Genetics of monogenic disorders of calcium and bone metabolism

Paul J. Newey (Lead / Corresponding author), Fadil M. Hannan, Abbie Wilson, Rajesh V. Thakker

Research output: Contribution to journalReview articlepeer-review

7 Citations (Scopus)
18 Downloads (Pure)


Disorders of calcium homeostasis are the most frequent metabolic bone and mineral disease encountered by endocrinologists. These disorders usually manifest as primary hyperparathyroidism (PHPT) or hypoparathyroidism (HP), which have a monogenic aetiology in 5-10% of cases, and may occur as an isolated endocrinopathy, or as part of a complex syndrome. The recognition and diagnosis of these disorders is important to facilitate the most appropriate management of the patient, with regard to both the calcium-related phenotype and any associated clinical features, and also to allow the identification of other family members who may be at risk of disease. Genetic testing forms an important tool in the investigation of PHPT and HP patients, and is usually reserved for those deemed to be an increased risk of a monogenic disorder. However, identifying those suitable for testing requires a thorough clinical evaluation of the patient, as well as an understanding of the diversity of relevant phenotypes and their genetic basis. This review aims to provide an overview of the genetic basis of monogenic metabolic bone and mineral disorders, primarily focusing on those associated with abnormal calcium homeostasis, and aims to provide a practical guide to the implementation of genetic testing in the clinic.
Original languageEnglish
Pages (from-to)483-501
Number of pages19
JournalClinical Endocrinology
Issue number4
Early online date21 Dec 2021
Publication statusPublished - Oct 2022


  • familial hypocalciuric hypercalcemia (FHH)
  • familial isolated hyperparathyroidism (FIHP)
  • genetic testing
  • hypoparathyroidism
  • multiple endocrine neoplasia
  • primary hyperparathyroidism
  • pseudohypoparathyroidism

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology


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