Endocrinology Vol. 141, No. 11 4156-4163
Copyright © 2000 by The Endocrine Society
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
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Abstract
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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.
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Introduction
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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 receptors 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. 1
). 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. 1
) 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 599903 of the hCaR.
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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.
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Materials and Methods
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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 manufacturers instructions. A pair of complementary primers
with 3040 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
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. 1
. 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. 1
) and the amino acids residues 599903 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 8090% 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 4060 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 214235 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-
-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).
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Results
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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. 1
). 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 hCaRs entire dose
response range to calcium (Fig. 2
, 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. 2
). 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. 2
, AD). The most striking increase in
Ca2+ sensitivity was seen with the L125P mutant,
especially at low doses of calcium (Fig. 2B
); 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 CaRs 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. 2
).

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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 36 times with separate transfections with similar
results.
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Cell surface expression of single activating mutants of the CaR
assessed by immunoblotting
As shown in Fig. 3
, 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. 2
).

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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
15 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 ).
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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. 4A
). 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. 4
, BE, 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. 2 . 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 36 times with separate
transfections with similar results.
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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. 5
. The
responses of these receptor constructs to calcium with and without
R-568 is shown at Fig. 6
. 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 hCaRs 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. 6B
). 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 hCaRs maximal
response. The calcimimetic compound did not change the
Ca2+ sensitivity or maximal response for either
of these chimeras (Figs. 6
, 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. 5
) (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. 6
, 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. 2 . 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 36
times with separate transfections with similar results.
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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. 2B
). 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. 7B
). The deletion mutant,
which does not have the CaR cysteine-rich domain (Ca-//-Ca) is not
activated by this mutation (Fig. 7C
). 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. 7
, 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. 2 . 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 36 times with separate transfections with similar
results.
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Discussion
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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 latters 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. 108482 from FAPESP (Fundacao de Amparo a
Pesquisa do Estado de Sao Paulo, Brazil). 
Received April 13, 2000.
 |
References
|
|---|
-
Brown E M, Gamba G, Riccardi D, Lombardi M, Butters
R, Kifor O, Sun A, Hediger M A, Lytton J, Hebert S C 1993 Cloning
and characterization of an extracellular
Ca(2+)-sensing receptor from bovine parathyroid.
Nature 366:575580[CrossRef][Medline]
-
Brown E M 1999 Physiology and pathophysiology of
the extracellular calcium-sensing receptor. Am J Med 106:238253[CrossRef][Medline]
-
Bockaert J, Pin J P 1999 Molecular tinkering of G
protein-coupled receptors: an evolutionary success. EMBO J 18:17231729[CrossRef][Medline]
-
OHara PJ, Sheppard PO, Thogersen H, Venezia D,
Haldeman BA, McGrane V, Houamed KM, Thomsen C, Gilbert TL, Mulvihill
ER 1993 The ligand-binding domain in metabotropic glutamate
receptors is related to bacterial periplasmic binding proteins. Neuron 11:4152[CrossRef][Medline]
-
Ray K, Hauschild BC, Steinbach PJ, Goldsmith PK,
Hauache O, Spiegel AM 1999 Identification of the cysteine residues
in the amino-terminal extracellular domain of the human
Ca2+ receptor critical for dimerization. J
Biol Chem 274:2764227650[Abstract/Free Full Text]
-
Galvez T, Parmentier M L, Joly C, Malitschek B,
Kaupmann K, Kuhn R, Bittiger H, Froestl W, Bettler B, Pin JP 1999 Mutagenesis and modeling of the GABA-B receptor extracellular domain
support a venus flytrap mechanism for ligand binding. J Biol Chem 274:1336213369[Abstract/Free Full Text]
-
Zhao XM, Hauache O, Goldsmith PK, Collins R, Spiegel
AM 1999 A missense mutation in the seventh transmembrane domain
constitutively activates the human Ca2+ receptor.
FEBS Lett 448:180184[CrossRef][Medline]
-
Pearce SHS, Bai M, Quinn SJ, Kifor O, Brown EM, Thakker
RV 1996 Functional characterization of calcium-sensing receptor
mutations expressed in human embryonic kidney cells. J Clin Invest 98:18601866[Medline]
-
Pearce SH, Williamson C, Kifor O, Bai M, Coulthard MG,
Davies M, Lewis-Barned N, McCredie D, Powell H, Kendall-Taylor P, Brown
EM, Thakker RV 1996 A familial syndrome of hypocalcemia with
hypercalciuria due to mutations in the calcium-sensing receptor [see
comments]. N Engl J Med 335:11151122[Abstract/Free Full Text]
-
De Luca F, Ray K, Mancilla EE, Fan GF, Winer KK, Gore P,
Spiegel AM, Baron J 1997 Sporadic hypoparathyroidism caused by de
novo gain-of-function mutations of the
Ca2+-sensing receptor. J Clin Endocrinol
Metab 82:27102715[Abstract/Free Full Text]
-
Spiegel AM 1998 G Proteins, Receptors and Disease.
