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Physiol. Rev. 81: 239-297, 2001;
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Physiological Reviews, Vol. 81, No. 1, January 2001, pp. 239-297
Copyright ©2001 by the American Physiological Society

Extracellular Calcium Sensing and Extracellular Calcium Signaling

Edward M. Brown and R. John MacLeod

Endocrine-Hypertension Division, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts

Brown, Edward M. and R. John MacLeod. Extracellular Calcium Sensing and Extracellular Calcium Signaling. Physiol. Rev. 81: 239-297, 2001.The cloning of a G protein-coupled extracellular Ca2+ (Cao2+)-sensing receptor (CaR) has elucidated the molecular basis for many of the previously recognized effects of Cao2+ on tissues that maintain systemic Cao2+ homeostasis, especially parathyroid chief cells and several cells in the kidney. The availability of the cloned CaR enabled the development of DNA and antibody probes for identifying the CaR's mRNA and protein, respectively, within these and other tissues. It also permitted the identification of human diseases resulting from inactivating or activating mutations of the CaR gene and the subsequent generation of mice with targeted disruption of the CaR gene. The characteristic alterations in parathyroid and renal function in these patients and in the mice with "knockout" of the CaR gene have provided valuable information on the CaR's physiological roles in these tissues participating in mineral ion homeostasis. Nevertheless, relatively little is known about how the CaR regulates other tissues involved in systemic Cao2+ homeostasis, particularly bone and intestine. Moreover, there is evidence that additional Cao2+ sensors may exist in bone cells that mediate some or even all of the known effects of Cao2+ on these cells. Even more remains to be learned about the CaR's function in the rapidly growing list of cells that express it but are uninvolved in systemic Cao2+ metabolism. Available data suggest that the receptor serves numerous roles outside of systemic mineral ion homeostasis, ranging from the regulation of hormonal secretion and the activities of various ion channels to the longer term control of gene expression, programmed cell death (apoptosis), and cellular proliferation. In some cases, the CaR on these "nonhomeostatic" cells responds to local changes in Cao2+ taking place within compartments of the extracellular fluid (ECF) that communicate with the outside environment (e.g., the gastrointestinal tract). In others, localized changes in Cao2+ within the ECF can originate from several mechanisms, including fluxes of calcium ions into or out of cellular or extracellular stores or across epithelium that absorb or secrete Ca2+. In any event, the CaR and other receptors/sensors for Cao2+ and probably for other extracellular ions represent versatile regulators of numerous cellular functions and may serve as important therapeutic targets.




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J. Liao, A. Schneider, N. S. Datta, and L. K. McCauley
Extracellular calcium as a candidate mediator of prostate cancer skeletal metastasis.
Cancer Res., September 15, 2006; 66(18): 9065 - 9073.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. Geibel, K. Sritharan, R. Geibel, P. Geibel, J. S. Persing, A. Seeger, T. K. Roepke, M. Deichstetter, C. Prinz, S. X. Cheng, et al.
Inaugural Article: Calcium-sensing receptor abrogates secretagogue- induced increases in intestinal net fluid secretion by enhancing cyclic nucleotide destruction
PNAS, June 20, 2006; 103(25): 9390 - 9397.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
N. R. Hardingham, N. J. Bannister, J. C. A. Read, K. D. Fox, G. E. Hardingham, and J. J. B. Jack
Extracellular calcium regulates postsynaptic efficacy through group 1 metabotropic glutamate receptors.
J. Neurosci., June 7, 2006; 26(23): 6337 - 6345.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
S. L. Davies, C. E. Gibbons, T. Vizard, and D. T. Ward
Ca2+-sensing receptor induces Rho kinase-mediated actin stress fiber assembly and altered cell morphology, but not in response to aromatic amino acids
Am J Physiol Cell Physiol, June 1, 2006; 290(6): C1543 - C1551.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Endocrinol. Metab.Home page
N. Chattopadhyay
Effects of calcium-sensing receptor on the secretion of parathyroid hormone-related peptide and its impact on humoral hypercalcemia of malignancy
Am J Physiol Endocrinol Metab, May 1, 2006; 290(5): E761 - E770.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
P. H. Lindfors, M. Lindahl, J. Rossi, M. Saarma, and M. S. Airaksinen
Ablation of Persephin Receptor Glial Cell Line-Derived Neurotrophic Factor Family Receptor {alpha}4 Impairs Thyroid Calcitonin Production in Young Mice
Endocrinology, May 1, 2006; 147(5): 2237 - 2244.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Renal Physiol.Home page
H. I. Abdullah, P. L. Pedraza, S. Hao, K. D. Rodland, J. C. McGiff, and N. R. Ferreri
NFAT regulates calcium-sensing receptor-mediated TNF production
Am J Physiol Renal Physiol, May 1, 2006; 290(5): F1110 - F1117.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Y. Huang, J.-i. Niwa, G. Sobue, and G. E. Breitwieser
Calcium-sensing Receptor Ubiquitination and Degradation Mediated by the E3 Ubiquitin Ligase Dorfin
J. Biol. Chem., April 28, 2006; 281(17): 11610 - 11617.
[Abstract] [Full Text] [PDF]


