSR gene in a Korean family with FHH. FAU - Kim, Eun Sook AU - Kim ES AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dongsoo-ro, Bupyeong-gu, Incheon, 403-720, Republic of Korea. FAU - Kim, Su Yeon AU - Kim SY AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dongsoo-ro, Bupyeong-gu, Incheon, 403-720, Republic of Korea. FAU - Lee, Ji Young AU - Lee JY AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dongsoo-ro, Bupyeong-gu, Incheon, 403-720, Republic of Korea. FAU - Han, Je Ho AU - Han JH AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dongsoo-ro, Bupyeong-gu, Incheon, 403-720, Republic of Korea. FAU - Sohn, Tae Seo AU - Sohn TS AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Uijungbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 137-701, Republic of Korea. imsts@catholic.ac.kr. FAU - Son, Hyun Shik AU - Son HS AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Uijungbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 137-701, Republic of Korea. FAU - Moon, Sung-Dae AU - Moon SD AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 56 Dongsoo-ro, Bupyeong-gu, Incheon, 403-720, Republic of Korea. sungdaem@gmail.com. LA - eng PT - Case Reports PT - Journal Article DEP - 20150919 PL - Japan TA - J Bone Miner Metab JT - Journal of bone and mineral metabolism JID - 9436705 RN - 0 (CASR protein, human) RN - 0 (Receptors, Calcium-Sensing) RN - SY7Q814VUP (Calcium) RN - Hypocalciuric hypercalcemia, familial, type 1 SB - IM MH - Adult MH - Amino Acid Substitution MH - Animals MH - COS Cells MH - Calcium/metabolism MH - Chlorocebus aethiops MH - Family MH - Female MH - Gene Expression Regulation/genetics MH - Humans MH - Hypercalcemia/*congenital/genetics/metabolism MH - *Mutation, Missense MH - Receptors, Calcium-Sensing/biosynthesis/*genetics MH - Republic of Korea OTO - NOTNLM OT - Autosomal dominant OT - Calcium-sensing receptor OT - Familial hypocalciuric hypercalcemia EDAT- 2016/11/01 06:00 MHDA- 2017/03/11 06:00 CRDT- 2015/09/21 06:00 PHST- 2015/04/15 00:00 [received] PHST- 2015/08/16 00:00 [accepted] PHST- 2016/11/01 06:00 [pubmed] PHST- 2017/03/11 06:00 [medline] PHST- 2015/09/21 06:00 [entrez] AID - 10.1007/s00774-015-0713-z [pii] AID - 10.1007/s00774-015-0713-z [doi] PST - ppublish SO - J Bone Miner Metab. 2016 Nov;34(6):662-667. doi: 10.1007/s00774-015-0713-z. Epub 2015 Sep 19.