Skip to main content

Ca2+-Sensing Receptor (CaSR)

  • Reference work entry
  • First Online:
Encyclopedia of Molecular Pharmacology
  • 18 Accesses

Synonyms

Calcium-sensing receptor

Definition

CaSR is a G protein-coupled receptor highly expressed in the parathyroid glands, where it regulates the production and secretion of parathyroid hormone (PTH) in negative feedback way. CaSR can detect minor changes in serum calcium levels, and calcium is the primary ligand for the CaSR. Serum calcium <1.1–1.2 mmol/l promotes PTH release, which results in reabsorption of calcium by the kidney, intestine, and bone. Conversely, serum Ca2+ levels >1.2 mmol/l have the opposite effect (Fig. 1). CaSR is also expressed in numerous other tissues, where it has different functions. Defective calcium sensing by the parathyroid glands, associated to altered CaSR expression or function, results in altered divalent cation homeostasis, which can lead to long-lasting morbidity in patients.

Ca2+-Sensing Receptor (CaSR), Fig. 1
figure 35 figure 35

Role of the CaSR in calcium homeostasis

The CaSR is highly expressed in the parathyroid glands. The parathyroid CaSR detects reductions...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 999.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,099.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Alfadda TI, Saleh AM, Houillier P, Geibel JP (2014) Calcium-sensing receptor 20 years later. Am J Physiol Cell Physiol 307(3):C221–C231

    CAS  PubMed  PubMed Central  Google Scholar 

  • Brown EM, Gamba G, Riccardi D, Lombardi M, Butters R, Kifor O, Sun A, Hediger MA, Lytton J, Hebert SC (1993) Cloning and characterization of an extracellular Ca(2+)-sensing receptor from bovine parathyroid. Nature 366(6455):575–580

    CAS  PubMed  Google Scholar 

  • Brown EM, MacLeod RJ (2001) Extracellular calcium sensing and extracellular calcium signaling. Physiol Rev 81(1):239–297

    CAS  PubMed  Google Scholar 

  • Bushinsky DA, Block GA, Martin KJ, Bell G, Huang S, Sun Y, Spiegel DM, Walsh L, Mix TC, Kewalramani R (2015) Treatment of secondary hyperparathyroidism: results of a phase 2 trial evaluating an intravenous peptide agonist of the calcium-sensing receptor. Am J Nephrol 42(5):379–388

    CAS  PubMed  Google Scholar 

  • Chanpaisaeng K, Teerapornpuntakit J, Wongdee K, Charoenphandhu N (2020) Emerging roles of calcium-sensing receptor in the local regulation of intestinal transport of ions and calcium. Am J Physiol Cell Physiol

    Google Scholar 

  • Di Mise A, Ranieri M, Centrone M, Venneri M, Tamma G, Valenti D, Valenti G (2018a) Activation of the calcium-sensing receptor corrects the impaired mitochondrial energy status observed in renal polycystin-1 knockdown cells modeling autosomal dominant polycystic kidney disease. Front Mol Biosci 5:77

    PubMed  PubMed Central  Google Scholar 

  • Di Mise A, Tamma G, Ranieri M, Centrone M, van den Heuvel L, Mekahli D, Levtchenko EN, Valenti G (2018b) Activation of calcium-sensing receptor increases intracellular calcium and decreases cAMP and mTOR in PKD1 deficient cells. Sci Rep 8(1):5704

    PubMed  PubMed Central  Google Scholar 

  • Fitzpatrick LA, Dabrowski CE, Cicconetti G, Gordon DN, Papapoulos S, Bone HG 3rd, Bilezikian JP (2011) The effects of ronacaleret, a calcium-sensing receptor antagonist, on bone mineral density and biochemical markers of bone turnover in postmenopausal women with low bone mineral density. J Clin Endocrinol Metab 96(8):2441–2449

    CAS  PubMed  Google Scholar 

  • Hannan FM, Kallay E, Chang W, Brandi ML, Thakker RV (2018) The calcium-sensing receptor in physiology and in calcitropic and noncalcitropic diseases. Nat Rev Endocrinol 15(1):33–51

