CaSR, calcium sensing receptor

CaSR,钙敏感受体
  • 文章类型: Journal Article
    瞬时受体电位(TRP)通道是钙(Ca2+)通透性通道的主要类型,这些相关的跨膜和细胞内TRP通道以前被认为主要与心血管和神经元系统的调节有关。如今,然而,越来越多的证据表明,这些TRP通道也负责肿瘤发生和发展,诱导肿瘤侵袭和转移。然而,TRP通道在恶性肿瘤中的总体潜在机制和可能的信号转导途径可能仍然难以捉摸.因此,在这次审查中,我们专注于TRP通道与肿瘤的显着特征之间的联系,例如多药耐药(MDR),转移,凋亡,扩散,逃避免疫监视,以及相关肿瘤微环境的改变。此外,我们还讨论了相关TRP通道在各种形式癌症中的表达和相关抑制剂的疗效。还介绍了各种作用机制的抗癌药物的化学敏感性和潜在的临床应用。此外,对于这种类型的钙通道的干预,提供可能的新的治疗方法来对抗恶性肿瘤将是有启发性的。
    Transient receptor potential (TRP) channels are one primary type of calcium (Ca2+) permeable channels, and those relevant transmembrane and intracellular TRP channels were previously thought to be mainly associated with the regulation of cardiovascular and neuronal systems. Nowadays, however, accumulating evidence shows that those TRP channels are also responsible for tumorigenesis and progression, inducing tumor invasion and metastasis. However, the overall underlying mechanisms and possible signaling transduction pathways that TRP channels in malignant tumors might still remain elusive. Therefore, in this review, we focus on the linkage between TRP channels and the significant characteristics of tumors such as multi-drug resistance (MDR), metastasis, apoptosis, proliferation, immune surveillance evasion, and the alterations of relevant tumor micro-environment. Moreover, we also have discussed the expression of relevant TRP channels in various forms of cancer and the relevant inhibitors\' efficacy. The chemo-sensitivity of the anti-cancer drugs of various acting mechanisms and the potential clinical applications are also presented. Furthermore, it would be enlightening to provide possible novel therapeutic approaches to counteract malignant tumors regarding the intervention of calcium channels of this type.
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  • 文章类型: Case Reports
    我们报告了一个男孩,由于新生儿严重的甲状旁腺功能亢进症(NSHPT)引起的高钙血症,该男孩是由II型拟钙剂成功管理的钙敏感受体(CaSR)中的复合杂合突变引起的。高钙血症暂时通过过度水化治疗,双膦酸盐和钙耗尽的牛奶。在29日龄时,引入了西那卡塞。起始剂量为0.5mg/kg/天,随后当观察到甲状旁腺激素和钙浓度的有说服力的降低时,滴定至疗效点(5.2mg/kg/天)。我们提议在NSHPT新生儿中进行II型拟钙剂的试验,而与基因突变无关,并主张CaSR的残余功能可预测药物疗效。
    We report a boy with hypercalcemia due to neonatal severe hyperparathyroidism (NSHPT) caused by a compound heterozygous mutation in the calcium sensing receptor (CaSR) managed successfully on a type II calcimimetic drug. The hypercalcemia was temporarily treated by hyperhydration, bisphosphonate and calcium depleted milk. At 29 days of age cinacalcet was introduced. The starting dose was 0.5 mg/kg/day and was subsequently titrated to the point of efficacy (5.2 mg/kg/day) when a persuasive reduction in parathyroid hormone and calcium concentrations was observed. We propose a trial of type II calcimimetics in newborns with NSHPT irrespective of the genetic mutation and advocate that residual functionality of the CaSR predict the drug efficacy.
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  • 文章类型: Journal Article
    骨代表了几种实体瘤转移的常见部位,包括乳房,前列腺和肺部恶性肿瘤。骨转移(BM)的发生不仅与严重的骨骼并发症有关,但也缩短了总生存期,由于缺乏治疗晚期癌症的治疗选择。尽管诊断技术取得了进步,BM检测通常发生在症状阶段,强调需要针对早期识别高危患者的新策略。为此,正在研究骨转换和肿瘤来源的标志物的潜在诊断,预后和预测作用。在这次审查中,我们总结了乳腺BM的发病机制,前列腺和肺肿瘤,而目前的研究主要集中在BM生物标志物的鉴定和临床验证上。
    Bone represents a common site of metastasis from several solid tumours, including breast, prostate and lung malignancies. The onset of bone metastases (BM) is associated not only with serious skeletal complications, but also shortened overall survival, owing to the lack of curative treatment options for late-stage cancer. Despite the diagnostic advances, BM detection often occurs in the symptomatic stage, underlining the need for novel strategies aimed at the early identification of high-risk patients. To this purpose, both bone turnover and tumour-derived markers are being investigated for their potential diagnostic, prognostic and predictive roles. In this review, we summarize the pathogenesis of BM in breast, prostate and lung tumours, while exploring the current research focused on the identification and clinical validation of BM biomarkers.
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