Frontiers in Immunology (May 2021)

Impaired Vitamin D Signaling in T Cells From a Family With Hereditary Vitamin D Resistant Rickets

  • Fatima A. H. Al-Jaberi,
  • Martin Kongsbak-Wismann,
  • Alejandro Aguayo-Orozco,
  • Nicolai Krogh,
  • Terkild B. Buus,
  • Daniel V. Lopez,
  • Anna K. O. Rode,
  • Eva Gravesen,
  • Klaus Olgaard,
  • Søren Brunak,
  • Anders Woetmann,
  • Niels Ødum,
  • Charlotte M. Bonefeld,
  • Carsten Geisler

DOI
https://doi.org/10.3389/fimmu.2021.684015
Journal volume & issue
Vol. 12

Abstract

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The active form of vitamin D, 1,25-dihydroxyvitamin D3 (1,25(OH)2D3), mediates its immunomodulatory effects by binding to the vitamin D receptor (VDR). Here, we describe a new point mutation in the DNA-binding domain of the VDR and its consequences for 1,25(OH)2D3 signaling in T cells from heterozygous and homozygous carriers of the mutation. The mutation did not affect the overall structure or the ability of the VDR to bind 1,25(OH)2D3 and the retinoid X receptor. However, the subcellular localization of the VDR was strongly affected and the transcriptional activity was abolished by the mutation. In heterozygous carriers of the mutation, 1,25(OH)2D3-induced gene regulation was reduced by ~ 50% indicating that the expression level of wild-type VDR determines 1,25(OH)2D3 responsiveness in T cells. We show that vitamin D-mediated suppression of vitamin A-induced gene regulation depends on an intact ability of the VDR to bind DNA. Furthermore, we demonstrate that vitamin A inhibits 1,25(OH)2D3-induced translocation of the VDR to the nucleus and 1,25(OH)2D3-induced up-regulation of CYP24A1. Taken together, this study unravels novel aspects of vitamin D signaling and function of the VDR in human T cells.

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