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Endocrinology Vol. 141, No. 11 4156-4163
Copyright © 2000 by The Endocrine Society


ARTICLES

Effects of a Calcimimetic Compound and Naturally Activating Mutations on the Human Ca2+ Receptor and on Ca2+ Receptor/Metabotropic Glutamate Chimeric Receptors

Omar M. Hauache1, Jianxin Hu, Kausik Ray, Rongyuan Xie, Kenneth A. Jacobson and Allen M. Spiegel

Metabolic Diseases Branch (O.M.H., J.H., K.R., A.M.S.), Laboratory of Bioorganic Chemistry (R.X., K.A.J.), NIDDK, NIH, Bethesda, Maryland 20892

Address all correspondence and requests for reprints to: Allen M. Spiegel, NIH, Building 31, Room 9A-52, Bethesda, Maryland 20892. E-mail: spiegela{at}extra.niddk.nih.gov


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Naturally occurring mutations identified in subjects with autosomal dominant hypocalcemia (ADH) and the calcimimetic compound, R-568, have both been reported to increase Ca2+ sensitivity of the Ca2+ receptor (CaR). To gain insight into their mechanism of action, we studied interactions between four different ADH mutations located in the amino-terminal extracellular domain (ECD) and R-568. We found that R-568 increased the sensitivity of three of the ADH mutant receptors, but the Leu125Pro mutant appeared to be maximally left-shifted in that neither R-568 addition nor combining other ADH mutations with Leu125Pro gave increases in sensitivity comparable to those seen with the three other ADH mutations studied. We also made use of truncation and deletion mutants of the CaR and CaR/metabotropic glutamate receptor type 1 (mGluR1) chimeras to study both the site of action of R-568 and the effect of the Leu125Pro activating mutation. R-568 was effective in receptor constructs containing the seven transmembrane domain (7TM) of the CaR, but not in those containing the mGluR1 7TM. R-568, moreover, imparted Ca2+ responsiveness to CaR constructs lacking all or part of the CaR ECD. The Leu125Pro mutation in contrast conferred no or minimal increase in Ca2+ responsiveness to CaR constructs lacking part of the CaR ECD but showed a striking increase in basal activity in the context of chimeras containing an mGluR1 7TM. Our results localize the site of action of NPS-568 specifically to the CaR 7TM. Our results with the Leu125Pro mutant, furthermore, suggest that the mGluR1 7TM domain may be more permissive for activation than the 7TM domain of the CaR.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE Ca2+ RECEPTOR (CaR), initially cloned from bovine parathyroid glands (1), plays an essential role in extracellular calcium ion ([Ca2+]o) homeostasis by regulating the rate of PTH secretion from parathyroid cells and the rate of calcium reabsorption by the kidney in response to [Ca2+]o (2). The CaR is a member of the superfamily of G protein-coupled receptors (GPCR). Activation of the CaR by [Ca2+]o involves activation of phospholipase Cß via the Gq subfamily of G-proteins. The CaR belongs to a subfamily of GPCR, family 3, which includes metabotropic glutamate receptors (mGluR), putative vomeronasal pheromone receptors, putative taste receptors, and GABAB receptors (3). A unique feature of family 3 GPCRs is a large amino-terminal extracellular domain (ECD) that may be structurally related to the Venus flytrap structure (VFT) of bacterial periplasmic binding proteins (4). ECDs for mGluR1, GABABR1, and human CaR have been modeled as VFT structures (4, 5, 6). It was hypothesized that the closing of the two lobes after binding of ligands triggers the transmission of signal from ECD to the receptor’s cytoplasmic signaling loops. For the human CaR, a model of the VFT domain begins at amino acid G36 and ends at amino acid V513 (5) (Fig. 1Go). Between VFT domain and 7 transmembrane (TM) domain, a cysteine-rich region with nine highly conserved cysteines in a closely spaced (about 60 amino acids long) sequence (Fig. 1Go) is present in all the members of family 3 except GABABR1.



