CASR
Extracellular calcium-sensing receptor
Also known as: CASR_HUMAN, FHH, GPRC2A, HHC, HHC1, NSHPT
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P41180
- Gene
- CASR
- Ensembl
- ENSG00000036828
- Chromosome
- 3
- Canonical length
- 1078 aa
- Protein class
- Disease related genes, FDA approved drug targets, G-protein coupled receptors, Human disease related genes, Plasma proteins, Predicted membrane proteins, Transporters
- Quaternary structure
- Homodimer
OverviewNCBI Gene
The protein encoded by this gene is a plasma membrane G protein-coupled receptor that senses small changes in circulating calcium concentration. The encoded protein couples this information to intracellular signaling pathways that modify parathyroid hormone secretion or renal cation handling, and thus this protein plays an essential role in maintaining mineral ion homeostasis. Mutations in this gene are a cause of familial hypocalciuric hypercalcemia, neonatal severe hyperparathyroidism, and autosomal dominant hypocalcemia. [provided by RefSeq, Aug 2017]
Canonical amino-acid sequenceUniProt
1078 residues, UniProt reviewed canonical sequence.
>P41180|CASR
1 MAFYSCCWVL LALTWHTSAY GPDQRAQKKG DIILGGLFPI HFGVAAKDQD LKSRPESVEC
61 IRYNFRGFRW LQAMIFAIEE INSSPALLPN LTLGYRIFDT CNTVSKALEA TLSFVAQNKI
121 DSLNLDEFCN CSEHIPSTIA VVGATGSGVS TAVANLLGLF YIPQVSYASS SRLLSNKNQF
181 KSFLRTIPND EHQATAMADI IEYFRWNWVG TIAADDDYGR PGIEKFREEA EERDICIDFS
241 ELISQYSDEE EIQHVVEVIQ NSTAKVIVVF SSGPDLEPLI KEIVRRNITG KIWLASEAWA
301 SSSLIAMPQY FHVVGGTIGF ALKAGQIPGF REFLKKVHPR KSVHNGFAKE FWEETFNCHL
361 QEGAKGPLPV DTFLRGHEES GDRFSNSSTA FRPLCTGDEN ISSVETPYID YTHLRISYNV
421 YLAVYSIAHA LQDIYTCLPG RGLFTNGSCA DIKKVEAWQV LKHLRHLNFT NNMGEQVTFD
481 ECGDLVGNYS IINWHLSPED GSIVFKEVGY YNVYAKKGER LFINEEKILW SGFSREVPFS
541 NCSRDCLAGT RKGIIEGEPT CCFECVECPD GEYSDETDAS ACNKCPDDFW SNENHTSCIA
601 KEIEFLSWTE PFGIALTLFA VLGIFLTAFV LGVFIKFRNT PIVKATNREL SYLLLFSLLC
661 CFSSSLFFIG EPQDWTCRLR QPAFGISFVL CISCILVKTN RVLLVFEAKI PTSFHRKWWG
721 LNLQFLLVFL CTFMQIVICV IWLYTAPPSS YRNQELEDEI IFITCHEGSL MALGFLIGYT
781 CLLAAICFFF AFKSRKLPEN FNEAKFITFS MLIFFIVWIS FIPAYASTYG KFVSAVEVIA
841 ILAASFGLLA CIFFNKIYII LFKPSRNTIE EVRCSTAAHA FKVAARATLR RSNVSRKRSS
901 SLGGSTGSTP SSSISSKSNS EDPFPQPERQ KQQQPLALTQ QEQQQQPLTL PQQQRSQQQP
961 RCKQKVIFGS GTVTFSLSFD EPQKNAMAHR NSTHQNSLEA QKSSDTLTRH EPLLPLQCGE
1021 TDLDLTVQET GLQGPVGGDQ RPEVEDPEEL SPALVVSSSQ SFVISGGGST VTENVVNSLocalizationUniProt · AlphaFold · HPA
Whether an antibody against CASR can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.
