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Updated: Apr 23, 2026

A Kinetic Fluorescence-based Ca2+ Mobilization Assay to Identify G Protein-coupled Receptor Agonists, Antagonists, and Allosteric Modulators
Published on: February 20, 2018
Biased allosteric modulation at the CaS receptor engendered by structurally diverse calcimimetics
A E Cook1, S N Mistry, K J Gregory
1Drug Discovery Biology and Department of Pharmacology, Monash University, Parkville, Vic., Australia.
Novel calcimimetics show biased signaling at calcium-sensing receptors, potentially improving hyperparathyroidism treatment by suppressing parathyroid hormone without affecting calcitonin.
Area of Science:
- Pharmacology
- Endocrinology
- Molecular Biology
Background:
- Cinacalcet for hyperparathyroidism can cause hypocalcemia due to calcium-sensing receptor (CaS receptor) activation and calcitonin release.
- Ligand-biased allosteric modulators of CaS receptors may offer improved therapies by selectively targeting desired signaling pathways.
Purpose of the Study:
- To characterize the ligand-biased signaling profiles of novel calcimimetics.
- To evaluate their effects on CaS receptor pathways involved in hormone regulation.
Main Methods:
- HEK293 cells expressing human CaS receptors were used to assess ligand bias.
- Measurements included intracellular calcium mobilization, inositol phosphate (IP1) accumulation, and ERK1/2 phosphorylation (pERK1/2).
Main Results:
- Phenylalkylamine calcimimetics and R,R-calcimimetic B/AC-265347 showed biased signaling towards IP1 accumulation and/or pERK1/2.
- AC-265347 did not promote CaS receptor trafficking, unlike other tested compounds.
- Nor-calcimimetic B exhibited unbiased signaling.
Conclusions:
- R,R-calcimimetic B and AC-265347's biased signaling may explain in vivo parathyroid hormone suppression without altering calcitonin levels.
- AC-265347 demonstrates a novel profile of CaS receptor modulation.
- Developing biased CaS receptor modulators offers a strategy for selective physiological responses in vivo.
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