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Updated: Jun 14, 2026

Monitoring ER/SR Calcium Release with the Targeted Ca2+ Sensor CatchER+
Published on: May 19, 2017
Calcium-sensing receptor and associated diseases.
Geoffrey N Hendy1, Vito Guarnieri, Lucie Canaff
1Department of Medicine, McGill University, Calcium Research Laboratory, Hormones and Cancer Research Unit, Royal Victoria Hospital, Montreal, Quebec, Canada.
Genetic defects in the calcium-sensing receptor (CASR) disrupt calcium homeostasis, leading to hypercalcemia or hypocalcemia. Understanding CASR function is key to treating mineral ion disorders.
Area of Science:
- Biochemistry
- Genetics
- Endocrinology
Background:
- The calcium-sensing receptor (CASR) plays a critical role in regulating parathyroid hormone (PTH) secretion and renal mineral ion handling.
- Genetic variations in CASR are linked to significant disorders of mineral ion homeostasis.
Purpose of the Study:
- To summarize the diverse clinical manifestations and genetic underpinnings of CASR-related disorders.
- To highlight the therapeutic potential of CASR modulators.
Main Methods:
- Review of genetic mutations affecting CASR function.
- Analysis of clinical phenotypes associated with CASR abnormalities.
- Discussion of pharmacological targeting of CASR.
Main Results:
- Loss-of-function CASR mutations cause familial hypocalciuric hypercalcemia (FHH) or neonatal severe hyperparathyroidism (NSHPT).
- Activating CASR mutations lead to autosomal dominant hypocalcemia (ADH).
- Autoantibodies against CASR can mimic genetic disorders.
Conclusions:
- CASR mutations result in a spectrum of mineral ion disorders, from mild hypercalcemia to severe neonatal hyperparathyroidism and hypocalcemia.
- CASR-targeted therapies, including calcimimetics and calcilytics, offer potential treatment strategies for these conditions.
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