Literature DB >> 34788508

Parathyroid Hormone Resistance and Autoantibodies to the PTH1 Receptor.

Adel Mandl1, Peter D Burbelo1, Giovanni Di Pasquale1, You Sher Tay1, James Welch1, Michail S Lionakis1, Sergio D Rosenzweig1, Meryl A Waldman1, Blake M Warner1, Brian Walitt1, Michael T Collins1, James E Balow1, John A Chiorini1, William F Simonds1, Sunita K Agarwal1, Jenny E Blau1, Lee S Weinstein1.   

Abstract

We describe two cases of acquired parathyroid hormone (PTH) resistance consequent to the development of serum PTH type 1 receptor (PTH1R) autoantibodies, which block PTH binding and signaling. Both cases were associated with other autoimmune manifestations, and one case was associated with atypical membranous glomerulonephritis. In vitro binding and signaling assays identified the presence of PTH1R-blocking IgG autoantibodies, which were not present in serum samples from patients with other renal or autoimmune disorders. (Funded by the Intramural Research Programs of the National Institute of Diabetes and Digestive and Kidney Diseases and others.).
Copyright © 2021 Massachusetts Medical Society.

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Year:  2021        PMID: 34788508      PMCID: PMC9088239          DOI: 10.1056/NEJMoa2109409

Source DB:  PubMed          Journal:  N Engl J Med        ISSN: 0028-4793            Impact factor:   176.079


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