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Sci Aging Knowl EnvironHome page
Y.-i. Nabeshima
Toward a better understanding of klotho.
Sci. Aging Knowl. Environ., March 22, 2006; 2006(8): pe11 - pe11.
[Abstract] [Full Text]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Tfelt-Hansen, J. L. Hansen, S. Smajilovic, E. F. Terwilliger, S. Haunso, and S. P. Sheikh
Calcium receptor is functionally expressed in rat neonatal ventricular cardiomyocytes
Am J Physiol Heart Circ Physiol, March 1, 2006; 290(3): H1165 - H1171.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
G. Valenti, G. Procino, G. Tamma, M. Carmosino, and M. Svelto
Minireview: Aquaporin 2 Trafficking
Endocrinology, December 1, 2005; 146(12): 5063 - 5070.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
L. Rodriguez, C. Tu, Z. Cheng, T.-H. Chen, D. Bikle, D. Shoback, and W. Chang
Expression and Functional Assessment of an Alternatively Spliced Extracellular Ca2+-Sensing Receptor in Growth Plate Chondrocytes
Endocrinology, December 1, 2005; 146(12): 5294 - 5303.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
C. Silve, C. Petrel, C. Leroy, H. Bruel, E. Mallet, D. Rognan, and M. Ruat
Delineating a Ca2+ Binding Pocket within the Venus Flytrap Module of the Human Calcium-sensing Receptor
J. Biol. Chem., November 11, 2005; 280(45): 37917 - 37923.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
K. Ray, J. Tisdale, R. H. Dodd, P. Dauban, M. Ruat, and J. K. Northup
Calindol, a Positive Allosteric Modulator of the Human Ca2+ Receptor, Activates an Extracellular Ligand-binding Domain-deleted Rhodopsin-like Seven-transmembrane Structure in the Absence of Ca2+
J. Biol. Chem., November 4, 2005; 280(44): 37013 - 37020.
[Abstract] [Full Text] [PDF]


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JCBHome page
A. Gerbino, W. C. Ruder, S. Curci, T. Pozzan, M. Zaccolo, and A. M. Hofer
Termination of cAMP signals by Ca2+ and G{alpha}i via extracellular Ca2+ sensors: a link to intracellular Ca2+ oscillations
J. Cell Biol., October 24, 2005; 171(2): 303 - 312.
[Abstract] [Full Text] [PDF]


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J. Cell Sci.Home page
T. Bouschet, S. Martin, and J. M. Henley
Receptor-activity-modifying proteins are required for forward trafficking of the calcium-sensing receptor to the plasma membrane
J. Cell Sci., October 15, 2005; 118(20): 4709 - 4720.
[Abstract] [Full Text] [PDF]


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Eur J EndocrinolHome page
T. Kawata, Y. Imanishi, K. Kobayashi, T. Kenko, M. Wada, E. Ishimura, T. Miki, N. Nagano, M. Inaba, A. Arnold, et al.
Relationship between parathyroid calcium-sensing receptor expression and potency of the calcimimetic, cinacalcet, in suppressing parathyroid hormone secretion in an in vivo murine model of primary hyperparathyroidism
Eur. J. Endocrinol., October 1, 2005; 153(4): 587 - 594.
[Abstract] [Full Text] [PDF]


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Physiol. Rev.Home page
N. Wettschureck and S. Offermanns
Mammalian G Proteins and Their Cell Type Specific Functions
Physiol Rev, October 1, 2005; 85(4): 1159 - 1204.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
A. H. Weston, M. Absi, D. T. Ward, J. Ohanian, R. H. Dodd, P. Dauban, C. Petrel, M. Ruat, and G. Edwards
Evidence in Favor of a Calcium-Sensing Receptor in Arterial Endothelial Cells: Studies With Calindol and Calhex 231
Circ. Res., August 19, 2005; 97(4): 391 - 398.
[Abstract] [Full Text] [PDF]


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IBMS BoneKEyHome page
E. M. Brown
Medical Therapy of Primary Hyperparathyroidism: Are We There Yet?
IBMS BoneKEy, August 1, 2005; 2(8): 5 - 8.
[Full Text] [PDF]


