PTH-independent regulation of blood calcium concentration by the calcium-sensing receptor

Autor: Pascal Houillier, Soline Bourgeois, Bharath Wootla, Dominique Eladari, Renaud de la Faille, Robert H. Dodd, Kamel Laghmani, Corinne Collet, Régine Chambrey, Patrick Bruneval, Hélène Faure, Martial Ruat, Erik Ilsø Christensen, Chantal Mandet, Lydie Cheval, Suresh Krishna Ramakrishnan, Alexandre Loupy
Přispěvatelé: Paris-Centre de Recherche Cardiovasculaire (PARCC - UMR-S U970), Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Centre de Recherche des Cordeliers (CRC (UMR_S 872)), Université Paris Descartes - Paris 5 (UPD5)-Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Department of Neurology, Mayo Clinic Comprehensive Cancer Center, Mayo Clinic, Service de Néphrologie-Transplantation-Dialyse, CHU Bordeaux [Bordeaux]-Groupe hospitalier Pellegrin, Laboratoire de neurobiologie cellulaire et moléculaire (NBCM), Centre National de la Recherche Scientifique (CNRS), CNRS ERL 8228 - Laboratoire de physiologie rénale et tubulopathies, 75006, Paris, France. (TIR), Institut de Chimie des Substances Naturelles (ICSN), Centre National de la Recherche Scientifique (CNRS)-Institut de Chimie du CNRS (INC), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Pierre et Marie Curie - Paris 6 (UPMC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Métabolisme et physiologie rénales (ERL 8228), Centre National de la Recherche Scientifique (CNRS)-Centre de Recherche des Cordeliers (CRC (UMR_S_1138 / U1138)), École Pratique des Hautes Études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-École Pratique des Hautes Études (EPHE), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Male
MESH: Amino Acids
[SDV]Life Sciences [q-bio]
030232 urology & nephrology
Pamidronate
Parathyroid hormone
MESH: Rats
Sprague-Dawley

MESH: Pamidronate
Rats
Sprague-Dawley

0302 clinical medicine
MESH: Animals
Amino Acids
Solute Carrier Family 12
Member 1

MESH: Sodium-Potassium-Exchanging ATPase
0303 health sciences
Kidney
Bone Density Conservation Agents
Diphosphonates
[CHIM.ORGA]Chemical Sciences/Organic chemistry
Chemistry
Reabsorption
MESH: Naphthalenes
General Medicine
Parathyroid chief cell
MESH: Parathyroid Hormone
MESH: Parathyroidectomy
medicine.anatomical_structure
Parathyroid Hormone
Creatinine
MESH: Permeability
MESH: Calcium
MESH: Solute Carrier Family 12
Member 1

Sodium-Potassium-Exchanging ATPase
Calcium-sensing receptor
MESH: Receptors
Calcium-Sensing

medicine.medical_specialty
MESH: Rats
Hypoparathyroidism
Sodium-Potassium-Chloride Symporters
MESH: Diphosphonates
Osteocalcin
chemistry.chemical_element
MESH: Creatinine
Naphthalenes
Calcium
Permeability
MESH: Osteocalcin
MESH: Bone Density Conservation Agents
03 medical and health sciences
Internal medicine
medicine
Animals
030304 developmental biology
Parathyroidectomy
Calcium metabolism
MESH: Hypoparathyroidism
MESH: Sodium-Potassium-Chloride Symporters
urogenital system
medicine.disease
MESH: Male
Rats
Endocrinology
Loop of Henle
Receptors
Calcium-Sensing

MESH: Loop of Henle
Zdroj: Journal of Clinical Investigation
Journal of Clinical Investigation, American Society for Clinical Investigation, 2012, 122 (9), pp.3355-3367. ⟨10.1172/JCI57407⟩
Journal of Clinical Investigation, American Society for Clinical Investigation, 2012, 122 (9), pp.3355-67. ⟨10.1172/JCI57407⟩
Loupy, A, Ramakrishnan, S K, Wootla, B, Chambrey, R, de la Faille, R, Bourgeois, S, Bruneval, P, Mandet, C, Christensen, E I, Faure, H, Cheval, L, Laghmani, K, Collet, C, Eladari, D, Dodd, R H, Ruat, M & Houillier, P 2012, ' PTH-independent regulation of blood calcium concentration by the calcium-sensing receptor ', Journal of Clinical Investigation, vol. 122, no. 9, pp. 3355-3367 . https://doi.org/10.1172/JCI57407
Journal of Clinical Investigation, 2012, 122 (9), pp.3355-3367. ⟨10.1172/JCI57407⟩
ISSN: 0021-9738
Popis: International audience; Tight regulation of calcium levels is required for many critical biological functions. The Ca2+-sensing receptor (CaSR) expressed by parathyroid cells controls blood calcium concentration by regulating parathyroid hormone (PTH) secretion. However, CaSR is also expressed in other organs, such as the kidney, but the importance of extraparathyroid CaSR in calcium metabolism remains unknown. Here, we investigated the role of extraparathyroid CaSR using thyroparathyroidectomized, PTH-supplemented rats. Chronic inhibition of CaSR selectively increased renal tubular calcium absorption and blood calcium concentration independent of PTH secretion change and without altering intestinal calcium absorption. CaSR inhibition increased blood calcium concentration in animals pretreated with a bisphosphonate, indicating that the increase did not result from release of bone calcium. Kidney CaSR was expressed primarily in the thick ascending limb of the loop of Henle (TAL). As measured by in vitro microperfusion of cortical TAL, CaSR inhibitors increased calcium reabsorption and paracellular pathway permeability but did not change NaCl reabsorption. We conclude that CaSR is a direct determinant of blood calcium concentration, independent of PTH, and modulates renal tubular calcium transport in the TAL via the permeability of the paracellular pathway. These findings suggest that CaSR inhibitors may provide a new specific treatment for disorders related to impaired PTH secretion, such as primary hypoparathyroidism.
Databáze: OpenAIRE