Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Pennsylvania.
University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Endocrinology. 2018 Aug 1;159(8):3083-3089. doi: 10.1210/en.2017-03028.
The prevalence of vitamin D deficiency, as determined by circulating levels of 25-hydroxycalciferol [25(OH)D], is greater in older individuals compared with the young. To examine the hypothesis that altered production or inactivation of 25(OH)D contributes to lower circulating levels of 25(OH)D, we measured the serum levels of parent vitamin D3 (cholecalciferol) and 25(OH)D. We also determined the relative abundance of transcripts encoding hepatic CYP2R1 and CYP27B1, the principal 25-hydroxylases, transcripts encoding enzymes that degrade 25(OH)D in the liver (Cyp3A11) and kidney (Cyp24A1) and transcripts encoding megalin and cubilin, proteins critical to vitamin D resorption in the kidney in mice at three different ages. We observed a significant decline in the relative abundance of Cyp2R1 in the liver with aging (one-way ANOVA, P = 0.0077). Concurrent with the decrease in mRNA, a significant decline in hepatic CYP2R1 protein (one-way ANOVA for trend, P = 0.007) and 25(OH)D (one-way ANOVA for trend, P = 0.002) and in the ratio of 25(OH)D3 to cholecalciferol (one-way ANOVA, P = 0.0003). By contrast, levels of the transcripts encoding Cyp3a11, Cyp24a1, and Cyp27b1 megalin and cubilin were unchanged with aging. A significant positive correlation was found between Cyp2r1 mRNA and 25(OH)D, and a stronger correlation was found between Cyp2r1 mRNA and the ratio of 25(OH)D3 to cholecalciferol. These results indicate that decreased expression of CYP2R1 contributes to the reduced serum levels of 25(OH)D in aging.
维生素 D 缺乏症的流行率,通过循环水平的 25-羟维生素 D [25(OH)D]来确定,在老年人中比年轻人更高。为了检验这样一种假设,即 25(OH)D 的产生或失活的改变导致循环 25(OH)D 水平降低,我们测量了血清中维生素 D3(胆钙化醇)和 25(OH)D 的水平。我们还确定了编码肝脏 CYP2R1 和 CYP27B1 的主要 25-羟化酶的转录本的相对丰度,编码在肝脏(Cyp3A11)和肾脏(Cyp24A1)中降解 25(OH)D 的酶的转录本,以及编码在肾脏中对维生素 D 重吸收至关重要的蛋白 megalin 和 cubilin 的转录本在三个不同年龄的小鼠。我们观察到随着年龄的增长,肝脏中 Cyp2R1 的相对丰度显著下降(单因素方差分析,P = 0.0077)。与 mRNA 减少同时发生的是,肝 CYP2R1 蛋白(趋势的单向方差分析,P = 0.007)和 25(OH)D(趋势的单向方差分析,P = 0.002)以及 25(OH)D3 与胆钙化醇的比值(单向方差分析,P = 0.0003)均显著下降。相比之下,编码 Cyp3a11、Cyp24a1 和 Cyp27b1、megalin 和 cubilin 的转录本水平在衰老过程中没有变化。发现 Cyp2r1 mRNA 与 25(OH)D 之间存在显著正相关,而 Cyp2r1 mRNA 与 25(OH)D3 与胆钙化醇的比值之间存在更强的相关性。这些结果表明,CYP2R1 表达的减少导致衰老过程中血清 25(OH)D 水平降低。