Evidence map›Paper›PMID 32609827›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Reduced Calcium Sensing Receptor (CaSR) Expression Is Epigenetically Deregulated in Parathyroid Adenomas.

Priyanka Singh, Sanjay Kumar Bhadada, Divya Dahiya, Ashutosh Kumar Arya, Uma Nahar Saikia, Naresh Sachdeva, Jyotdeep Kaur, Maria Luisa Brandi, Sudhaker Dhanwada Rao

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  6. Metal Ions Within the Neuro-Immune-Tumor Axis.Journal of immunology research · 2026
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  8. Hypermethylation of the p16Acta histochemica et cytochemica · 2025
    Article
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  15. Observational
  16. Article
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  19. Article
  20. Epidemiology, Pathophysiology, and Genetics of Primary Hyperparathyroidism.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Priyanka SinghDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Sanjay Kumar BhadadaDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Divya DahiyaDepartment of General Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Ashutosh Kumar AryaDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Uma Nahar SaikiaDepartment of Histopathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Naresh SachdevaDepartment of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Jyotdeep KaurDepartment of Biochemistry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Maria Luisa BrandiDepartment of Experimental and Clinical Biomedical Sciences, University of Florence, Italy.
Sudhaker Dhanwada RaoBone and Mineral Research Laboratory, Henry Ford Hospital, Detroit, Michigan.
Post Graduate Institute of Medical Education and Research · INHenry Ford Hospital · USUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimReduced calcium sensing receptor (CaSR) expression has been implicated in parathyroid tumorigenesis, but the underlying mechanism remains elusive. Accordingly, we aimed to explore the epigenetic changes (DNA methylation and histone modifications) involved in CaSR regulation in sporadic parathyroid adenomas and correlate epigenetic state with disease indices. EXPERIMENTAL

designForty sporadic parathyroid adenomas and 10 control parathyroid tissues were studied. Real-time quantitative PCR (qPCR) for mRNA and immunohistochemistry for protein expression of CaSR were performed. The methylation status of the CaSR promoter 2 was determined by bisulphite sequencing analysis of sodium bisulphite-converted DNA. To determine the role of histone modifications in the CaSR regulation, chromatin immunoprecipitation-qPCR assay was performed.

resultsReal-time qPCR revealed reduced CaSR mRNA expression with a fold reduction of 0.12 (P < 0.0001) in parathyroid adenomas. Immunohistochemistry revealed reduced protein expression of CaSR in 90% (36/40) of adenomas. The promoter 2 region of CaSR displayed significant hypermethylation in 45% (18/40) of the adenomas compared with the controls (6.7%; 1 of 10) (P < 0.002). Bisulphite sequencing analysis revealed maximum methylated CpG at glial cell missing 2 binding site on the CaSR promoter 2 compared to other CpG sites. The methylation status of CaSR correlated directly with plasma intact parathyroid hormone levels in patients with parathyroid adenoma. With chromatin immunoprecipitation-qPCR analysis, H3K9me3 levels showed increased enrichment by 10-fold in adenomas and correlated with CaSR-mRNA expression (r = 0.61; P < 0.003). Treatment with 5-aza-2'deoxycytidine restored the expression of CaSR in a parathyroid cell line.

conclusionOur data suggest that hypermethylation and increased H3K9me3 of the CaSR promoter 2 are involved in silencing CaSR expression in sporadic parathyroid adenoma.

Indexed as

AdenomaAdolescentAdultAgedCase-Control StudiesCells, CulturedEpigenesis, GeneticFemaleGene Expression Regulation, NeoplasticHumansMaleMiddle AgedParathyroid NeoplasmsPromoter Regions, GeneticReceptors, Calcium-SensingYoung AdultCASR protein, humanReceptors, Calcium-Sensing5-aza 2 ʹ deoxycytidinecalcium sensing receptorglial cell missing 2histone methylationprimary hyperparathyroidismpromoter methylation

Identifiers

PMID32609827
PMCPMC7500582
OpenAlexW3039770522

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.