N. Akeno et al., Regulation of vitamin D-1 alpha-hydroxylase and-24-hydroxylase expression by dexamethasone in mouse kidney, J ENDOCR, 164(3), 2000, pp. 339-348
We investigated the effects of dexamethasone on vitamin D-1 alpha-hydroxyla
se and -24-hydroxylase expression and on vitamin D receptor (VDR) content i
n the kidneys of mice fed either a normal (NCD) diet or a calcium- and vita
min D-deficient (LCD) diet for 2 weeks. For the last 5 days mice received e
ither vehicle or dexamethasone (2 mg/kg per day s.c.). Dexamethasone signif
icantly increased plasma calcium concentrations without changing plasma con
centrations of 1,25-dihydroxyvitamin D-3 (1,25(OH)(2)D-3) in both NCD and L
CD groups. Northern blot and enzyme activity analyses in NCD mice revealed
that dexamethasone increased renal VDR mRNA expression modestly and greatly
increased 24-hydroxylase mRNA abundance and enzyme activity, but did not a
ffect 1 alpha-hydroxylase mRNA abundance and enzyme activity. In mice fed a
n LCD diet, dexamethasone increased renal VDR mRNA expression 1.5-fold, dec
reased 1 alpha-hydroxylase mRNA abundance (52%) and activity (34%), and mar
kedly increased -hydroxylase mRNA abundance (16-fold) and enzyme activity (
9-fold). Dexamethasone treatment did not alter functional VDR number (B-max
125-141 fmol/mg protein) or ligand affinity (K-d 0.13-0.10 nM) in LCD mice
. Subcutaneous injections of 1,25(OH)(2)D-3 (0.24 nmol/kg per day for 5 day
s) into NCD mice strongly increased renal 24-hydroxylase mRNA abundance and
enzyme activity, while there was no effect of dexamethasone on renal 24-hy
droxylase expression in these mice. This may be due to overwhelming inducti
on of 24-hydroxylase by 1,25(OH)(2)D-3. These findings suggest that glucoco
rticoid-induced osteoporosis is caused by direct action of the steroids on
bone, and the regulatory effect of glucocorticoids on renal 25-hydroxyvitam
in D-3 metabolism may be less implicated in the initiation and progression
of the disease.