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The Molecular Basis for Resistance to 1,25-Dihydroxyvitamin D: Studies in Cells Cultured from Patients with Hereditary Hypocalcemic 1,25(OH)2D3-Resistant Rickets

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Steroid Hormone Resistance

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 196))

Abstract

Vitamin D-dependent rickets, type II, is a rare, hereditary syndrome characterized by early onset rickets, hypocalcemia, secondary hyperparathyroidism, normal vitamin D intake, and normal or elevated circulating levels of 1,25-dihydroxyvitamin D (1,25(OH)2D). It is thought to result from target tissue resistance to the action of 1,25(OH)2D in a manner analogous to the resistance to androgens and glucocorticoids seen in patients with decreased hormone action in the face of elevated blood levels of those hormones.1,2 We will refer to this form of rickets as hereditary, hypocalcemic 1,25(OH)2D3-resistant rickets (HHDR).

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References

  1. J. E. Griffin, J. D. Wilson, The syndromes of androgen resistance. N. Engl. J. Med. 203: 198 (1980).

    Article  Google Scholar 

  2. A. C. M. Vingerhoeds, J. H. H. Thijssen, F. Schwartz, Spontaneous hypercortisolism without Cushing’s Syndrome. J. Clin. Endocrinol. Metab. 43: 1128 (1976).

    Article  PubMed  CAS  Google Scholar 

  3. B. S. Keenan, W. J. Meyer III, A. J. Hadjian, H. W. Jones, C. J. Migeon, Syndrome of androgen insensitivity in man: absence of 5ordihydrotestosterone binding protein in skin fibroblasts. J. Clin. Endocrinol. Metab. 38: 1143 (1974).

    Article  PubMed  CAS  Google Scholar 

  4. W. J. Meyer III, B. R. Migeon, C. J. Migeon, Locus on human X chromosome for dihydrotestosterone receptor and androgen insensitivity. Proc. Natl. Acad. Sci. USA 72: 1469 (1975).

    Article  PubMed  Google Scholar 

  5. J. A. Amrhein, W. J. Meyer III, H. W. Jones, Jr., C. J. Migeon, Androgen insensitivity in man: evidence for genetic heterogeneity. Proc. Natl. Acad. Sci. USA 73: 891 (1976).

    Article  CAS  Google Scholar 

  6. J. E. Griffin, K. Punyashthiti, J. D. Wilson, Dihydrotestosterone binding by cultured human fibroblasts: comparison of cells from control subjects and from patients with hereditary male pseudohermaphroditism due to androgen resistance. J. Clin. Invest. 57: 1342 (1976).

    Article  PubMed  CAS  Google Scholar 

  7. M. Kaufman, C. Straisfeld, L. Pinsky, Male pseudohermaphroditism due to target organ unresponsiveness to androgens: deficient 5ce-dihydrotestosterone binding in cultured skin fibroblasts. J. Clin. Invest. 58: 345 (1976).

    Article  PubMed  CAS  Google Scholar 

  8. J. A. Amrhein, G. J. Klingensmith, P. C. Walsh, V. A. McKusick, C. J. Migeon, Partial androgen insensitivity: the Reifenstein syndrome revisited. N. Engl. J. Med. 297: 350 (1977).

    Article  PubMed  CAS  Google Scholar 

  9. J. E. Griffin, J. D. Wilson, Studies on the pathogenesis of the incomplete forms of androgen resistance in man. J. Clin. Endocrinol. Metab. 45: 1137 (1977).

    Article  PubMed  CAS  Google Scholar 

  10. J. E. Griffin, Testicular feminization associated with a thermolabile androgen receptor in cultured human fibroblasts. J. Clin. Invest. 64: 1624 (1979).

    Article  PubMed  CAS  Google Scholar 

  11. J. Aiman, J. E. Griffin, J. M. Gazak, J. D. Wilson, P. C. MacDonald, Androgen insensitivity as a cause of infertility in otherwise normal men. N. Engl. J. Med. 300: 233 (1979).

    Article  Google Scholar 

  12. L. Pinsky, M. Kaufman, R. L. Summitt, Congenital androgen insensitivity due to a qualitatively abnormal androgen receptor. Am. J. Med. Genet. 10: 91 (1981).

    Article  PubMed  CAS  Google Scholar 

  13. M. Medina, B. Chavez, G. Perez-Palacios, Defective androgen action at the cellular level in the androgen resistance syndrome. I. differences between the complete and incomplete testicular feminization syndromes. J. Clin. Endocrinol. Metab. 53: 1243 (1981).