    PubMed  PubMed Central  Google Scholar 

  • Letz S, Haag C, Schulze E, Frank-Raue K, Raue F, Hofner B, Mayr B, Schöfl C (2014) Amino alcohol- (NPS-2143) and quinazolinone-derived calcilytics (ATF936 and AXT914) differentially mitigate excessive signalling of calcium-sensing receptor mutants causing Bartter syndrome Type 5 and autosomal dominant hypocalcemia. PLoS One 9(12):e115178

    PubMed  PubMed Central  Google Scholar 

  • Liu G, Cao W, Jia G, Zhao H, Chen X, Wang J (2018) Calcium-sensing receptor in nutrient sensing: an insight into the modulation of intestinal homoeostasis. Br J Nutr 120(8):881–890

    CAS  PubMed  Google Scholar 

  • Loot AE, Pierson I, Syzonenko T, Elgheznawy A, Randriamboavonjy V, Zivković A, Stark H, Fleming I (2013) Ca2+-sensing receptor cleavage by calpain partially accounts for altered vascular reactivity in mice fed a high-fat diet. J Cardiovasc Pharmacol 61(6):528–535

    CAS  PubMed  Google Scholar 

  • Pollak MR, Brown EM, Chou YH, Hebert SC, Marx SJ, Steinmann B, Levi T, Seidman CE, Seidman JG (1993) Mutations in the human Ca(2+)-sensing receptor gene cause familial hypocalciuric hypercalcemia and neonatal severe hyperparathyroidism. Cell 75(7):1297–1303

    CAS  PubMed  Google Scholar 

  • Ranieri M, Tamma G, Di Mise A, Vezzoli G, Soldati L, Svelto M, Valenti G (2013) Excessive signal transduction of gain-of-function variants of the calcium-sensing receptor (CaSR) are associated with increased ER to cytosol calcium gradient. PLoS One 8(11):e79113

    PubMed  PubMed Central  Google Scholar 

  • Ranieri M, Zahedi K, Tamma G, Centrone M, Di Mise A, Soleimani M, Valenti G (2018) CaSR signaling down-regulates AQP2 expression via a novel microRNA pathway in pendrin and NaCl cotransporter knockout mice. FASEB J 32(4):2148–2159

    CAS  PubMed  Google Scholar 

  • Riccardi D, Valenti G (2016) Localization and function of the renal calcium-sensing receptor. Nat Rev Nephrol 12(7):414–425

    CAS  PubMed  Google Scholar 

  • Schepelmann M, Yarova PL, Lopez-Fernandez I, Davies TS, Brennan SC, Edwards PJ, Aggarwal A, Graça J, Rietdorf K, Matchkov V, Fenton RA, Chang W, Krssak M, Stewart A, Broadley KJ, Ward DT, Price SA, Edwards DH, Kemp PJ, Riccardi D (2016) The vascular Ca2+-sensing receptor regulates blood vessel tone and blood pressure. Am J Physiol Cell Physiol 310(3):C193–C204

    CAS  PubMed  Google Scholar 

  • Yarova PL, Stewart AL, Sathish V, Britt RD Jr, Thompson MA, Lowe APP, Freeman M, Aravamudan B, Kita H, Brennan SC, Schepelmann M, Davies T, Yung S, Cholisoh Z, Kidd EJ, Ford WR, Broadley KJ, Rietdorf K, Chang W, Bin Khayat ME, Ward DT, Corrigan CJ, JP TW, Kemp PJ, Pabelick CM, Prakash YS, Riccardi D (2015) Calcium-sensing receptor antagonists abrogate airway hyperresponsiveness and inflammation in allergic asthma. Sci Transl Med 7(284):284ra60

    PubMed  PubMed Central  Google Scholar 

  • Zhou MY, Cheng L, Chen L, Gu YJ, Wang Y (2021) Calcium-sensing receptor in the development and treatment of pulmonary hypertension. Mol Biol Rep 48(1):975–981

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giovanna Valenti .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Valenti, G. (2021). Ca2+-Sensing Receptor (CaSR). In: Offermanns, S., Rosenthal, W. (eds) Encyclopedia of Molecular Pharmacology. Springer, Cham. https://doi.org/10.1007/978-3-030-57401-7_182

Download citation

Publish with us

Policies and ethics