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Am J Physiol Renal Physiol (May 27, 2009). doi:10.1152/ajprenal.00164.2009
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Submitted on March 19, 2009
Revised on May 15, 2009
Accepted on May 26, 2009

The Full Length Calcium-Sensing Receptor Dampens the Calcemic Response to 1{alpha},25(OH)2 Vitamin D3 In vivo Independent of Parathyroid Hormone

Ogo I Egbuna1*, Stephen J. Quinn2, Lakshmi Kantham2, Robert Butters1, Jiang L Pang2, Martin R. Pollak2, David Goltzman3, and Edward M. Brown2

1 Brigham and Women's Hospital and Harvard Medical School
2 Brigham and Women's Hospital
3 McGill University

* To whom correspondence should be addressed. E-mail: ogo.egbuna{at}gmail.com.

1{alpha},25(OH)2 vitamin D3 [1,25(OH)2D3] increases serum calcium (Ca2+) concentration in vivo, an action counteracted by activation of the calcium-sensing receptor (CaSR), which decreases parathyroid hormone (PTH) secretion and increases renal Ca2+ excretion. Little is known, of the role the CaSR plays in this response through its potentially direct actions in kidney, gut and bone independent of PTH. We report PTH-independent roles of the CaSR in modulating the response to exogenous 1,25(OH)2D3 in mice with disruption of both the CaSR and PTH genes (C-P-) compared to mice with disruption of the PTH gene (C+P-) or wild type mice (C+P+). After intraperitoneal injection of 0.5 ng/g BW of 1,25(OH)2D3, peak calcemic responses were observed at 24 hrs in all three genotypes, in association with 1) greater increases in serum Ca2+ in C-P- mice than in the other genotypes on a Ca2+-replete diet that was attenuated by a Ca2+-deficient diet and pamidronate, 2) increased urinary Ca2+ to creatinine ratios in the C+P- and C+P+ mice but a lowered ratio in the C-P- mice on a Ca2+-replete diet, and (3) no increases in calcitonin (CT) secretion in the C+P+ and C+P- mice and small increases in the C-P- mice. PTH deficiency had the anticipated effects on the expression of key genes involved in Ca2+ transport at baseline in duodenum and kidney, and injection of 1,25(OH)2D3 increased gene expression 8 hours later. However, the changes in the genes evaluated did not fully explain differences in serum Ca2+ seen among the genotypes. In conclusion, mice lacking the CaSR have increased sensitivity to the calcemic action of 1,25(OH)2D3 in the hypoparathyroid state. This is principally from enhanced 1,25(OH)2D3-mediated gut Ca2+ absorption and decreased renal Ca2+ excretion, without any differences in bone related release of Ca2+ or CT secretion among the three genotypes that could explain the differences in their calcemic responses.







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