The full-length calcium-sensing receptor dampens the calcemic response to 1alpha,25(OH)2 vitamin D3 in vivo independently of parathyroid hormone

Am J Physiol Renal Physiol. 2009 Sep;297(3):F720-8. doi: 10.1152/ajprenal.00164.2009. Epub 2009 May 27.

Abstract

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

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Calcitonin / metabolism
  • Calcium / blood
  • Calcium / metabolism*
  • Calcium / urine
  • Calcium, Dietary / administration & dosage
  • Calcium, Dietary / metabolism
  • Creatinine / urine
  • Diphosphonates / pharmacology
  • Duodenum / drug effects
  • Duodenum / metabolism*
  • Ergocalciferols / administration & dosage
  • Ergocalciferols / blood
  • Ergocalciferols / pharmacokinetics*
  • Gene Expression Regulation
  • Genotype
  • Injections, Intraperitoneal
  • Intestinal Absorption
  • Kidney / drug effects
  • Kidney / metabolism*
  • Mice
  • Mice, Knockout
  • Pamidronate
  • Parathyroid Hormone / deficiency
  • Parathyroid Hormone / genetics
  • Parathyroid Hormone / metabolism*
  • Phenotype
  • Receptors, Calcium-Sensing / deficiency
  • Receptors, Calcium-Sensing / genetics
  • Receptors, Calcium-Sensing / metabolism*

Substances

  • Calcium, Dietary
  • Diphosphonates
  • Ergocalciferols
  • Parathyroid Hormone
  • Receptors, Calcium-Sensing
  • 1,25-dihydroxyergocalciferol
  • Calcitonin
  • Creatinine
  • Pamidronate
  • Calcium