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Vitamin D receptor alleles and bone physiology

✍ Scribed by C. P. White; N. A. Morrison; E. M. Gardiner; J. A. Eisman


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
786 KB
Volume
56
Category
Article
ISSN
0730-2312

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✦ Synopsis


Abstract

The vitamin D endocrine system is central to the control of bone and calcium homeostasis. The active hormonal aform of vitamin D, 1,25 dihydroxyvitamin D (calcitriol), the circulating level of which is tightly regulated, acts through a specific receptor to mediate its genomic actions on almost every aspect of calcium homeostasis. Because of its transactivation function, it possible that a small difference in vitamin D receptor level could be amplified into a biologically significant alteration in physiological setpoint. The recent finding that polymorphisms in the vitamin D receptor gene are predictive of bone density (morrison et al., Nature 367:284–287, 1994) is the first example of an allelic effect in such a homeostatically controlled system. This raises the possibility that such central operators may exist in other regulatory pathways, and could expllain a large part of the observed β€œormal” population distribution that exists for all physiological paraameters.


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