Vitamin D is an important regulator of mineral homeostasis and bone metabolism. 1α-Hydroxylation of 25-(OH)D3 to form the bioactive vitamin D hormone, 1α,25-(OH)2D3, is classically considered to take place in the kidney. However, 1α-hydroxylase has been reported at extrarenal sites. Whether bone is a 1α,25-(OH) 2D3 synthesizing tissue is not univocal. The aim of this study was to investigate an autocrine/paracrine function for 1α,25-(OH)2D3 in bone. We show that 1α-hydroxlase is expressed in human osteoblasts, as well as the vitamin D binding protein receptors megalin and cubilin. Functional analyses demonstrate that after incubation with the 1α-hydoxylase substrate 25-(OH)D 3, the osteoblasts can produce sufficient 1α,25-(OH) 2D3 to modulate osteoblast activity, resulting in induced alkaline phosphatase (ALP) activity, osteocalcin (OC) and CYP24 mRNA expression, and mineralization. The classical renal regulators of 1α-hydroxylase, parathyroid hormone, and ambient calcium do not regulate 1α-hydroxylase in osteoblasts. In contrast, interleukin (IL)-1β strongly induces 1α-hydroxylase. Besides the bone-forming cells, we demonstrate 1α-hydroxylase activity in the bone resorbing cells, the osteoclasts. This is strongly dependent on osteoclast inducer RANKL. This study showing expression, activity, and functionality of 1α-hydoxylase unequivocally demonstrates that vitamin D can act in an auto/paracrine manner in bone.

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doi.org/10.1096/fj.06-6374fje, hdl.handle.net/1765/74698
FASEB Journal
Department of Internal Medicine

van Driel, M., Koedam, M., Buurman, C., Hewison, M., Chiba, H., Uitterlinden, A., … van Leeuwen, H. (2006). Evidence for auto/paracrine actions of vitamin D in bone: 1α-Hydroxylase expression and activity in human bone cells. FASEB Journal, 20(13). doi:10.1096/fj.06-6374fje