Calcium-sensing receptor in breast physiology and cancer

The calcium-sensing receptor (CaSR) is expressed in normal breast epithelial cells and in breast cancer cells. During lactation, activation of the CaSR in mammary epithelial cells increases calcium transport into milk and inhibits parathyroid hormone-related protein (PTHrP) secretion into milk and i...

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Main Authors: Wonnam Kim, John J Wysolmerski
Format: Article
Language:English
Published: Frontiers Media S.A. 2016-09-01
Series:Frontiers in Physiology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fphys.2016.00440/full
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author Wonnam Kim
John J Wysolmerski
author_facet Wonnam Kim
John J Wysolmerski
author_sort Wonnam Kim
collection DOAJ
description The calcium-sensing receptor (CaSR) is expressed in normal breast epithelial cells and in breast cancer cells. During lactation, activation of the CaSR in mammary epithelial cells increases calcium transport into milk and inhibits parathyroid hormone-related protein (PTHrP) secretion into milk and into the circulation. The ability to sense changes in extracellular calcium allows the lactating breast to actively participate in the regulation of systemic calcium and bone metabolism, and to coordinate calcium usage with calcium availability during milk production. Interestingly, as compared to normal breast cells, in breast cancer cells, the regulation of PTHrP secretion by the CaSR becomes rewired due to a switch in its G-protein usage such that activation of the CaSR increases instead of decreases PTHrP production. In normal cells the CaSR couples to Gi to inhibit cAMP and PTHrP production, whereas in breast cancer cells, it couples to Gs to stimulate cAMP and PTHrP production. Activation of the CaSR on breast cancer cells regulates breast cancer cell proliferation, death and migration, in part, by stimulating PTHrP production. In this article, we discuss the biology of the CaSR in the normal breast and in breast cancer, and review recent findings suggesting that the CaSR activates a nuclear pathway of PTHrP action that stimulates cellular proliferation and inhibits cell death, helping cancer cells adapt to elevated extracellular calcium levels. Understanding the diverse actions mediated by the CaSR may help us better understand lactation physiology, breast cancer progression and osteolytic bone metastases.
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spelling doaj.art-70e3a03aae0a4cc49789bef36ad1d9402022-12-21T17:56:39ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2016-09-01710.3389/fphys.2016.00440214879Calcium-sensing receptor in breast physiology and cancerWonnam Kim0John J Wysolmerski1Yale University School of MedicineYale University School of MedicineThe calcium-sensing receptor (CaSR) is expressed in normal breast epithelial cells and in breast cancer cells. During lactation, activation of the CaSR in mammary epithelial cells increases calcium transport into milk and inhibits parathyroid hormone-related protein (PTHrP) secretion into milk and into the circulation. The ability to sense changes in extracellular calcium allows the lactating breast to actively participate in the regulation of systemic calcium and bone metabolism, and to coordinate calcium usage with calcium availability during milk production. Interestingly, as compared to normal breast cells, in breast cancer cells, the regulation of PTHrP secretion by the CaSR becomes rewired due to a switch in its G-protein usage such that activation of the CaSR increases instead of decreases PTHrP production. In normal cells the CaSR couples to Gi to inhibit cAMP and PTHrP production, whereas in breast cancer cells, it couples to Gs to stimulate cAMP and PTHrP production. Activation of the CaSR on breast cancer cells regulates breast cancer cell proliferation, death and migration, in part, by stimulating PTHrP production. In this article, we discuss the biology of the CaSR in the normal breast and in breast cancer, and review recent findings suggesting that the CaSR activates a nuclear pathway of PTHrP action that stimulates cellular proliferation and inhibits cell death, helping cancer cells adapt to elevated extracellular calcium levels. Understanding the diverse actions mediated by the CaSR may help us better understand lactation physiology, breast cancer progression and osteolytic bone metastases.http://journal.frontiersin.org/Journal/10.3389/fphys.2016.00440/fullLactationParathyroid Hormone-Related Proteinbreast cancermammary glandcalcium-sensing receptor
spellingShingle Wonnam Kim
John J Wysolmerski
Calcium-sensing receptor in breast physiology and cancer
Frontiers in Physiology
Lactation
Parathyroid Hormone-Related Protein
breast cancer
mammary gland
calcium-sensing receptor
title Calcium-sensing receptor in breast physiology and cancer
title_full Calcium-sensing receptor in breast physiology and cancer
title_fullStr Calcium-sensing receptor in breast physiology and cancer
title_full_unstemmed Calcium-sensing receptor in breast physiology and cancer
title_short Calcium-sensing receptor in breast physiology and cancer
title_sort calcium sensing receptor in breast physiology and cancer
topic Lactation
Parathyroid Hormone-Related Protein
breast cancer
mammary gland
calcium-sensing receptor
url http://journal.frontiersin.org/Journal/10.3389/fphys.2016.00440/full
work_keys_str_mv AT wonnamkim calciumsensingreceptorinbreastphysiologyandcancer
AT johnjwysolmerski calciumsensingreceptorinbreastphysiologyandcancer