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Update on drugs acting on calcium-sensing receptor. Etiology and pathogenesis of primary hyperparathyroidism. Yamauchi Mika 1 , Sugimoto Toshitsugu 2 1Internal Medicine 1, Shimane University Faculty of Medicine, Japan. 2Internal Medicine 1, Shimane University Faculty of Medicine, Japan. pp.507-514
Published Date 2017/3/24
DOI https://doi.org/10.20837/4201704037
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 Primary hyperparathyroidism(pHPT)is a frequent endocrine disease in which abnormal calcium(Ca)regulation leads to hypercalcemia. The most frequent cause of pHPT in more than 80% of patients is an adenoma, followed by hyperplasia in about 15%, and cancer in 1~5%. Although most cases of pHPT are sporadic, a few are familial(hereditary), and this is known as familial hyperparathyroidism(FHPT).  Gene abnormalities that affect cyclin D1 signaling(CCND1, CDC73, CDKN1B), Wnt/β-catenin signaling(MEN1), and calcium-sensing receptor signaling(CaSR, GNA11, AP2S1)play a role in the etiology and pathogenesis of pHPT. Vitamin D insufficiency/deficiency and CaSR dysfunction also play a role in pHPT severity. Continued elucidation of the etiology and pathogenesis of pHPT may lead to development of new treatments for pHPT as well as further understanding of Ca regulation.



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電子版ISSN 印刷版ISSN 0917-5857 医薬ジャーナル社

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