Studies of gene expression in bone have adopted a number of molecular
approaches that seek to determine those cis and trans-acting factors r
esponsible for the development and physiological regulation of this un
ique tissue. The majority of studies have been performed in vitro, foc
ussing on the expression of genes such as osteocalcin, bone sialoprote
in and type I collagen which demonstrate restricted or altered express
ion patterns in osteoblasts. These studies have demonstrated a large n
umber of cis and traits acting factors that modulate the tissue specif
ic and vitamin D responsive expression of these genes. These include t
he response elements and regions mediating basal and vitamin D depende
nt transcription of these genes as well as some of the transcription f
actors that bind to these regions and the nucleosomal organisation of
these genes within a nuclear framework. In vivo studies, including the
introduction of transgenes into transgenic mice, extend these in vitr
o observations within a physiological context. However, in part due to
limitations in each approach, these in vitro and in vivo studies are
yet to accurately define all the necessary cis and trans-acting factor
s required for tissue specific and vitamin D responsive gene expressio
n. Advances have been made in identifying many cis-acting regions with
in the flanking regions of these genes that are responsible for their
restricted expression patterns, but a vector incorporating all the nec
essary cis-acting regions capable of directing gene expression indepen
dent of integration site has not yet been described. Similarly, trans-
acting factors that determine the developmental destiny of osteoblast
progenitors and the restricted expression of these genes remain elusiv
e and, despite advances in the understanding of protein-DNA interactio
ns at vitamin D response elements contained within these genes, furthe
r intermediary factors that interact with the transcriptional machiner
y to modulate vitamin D responsiveness need to be identified.