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 Vitamin D receptor: key roles in bone mineral pathophysiology, molecular  mechanism of action, and novel nutritional ligands Jurutka PW; Bartik L; Whitfield GK; Mathern DR; Barthel TK; Gurevich M; Hsieh JC; Kaczmarska M; Haussler CA; Haussler MRJ Bone Miner Res  2007[Dec]; 22 Suppl 2 (ä): V2-10The vitamin D hormone, 1,25-dihydroxyvitamin D(3) [1,25(OH)(2)D(3)], binds with  high affinity to the nuclear vitamin D receptor (VDR), which recruits its  retinoid X receptor (RXR) heterodimeric partner to recognize vitamin D responsive  elements (VDREs) in target genes. 1,25(OH)(2)D(3) is known primarily as a  regulator of calcium, but it also controls phosphate (re)absorption at the  intestine and kidney. Fibroblast growth factor 23 (FGF23) is a phosphaturic  hormone produced in osteoblasts that, like PTH, lowers serum phosphate by  inhibiting renal reabsorption through Npt2a/Npt2c. Real-time PCR and reporter  gene transfection assays were used to probe VDR-mediated transcriptional control  by 1,25(OH)(2)D(3). Reporter gene and mammalian two-hybrid transfections, plus  competitive receptor binding assays, were used to discover novel VDR ligands.  1,25(OH)(2)D(3) induces FGF23 78-fold in osteoblasts, and because FGF23 in turn  represses 1,25(OH)(2)D(3) synthesis, a reciprocal relationship is established,  with FGF23 indirectly curtailing 1,25(OH)(2)D(3)-mediated intestinal absorption  and counterbalancing renal reabsorption of phosphate, thereby reversing  hyperphosphatemia and preventing ectopic calcification. Therefore, a  1,25(OH)(2)D(3)-FGF23 axis regulating phosphate is comparable in importance to  the 1,25(OH)(2)D(3)-PTH axis that regulates calcium. 1,25(OH)(2)D(3) also elicits  regulation of LRP5, Runx2, PHEX, TRPV6, and Npt2c, all anabolic toward bone, and  RANKL, which is catabolic. Regulation of mouse RANKL by 1,25(OH)(2)D(3) supports  a cloverleaf model, whereby VDR-RXR heterodimers bound to multiple VDREs are  juxtapositioned through chromatin looping to form a supercomplex, potentially  allowing simultaneous interactions with multiple co-modulators and chromatin  remodeling enzymes. VDR also selectively binds certain omega3/omega6  polyunsaturated fatty acids (PUFAs) with low affinity, leading to  transcriptionally active VDR-RXR complexes. Moreover, the turmeric-derived  polyphenol, curcumin, activates transcription of a VDRE reporter construct in  human colon cancer cells. Activation of VDR by PUFAs and curcumin may elicit  unique, 1,25(OH)(2)D(3)-independent signaling pathways to orchestrate the  bioeffects of these lipids in intestine, bone, skin/hair follicle, and other  VDR-containing tissues.|*Calcification, Physiologic/drug effects[MESH]|*Food[MESH]|Animals[MESH]|COS Cells[MESH]|Calcium/metabolism[MESH]|Cell Line[MESH]|Chlorocebus aethiops[MESH]|Fibroblast Growth Factor-23[MESH]|Gene Expression Regulation/drug effects[MESH]|Homeostasis/drug effects[MESH]|Humans[MESH]|Ligands[MESH]|Models, Genetic[MESH]|Phosphates/metabolism[MESH]|Receptors, Calcitriol/*metabolism[MESH]|Vitamin D/analogs & derivatives/pharmacology[MESH]
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