- Antibody reachability
- Cell surface
- Secreted
- No
- Transmembrane segments
- 7
- Mean surface accessibility (rSASA)
- 0.35
- Highest tissue expression
- 616 nTPM
Expression across tissuesHPA
Tissue
- parathyroid gland: 616 nTPM
- kidney: 21 nTPM
- pancreas: 9 nTPM
- gallbladder: 3.9 nTPM
- stomach: 2.6 nTPM
- ovary: 1 nTPM
Single-cell type
- distal convoluted tubule cells: 580 nCPM
- loop of henle epithelial cells: 538 nCPM
- pancreatic duct cells: 129 nCPM
- pancreatic islet cells: 109 nCPM
- cholangiocytes: 92 nCPM
- neuroendocrine cells: 51 nCPM
Immune cell
- basophil: 0.1 nTPM
- naive B-cell: 0.1 nTPM
- neutrophil: 0.1 nTPM
- T-reg: 0.1 nTPM
- classical monocyte: 0 nTPM
- eosinophil: 0 nTPM
Brain region
- thalamus: 9.6 nTPM
- midbrain: 8.8 nTPM
- white matter: 8.7 nTPM
- basal ganglia: 8.6 nTPM
- cerebral cortex: 8.6 nTPM
- cerebellum: 8.5 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about CASR.
Disease | AllUniProt
Conditions CASR is implicated in, by any mechanism.
- Hypocalciuric hypercalcemia, familial 1 (HHC1) MIM:145980
- Hyperparathyroidism, neonatal severe (NSHPT) MIM:239200
- Hypocalcemia, autosomal dominant 1 (HYPOC1) MIM:601198
- Epilepsy, idiopathic generalized 8 (EIG8) MIM:612899
Disease | GeneticClinVar
327 pathogenic / likely-pathogenic of 3,105 ClinVar records.
Conditions with pathogenic or likely-pathogenic variants.
- Autosomal dominant hypocalcemia 1
- Familial hypocalciuric hypercalcemia
- Familial hypocalciuric hypercalcemia 1
- Neonatal severe primary hyperparathyroidism
- Nephrolithiasis/nephrocalcinosis
Disease | AutoantibodyPubMed
Conditions in which antibodies against CASR are reported. Each links to that disease's full target list.
Showing 1 of 2 — disease pages carrying at least 10 antigens.
ReferencesPubMed · IEDB
Publications for CASR from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.
Reference: AutoantibodyPubMed
21 publications
- Autoantibodies to the extracellular domain of the calcium sensing receptor in patients with acquired hypoparathyroidism.
1996 · J Clin Invest · RCR 3.7 · 128 citations - Prevalence of calcium sensing receptor autoantibodies in patients with sporadic idiopathic hypoparathyroidism.
2004 · Eur J Endocrinol · RCR 2 · 74 citations - Calcium-sensing receptor autoantibody-mediated hypoparathyroidism associated with immune checkpoint inhibitor therapy: diagnosis and long-term follow-up.
2020 · J Immunother Cancer · RCR 1.5 · 30 citations - The calcium-sensing receptor is a target of autoantibodies in patients with autoimmune polyendocrine syndrome type 1.
2007 · J Clin Endocrinol Metab · RCR 1.4 · 59 citations - Anti-parathyroid and anti-calcium sensing receptor antibodies in autoimmune hypoparathyroidism.
2009 · Endocrinol Metab Clin North Am · RCR 1.3 · 46 citations
Show 16 more
- Activating autoantibodies against the calcium-sensing receptor detected in two patients with autoimmune polyendocrine syndrome type 1.
2009 · J Clin Endocrinol Metab · RCR 1.1 · 43 citations - Successful prednisolone or calcimimetic treatment of acquired hypocalciuric hypercalcemia caused by biased allosteric CaSR autoantibodies.
2022 · JCI Insight · RCR 0.8 · 8 citations - The hypoparathyroidism of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy protective effect of male sex.
2003 · J Clin Endocrinol Metab · RCR 0.8 · 40 citations - Autoimmune hypocalciuric hypercalcemia unresponsive to glucocorticoid therapy in a patient with blocking autoantibodies against the calcium-sensing receptor.
2011 · J Clin Endocrinol Metab · RCR 0.7 · 24 citations - Prevalence and clinical associations of calcium-sensing receptor and NALP5 autoantibodies in Finnish APECED patients.
2014 · J Clin Endocrinol Metab · RCR 0.7 · 19 citations - Autoantibodies against the calcium-sensing receptor and cytokines in autoimmune polyglandular syndromes types 2, 3 and 4.
2018 · Clin Endocrinol (Oxf) · RCR 0.6 · 12 citations - Mapping of human autoantibody binding sites on the calcium-sensing receptor.
2010 · J Bone Miner Res · RCR 0.5 · 16 citations - Calcium-Sensing Receptor Autoantibodies in Patients with Autoimmune Polyendocrine Syndrome Type 1: Epitopes, Specificity, Functional Affinity, IgG Subclass, and Effects on Receptor Activity.
2018 · J Immunol · RCR 0.4 · 10 citations - [Familial Hypocalciuric Hypercalcemia Type 1 Likely Secondary to a New Inactivating Mutation of CASR].
2024 · G Ital Nefrol · RCR 0.4 · 1 citations - Graves' disease, hypoparathyroidism, systemic lupus erythematosus, alopecia, and angioedema: autoimmune polyglandular syndrome variant or coincidence?
2013 · Int J Immunopathol Pharmacol · RCR 0.3 · 8 citations - Autoimmune Hypercalcemia Due to Autoantibodies Against the Calcium-sensing Receptor.
2020 · J Clin Endocrinol Metab · RCR 0.3 · 5 citations - Glucocorticoid-responsive lymphocytic parathyroiditis and hypocalciuric hypercalcemia due to autoantibodies against the calcium-sensing receptor: a case report and literature review.
2017 · Eur J Endocrinol · RCR 0.3 · 6 citations - Immunosuppressive therapy of autoimmune hypoparathyroidism in a patient with activating autoantibodies against the calcium-sensing receptor.
2019 · Clin Endocrinol (Oxf) · RCR 0.2 · 4 citations - Calcium-sensing receptor autoantibodies in primary hyperparathyroidism.
2009 · Clin Chim Acta · RCR 0.2 · 7 citations - Acquired hypocalciuric hypercalcemia in a patient with CKD.
2013 · Am J Kidney Dis · RCR 0.2 · 8 citations - Biased antibodies and beyond: a new era in the diagnosis of PTH-dependent hypercalcemia.
2025 · Endocr J · 1 citations
Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.
Genetic constraint and essentialitygnomAD · DepMap
Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.
- gnomAD LOEUF (loss-of-function intolerance)
- 0.45
- gnomAD pLI
- 0.05
- gnomAD missense Z
- 3.12
- DepMap mean gene effect
- -0.05
- DepMap dependency class
- none
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 3% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
OntologyGO
Biological processes
- adenylate cyclase-inhibiting G protein-coupled receptor signaling pathway
- anatomical structure morphogenesis
- bile acid secretion
- branching morphogenesis of an epithelial tube
- cellular response to glucose stimulus
- cellular response to hepatocyte growth factor stimulus
- cellular response to hypoxia
- cellular response to low-density lipoprotein particle stimulus
- cellular response to peptide
- cellular response to vitamin D
- chemosensory behavior
- chloride transmembrane transport
- detection of calcium ion
- fat pad development
- G protein-coupled receptor signaling pathway
- intracellular calcium ion homeostasis
- JNK cascade
- ossification
- phospholipase C-activating G protein-coupled receptor signaling pathway
- positive regulation of calcium ion import
- positive regulation of cell population proliferation
- positive regulation of ERK1 and ERK2 cascade
- positive regulation of gene expression
- positive regulation of insulin secretion
- positive regulation of NLRP3 inflammasome complex assembly
- positive regulation of positive chemotaxis
- positive regulation of vasoconstriction
- regulation of calcium ion transport
- regulation of presynaptic membrane potential
- response to fibroblast growth factor
- response to ischemia
- vasodilation
Molecular functions
- amino acid binding
- calcium ion binding
- G protein-coupled receptor activity
- identical protein binding
- integrin binding
- protein homodimerization activity
- protein kinase binding
- transmembrane transporter binding
Cellular components
Protein domainsUniProt · Pfam · InterPro
- GPCR, family 3, extracellular calcium-sensing receptor-related
- GPCR, family 3
- Receptor, ligand binding region
- GPCR, family 3, nine cysteines domain
- GPCR family 3, C-terminal
- GPCR, family 3, conserved site
- Periplasmic binding protein-like I
- GPCR, family 3, nine cysteines domain superfamily
- 7 transmembrane sweet-taste receptor of 3 GCPR
- Receptor family ligand binding region
- Nine Cysteines Domain of family 3 GPCR
KeywordsUniProt
InteractionsUniProt · HPA
Protein binding partners of CASR in the human serome: UniProt-annotated complex subunits plus reported interactors. Each links to its own Seroatlas record.
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads CASR as an antibody target. Whether an autoantibody or antibody against CASR could matter depends on whether native CASR is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
CASR is annotated at the cell surface, where native CASR is exposed to circulating antibodies and is a prime autoantibody target that could block, deplete, or overstimulate it.
Annotation status
The present source text does not explicitly label CASR as an autoantigen. Seroatlas presents hypothesis context only and does not manufacture a known-serology claim.
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