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Effect of Schiff base formation on the function of the calcitriol receptor

S R Patel1, R J Koenig, C H Hsu

  • 1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, USA.

Kidney International
|November 1, 1996
PubMed

Insights

Uremic toxins may inhibit vitamin D receptor (VDR) function by forming Schiff bases. Pyridoxal 5'-phosphate confirmed this mechanism, blocking VDR-DNA binding and calcitriol-induced gene expression, impacting VDR

Area of Science:

  • Molecular Endocrinology
  • Biochemistry
  • Renal Physiology

Background:

  • Calcitriol (active vitamin D) genomic effects rely on the vitamin D receptor (VDR) binding to vitamin D response elements (VDREs).
  • Uremic toxins are known to inhibit VDR-VDRE interactions, but the precise mechanism remains unclear.

Purpose of the Study:

  • To investigate if Schiff base formation between uremic toxins and VDR lysine residues mediates the inhibition of VDR-VDRE binding.
  • To assess the functional consequences of this potential inhibition on calcitriol's genomic actions.

Main Methods:

  • Utilized pyridoxal 5 -phosphate, a Schiff base-forming agent, as a probe to test VDR modification.
  • Assessed VDR-VDRE binding inhibition and chemical modification of the VDR DNA-binding domain in vitro.
  • Evaluated calcitriol-induced reporter gene (CAT) expression in transfected cells.
  • Measured renal 24-hydroxylase activity in rats infused with pyridoxal 5 -phosphate.

Main Results:

  • Pyridoxal 5 -phosphate inhibited VDR binding to VDREs and modified the VDR DNA-binding domain.
  • This inhibition was reversible upon preincubation with lysine.
  • Pyridoxal 5 -phosphate blocked calcitriol-induced CAT gene expression in cells.
  • In vivo, pyridoxal 5 -phosphate infusion suppressed renal 24-hydroxylase activity and reduced calcitriol degradation in rats.

Conclusions:

  • Schiff base formation is a plausible mechanism by which uremic toxins inhibit VDR function.
  • Chemical agents forming Schiff bases can impair VDR DNA binding and alter calcitriol's physiological actions.
  • These findings highlight a potential molecular basis for VDR dysfunction in uremia.

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