    Article  PubMed  CAS  Google Scholar 

  14. M. Kaufman, L. Pinsky, L. Simard, S. C. Wong, Defective activation of androgen receptor complexes: a marker of androgen insensitivity. Mol. Cell. Endocrinol. 25: 151 (1982).

    Article  PubMed  CAS  Google Scholar 

  15. T. R. Brown, M. Maes, S. W. Rothwell, C. J. Migeon, Human complete androgen insensitivity with normal dihydrotestosterone receptor binding capacity in cultured genital skin fibroblasts: evidence of a qualitative abnormality of the receptor. J. Clin. Endocrinol. Metab. 55: 61 (1982).

    Article  PubMed  CAS  Google Scholar 

  16. J. E. Griffin, J. L. Durrant, Qualitative receptor defects in families with androgen resistance: failure of stabilization of the fibroblast cytosol androgen receptor. J. Clin. Endocrinol. Metab. 55: 465–474 (1982).

    Article  PubMed  CAS  Google Scholar 

  17. C. Eil, Familial incomplete male pseudohermaphroditism associated with impaired nuclear androgen retention: studies in cultured skin fibroblasts. J. Clin. Invest. 71: 850 (1983).

    Article  PubMed  CAS  Google Scholar 

  18. M. Kaufman, L. Pinsky, R. Hollander, J. D. Bailey, Regulation of the androgen receptor by androgen in normal and androgen-resistant genital skin fibroblasts. J. Steroid Biochem. 18: 383 (1983).

    Article  PubMed  CAS  Google Scholar 

  19. G. P. Chrousos, A. Vingerhoeds, D. Brandon, C. Eil, M. Pugeat, M. DeVroede, D. L. Loriaux, M. B. Lipsett, Primary cortisol resistance in man: a glucocorticoid receptor-mediated disease. J. Clin. Invest. 69: 1261 (1982).

    Article  PubMed  CAS  Google Scholar 

  20. C. Eil, U. A. Liberman, J. F. Rosen, S. J. Marx, A cellular defect in hereditary vitamin-D-dependent rickets Type II: defective nuclear uptake of 1,25-dihydroxyvitamin D in cultured skin fibroblasts. N. Engl. J. Med. 304: 1588 (1981).

    Article  PubMed  CAS  Google Scholar 

  21. D. Feldman, T. Chen, C. M. Cone, M. Hirst, S. Shani, A. Z. Benderli, Z. Hochberg, Vitamin D resistant rickets with alopecia: cultured skin fibroblasts exhibit defective cytoplasmic receptors and unresponsiveness to 1,25(OH)2D3. J. Clin. Endocrinol. Metab. 55: 1020 (1982).

    Article  PubMed  CAS  Google Scholar 

  22. U. A. Liberman, C. Eil, S. J. Marx, Resistance to 1,25-dihydroxyvitamin D: association with heterogenous defects in cultured skin fibroblasts. J. Clin. Invest. 71: 192 (1983).

    Article  PubMed  CAS  Google Scholar 

  23. T. L. Clemens, J. S. Adams, N. Horiuchi, B. A. Gilchrist, H. Cho, Y. Tsuchiya, N. Matsuo, T. Suda, M. F. Holick, Interaction of 1,25-dihydroxyvitamin-D3 with keratinocytes and fibroblasts from skin of a subject with vitamin-D-dependent rickets type II: A model for the study of the mode of action of 1,25-dihydroxyvitamin D3. J. Clin. Endocrinol. Metab. 56: 824–830 (1983).

    Article  PubMed  CAS  Google Scholar 

  24. S. Balsan, M. Garabedian, U. A. Liberman, C. Eil, A. Bourdeau, H. Guillozo, R. Grimberg, M. J. LeDeunff, M. Lieberherr, P. Guimbaud, M. Broyer, S. J. Marx, Rickets and alopecia in resistance to 1,25-dihydroxyvitamin D: two different clinical courses with two different cellular defects. J. Clin. Endocrinol. Metab. 57: 803 (1983).

    Article  PubMed  CAS  Google Scholar 

  25. T. L. Chen, M. A. Hirst, C. M. Cone, Z. Hochberg, H.-U Tietze, D. Feldman, 1,25-Dihydroxyvitamin D resistance, rickets, and alopecia: analysis of receptors and bioresponse in cultured fibroblasts from patients and parents. J. Clin. Endocrinol. Metab. 59: 383 (1984).

    Article  PubMed  CAS  Google Scholar 

  26. L. J. Fraher, G. N. Hendy, H. Jani, J. L. H. O’Riordan, Interactions of 1,25(OH)2D3 with cultured skin fibroblasts: reduced metabolism of 1,25(OH)2D3 in a patient with vitamin D resistant rickets Type II. Abstract presented at VIIIth International Conference on Calcium Regulating Hormones, “The Parathyroid Conferences”; Kobe, Japan (1983).

