Expression of vitamin D receptor and metabolizing enzymes in multiple sclerosis-affected brain tissue

J Neuropathol Exp Neurol. 2013 Feb;72(2):91-105. doi: 10.1097/NEN.0b013e31827f4fcc.

Abstract

Vitamin D deficiency has been implicated as a risk factor for multiple sclerosis (MS), but how vitamin D metabolism affects MS pathophysiology is not understood. We studied the expression of vitamin D receptor (VDR) and related enzymes, including 1,25(OH)(2)D-24-hydroxylase (24-OHase; CYP24A1) and 25(OH)D-1α-hydroxylase (CYP27B1), in CNS tissues of 39 MS patients and 20 controls and in primary human glial cells in vitro. In control and MS normal-appearing white matter (NAWM), nuclear VDR immunostaining was observed in oligodendrocyte-like cells, human leukocyte antigen (HLA)-positive microglia, and glial fibrillary acidic protein-positive astrocytes. There was a 2-fold increase in VDR transcripts in MS NAWM versus control white matter (p = 0.03). In chronic active MS lesions, HLA-positive microglia/macrophages showed nuclear VDR staining; astrocytes showed nuclear and cytoplasmic VDR staining. Staining for 24-OHase was restricted to astrocytes.VDR and CYP27B1 mRNA expressions were increased in active MS lesions versus NAWM (p < 0.01, p = 0.04, respectively). In primary human astrocytes in vitro, the active form of vitamin D, 1,25(OH)(2)D(3), induced upregulation of VDR and CYP24A1. Tumor necrosis factor and interferon-γ upregulated CYP27B1 mRNA in primary human microglia and astrocytes. Increased VDR expression in MS NAWM and inflammatory cytokine-induced amplified expression of VDR and CYP27B1 in chronic active MS lesions suggest increased sensitivity to vitamin D in NAWM and a possible endogenous role for vitamin D metabolism in the suppression of active MS lesions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 25-Hydroxyvitamin D3 1-alpha-Hydroxylase / genetics
  • 25-Hydroxyvitamin D3 1-alpha-Hydroxylase / metabolism*
  • Adult
  • Aged
  • Aged, 80 and over
  • Astrocytes / drug effects
  • Astrocytes / metabolism
  • Astrocytoma / pathology
  • Brain / metabolism*
  • Brain / pathology
  • Cells, Cultured
  • Cohort Studies
  • Corpus Callosum / pathology
  • Female
  • Gene Expression Regulation* / drug effects
  • Glial Fibrillary Acidic Protein / metabolism
  • Humans
  • Interferon-gamma / pharmacology
  • Kidney / metabolism
  • Liver / metabolism
  • Male
  • Middle Aged
  • Multiple Sclerosis / enzymology
  • Multiple Sclerosis / genetics
  • Multiple Sclerosis / metabolism*
  • Multiple Sclerosis / pathology*
  • Nerve Fibers, Myelinated / metabolism
  • Nerve Fibers, Myelinated / pathology
  • Netherlands
  • Neuroblastoma / pathology
  • Neurons / drug effects
  • Neurons / metabolism
  • RNA, Messenger
  • Receptors, Calcitriol / metabolism*
  • Statistics, Nonparametric
  • Steroid Hydroxylases / genetics
  • Steroid Hydroxylases / metabolism*
  • Tumor Necrosis Factor-alpha / pharmacology
  • Up-Regulation / drug effects
  • Vitamin D / pharmacology
  • Vitamin D3 24-Hydroxylase

Substances

  • Glial Fibrillary Acidic Protein
  • RNA, Messenger
  • Receptors, Calcitriol
  • Tumor Necrosis Factor-alpha
  • Vitamin D
  • Interferon-gamma
  • Steroid Hydroxylases
  • CYP24A1 protein, human
  • Vitamin D3 24-Hydroxylase
  • 25-Hydroxyvitamin D3 1-alpha-Hydroxylase