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Published on: November 27, 2019
Vitamin D and energy homeostasis: of mice and men
Roger Bouillon1, Geert Carmeliet1, Liesbet Lieben1
1Clinical and Experimental Endocrinology, KU Leuven, O&NI Herestraat 49 - bus 902, 3000 Leuven, Belgium.
Abstract:
The vitamin D endocrine system has many extraskeletal targets, including adipose tissue. 1,25-Dihydroxyvitamin D₃, the active form of vitamin D, not only increases adipogenesis and the expression of typical adipocyte genes but also decreases the expression of uncoupling proteins. Mice with disrupted vitamin D action--owing to gene deletion of the nuclear receptor vitamin D receptor (Vdr) or the gene encoding 1α-hydroxylase (Cyp27b1)--lose fat mass over time owing to an increase in energy expenditure, whereas mice with increased Vdr-mediated signalling in adipose tissue become obese. The resistance to diet-induced obesity in mice with disrupted Vdr signalling is caused at least partially by increased expression of uncoupling proteins in white adipose tissue. However, the bile acid pool is also increased in these animals, and bile acids are known to be potent inducers of energy expenditure through activation of several nuclear receptors, including Vdr, and G-protein-coupled receptors, such as GPBAR1 (also known as TGR5). By contrast, in humans, obesity is strongly associated with poor vitamin D status. A causal link has not been firmly proven, but most intervention studies have failed to demonstrate a beneficial effect of vitamin D supplementation on body weight. The reasons for the major discrepancy between mouse and human data are unclear, but understanding the link between vitamin D status and energy homeostasis could potentially be very important for the human epidemic of obesity and the metabolic syndrome.
Insights
Vitamin D influences fat tissue, but its role in human obesity is complex. Mouse studies show disrupted vitamin D action reduces fat, while human studies lack clear benefits from supplementation, highlighting a significant research gap.
Area of Science:
- Endocrinology
- Metabolic Research
- Nutritional Science
Background:
- The vitamin D endocrine system impacts numerous tissues beyond bone, including adipose tissue.
- 1,25-Dihydroxyvitamin D₃, the active vitamin D form, regulates adipogenesis and gene expression in fat cells.
- Genetic disruption of vitamin D action in mice leads to fat loss and increased energy expenditure.
Purpose of the Study:
- To investigate the role of vitamin D receptor (Vdr) signaling in adipose tissue and its impact on energy homeostasis.
- To explore the discrepancy between mouse models and human data regarding vitamin D status and obesity.
Main Methods:
- Analysis of mice with genetic disruptions in vitamin D action (Vdr or Cyp27b1 gene deletion).
- Assessment of fat mass, energy expenditure, and gene expression (including uncoupling proteins) in mouse models.
- Review of human epidemiological data and intervention studies on vitamin D status and body weight.
Main Results:
- Mice lacking Vdr signaling lose fat mass due to increased energy expenditure.
- Enhanced Vdr signaling in adipose tissue promotes obesity in mice.
- Disrupted Vdr signaling in mice increases uncoupling protein expression and bile acid pools, contributing to energy expenditure.
- Human obesity is linked to poor vitamin D status, but supplementation trials show limited effects on body weight.
Conclusions:
- Vitamin D action significantly influences energy homeostasis and fat mass, particularly in mouse models.
- A notable discrepancy exists between mouse and human data concerning vitamin D's effect on obesity.
- Further research is needed to clarify the role of vitamin D in human obesity and metabolic syndrome.
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