Abstract
Abstract Pseudovitamin D–defiency rickets (PDDR) is an autosomal recessive disorder characterized by hypocalcemia, rickets (which are resistant to treatment with vitamin D), and low or undetectable serum levels of 1,25-dihydroxyvitamin D (1,25(OH)2D). The symptoms are corrected with 1,25(OH)2D treatment, and the disease is now believed to result from a defect in the cytochrome P450 component (P450c1; CYP27B1) of the renal 25-hydroxyvitamin D-1α-hydroxylase (1-OHase). We have studied genomic DNA from three families with PDDR and have identified the same homozygous mutation in the P450c1 gene in two of the index cases, causing a frameshift in exon 8, resulting in a premature stop codon in the heme-binding domain. The two cases in the third kindred were compound heterozygotes with missense mutations in exons 6 and 9. We have also identified a C/T polymorphism in intron 6 of the P450c1 genomic DNA. Interferon γ–inducible 1-OHase activity in blood-derived macrophages was shown by 1,25(OH)2D synthesis in all control cells tested (37–184 fmol/h/106 cells) and those from the PDDR family parents (34–116 fmol/h/106 cells) but was totally absent from the patients' cells, indicating a defect in their macrophage 1-OHase, similar to the presumed renal defect. The assumption of similarity between the renal and macrophage P450c1 was supported by our ability to clone a 514 bp sequence, including the heme-binding region of the macrophage P450c1 cDNA from controls, which was identical to that published for both the renal and keratinocyte P450c1 cDNAs.
Bibliography
Smith, S. J., Rucka, A. K., Berry, J. L., Davies, M., Mylchreest, S., Paterson, C. R., Heath, D. A., Tassabehji, M., Read, A. P., Mee, A. P., & Prof. Mawer, E. B. (1999). Novel Mutations in the 1α-Hydroxylase (P450c1) Gene in Three Families with Pseudovitamin DâDeficiency Rickets Resulting in Loss of Functional Enzyme Activity in Blood-Derived Macrophages. Journal of Bone and Mineral Research, 14(5), 730â739.
References
33
Referenced
74
10.1038/228764a0
/ Nature / Unique biosynthesis by kidney of a biologically active vitamin D metabolite by Fraser (1970)10.1359/jbmr.1997.12.10.1552
/ J Bone Miner Res / The 25-hydroxyvitamin D 1-alpha-hydroxylase gene maps to the pseudovitamin d-deficiency rickets (PDDR) disease locus by St. Arnaud (1997)10.1111/j.1432-1033.1987.tb10915.x
/ Eur J Biochem / Kinetics and regulation of 25-hydroxycholecalciferol 1-alpha-hydroxylase from cells isolated from human term decidua by Delvin (1987){'key': '2024020713374514400_bib4', 'first-page': '1709S', 'article-title': '1,25(OH)2D3-regulated human keratinocyte proliferation and differentiation: Basic studies and their clinical application', 'volume': '125', 'author': 'Bikle', 'year': '1995', 'journal-title': 'J Nutr'}
/ J Nutr / 1,25(OH)2D3-regulated human keratinocyte proliferation and differentiation: Basic studies and their clinical application by Bikle (1995){'key': '2024020713374514400_bib5', 'first-page': '554', 'article-title': 'Constitutive synthesis of 1,25-dihydroxyvitamin D3 by a human small cell lung cancer cell line', 'volume': '79', 'author': 'Mawer', 'year': '1994', 'journal-title': 'J Clin Endocrinol Metab'}
/ J Clin Endocrinol Metab / Constitutive synthesis of 1,25-dihydroxyvitamin D3 by a human small cell lung cancer cell line by Mawer (1994)10.1136/ard.48.9.723
/ Ann Rheum Dis / Synthesis of the active metabolite of vitamin D, 1,25(OH)2D3, by synovial fluid macrophages in arthritic diseases by Hayes (1989)10.1016/0014-5793(87)80836-0
/ FEBS Lett / Peritonitis induces the synthesis of 1α,25-dihydroxyvitamin D3 in macrophages from CAPD patients by Hayes (1987)10.1084/jem.161.4.755
/ J Exp Med / Characterisation of 1α-hydroxylation of vitamin D3 sterols by cultured macrophages from patients with sarcoidosis by Adams (1985)10.1016/S0006-291X(85)80202-3
