PMID- 23022574 OWN - NLM STAT- MEDLINE DCOM- 20130830 LR - 20181203 IS - 1879-1220 (Electronic) IS - 0960-0760 (Linking) VI - 136 DP - 2013 Jul TI - The delicate balance between vitamin D, calcium and bone homeostasis: lessons learned from intestinal- and osteocyte-specific VDR null mice. PG - 102-6 LID - S0960-0760(12)00185-9 [pii] LID - 10.1016/j.jsbmb.2012.09.019 [doi] AB - The serum calcium levels and the calcium content of the skeleton are highly interdependent. Indeed, bone requires calcium to preserve its strength, but it is at the same time also the predominant calcium storage from which calcium can be mobilized to supply the serum pool. The active form of vitamin D [1,25(OH)2D] plays a crucial role in regulating the transfer of calcium between blood and bone, evidenced by experimental data obtained from systemic, intestinal-specific and osteocyte-specific vitamin D receptor (Vdr) null mice. In fact, 1,25(OH)2D is required to maintain normocalcemia and bone health by enhancing intestinal calcium absorption when dietary calcium intake is normal/low. When, however, insufficient calcium is absorbed via the intestine, 1,25(OH)2D levels will increase and will act on mature osteoblasts and osteocytes to minimize calcium levels in bone tissue in favor of the blood calcium pool. Mechanistically, the high 1,25(OH)2D levels enhance bone remodeling which leads to osteopenia, and suppress bone matrix mineralization by increasing the levels of mineralization inhibitors, which causes hyperosteoidosis and hypomineralization. Thus, depending on the intestinal calcium acquisition, 1,25(OH)2D will target the intestine and/or the skeleton to maintain calcium levels in serum within a normal range. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Lieben, Liesbet AU - Lieben L AD - Clinical and Experimental Endocrinology, KU Leuven, Leuven, Belgium. FAU - Carmeliet, Geert AU - Carmeliet G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120925 PL - England TA - J Steroid Biochem Mol Biol JT - The Journal of steroid biochemistry and molecular biology JID - 9015483 RN - 0 (Receptors, Calcitriol) RN - 1406-16-2 (Vitamin D) RN - 66772-14-3 (1,25-dihydroxyvitamin D) RN - SY7Q814VUP (Calcium) SB - IM MH - Animals MH - Bone Resorption/genetics/metabolism MH - Bone and Bones/metabolism MH - Calcification, Physiologic/genetics MH - Calcium/blood/*metabolism MH - Homeostasis/genetics MH - Intestinal Mucosa/metabolism MH - Mice MH - Mice, Knockout MH - Receptors, Calcitriol/deficiency/genetics MH - Vitamin D/*analogs & derivatives/metabolism EDAT- 2012/10/02 06:00 MHDA- 2013/08/31 06:00 CRDT- 2012/10/02 06:00 PHST- 2012/07/06 00:00 [received] PHST- 2012/09/14 00:00 [revised] PHST- 2012/09/17 00:00 [accepted] PHST- 2012/10/02 06:00 [entrez] PHST- 2012/10/02 06:00 [pubmed] PHST- 2013/08/31 06:00 [medline] AID - S0960-0760(12)00185-9 [pii] AID - 10.1016/j.jsbmb.2012.09.019 [doi] PST - ppublish SO - J Steroid Biochem Mol Biol. 2013 Jul;136:102-6. doi: 10.1016/j.jsbmb.2012.09.019. Epub 2012 Sep 25.