Deletion of the vitamin D receptor specifically in the parathyroid demonstrates a limited role for the receptor in parathyroid physiology

T Meir, R Levi, L Lieben, S Libutti… - American Journal …, 2009 - journals.physiology.org
T Meir, R Levi, L Lieben, S Libutti, G Carmeliet, R Bouillon, J Silver, T Naveh-Many
American Journal of Physiology-Renal Physiology, 2009journals.physiology.org
1, 25 (OH) 2D3 decreases parathyroid hormone (PTH) gene transcription through the
vitamin D receptor (VDR). Total body VDR−/− mice have high PTH levels, hypocalcemia,
hypophosphatemia, and bone malformations. To investigate PTH regulation by the VDR
specifically in the parathyroid, we generated parathyroid-specific VDR knockout mice (PT-
VDR−/−). In both strains, there was a decrease in parathyroid calcium receptor (CaR) levels.
The number of proliferating parathyroid cells was increased in the VDR−/− mice but not in …
1,25(OH)2D3 decreases parathyroid hormone (PTH) gene transcription through the vitamin D receptor (VDR). Total body VDR−/− mice have high PTH levels, hypocalcemia, hypophosphatemia, and bone malformations. To investigate PTH regulation by the VDR specifically in the parathyroid, we generated parathyroid-specific VDR knockout mice (PT-VDR−/−). In both strains, there was a decrease in parathyroid calcium receptor (CaR) levels. The number of proliferating parathyroid cells was increased in the VDR−/− mice but not in the PT-VDR−/− mice. Serum PTH levels were moderately but significantly increased in the PT-VDR−/− mice with normal serum calcium levels. The sensitivity of the parathyroid glands of the PT-VDR−/− mice to calcium was intact as measured by serum PTH levels after changes in serum calcium. This indicates that the reduced CaR in the PT-VDR−/− mice enables a physiologic response to serum calcium. Serum C-terminal collagen crosslinks, a marker of bone resorption, were increased in the PT-VDR−/− mice with no change in the bone formation marker, serum osteocalcin, consistent with a resorptive effect due to the increased serum PTH levels in the PT-VDR−/− mice. Therefore, deletion of the VDR specifically in the parathyroid decreases parathyroid CaR expression and only moderately increases basal PTH levels, suggesting that the VDR has a limited role in parathyroid physiology.
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