Loss-of-function mutations of CaSR at 1 or both alleles inhibit CaSR signaling and cause increased PTH secretion, referred to as familial hypocalciuric hypercalcemia 1 (FHH1) and neonatal severe hyperparathyroidism (NSHPT), respectively (26, 27). Here, PTH is linked to familial hypocalciuric hypercalcemia 1.