Research Unit of Biomedicine, Pharmacology and Toxicology, University of Oulu, Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Endocrinology. 2022 Jul 1;163(7). doi: 10.1210/endocr/bqac060.
Vitamin D deficiency [ie, low plasma 25-hydroxyvitamin D (25-OH-D)] associates with the prevalence of metabolic diseases including type 1 diabetes; however, the molecular mechanisms are incompletely understood. Recent studies have indicated that both fasting and metabolic diseases suppress the cytochrome P450 (CYP) 2R1, the major hepatic vitamin D 25-hydroxylase. We specifically studied the effect of a mouse model of type 1 diabetes on the regulation of Cyp2r1 and vitamin D status. We show that streptozotocin-induced diabetes in mice suppresses the expression of the Cyp2r1 in the liver. While insulin therapy normalized the blood glucose levels in the diabetic mice, it did not rescue the diabetes-induced suppression of Cyp2r1. Similar regulation of Cyp2r1 was observed also in the kidney. Plasma 25-OH-D level was not decreased and was, in contrast, higher after 4 and 8 weeks of diabetes. Furthermore, the vitamin D 25-hydroxylase activity was increased in the livers of the diabetic mice, suggesting compensation of the Cyp2r1 repression by other vitamin D 25-hydroxylase enzymes. Cyp27b1, the vitamin D 1α-hydroxylase, expression in the kidney and the plasma 1α,25-dihydroxyvitamin D level were higher after 4 weeks of diabetes, while both were normalized after 13 weeks. In summary, these results indicate that in the mouse model of type 1 diabetes suppression of hepatic Cyp2r1 expression does not result in reduced hepatic vitamin D 25-hydroxylase activity and vitamin D deficiency. This may be due to induction of other vitamin D 25-hydroxylase enzymes in response to diabetes.
维生素 D 缺乏症(即血浆 25-羟维生素 D(25-OH-D)水平低)与包括 1 型糖尿病在内的代谢性疾病的患病率有关;然而,其分子机制尚不完全清楚。最近的研究表明,禁食和代谢性疾病都会抑制细胞色素 P450(CYP)2R1,即肝脏中维生素 D 25-羟化酶的主要酶。我们专门研究了 1 型糖尿病小鼠模型对 Cyp2r1 调节和维生素 D 状态的影响。我们发现,链脲佐菌素诱导的糖尿病会抑制小鼠肝脏中 Cyp2r1 的表达。虽然胰岛素治疗使糖尿病小鼠的血糖水平正常化,但它不能挽救糖尿病引起的 Cyp2r1 抑制。在肾脏中也观察到类似的 Cyp2r1 调节。糖尿病 4 周和 8 周后,血浆 25-OH-D 水平没有降低,反而升高。此外,糖尿病小鼠肝脏中的维生素 D 25-羟化酶活性增加,表明其他维生素 D 25-羟化酶代偿了 Cyp2r1 的抑制。糖尿病 4 周后,肾脏 Cyp27b1(维生素 D 1α-羟化酶)表达和血浆 1α,25-二羟维生素 D 水平升高,而 13 周后两者均恢复正常。总之,这些结果表明,在 1 型糖尿病小鼠模型中,肝 Cyp2r1 表达的抑制不会导致肝维生素 D 25-羟化酶活性和维生素 D 缺乏降低。这可能是由于糖尿病诱导其他维生素 D 25-羟化酶的产生所致。