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Endocr. Rev.Home page
S. J. Marx and W. F. Simonds
Hereditary Hormone Excess: Genes, Molecular Pathways, and Syndromes
Endocr. Rev., August 1, 2005; 26(5): 615 - 661.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
Z. Wu, R. Tandon, J. Ziembicki, J. Nagano, K. M. Hujer, R. T. Miller, and C. Huang
Role of ceramide in Ca2+-sensing receptor-induced apoptosis
J. Lipid Res., July 1, 2005; 46(7): 1396 - 1404.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
S. Canadillas, A. Canalejo, R. Santamaria, M. E. Rodriguez, J. C. Estepa, A. Martin-Malo, J. Bravo, B. Ramos, E. Aguilera-Tejero, M. Rodriguez, et al.
Calcium-Sensing Receptor Expression and Parathyroid Hormone Secretion in Hyperplastic Parathyroid Glands from Humans
J. Am. Soc. Nephrol., July 1, 2005; 16(7): 2190 - 2197.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
O. Rey, S. H. Young, J. Yuan, L. Slice, and E. Rozengurt
Amino Acid-stimulated Ca2+ Oscillations Produced by the Ca2+-sensing Receptor Are Mediated by a Phospholipase C/Inositol 1,4,5-Trisphosphate-independent Pathway That Requires G12, Rho, Filamin-A, and the Actin Cytoskeleton
J. Biol. Chem., June 17, 2005; 280(24): 22875 - 22882.
[Abstract] [Full Text] [PDF]


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ReproductionHome page
L.-J. Xiao, J.-X. Yuan, Y.-C. Li, R. Wang, Z.-Y. Hu, and Y.-X. Liu
Extracellular Ca2+-sensing receptor expression and hormonal regulation in rat uterus during the peri-implantation period
Reproduction, June 1, 2005; 129(6): 779 - 788.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
Y.-H. H. Lien, A. L. Silva, and D. Whittman
Effects of cinacalcet on bone mineral density in patients with secondary hyperparathyroidism
Nephrol. Dial. Transplant., June 1, 2005; 20(6): 1232 - 1237.
[Abstract] [Full Text] [PDF]


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Nephrol Dial TransplantHome page
J. G. J. Hoenderop and R. J. M. Bindels
Is vitamin D indispensable for Ca2+ homeostasis: lessons from knockout mouse models?
Nephrol. Dial. Transplant., May 1, 2005; 20(5): 864 - 867.
[Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
C. Thomee, S. W. Schubert, J. Parma, P. Q. Le, S. Hashemolhosseini, M. Wegner, and M. J. Abramowicz
GCMB Mutation in Familial Isolated Hypoparathyroidism with Residual Secretion of Parathyroid Hormone
J. Clin. Endocrinol. Metab., May 1, 2005; 90(5): 2487 - 2492.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
M. Cifuentes, C. Albala, and C. Rojas
Calcium-Sensing Receptor Expression in Human Adipocytes
Endocrinology, May 1, 2005; 146(5): 2176 - 2179.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
J. J. Yao, S. Bai, A. J. Karnauskas, D. A. Bushinsky, and M. J. Favus
Regulation of Renal Calcium Receptor Gene Expression by 1,25-Dihydroxyvitamin D3 in Genetic Hypercalciuric Stone-Forming Rats
J. Am. Soc. Nephrol., May 1, 2005; 16(5): 1300 - 1308.
[Abstract] [Full Text] [PDF]


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JAMAHome page
G. J. Strewler
A 64-Year-Old Woman With Primary Hyperparathyroidism
JAMA, April 13, 2005; 293(14): 1772 - 1779.
[Full Text] [PDF]


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J. Biol. Chem.Home page
L. Canaff and G. N. Hendy
Calcium-sensing Receptor Gene Transcription Is Up-regulated by the Proinflammatory Cytokine, Interleukin-1{beta}: ROLE OF THE NF-{kappa}B PATHWAY AND {kappa}B ELEMENTS
J. Biol. Chem., April 8, 2005; 280(14): 14177 - 14188.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
B. J. Arey, R. Seethala, Z. Ma, A. Fura, J. Morin, J. Swartz, V. Vyas, W. Yang, J. K. Dickson Jr., and J. H. M. Feyen
A Novel Calcium-Sensing Receptor Antagonist Transiently Stimulates Parathyroid Hormone Secretion in Vivo
Endocrinology, April 1, 2005; 146(4): 2015 - 2022.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. Ohanian, K. M. Gatfield, D. T. Ward, and V. Ohanian
Evidence for a functional calcium-sensing receptor that modulates myogenic tone in rat subcutaneous small arteries
Am J Physiol Heart Circ Physiol, April 1, 2005; 288(4): H1756 - H1762.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Zhang and G. E. Breitwieser
High Affinity Interaction with Filamin A Protects against Calcium-sensing Receptor Degradation
J. Biol. Chem., March 25, 2005; 280(12): 11140 - 11146.
[Abstract] [Full Text] [PDF]




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