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Vitamin D-Related Signaling and Epigenetic Regulation: Evidence from Experimental, Observational, and Interventional
Hanna Kozłowska1, Edyta Cichocka1, Sylwia Barbara Górczyńska-Kosiorz1
1Department of Internal Medicine, Diabetology and Nephrology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 40-055 Katowice, Poland.
The active vitamin D metabolite, 1,25-dihydroxycholecalciferol [1,25(OH)2D], influences gene expression through epigenetic mechanisms like DNA methylation and histone modification. However, clinical evidence of its epigenetic effects remains limited and requires further investigation with robust trials.
Area of Science:
- Endocrinology and Molecular Biology
- Epigenetics and Gene Regulation
Background:
- 1,25-dihydroxycholecalciferol [1,25(OH)2D] is the active vitamin D metabolite.
- It binds to the vitamin D receptor (VDR), a transcription factor regulating calcium homeostasis, immune responses, and cell differentiation.
- Beyond direct transcriptional control, 1,25(OH)2D signaling involves epigenetic modifications.
Purpose of the Study:
- To review the current evidence on epigenetic mechanisms influenced by 1,25(OH)2D.
- To explore the potential roles of these epigenetic actions in various biological processes and diseases.
- To identify gaps in knowledge and suggest future research directions.
Main Methods:
- A narrative review of 90 studies was conducted.
- Studies included experimental (cell cultures, animal models), observational, population-based, and interventional designs.
- Focus was on studies investigating epigenetic pathways such as DNA methylation, histone modifications, and non-coding RNAs.
Main Results:
- Experimental studies indicate 1,25(OH)2D affects chromatin remodeling, DNA methylation, histone modifications, and microRNA expression.
- Preclinical data suggest involvement in metabolic regulation, immunity, bone development, fibrogenesis, carcinogenesis, aging, and fetal programming.
- Evidence from human observational studies and RCTs is limited, inconclusive, and shows heterogeneity.
Conclusions:
- 1,25(OH)2D exhibits preclinical epigenetic regulatory potential across multiple biological processes.
- The clinical significance of 1,25(OH)2D-mediated epigenetic regulation is not yet established.
- Further rigorous randomized controlled trials are needed to integrate molecular and clinical outcomes.
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