/ Biochem Biophys Res Commun / Gamma-interferon stimulates production of 1,25-dihydroxyvitamin D3 by normal human macrophages by Koeffler (1985)10.1182/blood.V82.4.1300.1300
/ Blood / 1,25-dihydroxyvitamin D3 production and vitamin D3 receptor expression are developmentally regulated during differentiation of human monocytes into macrophages by Kreutz (1993){'key': '2024020713374514400_bib11', 'first-page': '903', 'volume-title': 'Vitamin D', 'author': 'Adams', 'year': '1997'}
/ Vitamin D by Adams (1997){'key': '2024020713374514400_bib12', 'first-page': '2255', 'article-title': 'Pseudo-vitamin D deficiency: Absence of 25-hydroxyvitamin D 1α-hydroxylase activity in human placenta decidual cells', 'volume': '80', 'author': 'Glorieux', 'year': '1995', 'journal-title': 'J Clin Endocrinol Metab'}
/ J Clin Endocrinol Metab / Pseudo-vitamin D deficiency: Absence of 25-hydroxyvitamin D 1α-hydroxylase activity in human placenta decidual cells by Glorieux (1995){'key': '2024020713374514400_bib13', 'first-page': '1961', 'article-title': 'Cloning of human 25-hydroxyvitamin D-1α-hydroxylase and mutations causing vitamin d-dependent rickets type 1', 'volume': '11', 'author': 'Fu', 'year': '1997', 'journal-title': 'Mol Endocrinol'}
/ Mol Endocrinol / Cloning of human 25-hydroxyvitamin D-1α-hydroxylase and mutations causing vitamin d-dependent rickets type 1 by Fu (1997){'key': '2024020713374514400_bib14', 'first-page': '209', 'article-title': 'Increased catabolism of 25-hydroxyvitamin D in patients with partial gastrectomy and elevated 1,25-dihydroxyvitamin D levels: Implications for metabolic bone disease', 'volume': '82', 'author': 'Davies', 'year': '1997', 'journal-title': 'J Clin Endocrinol Metab'}
/ J Clin Endocrinol Metab / Increased catabolism of 25-hydroxyvitamin D in patients with partial gastrectomy and elevated 1,25-dihydroxyvitamin D levels: Implications for metabolic bone disease by Davies (1997)10.1016/0888-7543(92)90377-5
/ Genomics / Detecting single base substitutions as heteroduplex ploymorphisms by White (1992)10.1073/pnas.86.8.2766
/ Proc Natl Acad Sci USA / Detection of polymorphisms of human DNA by gel electrophoresis as single-strand conformation polymorphisms by Orita (1989)10.1093/hmg/3.7.1069
/ Hum Mol Genet / PAX3 gene structure and mutations: Close analogies between Waardenburg syndrome type 1 and the Splotch mouse by Tassabehji (1994){'key': '2024020713374514400_bib18', 'first-page': '1', 'article-title': 'Interferon-γ and eicosanoid regulation of 1,25-dihydroxyvitamin D3 synthesis in macrophages from inflammatory arthritic joints', 'volume': '10', 'author': 'Hayes', 'year': '1994', 'journal-title': 'Int J Immunotherapy'}
/ Int J Immunotherapy / Interferon-γ and eicosanoid regulation of 1,25-dihydroxyvitamin D3 synthesis in macrophages from inflammatory arthritic joints by Hayes (1994)10.1006/bbrc.1997.7508
/ Biochem Biophys Res Commun / Molecular cloning of cDNA and genomic DNA for human 25-hydroxyvitamin D3 1α-hydroxylase by Monkawa (1997){'key': '2024020713374514400_bib20', 'first-page': '351', 'article-title': 'Fragile X gene instability: Anchoring AGGs and linked microsatellites', 'volume': '57', 'author': 'Zhong', 'year': '1995', 'journal-title': 'Am J Hum Genet'}
/ Am J Hum Genet / Fragile X gene instability: Anchoring AGGs and linked microsatellites by Zhong (1995)10.1146/annurev.bi.56.070187.004501
/ Ann Rev Biochem / P450 genes: Structure, evolution and regulation by Nebert (1987)10.1056/NEJM199803053381004
/ N Engl J Med / Inactivating mutations in the 25-hydroxyvitamin D3 1α-hydroxylase gene in patients with pseudovitamin d-deficiency rickets by Kitanaka (1998)10.1089/dna.1997.16.1499