    Google Scholar 

  27. J. E. Griffin, J. E. Zerwekh, Impaired stimulation of 25-hydroxyvitamin D-24-hydroxylase in fibroblasts from a patient with vitamin D-dependent rickets, Type II. J. Clin. Invest. 72: 1190 (1983).

    Article  PubMed  CAS  Google Scholar 

  28. J. W. Pike, S. Dokoh, M. R. Haussler, U. A. Liberman, S. J. Marx, C. Eil, Vitamin D3-resistant fibroblasts have immunoassayable 1,25-dihydroxyvitamin D3 receptors. Science 224: 870 (1984).

    Article  Google Scholar 

  29. S. Castells, F. Greig, M. Fusi, L. Finberg, S. Yasumura, U. A. Liberman, C. Eil, S. J. Marx, Vitamin D-dependent rickets type II (DDII) with alopecia: treatment wtih mega doses of 1,25(OH)2D3 overcomes affinity defect in receptor for 1,25(OH)2D. Abstract presented at the Society for Pediatric Research, San Francisco, CA.

    Google Scholar 

  30. G. T. Gamblin, U. A. Liberman, C. Eil, R. W. Downs Jr., D. A. DeGrange, S. J. Marx, Vitamin D-dependent rickets type II: defective induction of 25 hydroxyvitamin D3–24 hydroxylase by 1,25 dihydroxyvitamin D3 in cultured human skin fibroblasts. J. Clin. Invest. 75: 954 (1985).

    Article  PubMed  CAS  Google Scholar 

  31. M. Hirst, H. Hochman, D. Feldman, Vitamin D resistance rickets and alopecia: a kindred with normal 1,25-dihydroxyvitamin D binding but decreased receptor affinity for deoxyribonucleic acid. J. Clin. Endocrinol. Metab. 60: 490 (1985).

    Article  PubMed  CAS  Google Scholar 

  32. R. U. Simpson, H. F. DeLuca, Characterization of a receptor like protein for 1,25-dihydroxyvitamin D3 in rat skin. Proc. Natl. Acad. Sci. USA 77: 5822 (1980).

    Article  PubMed  CAS  Google Scholar 

  33. D. Feldman, T. Chen, M. Hirst, K. Colston, K. Karasek, C. Cone, Demonstration of 1,25-dihydroxyvitamin D3 receptors in human skin biopsies. J. Clin. Endocrinol. Metab. 51: 1463 (1980).

    Article  PubMed  CAS  Google Scholar 

  34. C. Eil, S. J. Marx, Nuclear uptake of 1,25-dihydroxy[3H]cholecalciferol in dispersed fibroblasts cultured from normal human skin. Proc. Natl. Acad. Sci. USA 78: 2562 (1981).

    Article  PubMed  CAS  Google Scholar 

  35. T. L. Clemens, N. Horluchi, M. Nguyen, M. F. Holick, Binding of 1,25-dihydroxy[H]vitamin D3 in nuclear and cytosol fractions of whole mouse skin in vivo and in vitro. FEBS Lett 134: 203 (1981).

    Article  PubMed  CAS  Google Scholar 

  36. G. Scatchard, The attractions of proteins for small molecules and ions. Ann. NY Acad. Sci. 51: 660 (1949).

    Article  CAS  Google Scholar 

  37. D. Feldman, T. A. McCain, M. A. Hirst, T. L. Chen, K. W. Colston, Characterization of a cytoplasmic receptor-like binder for glucocorticoid-receptor complexes of a steroid-resistant variant of CEM-C7 human lymphoid cells. Nature 286: 507 (1980).

    Article  Google Scholar 

  38. H. Nawata, M. T. Chong, D. Bronzert, M. E. Lippman, Estradiolindependent growth of a subline of MCF-7 human breast cancer cells in culture. J. Biol. Chem. 256: 6895 (1981).

    PubMed  CAS  Google Scholar 

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© 1986 Plenum Press, New York

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Eil, C., Liberman, U.A., Marx, S.J. (1986). The Molecular Basis for Resistance to 1,25-Dihydroxyvitamin D: Studies in Cells Cultured from Patients with Hereditary Hypocalcemic 1,25(OH)2D3-Resistant Rickets. In: Chrousos, G.P., Loriaux, D.L., Lipsett, M.B. (eds) Steroid Hormone Resistance. Advances in Experimental Medicine and Biology, vol 196. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5101-6_27

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  • DOI: https://doi.org/10.1007/978-1-4684-5101-6_27

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-5103-0

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