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Figure 1. Schematic diagram showing amino acid sequence of hCaR ECD. The location of signal peptide, N-linked glycosylation sites, and the sequence of the synthetic polypeptide used to raise the monoclonal antibody ADD are indicated. All 19 cysteines are shown in black circles. The beginning and end of putative VFT domain are indicated. The location of the four missense activating mutations studied (A116T, L125P, F128L, and F612S) are shown. The cysteine-rich domain, from the end of VFT to the beginning of 7TM domain, is indicated by a thin line. The sites of incorporation of novel restriction sites used to construct various cysteine-rich domain chimeras are indicated by arrowheads. Residue 599 is indicated, corresponding to the residue where the rhodopsin epitope tag was added to the Rho-C-CaR construct, which lacked the majority of the ECD and included only residues 599–903 of the hCaR.

 
Several disorders of calcium homeostasis associated with CaR abnormalities have been described. In familial hypocalciuric hypercalcemia and neonatal severe hyperparathyroidism, loss of function mutations in the CaR lead to generalized resistance to [Ca2+]o (2). The opposite phenotype, hypocalcemia with relative hypercalciuria, in a disorder termed autosomal dominant hypocalcemia (ADH), has been shown to be caused by gain of function mutations of the CaR leading to hyperresponsiveness to [Ca2+]o. The majority of these gain of function mutations are localized to the VFT domain of the ECD of the CaR (2, 7), a region suggested to be critical for Ca2+ binding (1, 6), but some have also been identified within the 7 TM portion of the receptor (2). CaR mutations in ADH (8, 9, 10), with rare exceptions (7), cause increased sensitivity to Ca2+ rather than constitutive activation as seen with mutations of other GPCR identified in a number of diseases (11). A so-called calcimimetic agent (12), R-568, has also been shown to increase CaR sensitivity to Ca2+, and this action has been shown to be useful in inhibiting PTH secretion in vitro and in subjects with primary hyperparathyroidism (13) and parathyroid cancer (14).

While both gain of function mutations identified in ADH and R-568 have been shown to increase CaR sensitivity to Ca2+, their mechanism of action is unclear. As an initial step in understanding how such mutations enhance receptor sensitivity, we analyzed the effects of various gain of function mutations situated in the ECD on CaR response to Ca2+. We then studied the effects of R-568 on these activating mutants to see if the drug could further enhance sensitivity to Ca2+ of the mutant receptors. Further, by using truncation and deletion mutants of the CaR and different CaR/mGluR1 chimeras, we explored the site of action of R-568 and the mechanism of action of a potent left-shifting mutation (L125P). These studies reveal important differences between the activation mechanisms of R-568 and ADH mutations such as L125P, define the CaR 7TM as the specific site of action of R-568, and suggest that the 7TM domain of the closely related mGluR1 is more permissive for activation than that of the CaR.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Site-directed mutagenesis
The hCaR complementary DNA (cDNA) construct subcloned in the pCR3.1 vector has been described (15). Site-directed mutagenesis was performed using the QuickChange site-directed mutagenesis kit (Stratagene Inc., La Jolla, CA), according to the manufacturer’s instructions. A pair of complementary primers with 30–40 bases was designed for each mutagenesis, and the desired point mutation was placed in the middle of the primers (sequences of primers available from authors’ on request). Parental hCaR cDNA inserted in pCR3.1 was amplified using Pfu Turbo DNA polymerase with these primers for 15 cycles in a DNA thermal cycler (Perkin-Elmer Corp., Norwalk, CT). After digestion of the parental DNA with DpnI for 1 h, the amplified DNA with the nucleotide substitution incorporated was transformed into Escherichia coli (DH-5{alpha} strain). The mutations were confirmed by automated DNA sequencing using a Taq DyeDeoxy Terminator Cycle Sequencing kit and ABI prizm-377 DNA sequencer (PE Applied Biosystems, Foster City, CA). Double mutants were created by using a single mutant DNA as a template in the next round of mutagenesis.

