Ga11 deficiency increases fibroblast growth factor-23 levels in a mouse model of FamilialHypocalciuricHypercalcemia. Fibroblast Growth Factor 23 (FGF23) production has recently been shown to increase downstream of G⍺q/11-PKC signaling in osteocytes. Inactivating mutations in the gene encoding G⍺11 (GNA11) cause familialhypocalciurichypercalcemia (FHH) due to impaired calcium-sensing receptor
FamilialHypocalciurichypercalcemia in an infant: diagnosis and management quandaries. Familialhypocalciurichypercalcemia (FHH) is typically a benign condition characterized by elevated serum calcium, low urinary calcium excretion, and non-suppressed circulating levels of parathyroid hormone (PTH), usually requiring no intervention. FHH is inherited in an autosomal-dominant manner. Three
Loss-of-Function Thr347Ala Variant in the G Protein Subunit-α11 Causes FamilialHypocalciuricHypercalcemia 2 (FHH2). To date, only four loss-of-function variants in the GNA11 gene encoding the G protein subunit α11 (Gα11) leading to familialhypocalciurichypercalcemia 2 (FHH2) have been characterized. Gα11 is involved in calcium-sensing receptor (CaSR) signaling, and loss-of-function variants
Nephrotic Syndrome Complicated with FamilialHypocalciuricHypercalcemia in an Infant: A Case Report and Comprehensive Literature Review. Nephrotic syndrome, a prevalent childhood glomerular disorder, manifests with proteinuria, hypoalbuminemia, edema, and hypercholesteremia. Hypercalcemia, though rare, occasionally complicates these cases. Familialhypocalciurichypercalcemia, an autosomal to hypercalcemia. Genetic analysis identified a heterozygous mutation c.1394G>A (p.R465Q) in the calcium-sensing receptor gene, shared among the patient, her grandmother, her father, and one sister. Notably, hypercalcemia required no intervention. This case report is the first documenting familialhypocalciurichypercalcemia in a child with primary nephrotic syndrome and delineates the familial pedigree. While
Neurodevelopmental Abnormalities in Patients with FamilialHypocalciuricHypercalcemia Type 3. To evaluate the prevalence and degree of any neurodevelopmental abnormalities in children with familialhypocalciurichypercalcemia type 3 (FHH3). A formal neurodevelopmental assessment was performed in children diagnosed with FHH3. The Vineland Adaptive Behavior Scales, which is a standardized parent
Cinacalcet reverses short QT interval in FamilialHypocalciuricHypercalcemia type 1. Familialhypocalciurichypercalcemia type 1 (FHH-1) defines an autosomal dominant disease, related to mutations in the CASR gene, with mild hypercalcemia in most cases. Cases of FHH-1 with a short QT interval have not been reported to date. Three family members presented with FHH-1 and short QT interval (< 360
A case of familialhypocalciurichypercalcemia type 1 due to CASR p.Pro55Leu mutation. Familialhypocalciurichypercalcemia (FHH) is a rare autosomal dominant disease, which requires differential diagnosis from relatively common primary hyperparathyroidism (PHPT) in order to avoid unnecessary surgery. A 16-year-old female had been followed by the department of psychosomatic medicine at our
Familialhypocalciurichypercalcaemia type 1 caused by a novel heterozygous missense variant in the CaSR gene, p(His41Arg): two case reports. Familialhypocalciurichypercalcaemia (FHH) is a rare, inherited disorder of extracellular calcium sensing. It is clinically characterised by mild to moderate parathyroid hormone dependent hypercalcaemia, an autosomal dominant pattern of inheritance
Familialhypocalciurichypercalcemia caused by homozygous CaSR gene mutation: A case report of a family. Familialhypocalciurichypercalcemia (FHH) is a group of autosomal dominant genetic diseases with persistent hypercalcemia and hypocalciuria. The calcium-sensitive receptor (CaSR) plays an important role in calcium and phosphorus metabolism. A 32-year-old man who had diabetes was admitted
Neonatal Hypocalcemic Seizures in Offspring of a Mother With FamilialHypocalciuricHypercalcemia Type 1 (FHH1). Familialhypocalciurichypercalcemia type 1 (FHH1) is caused by loss-of-function mutations of the calcium-sensing receptor (CaSR) and is considered a benign condition associated with mild-to-moderate hypercalcemia. However, the children of parents with FHH1 can develop a variety