/ DNA Cell Biol / Complete structure of the human gene for the vitamin D 1α-hydroxylase, P450c1α by Fu (1997){'key': '2024020713374514400_bib24', 'first-page': '1510', 'article-title': 'The 1α-hydroxylase gene expressed in the small cell lung cancer cell line NCI-H82 shows complete homology with that expressed in renal cells and keratinocytes', 'volume': '13', 'author': 'Heys-Jackson', 'year': '1998', 'journal-title': 'J Bone Miner Res'}
/ J Bone Miner Res / The 1α-hydroxylase gene expressed in the small cell lung cancer cell line NCI-H82 shows complete homology with that expressed in renal cells and keratinocytes by Heys-Jackson (1998)10.1210/endo.134.6.8194484
/ Endocrinology / Regulated production and intracrine action of 1,25(OH)2D3 in chick myelomonocytic cell line HD11 by Adams (1994)10.1210/jcem-70-3-595
/ J Clin Endocrinol Metab / A role for endogenous arachidonate metabolites in the regulated expression of the 25-hydroxyvitamin D-1-hydroxylation reaction in cultured alveolar macrophages from patients with sarcoidosis by Adams (1990)10.1136/ard.51.5.632
/ Ann Rheum Dis / Inhibition by prostaglandin E1 and E2 of 1,25-dihydroxyvitamin D3 synthesis by synovial fluid macrophages from arthritic joints by Hayes (1992)10.1016/0014-5793(92)81370-2
/ FEBS Lett / Regulation of 1α,25-dihydroxyvitamin D3 synthesis in macrophages from arthritic joints by phorbol ester, dibutryl-cAMP and calcium ionophore (A23187) by Yuan (1992){'key': '2024020713374514400_bib29', 'first-page': '145', 'volume-title': 'Vitamin D, A Pluripotent Steroid Hormone: Structural Studies, Molecular Endocrinology and Clinical Applications', 'author': 'Fowler', 'year': '1994'}
/ Vitamin D, A Pluripotent Steroid Hormone: Structural Studies, Molecular Endocrinology and Clinical Applications by Fowler (1994){'key': '2024020713374514400_bib30', 'first-page': '1387', 'article-title': 'Parathyroid hormone activation of the 25-hydroxyvitamin D3–1α-hydroxylase gene promoter', 'volume': '95', 'author': 'Brenza', 'year': '1998', 'journal-title': 'Biochemistry'}
/ Biochemistry / Parathyroid hormone activation of the 25-hydroxyvitamin D3–1α-hydroxylase gene promoter by Brenza (1998)10.1073/pnas.91.21.10014
/ Proc Natl Acad Sci USA / Liver mitochondrial cytochrome P459 CYP27 and recombimamt-expressed human CYP27 catalyse 1α-hydroxylation of 25-hydroxyvitamin D3 by Axén (1994)10.1159/000133473
/ Cytogenet Cell Genet / Localization of the human vitamin D 24-hydroxylase gene (CYP24) to chromosome 20q13.2-q13 3 by Hahn (1993)10.1210/jcem.74.4.1548347
/ J Clin Endocrinol Metab / Normal 24-hydroxylation of vitamin D metabolites in patients with vitamin D–dependency rickets type I: Structural implications for the vitamin D hydroxylases by Mandla (1992)
Dates
Type | When |
---|---|
Created | 19 years, 4 months ago (April 26, 2006, 4:14 p.m.) |
Deposited | 1 year, 5 months ago (March 13, 2024, 10:58 a.m.) |
Indexed | 3 months ago (June 3, 2025, 3:46 p.m.) |
Issued | 26 years, 4 months ago (May 1, 1999) |
Published | 26 years, 4 months ago (May 1, 1999) |
Published Online | 15 years, 9 months ago (Dec. 2, 2009) |
Published Print | 26 years, 4 months ago (May 1, 1999) |
@article{Smith_1999, title={Novel Mutations in the 1α-Hydroxylase (P450c1) Gene in Three Families with Pseudovitamin D–Deficiency Rickets Resulting in Loss of Functional Enzyme Activity in Blood-Derived Macrophages}, volume={14}, ISSN={1523-4681}, url={http://dx.doi.org/10.1359/jbmr.1999.14.5.730}, DOI={10.1359/jbmr.1999.14.5.730}, number={5}, journal={Journal of Bone and Mineral Research}, publisher={Oxford University Press (OUP)}, author={Smith, S. J. and Rucka, A. K. and Berry, J. L. and Davies, M. and Mylchreest, S. and Paterson, C. R. and Heath, D. A. and Tassabehji, M. and Read, A. P. and Mee, A. P. and Prof. Mawer, E. B.}, year={1999}, month=may, pages={730–739} }