Construction of truncated and deletion mutants and chimeras between CaR and mGluR1
A detailed description of the construction of the deletion CaR mutant and of chimeras between CaR and mGluR1 has been published (16). The VFT, cysteine-rich domain and 7TM domain of the CaR are indicated schematically in Fig. 1Go. The CaR constructs included in this study are designated as follows: Ca-//-Ca, which lacked the cysteine-rich region of the CaR ECD, Ca-Glu-Ca, which involved replacing the cysteine-rich region of the CaR with that of the mGluR1, Ca-Ca-Glu, which involved replacing the 7TM and C-tail domains of the CaR with that of mGluR1, and Ca-Glu-Glu, which involved replacing both the cysteine-rich domain and 7TM and C-tail domains of the CaR with that of mGluR1. The N-terminal-truncated version of the human CaR (Rho-C-hCaR) lacked the majority of the ECD and included a rhodopsin epitope tag (corresponding to 20 amino acids of the N terminus of rhodopsin; see Fig. 1Go) and the amino acids residues 599–903 of the CaR (7).

Transient transfection of wild-type and mutant receptor cDNAs in HEK-293 cells
Receptor cDNAs in pCR3.1 were prepared with a QIAGEN maxi Plasmid Maxi DNA preparation kit (QIAGEN Inc., Chatsworth, CA) and were introduced into HEK-293 cells by the Lipofectamine transfection method (Life Technologies, Inc., Gaithersburg, MD). For transfection, a given amount of the plasmid DNA was diluted in DMEM (Biofluids Inc., Rockville, MD) and mixed with diluted Lipofectamine, and the mixture was incubated at room temperature for 30 min. The DNA-Lipofectamine complex was further diluted in serum-free DMEM and 12 µg of DNA was added to 80–90% confluent HEK-293 cells plated in 75 cm2 flasks. After 5 h of incubation, equal volume of DMEM containing 10% FBS (Biofluids Inc., Rockville, MD) was added, and the media were replaced 24 h after transfection with complete DMEM containing 10% FBS. Membrane protein extraction for immunoblotting and phosphoinositide hydrolysis assay were performed 48 h after transfection.

Immunoblotting analysis with detergent-solubilized whole cell extracts
Confluent cells in 75 cm2 flasks or 6-well plates were rinsed with ice-cold PBS and scraped on ice in Buffer-B containing 20 mM Tris-HCl (pH 6.8), 150 mM NaCl, 10 mM EDTA, 1 mM EGTA, 1% Triton X-100 with freshly added protease inhibitors cocktail (Complete, Roche Molecular Biochemicals, Indianapolis, IN). To prevent nonspecific disulfide bond formation during protein extraction, the intact cells were incubated and washed in PBS containing 50 mM iodoacetamide and 10 mM iodoacetamide was included in the lysis buffer. Proteins were eluted with gel loading sample buffer containing ß-mercaptoethanol as reducing agent and run on SDS-PAGE and then analyzed on immunoblots stained with anti-hCaR monoclonal antibody ADD to detect total hCaR immunoreactive species. The protein content of each sample was determined by the modified Bradford method (Bio-Rad Laboratories, Inc., Hercules, CA) and 40–60 µg of protein per lane was separated on 6% SDS-PAGE. The proteins on the gel were electrotransferred to nitrocellulose membrane and incubated for 90 min with protein A-purified mouse monoclonal anti-hCaR antibody ADD (raised against a synthetic peptide corresponding to residues 214–235 of hCaR protein at a dilution of 1:10000). After washing 3 times for 15 min with Tris-buffered saline with Tween (TBST, containing 0.05 M Tris, pH 8.0, 0.05 M NaCl with 0.1% Tween 20), the membrane was incubated for 90 min with a secondary goat antimouse antibody conjugated to horseradish peroxidase (Kirkegaard & Perry Laboratories, Gaithersburg, MD) at a dilution of 1:5000. After washing 3 times for 15 min with TBST and once for 15 min with Tris-buffered saline (TBS), the hCaR protein was detected with an enhanced chemiluminescence system (ECL) (Amersham Pharmacia Biotech, Arlington Heights, IL).