Heterozygous Mutation (Q459R) in the Calcium-Sensing Receptor Gene Causes FamilialHypocalciuricHypercalcemia 1 (FHH1). Several heterozygous loss-of-function mutations in the calcium-sensing receptor gene (CASR) leading to elevated ionized serum calcium and familialhypocalciurichypercalcemia 1 (FHH1) have been characterized. Few mutations are not pathogenic, and previous studies suggested
FamilialHypocalciuricHypercalcemia Type 1 and Autosomal-Dominant Hypocalcemia Type 1: Prevalence in a Large Healthcare Population. The calcium-sensing receptor (CaSR) regulates serum calcium concentrations. CASR loss- or gain-of-function mutations cause familialhypocalciurichypercalcemia type 1 (FHH1) or autosomal-dominant hypocalcemia type 1 (ADH1), respectively, but the population
Calcimimetic Use in FamilialHypocalciuricHypercalcemia - A Perspective in Endocrinology. Familialhypocalciurichypercalcemia (FHH) causes lifelong hypercalcemia that even persists after subtotal parathyroidectomy. Symptoms are usually mild. Past recommendations have often been for monitoring and against surgical or pharmacologic treatments. Review of publications about FHH, calcium-sensing
FamilialHypocalciuricHypercalcemia as an Atypical Form of Primary Hyperparathyroidism. Familialhypocalciurichypercalcemia (FHH) causes lifelong hypercalcemia with features that overlap with typical primary hyperparathyroidism (PHPT). The incompleteness of this overlap has led to divergent nomenclatures for FHH. I compare two nomenclatures. One sets FHH as an entity distinct from PHPT
Cinacalcet rectifies hypercalcemia in a patient with familialhypocalciurichypercalcemia type 2 (FHH2) caused by a germline loss-of-function Gα11 mutation. G-protein subunit α-11 (Gα ) couples the calcium-sensing receptor (CaSR) to phospholipase C (PLC)-mediated intracellular calcium (Ca ) and mitogen-activated protein kinase (MAPK) signaling, which in the parathyroid glands and kidneys regulates parathyroid hormone release and urinary calcium excretion, respectively. Heterozygous germline loss-of-function Gα mutations cause familialhypocalciurichypercalcemia type 2 (FHH2), for which effective therapies are currently not available. Here, we report a novel heterozygous Gα germline mutation, Phe220Ser, which was associated with hypercalcemia in a family with FHH2. Homology
AP2S1 and GNA11 mutations - not a common cause of familialhypocalciurichypercalcemia. Familialhypocalciurichypercalcemia (FHH) type 1 is caused by mutations in the gene encoding the calcium-sensing receptor (CASR). Recently, mutations affecting codon 15 in the gene AP2S1 have been shown to cause FHH type 3 in up to 26% of CASR-negative FHH patients. Similarly, mutations in the gene GNA11
Atypical skeletal manifestations of rickets in a familialhypocalciurichypercalcemia patient Familialhypocalciurichypercalcemia (FHH) is caused by inactivating mutations in the calcium-sensing receptor () gene. The loss of function of presents with rickets as the predominant skeletal abnormality in mice, but is rarely reported in humans. Here we report a case of a 16-year-old boy with FHH
G-Protein Subunit-α11 Loss-of-Function Mutation, Thr54Met, Causing FamilialHypocalciuricHypercalcemia Type 2 (FHH2). Familialhypocalciurichypercalcemia (FHH) is a genetically heterogeneous disorder with three variants, FHH1 to FHH3. FHH1 is caused by loss-of-function mutations of the calcium-sensing receptor (CaSR), a G-protein coupled receptor that predominantly signals via G-protein subunit
The cardiovascular system in FamilialHypocalciuricHypercalcemia (FHH): a cross-sectional study on physiological effects of inactivating variants in the calcium-sensing receptor gene (CASR). Loss-of-function variants in the gene encoding the calcium-sensing receptor (CASR) result in familialhypocalciurichypercalcemia (FHH), causing hypercalcemia with high normal or elevated parathyroid
Familialhypocalciurichypercalcemia types 1 and 3 and primary hyperparathyroidism: similarities and differences. Familialhypocalciurichypercalcemia (FHH) is a genetically heterogeneous condition resembling primary hyperparathyroidism (PHPT) but not curable by surgery; FHH types 1, 2, and 3 are due to loss-of-function mutations of the CASR, GNA11, or AP2S1 genes, respectively. This study aimed