title: Increased gastrin and calcitonin secretion after oral calcium or peptones administration in patients with hypercalciuria: a clue to an alteration in calcium-sensing receptor activity.
abstract: The calcium-sensing receptor (CaSR) has been detected in human antral gastrin-secreting cells, where, upon calcium and/or amino acid allosteric activation, it stimulates gastrin secretion. Patients with absorptive hypercalciuria (AH) display an enhanced gastric acid output; therefore, we evaluated the secretion of gastrin in subjects with AH (30 subjects vs. 30 healthy female controls, all postmenopausal) after oral calcium administration (1 g calcium gluconate) and, on a separate occasion, after peptone loading test (protein hydrolyzed, 10 g). Gastrin and monomeric calcitonin responses were higher in AH after both oral calcium administration (P < 0.01) and peptone loading (P < 0.01). Because the activation of CaSR by oral calcium and peptones directly induces gastrin release, the higher gastrin responses to these stimuli suggest an increased sensitivity of gastrin-secreting cells CaSR in patients with AH. A similar alteration in thyroid C cells might explain the enhanced calcitonin responses to both calcium and peptones. If the same alterations should in addition be present in the distal tubule (where CaSR is expressed as well), then a possible explanation for amino acid-induced hypercalciuria in AH would have been identified.
authors.affiliation: Servizio di Endocrinologia e Diabetologia, Ospedale L. Sacco, Via GB Grassi 74, 20157 Milan, Italy. mauriziobevilacqua@fastwebnet.it
authors.forename: Maurizio
authors.initials: M
authors.lastname: Bevilacqua
authors.forename: Ligia J
authors.initials: LJ
authors.lastname: Dominguez
authors.forename: Velella
authors.initials: V
authors.lastname: Righini
authors.forename: Valeria
authors.initials: V
authors.lastname: Valdes
authors.forename: Rosanna
authors.initials: R
authors.lastname: Toscano
authors.forename: Ornella
authors.initials: O
authors.lastname: Sangaletti
authors.forename: Tarcisio
authors.initials: T
authors.lastname: Vago
authors.forename: Gabriella
authors.initials: G
authors.lastname: Baldi
authors.forename: Massimo
authors.initials: M
authors.lastname: Barrella
authors.forename: Gabriele
authors.initials: G
authors.lastname: Bianchi-Porro
mesh_terms: D000284:Administration, Oral; D000368:Aged; D002116:Calcitonin / Q000378:metabolism*; D002125:Calcium Gluconate / Q000008:administration & dosage / Q000652:urine; D002128:Calcium Metabolism Disorders / Q000175:diagnosis / Q000652:urine*; D005260:Female; D019863:Gastrin-Secreting Cells / Q000187:drug effects / Q000378:metabolism; D005755:Gastrins / Q000378:metabolism*; D006801:Humans; D007669:Kidney Calculi / Q000175:diagnosis / Q000652:urine; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000378:metabolism; D010461:Peptones / Q000008:administration & dosage; D044169:Receptors, Calcium-Sensing / Q000378:metabolism*; D013961:Thyroid Gland / Q000187:drug effects / Q000378:metabolism
chemical_list: D005755:Gastrins; D010281:Parathyroid Hormone; D010461:Peptones; D044169:Receptors, Calcium-Sensing; D002116:Calcitonin; D002125:Calcium Gluconate