Parathyroid Hormone (PTH) Homeostasis in Bartter Syndrome
NCT01021280 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 15
Last updated 2012-06-14
Summary
Parathyroid hormone (PTH) gland calcium sensing receptor (CASR) regulates PTH secretion. CASR is also expressed in nephron thick ascending limb (TAL). Bartter syndrome (BS), a normotensive hypokalemic tubulopathy, may be due to mutations in different TAL channels, including the potassium channel ROMK. Mutations in CASR may also cause BS through its effects on ROMK function. However, it is unknown whether ROMK mutations exert any effects on CASR function and PTH physiology. Preliminary data from our center shows that PTH levels were specifically elevated in type II (where ROMK is mutated) and not in type IV (where another gene, Barttin is defective) BS, without a common explanation. We assume that the mutation in ROMK may cause a dysregulation of PTH secretion via possible interaction with CASR.
The purpose of this study is: to investigate the PT-gland function and regulation in BS.
Methods: Patients with BS type II and IV and normal controls will undergo a standard protocol of controlled ionic hypo- and hypercalcemia, during which PTH secretion, phosphate balance and calcium excretion will be followed. Calcium Vs PTH response curves will be generated and compared.
Expected impact and benefit: the results of this study will help understand the mechanisms of PTH regulation beyond CASR.
Conditions
- Hypocalcemia
- Hypercalcemia
Sponsors & Collaborators
-
Ben-Gurion University of the Negev
collaborator OTHER -
Soroka University Medical Center
lead OTHER
Eligibility
- Min Age
- 14 Years
- Max Age
- 35 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2013-01-31
- Primary Completion
- 2013-12-31
- Completion
- 2014-06-30
Countries
- Israel
Study Locations
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