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Cited by 353

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

Functional Characterization of a Calcium-Sensing Receptor Mutation in Severe Autosomal Dominant Hypocalcemia with a Bartter-Like Syndrome

Vargas-Poussou, Rosa, Huang, Chunfa, Hulin, Philippe, Houillier, Pascal, Jeunemai[Combining Circumflex Accent]tre, Xavier, Paillard, Michel, Planelles, Gabrielle, Déchaux, Michèle, Miller, R. Tyler, Antignac, Corinne·2002·Journal of the American Society of Nephrology

Abstract

The extracellular Ca(2+)-sensing receptor (CaSR) plays an essential role in extracellular Ca(2+) homeostasis by regulating the rate of parathyroid hormone (PTH) secretion and the rate of calcium reabsorption by the kidney. Activation of the renal CaSR is thought to inhibit paracellular divalent cation reabsorption in the cortical ascending limb (cTAL) both directly and indirectly via a decrease in NaCl transport. However, in patients with autosomal dominant hypocalcemia (ADH), caused by CaSR gain-of-function mutations, a defect in tubular NaCl reabsorption with renal loss of NaCl has not been described so far. This article describes a patient with ADH due to a gain-of-function mutation in the CaSR, L125P, associated with a Bartter-like syndrome that is characterized by a decrease in distal tubular fractional chloride reabsorption rate and negative NaCl balance with secondary hyperaldosteronism and hypokalemia. The kinetics of activation of the L125P mutant receptor expressed in HEK-293 cells, assessed by measuring CaSR-stimulated changes in intracellular Ca(2+) and ERK activity, showed a dramatic reduction in the EC(50) for extracellular Ca(2+) compared with the wild-type and a loss-of-function mutant CaSR (I40F). This study describes the first case of ADH associated with a Bartter-like syndrome. It is herein proposed that the L125P mutation of the CaSR, which represents the most potent gain-of-function mutation reported so far, may reduce NaCl reabsorption in the cTAL sufficiently to result in renal loss of NaCl with secondary hyperaldosteronism and hypokalemia.

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Metadata

Authors
Vargas-Poussou, R., Huang, C., Hulin, P., Houillier, P., Jeunemai[Combining Circumflex Accent]tre, X., Paillard, M., Planelles, G., Déchaux, M., Miller, R. T., & Antignac, C.
Venue
Journal of the American Society of Nephrology
Published
2002-09
Volume
13
Issue
9
Pages
2259-2266
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2159907329
Cited by
353
References
29
FWCI
8.30
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Functional Characterization of a Calcium-Sensing Receptor Mutation in Severe Autosomal Dominant Hypocalcemia with a Bartter-Like Syndrome. https://app.cochat.ai/papers/10.1097/01.asn.0000025781.16723.68
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Vargas-Poussou, R., Huang, C., Hulin, P., Houillier, P., Jeunemai[Combining Circumflex Accent]tre, X., Paillard, M., Planelles, G., Déchaux, M., Miller, R. T., & Antignac, C. (2002). Functional Characterization of a Calcium-Sensing Receptor Mutation in Severe Autosomal Dominant Hypocalcemia with a Bartter-Like Syndrome. Journal of the American Society of Nephrology. https://doi.org/10.1097/01.asn.0000025781.16723.68

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.