Humana Press, Totawa, NJ
-
Nemeth EF, Steffey ME, Hammerland LG, Hung BCP, Van
Wagenen BC, DelMar EG, Balandrin MF 1998 Calcimimetics with potent
and selective activity on the parathyroid calcium receptor. Proc Natl
Acad Sci USA 95:40404045[Abstract/Free Full Text]
-
Silverberg SJ, Bone III HG, Marriott TB, Locker FG,
Thys-Jacobs S, Dziem G, Kaatz S, Sanguinetti EL, Bilezikian JP 1997 Short-term inhibition of parathyroid hormone secretion by a
calcium-receptor agonist in patients with primary hyperparathyroidism.
N Engl J Med 337:15061510[Abstract/Free Full Text]
-
Collins MT, Skarulis MC, Bilezikian JP, Silverberg SJ,
Spiegel AM, Marx SJ 1998 Treatment of hypercalcemia secondary to
parathyroid carcinoma with a novel calcimimetic agent. J Clin
Endocrinol Metab 83:10831088[Abstract/Free Full Text]
-
Ray K, Fan GF, Goldsmith PK, Spiegel AM 1997 The
carboxyl terminus of the human calcium receptor. Requirements for
cell-surface expression and signal transduction. J Biol Chem 272:3135531361[Abstract/Free Full Text]
-
Hu J, Hauache O, Spiegel AM 2000 Human
Ca2+ receptor cysteine-rich domain: analysis of
function of mutant and chimeric receptors. J Biol Chem 275:1638216389[Abstract/Free Full Text]
-
Fan G, Goldsmith P K, Collins R, Dunn CK, Krapcho KJ,
Rogers KV, Spiegel A M 1997 N-linked glycosylation of the human
Ca2+ receptor is essential for its expression at
the cell surface. Endocrinology 138:19161922[Abstract/Free Full Text]
-
Borch RF, Bernstein MD, Durst HD 1971 The
cyanohydridoborate anion as a selective reducing agent. J Am Chem
Soc 93:28972904[CrossRef]
-
Sakai K, Hashimoto Y, Kinbara K, Saigo K, Murakami H,
Nohira H 1993 Optical resolution of 1-(3-methoxyphenyl)ethylamine
with enantiomerically pure mandelic acid and the crystal structure of
less-soluble diastereomeric salt. Bull Chem Soc Jpn 66:34143418[CrossRef]
-
Baron J, Winer KK, Yanovski JA, Cunningham AW, Laue L,
Zimmerman D, Cutler Jr GB 1996 Mutations in the
Ca(2+)-sensing receptor gene cause autosomal
dominant and sporadic hypoparathyroidism. Hum Mol Genet 5:601606[Abstract/Free Full Text]
-
Nakae J, Shinohara N, Tanahashi Y, Murashita M, Abe S,
Hasegawa T, Hasegawa Y, Fujieda K 1998 New mutations of
calcium-sensing receptor gene in two japanese patients with sporadic
hypoparathyroidism with hypercalciuria. Horm Res [Suppl] 48:179
(Abstract)[CrossRef]
-
Mancilla EE, De Luca F, Ray K, Winer KK, Fan G F, Baron
J 1997 A Ca(2+)-sensing receptor mutation
causes hypoparathyroidism by increasing receptor sensitivity to
Ca2+ and maximal signal transduction. Pediatr Res 42:443447[Medline]
-
Hammerland LG, Krapcho KJ, Garrett JE, Alasti N, Hung
BCP, Simin RT, Levinthal C, Nemeth EF, Fuller FH 1999 Domains
determining ligand specificity for Ca2+
receptors. Mol Pharmacol 77:642648
-
Bräuner-Osborne H, Jensen AA, Sheppard PO, OHara
P, Krogsgaard-Larsen P 1999 The agonist-binding domain of the
calcium-sensing receptor is located at the amino-terminal domain.
J Biol Chem 274:1838218386[Abstract/Free Full Text]
-
Hammerland LG, Garrett JE, Hung BCP, Lebinthal C, Nemeth
EF 1998 Allosteric activation of the Ca2+
receptor expressed in Xenopus laevis oocytes by NPS 467 or
NPS 568. Mol Pharmacol 53:10831088[Abstract/Free Full Text]
-
Ray K, Clapp P, Goldsmith PK, Spiegel AM 1998 Identification of the sites of N-linked glycosylation on the human
calcium receptor and assessment of their role in cell surface
expression and signal transduction. J Biol Chem 273:3455834567[Abstract/Free Full Text]
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