Phosphoinositide (PI) hydrolysis assay
PI hydrolysis assay has been described (15, 17). Briefly, 24 h after transfection, transfected cells from a confluent 75 cm2 flask were replated in a 12-well plate in medium containing 3.0 µCi/ml of 3H-myoinositol (NEN Life Science Products, Beverly, MA) in complete DMEM for another 24 h, followed by 1 h incubation with PI buffer (120 mM NaCl, 5 mM KCl, 5.6 mM glucose, 0.4 mM MgCl2, 20 mM LiCl in 25 mM PIPES buffer, pH 7.2). After removal of PI buffer, cells were incubated for an additional 1 h with different concentrations of [Ca2+]o in PI buffer, with or without 1 µM of R-568. The reactions were terminated by addition of 1 ml of acid-methanol (167 µl of HCl in 120 ml of methanol). Total inositol-phosphates were purified by chromatography on Dowex 1-x8 columns.

Synthesis of calcimimetic agent, R-568
The calcimimetic agent, (R)-N-(3-methoxy-{alpha}-phenylethyl)-3-(2'-chlorophenyl)-1-propylamine hydrochloride) or R-568 was synthesized by a novel route. Racemic 1-(3-methoxyphenyl)ethylamine was prepared by reductive amination of 3-methoxyacetophenone with ammonium acetate (18), and the enantiomerically pure R-isomer isolated through crystallization with R-mandelic acid (19). The final products were then obtained by reductive amination of 3-(2-chlorophenyl)propionaldehyde with the free base of R-1-(3-methoxyphenyl)ethylamine using sodium cyanoborohydride in tetrahydrofuran containing a trace of acetic acid, to provide R-568. The amine was isolated as the hydrochloride salt following treatment of the free base with anhydrous hydrochloric acid gas in dry ether. The specific rotations obtained were shown to be equivalent to the reported values (12). Proton NMR spectra, high resolution mass spectra, and CHN analyses of the final product were consistent with the assigned structure.

Statistical analysis
Data were calculated as mean ± SE. For comparisons, paired t test was used and P < 0.05 was considered significant. The statistical program used was SigmaStat 1.0 (Jandel Corp., San Rafael, CA).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Ca2+ sensitivity of single CaR mutants in PI hydrolysis assay
We used site-directed mutagenesis to create four activating mutants within the CaR ECD that have been identified in subjects with ADH (Fig. 1Go). Of these, A116T (20), and L125P (21), had not been previously functionally characterized, whereas F128L (8) and F612S (22) had been shown to cause increased Ca2+ sensitivity ("left shift"). First, we characterized the pattern of activation of these mutants by comparing them to the WT hCaR’s entire dose response range to calcium (Fig. 2Go, insets). To focus on the most relevant concentration range, we performed all subsequent PI hy-drolysis assays at concentrations of Ca2+ varying from 0 mM to 4.0 mM (Fig. 2Go). This concentration range was most informative for comparisons of WT hCaR and various left-shifted mutant receptors. We first confirmed that F128L and F612S mutant receptors show a significant left-shifted response to Ca2+ and found that to be true for the A116T and L125P mutants as well (Fig. 2Go, A–D). The most striking increase in Ca2+ sensitivity was seen with the L125P mutant, especially at low doses of calcium (Fig. 2BGo); the three other mutants each showed a similar increase in sensitivity compared with WT, but this was not as marked as seen with L125P. Even the basal levels for L125P were significantly higher than the wild-type CaR’s basal levels. In distinction to Ca2+ sensitivity, which was highest for the L125P mutant, maximum response for both the L125P and F128L mutants were lower than that of WT, whereas maximum response for the A116T and F612S mutants were equivalent to WT (Fig. 2Go).



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Figure 2. Concentration-dependence for Ca2+ stimulation of PI hydrolysis in transfected HEK-293 cells expressing WT hCaR compared with single activating mutants. Insets show the same experiment performed at higher calcium ranges. A, WT compared with A116T mutant. B, WT compared with L125P mutant. C, WT compared with F128L mutant. D, WT compared with F612S mutant. HEK-293 cells were transfected with 12 µg of receptor cDNA and PI hydrolysis assay performed as described in Materials and Methods. Results (cpm of labeled total inositol phosphates generated) are expressed as a percent of the maximal response of WT hCaR for each curve. Data are the mean ± SE of duplicate determinations from a single representative experiment. Each experiment was repeated 3–6 times with separate transfections with similar results.

