Review Article

PTH1R-CaSR Cross Talk: New Treatment Options for Breast Cancer Osteolytic Bone Metastases

Table 2

Comparison of PTH1R and CaSR.

PTH1RCaSR

GPCRClass B familyClass C family
Receptor sizeHuman PTH1R has 593 amino acidsHuman CaSR has 1078 amino acids
ExpressionMostly in osteoblast and kidney, also in cartilage, normal breast epithelial cells, and some breast cancer cell linesParathyroid glands, kidney, bone, normal breast epithelial cells, and BrCa cells
G proteinGαs, Gαq, Gαi, and G12/13Gαi, Gαq, Gαs, and G12/13
AgonistPTH and PTHrPType I: inorganic or organic polycations (Ca2+ and Gd3+), polyamines (spermine and spermidine), and aminoglycoside antibiotics (neomycin)
Type II: positive allosteric modulators (calcimimetics)—cinacalcet, NPS R-467, NPS R-568, and AMG 416
AntagonistPTH(7–34)Negative allosteric modulators (calcilytics): NPS 2143
Application in treating BrCa bone metastasesIntermittent PTH(1–34) prevents BrCa bone metastases in mouse modelsCinacalcet is able to treat severe hypercalcemia caused by BrCa bone metastases