PMID- 7916660 OWN - NLM STAT- MEDLINE DCOM- 19940131 LR - 20190705 IS - 0092-8674 (Print) IS - 0092-8674 (Linking) VI - 75 IP - 7 DP - 1993 Dec 31 TI - Mutations in the human Ca(2+)-sensing receptor gene cause familial hypocalciuric hypercalcemia and neonatal severe hyperparathyroidism. PG - 1297-303 AB - We demonstrate that mutations in the human Ca(2+)-sensing receptor gene cause familial hypocalciuric hypercalcemia (FHH) and neonatal severe hyperparathyroidism (NSHPT), two inherited conditions characterized by altered calcium homeostasis. The Ca(2+)-sensing receptor belongs to the superfamily of seven membrane-spanning G protein-coupled receptors. Three nonconservative missense mutations are reported: two occur in the extracellular N-terminal domain of the receptor; the third occurs in the final intracellular loop. One mutated receptor identified in FHH individuals was expressed in X. laevis oocytes. The expressed wild-type receptor elicited large inward currents in response to perfused polyvalent cations; a markedly attenuated response was observed with the mutated protein. We conclude that the mammalian Ca(2+)-sensing receptor "sets" the extracellular Ca2+ level and is defective in individuals with FHH and NSHPT. FAU - Pollak, M R AU - Pollak MR AD - Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115. FAU - Brown, E M AU - Brown EM FAU - Chou, Y H AU - Chou YH FAU - Hebert, S C AU - Hebert SC FAU - Marx, S J AU - Marx SJ FAU - Steinmann, B AU - Steinmann B FAU - Levi, T AU - Levi T FAU - Seidman, C E AU - Seidman CE FAU - Seidman, J G AU - Seidman JG LA - eng SI - GENBANK/L20823 SI - GENBANK/L20888 SI - GENBANK/L20889 SI - GENBANK/L33709 SI - GENBANK/S60904 SI - GENBANK/S60905 SI - GENBANK/S60924 SI - GENBANK/S68032 SI - GENBANK/S68033 SI - GENBANK/S68036 GR - DK02138/DK/NIDDK NIH HHS/United States GR - DK44588/DK/NIDDK NIH HHS/United States GR - DK46422/DK/NIDDK NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Cell JT - Cell JID - 0413066 RN - 0 (DNA Primers) RN - 0 (Membrane Glycoproteins) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Calcium-Sensing) RN - 0 (Receptors, Cell Surface) RN - SY7Q814VUP (Calcium) SB - IM CIN - Cell. 1993 Dec 31;75(7):1237-9. PMID: 8269505 MH - Amino Acid Sequence MH - Base Sequence MH - Calcium/physiology MH - Cloning, Molecular MH - DNA Primers/chemistry MH - Gene Expression MH - Genes MH - Humans MH - Hypercalcemia/*genetics MH - Hyperparathyroidism/congenital/*genetics MH - Membrane Glycoproteins/genetics MH - Molecular Sequence Data MH - Mutation MH - Pedigree MH - RNA, Messenger/genetics MH - Receptors, Calcium-Sensing MH - Receptors, Cell Surface/*genetics MH - Sequence Alignment MH - Sequence Homology, Amino Acid EDAT- 1993/12/31 00:00 MHDA- 1993/12/31 00:01 CRDT- 1993/12/31 00:00 PHST- 1993/12/31 00:00 [pubmed] PHST- 1993/12/31 00:01 [medline] PHST- 1993/12/31 00:00 [entrez] AID - 0092-8674(93)90617-Y [pii] AID - 10.1016/0092-8674(93)90617-y [doi] PST - ppublish SO - Cell. 1993 Dec 31;75(7):1297-303. doi: 10.1016/0092-8674(93)90617-y.