 
Cell surface expression of single activating mutants of the CaR assessed by immunoblotting
As shown in Fig. 3Go, under reducing conditions, ADD antibody detected two monomeric forms for the wild-type hCaR and for the mutants studied. Previous studies demonstrated that the monomeric 150-kDa band represents hCaR forms expressed at the cell surface and modified with N-linked, complex carbohydrates; the 130-kDa band represents high-mannose-modified forms, trapped intracellularly and sensitive to Endo-H digestion. Therefore, we can see that all single activating mutants herein studied are well expressed on the cell surface. Differences observed regarding levels of expression among the mutants studied did not correlate with the degree of left-shift observed, but the relatively lower expression for the L125P and F128L mutants compared with WT may relate to the lower maximum response to Ca2+ observed for these mutants (Fig. 2Go).



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Figure 3. Determination of cell surface expression of wild-type hCaR and mutants studied by Western blot. HEK-293 cells were transfected either with WT hCaR or with mutant forms of the CaR. Lanes 1–5 represent forms of the WT and mutant receptors detected with anti-hCaR ADD monoclonal antibody. Whole cell lysates were eluted with SDS-PAGE loading sample buffer containing ß-mercaptoethanol and separated on 6% SDS-PAGE. The 150-kDa band represents hCaR forms expressed at the cell surface and the 130-kDa band represents high-mannose-modified forms trapped intracellularly as previously demonstrated by endoglycosidase digestion and cell surface protein labeling with biotin (5 26 ).

 
Effect of the calcimimetic drug R-568 on Ca2+ sensitivity of single activating CaR mutants as measured in PI hydrolysis assay
We confirmed that R-568 significantly enhances the WT hCaR response to [Ca2+]o (Fig. 4AGo). To test if the response to [Ca2+]o of mutant CaRs that are already left-shifted could be further enhanced by R-568, we incubated cells transfected with mutant CaR cDNAs with various concentrations of [Ca2+]o with and without simultaneous incubation with a near maximal concentration (12) of R-568. A dose curve ranging from 0 to 10 µM of R-568 was performed (data not shown) and based on that, 1 µM of R-568 was used in our experiments. As shown in Fig. 4Go, B–E, the calcimimetic agent was capable of significantly further enhancing the response to [Ca2+]o at concentrations up to 2.0 mM for the A116T, F128L, F612S mutants; for the L125P mutant, R-568 enhanced response significantly only at 0 mM of [Ca2+]o. We also created two double activating mutants including the mutation L125P (A116T + L125P and L125P + F128L). Both double-mutants that included L125P did not show a significant increase in sensitivity over L125P alone (data not shown).



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Figure 4. Concentration dependence for Ca2+ stimulation of PI hydrolysis in transfected HEK-293 cells expressing WT or single mutant hCaRs with and without 1 µM of the calcimimetic agent, R-568. A, WT hCaR response to Ca2+ with and without R-568. B, A116T response to Ca2+ with and without R-568. C, L125P mutant response to Ca2+ with and without R-568. D, F128L mutant response to Ca2+ with and without R-568. E, F612S mutant response to Ca2+ with and without R-568. Methods are as in legend to Fig. 2Go. Results (cpm of labeled total inositol phosphates generated) are expressed as a percent of the maximal response of WT hCaR. Data are the mean ± SE of duplicate determinations from a single representative experiment. Each experiment was repeated 3–6 times with separate transfections with similar results.

