CaSR antibodies specifically bind to the extracellular domain of the calcium-sensing receptor, a 1,078-amino-acid protein expressed in parathyroid glands, kidneys, and other tissues . The receptor regulates parathyroid hormone (PTH) secretion in response to extracellular calcium levels. Autoantibodies against CaSR disrupt this feedback mechanism, often leading to hypoparathyroidism and hypocalcemia .
CaSR autoantibodies target distinct epitopes within the receptor’s extracellular domain. Key epitopes include:
Data synthesized from multiple studies .
Stimulatory Effects: Antibodies targeting epitopes 114–126 and 171–195 enhance CaSR activity, increasing inositol-1-phosphate (IP1) accumulation in HEK293-CaSR cells at low calcium concentrations (p < 0.0001) .
PTH Suppression: These antibodies reduce PTH secretion by 66–72% in rat parathyroid cells (p < 0.0001) .
CaSR antibodies exhibit high functional affinity, with 50% binding inhibition occurring at peptide concentrations of 10⁻⁸–10⁻⁷ M .
CaSR antibodies are biomarkers for autoimmune hypoparathyroidism and immune-related adverse events post-immune checkpoint inhibitor therapy .
Epitope-specific antibodies (e.g., 114–126) may directly inform calcium dysregulation mechanisms .
APS1 Patients: 100% of CaSR antibody-positive APS1 patients showed reactivity to epitope 41–69, while 31–44% recognized other epitopes .
Functional Diversity: Antibodies against 114–126 and 171–195 epitopes activated CaSR, whereas those against 41–69 and 260–340 had no functional impact .
Cross-Reactivity: No cross-reactivity observed between antibodies targeting different epitopes (p < 0.0001) .
CaSR antibodies are pathogenic drivers in autoimmune hypocalcemia, offering diagnostic utility and insights into calcium homeostasis disruption. Future research aims to map finer epitope regions (e.g., within 41–69) and develop epitope-specific therapies .
CASR is a G-protein-coupled receptor that senses fluctuations in extracellular calcium concentration and plays a key role in maintaining calcium homeostasis. It functions through a G-protein that activates a phosphatidylinositol-calcium second messenger system. CASR is primarily expressed in parathyroid glands and kidneys where it modulates parathyroid hormone secretion and renal calcium reabsorption, respectively. Research significance extends to its role in bone health, muscle contraction, nerve function, and potential involvement in various disorders including hypocalcemia, hypercalcemia, and autoimmune conditions . CASR also demonstrates expression in other tissues including intestine, placenta, and brain, indicating diverse physiological roles beyond calcium regulation .
CASR antibodies are utilized across multiple experimental applications:
Researchers should confirm tissue/species reactivity and optimize dilutions for specific experimental conditions .
The choice between monoclonal and polyclonal CASR antibodies depends on research requirements:
Monoclonal antibodies:
Recognize single epitopes with high specificity
Examples include CaSR Antibody (6D4) and CaSR (D6D9V) Rabbit mAb
Provide consistent lot-to-lot reproducibility
Often preferred for applications requiring high specificity
May show limited species cross-reactivity depending on epitope conservation
Polyclonal antibodies:
Recognize multiple epitopes on the CASR protein
Examples include products like 19125-1-AP and ACR-004
Potentially higher sensitivity due to binding multiple epitopes
May show broader species cross-reactivity
CASR contains distinct domains with different functional significance. Key epitope considerations include:
Extracellular domain targeting: Antibodies targeting regions aa 41-69, 114-126, 171-195, and 260-340 in the extracellular domain are commonly used. Epitopes in this region can affect receptor activity; for example, autoantibodies recognizing CaSR epitopes 114-126 and 171-195 have been shown to affect receptor activity by increasing inositol-phosphate accumulation and reducing PTH secretion .
Specific epitope examples:
Functional considerations: The extracellular domain contains multiple glycosylation sites and regions responsible for ligand binding, while transmembrane domains are involved in signaling .
When selecting antibodies, researchers should consider which domain is most relevant to their specific research question .
Rigorous validation is essential to ensure experimental reliability:
Knockout/knockdown controls:
Peptide competition assays:
Cross-validation methods:
Recombinant expression systems:
Species cross-reactivity testing:
Researchers face several technical challenges when working with CASR antibodies:
Molecular weight variations:
CASR typically appears at ~120-155 kDa in Western blots
Glycosylation can affect apparent molecular weight
Solution: Include appropriate molecular weight markers and positive controls; consider deglycosylation treatments if necessary.
Isoform detection:
Different antibodies may detect specific CASR isoforms
Carefully review antibody documentation for isoform specificity
Solution: Select antibodies with documented reactivity to your isoform of interest.
Low endogenous expression:
Solution: Optimize protein loading; consider signal enhancement systems; use tissues with known high expression (parathyroid, kidney) as positive controls.
Post-translational modifications:
Glycosylation and other modifications may affect antibody binding
Solution: Consider domain-specific antibodies that target regions less affected by modifications.
CASR autoantibodies have been implicated in autoimmune polyendocrine syndrome type 1 (APS1) and other conditions:
Characterization approaches:
Key findings from research:
Methodological considerations:
CASR antibodies are valuable tools for investigating various calcium-related disorders:
Hypertension research:
Genetic disorders:
Cancer research:
Neurological applications:
Western blotting for CASR presents several technical challenges:
Recommended dilutions for Western blotting range from 1:500 to 1:10,000 depending on the specific antibody and sample source .
For optimal IHC/IF detection of CASR:
Fixation considerations:
Antigen retrieval methods:
Signal amplification:
Controls and validation:
Counterstaining considerations:
Flow cytometry offers advantages for quantifying CASR surface expression:
Protocol essentials:
Specific examples from literature:
Available conjugated antibodies:
Considerations:
Several innovative approaches utilize CASR antibodies:
Live cell imaging:
Proximity ligation assays:
Super-resolution microscopy:
Mass cytometry:
Antibody-based functional modulation: