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.

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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