 
Effect of the calcimimetic drug R-568 on Ca2+ sensitivity of different forms of the CaR as measured in PI hydrolysis assay
A series of chimeric CaR/mGluR1 constructs as well as CaR truncation and deletion mutants were made as previously described (7, 16). Expression levels of each construct (including the forms containing the L125P mutation), as assessed by immunoblotting, are shown in Fig. 5Go. The responses of these receptor constructs to calcium with and without R-568 is shown at Fig. 6Go. R-568 significantly increased the sensitivity to [Ca2+]o of wild-type CaR at calcium concentrations of 2.0 and 4.0 mM. The chimera that contains the mGluR cysteine rich region (Ca-Glu-Ca) is less expressed at the cell surface and its mobility is altered on a SDS-PAGE gel when compared with the WT hCaR. However, it still responds to calcium, this response being ~25% of the WT hCaR’s response (16). Addition of R-568 results in a dramatic and significant increase of both the sensitivity of this chimera to [Ca2+]o and the maximum response achieved (Fig. 6BGo). Both chimeras that contain the mGluR transmembrane domain (Ca-Ca-Glu and Ca-Glu-Glu) were well expressed at the cell surface with slower mobility on SDS-PAGE when compared with the wild-type CaR (16). This altered mobility may be explained by the 141 amino acid longer 7 TM plus C-tail of mGluR1. Both Ca-Ca-Glu and Ca-Glu-Glu were almost comparable to the WT hCaR in Ca2+ sensitivity, but maximal responses were approximately 80% and 60%, respectively, of the WT hCaR’s maximal response. The calcimimetic compound did not change the Ca2+ sensitivity or maximal response for either of these chimeras (Figs. 6Go, C and D). Ca-//-Ca has a faster mobility on SDS-PAGE due to the lack of the cysteine-rich domain. This deletion mutant is less well expressed but a significant proportion of the mutant receptor does reach the cell surface as reflected in the upper, fully processed band on immunoblot (Fig. 5Go) (16). The Rho-C-CaR truncation mutant is well expressed at the cell surface as demonstrated previously using a rhodopsin N-terminal epitope monoclonal antibody (7). Both these constructs, Ca-//-Ca and Rho-C-CaR, which by themselves are unable to respond to [Ca2+]o but still have their CaR 7TM domains intact, became sensitive to [Ca2+]o in the presence of R-568 and show a maximal response approximately 30% that of WT (Fig. 6Go, E and F).



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Figure 5. Determination of cell surface expression of wild-type hCaR and different constructs studied by Western blot. HEK-293 cells were transfected either with WT hCaR or with each of these constructs. Whole cell lysates were eluted with SDS-PAGE loading sample buffer containing ß-mercaptoethanol and separated on 6% SDS-PAGE. Anti-hCaR ADD monoclonal antibody was used for detection. The 150-kDa band represents hCaR forms expressed at the cell surface and the 130-kDa band represents high-mannose-modified forms trapped intracellularly.

 


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Figure 6. Concentration dependence for Ca2+ stimulation of PI hydrolysis in transfected HEK-293 cells expressing WT or different constructs involving hCaR with and without 1 µM of the calcimimetic agent, R-568. A, WT hCaR response to Ca2+ with and without R-568. B, Ca-Glu-Ca response to Ca2+ with and without R-568. C, Ca-Ca-Glu response to Ca2+ with and without R-568. D, Ca-Glu-Glu response to Ca2+ with and without R-568. E, Ca-//-Ca response to Ca2+ with and without R-568. F, Rho-C-CaR response to Ca2+ with and without R-568. Methods are as in legend to Fig. 2Go. Results (cpm of labeled total inositol phosphates generated) are expressed as a percent of the maximal response of WT hCaR. Data are the mean ± SE of duplicate determinations from a single representative experiment. Each experiment was repeated 3–6 times with separate transfections with similar results.

 
Effect of L125P on Ca2+ sensitivity of different forms of the CaR as measured in PI hydrolysis assay
As shown before, L125P is a very potent left-shifting mutant for the CaR (Fig. 2BGo). This mutation is located in the ECD in a region where other four neighboring activating mutations are present. When the L125P mutation was placed into the context of the Ca-Glu-Ca chimera, this resulted in a significant left-shift for calcium concentrations ranging from 0 to 8.0 mM, but the maximal response was not increased (Fig. 7BGo). The deletion mutant, which does not have the CaR cysteine-rich domain (Ca-//-Ca) is not activated by this mutation (Fig. 7CGo). On the other hand, both chimeras that share mGluR1 7TM domains had their response to calcium significantly potentiated by the L125P mutation (for the Ca-Ca-Glu chimera, activation of the L125P mutant was significantly higher from 0 to 8.0 mM calcium, whereas for the Ca-Glu-Glu chimera the L125P mutant was significantly more activated at all calcium concentrations) (Fig. 7Go, D and E). Strikingly, for both of these chimeras adding the L125P mutation resulted in extremely high basal levels (~60% of the WT maximal response).



