Vitamin D affects calcium metabolism and prevents proliferation of colon ce
lls in vitro. In human beings the main circulating form of vitamin D is 25-
hydroxyvitamin D; to regulate calcium homoeostasis, this form must be conve
rted to 1 alpha, 25-dihydroxyvitamin D by 1 alpha -hydroxylation in the kid
ney with 25-hydroxyvitamin D-1 alpha -hydroxylase. Cultured transformed col
on cancer cells can convert 25-hydroxyvitamin D-3 to 1 alpha ,25-dihydroxyv
itamin D-3. We identified messenger RNA (mRNA) for 25-hydroxyvitamin D-1 al
pha -hydroxylase in normal colon tissue and in malignant and adjacent norma
l colon tissue. These findings support the notion that vitamin D might have
a role in cell growth regulation and cancer protection, and might be the e
xplanation for why the risk of dying from colorectal cancer is highest in a
reas with the least amount of sunlight.