The transient receptor potential cation channel, subfamily V, member 5 (TRPV5) gene, which encodes the Ca 2ϩ channel in the apical membrane of distal convoluted tubule and connecting tubule of the kidney, exhibits an unusually high frequency of nonsynonymous single nucleotide polymorphisms (SNPs) among African Americans. To assess the functional impacts of the nonsynonymous SNP variations in TRPV5, these variants were analyzed with radiotracer 45 (15,16,27). Mice lacking Trpv5 resulted in a 6-to 10-fold increase in urinary Ca 2ϩ excretion, and ultimately in defects in bone mineralization (16).Urinary Ca 2ϩ excretion is an important factor for kidney stone formation and bone health. For instance, urine Ca 2ϩ excretion correlates with bone loss in calcium-stone-forming patients with idiopathic hypercalciuria (3). Interestingly, African Americans exhibit lower urinary Ca 2ϩ excretion than whites (8,25,29,34,35,40,45), and the risk of kidney stones in African American is lower than that in whites (32,36,38). Furthermore, African Americans have higher bone mass (5, 41) and lower incidence of osteoporosis-related fractures than whites (4, 6, 7). The mechanism underlying the lowered urinary Ca 2ϩ in African Americans is not well understood. A lower 25-hydroxyvitamin D concentration in African Americans could result in an increased parathyroid hormone level and in turn renal Ca 2ϩ conservation. However, Braun and colleagues (8) observed significantly lower urinary Ca 2ϩ excretion in adolescent African American girls than white girls in a wide range of controlled Ca 2ϩ intake, whereas the 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D and parathyroid hormone values were not significantly different between the two groups. The difference in bone mass and urinary Ca 2ϩ excretion between blacks and whites is not restricted to Americans; a similar finding was reported in South Africa (10). Thus genetic rather than social and environmental factors may play a major role in the superior renal Ca 2ϩ conservation mechanism in African descendents.Because TRPV5 is a key protein that regulates Ca 2ϩ reabsorption, genetic variations of TRPV5 may influence urinary Ca 2ϩ excretion. Interestingly, TRPV5 gene is one of the four contiguous genes, including EPHB6, TRPV6, TRPV5, and KEL, in chromosome 7q34-35 with striking evidence of a recent selective sweep in European Americans based on the analysis on the single nucleotide polymorphisms (SNPs) of over 100 genes from 24 African Americans and 23 European Americans provided by SeattleSNPs program (1, 37). Akey and colleagues (2) further showed that the TRPV6 haplotype, defined by three nonsynonymous SNPs, is nearly fixed in populations outside Africa, suggesting that these variations may confer a selective advantage, e.g., efficiency in Ca 2ϩ absorption from dairy products or resistance to a pathogen, after early humans migrated out of Africa. The TRPV6 variant with the three nonsynonymous SNPs exhibited increased Ca 2ϩ transport ability and may play a role in absorptive hypercalciuria and ki...