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Figure 7. Concentration dependence for Ca2+ stimulation of PI hydrolysis in transfected HEK-293 cells expressing WT hCaR, a CaR deletion mutant, and CaR/mGluR1 chimeras without or with the superimposed L125P activating mutation. A, WT h CaR compared with L125P mutant. B, Ca-Glu-Ca compared with L125P Ca-Glu-Ca. C, Ca-//-Ca compared with L125P Ca-//-Ca. D, Ca-Ca-Glu compared with L125P Ca-Ca-Glu. E, Ca-Glu-Glu compared with L125P Ca-Glu-Glu. Methods are as in legend to Fig. 2Go. Results (cpm of labeled total inositol phosphates generated) are expressed as a percent of the maximal response of WT hCaR. Data are the mean ± SE of duplicate determinations from a single representative experiment. Each experiment was repeated 3–6 times with separate transfections with similar results.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Ca2+ binds with millimolar affinity to the CaR, presumptively to one or more sites within the ECD (23, 24). Ca2+ binding, as for agonists binding to other GPCR, is assumed to change the conformation of certain receptor transmembrane helices and intracellular loops leading to G protein activation. The precise site(s) of Ca2+ binding and the subsequent mechanism of CaR activation are unknown. Naturally occurring hCaR mutations identified in subjects with ADH, and the calcimimetic compound R-568 (25) do not by themselves activate the CaR but increase its sensitivity to activation by Ca2+. ADH mutations and R-568 could in theory increase CaR affinity for binding Ca2+ or could increase receptor activation for a given amount of Ca2+ bound. Since, to date, neither direct binding assays for the CaR nor a rigorously defined structure of the CaR are available, the mechanism by which ADH mutations or R-568 enhance CaR sensitivity to Ca2+ is unknown.

In the present study, we tested the effect of various ADH mutations, alone and in combination, as well as with the drug, R-568, to see if these combinations would show additional increases in Ca2+ sensitivity. If R-568 and certain mutations enhance sensitivity by the same mechanism, combining these might not lead to further increases in Ca2+ sensitivity. In contrast, combinations of mutations or drug plus mutation that involved different sites and mechanisms of action might lead to further increases in Ca2+ sensitivity.

We studied three neighboring activating mutations A116T (20), L125P (21), and F128L (9) from a portion of the ECD that is a "hot spot" for ADH mutations, harboring five (together with N118K and E127A) of the nine reported ADH mutations located in the ECD; and a mutation, F612S (22), at the junction of the ECD and first transmembrane domain. Each mutation enhanced CaR sensitivity to Ca2+ with L125P being the most effective, but L125P and F128L mutants showed a lower maximal response than WT CaR, possibly related to the lower levels of cell surface expression observed for these mutants on immunoblot. R-568 further enhanced the Ca2+ sensitivity of ECD mutant receptors such as A116T, F128L, and F612S but had minimal additional effect on L125P. With the double mutants, we also noted that combining other mutations with L125P led to minimal increases in Ca2+ sensitivity.

Thus, the principal determinant of further increases in Ca2+ sensitivity was the degree of left-shift caused by any individual mutation. It appears that certain modifications of the CaR, such as the L125P mutation alone lead to a maximal state of Ca2+ sensitivity that cannot be further left-shifted. Whether such mutant receptors could be right-shifted by compounds acting in the opposite way to R-568 is not only of theoretical interest but could have practical applications in treatment of subjects with ADH and in other states in which increases in PTH secretion are desirable. It is also interesting that the L125P mutation was shown to be a de novo mutation not present in either parent of the severely affected neonate in whom the mutation was identified (21). The severity of the clinical manifestations are compatible with our in vitro results showing that the L125P appears to cause a maximal left-shift of the CaR.

The site of action of R-568 appears to be within and specific for the 7TM domain of the CaR because R-568 had no effect on chimeras such as Ca-Ca-Glu and Ca-Glu-Glu lacking the CaR 7TM domain. Similar results using closely related receptors such as mGluRs and using different chimeras tested in microinjected Xenopus oocytes have previously been reported (5, 12). The effects of R-568 on the Ca-Glu-Ca chimera and on the Ca-//-Ca deletion and Rho-C-CaR truncation mutants were of particular interest. The Ca-Glu-Ca chimera was previously shown to be significantly impaired in Ca2+ response both in terms of EC50 and maximal activation (16). R-568 dramatically enhanced both parameters. These data are compatible with the idea that binding of R-568 to the CaR 7TM amplifies signals coming from the ECD to the 7TM domain. The Ca-//-Ca and Rho-C-CaR constructs fail to respond to Ca2+ despite a significant degree of cell surface expression. R-568 revealed a Ca2+ response of both of these constructs, albeit one that is much lower than that of wild-type CaR. This suggests that the 7TM domain may contain a very low affinity Ca2+ binding site that by itself, e.g. in constructs such as Rho-C-CaR lacking the ECD or Ca-//-Ca lacking the cysteine-rich region to transmit signal from the VFT to 7TM domain, is incapable of activating the CaR. R-568 action on the 7TM to amplify its response unmasks the Ca2+ responsiveness of constructs such as Ca-//-Ca and Rho-C-CaR.

The effects of R-568 contrast with those of the L125P activating mutation. The latter’s effect on the Ca/Glu/Ca chimera are modest by comparison with R-568, presumably because L125P acts proximal to the impaired cysteine-rich region of the chimera, whereas R-568 acts distally. For the same reason, the L125P mutant fails to activate the Ca-//-Ca deletion mutant at all (16). An unexpected effect of the L125P mutation, namely strikingly elevated basal activity (with basal defined as no added calcium in the PI buffer), was evident in the Ca-Ca-Glu and Ca-Glu-Glu chimeras. The same chimeras without the L125P mutation showed only slight (<20% of WT maximum response) increased basal activity. We interpret these results to suggest that the 7TM domain of the mGluR1 in the context of a chimeric receptor with the CaR VFT part of the ECD is more permissive for activation than that of the WT CaR. Interestingly, addition of R-568 to the CaR with an L125P mutation, while not causing a further left-shift in Ca2+ response, increases basal activity. This further supports our conclusions regarding the distinct sites and mechanisms of activation of the L125P mutant and the calcimimetic compound.

Our results lead us to suggest a tentative model for CaR activation. Ca2+ binding to site(s) on the ECD VFT domain causes a conformational change that is transmitted through the ECD cysteine-rich region to the 7TM domain and leads to receptor activation. The precise nature of the signal from ECD to 7TM domain, e.g. a direct, protein-protein interaction between ECD and 7TM domain, is presently unknown. ECD mutations such as occur in ADH facilitate the conformational change of the VFT domain resulting in transmission of a more powerful signal to the 7TM domain for any given concentration of Ca2+. This is particularly likely to be true for mutations such as L125P that occur in an ADH mutation "hot-spot" in the ECD, the loop 2 dimerization interface in a model depicted in Ref. 5 . R-568 in contrast binds to the 7TM and facilitates its activation by any signal transmitted from the ECD, as well as by high concentrations of Ca2+ binding directly to the 7TM domain. Further studies of CaR structure and function are needed to define the Ca2+ binding site(s) and to elucidate the precise mechanism of activation. Studies comparing the structure/conformation of a mutant CaR such as L125P which shows dramatically increased Ca2+ sensitivity, with that of the WT CaR could provide a useful approach.


    Acknowledgments
 
We are grateful to Regina Collins for superb assistance with cell culture and to Paul Goldsmith for assistance with antibodies.


    Footnotes
 
1 Supported by Grant No. 10848–2 from FAPESP (Fundacao de Amparo a Pesquisa do Estado de Sao Paulo, Brazil). Back

Received April 13, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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