Mutations in the vitamin D receptor gene in four patients with hereditary 1,25-dihydroxyvitamin D-resistant rickets

Arq Bras Endocrinol Metabol. 2008 Nov;52(8):1244-51. doi: 10.1590/s0004-27302008000800007.

Abstract

Mutations in the vitamin D receptor (VDR) are associated to the hereditary 1,25-dihydroxivitamin D-resistant rickets. The objectives of this work are: search for mutations in the VDR and analyze their functional consequences in four Brazilian children presented with rickets and alopecia. The coding region of the VDR was amplified by PCR e direct sequenced. We identified three mutations: two patients had the same mutation in exon 7 at aminoacid position 259 (p.Q259E); one patient had a mutation in exon 8 at codon 319 (p.G319V) and another one had a mutation in exon 3 leading to a truncated protein at position 73 (p.R73X). Functional studies of the mutant receptors of fibroblast primary culture, from patients' skin biopsy treated with increasing doses of 1,25(OH)2 vitamin D showed that VDR mutants were unable to be properly activated and presented a reduction in 24-hydroxylase expression level.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alopecia / drug therapy
  • Alopecia / genetics*
  • Base Sequence
  • Calcitriol / therapeutic use
  • Child
  • Familial Hypophosphatemic Rickets / drug therapy
  • Familial Hypophosphatemic Rickets / genetics*
  • Female
  • Fibroblasts / drug effects
  • Fibroblasts / enzymology
  • Humans
  • Male
  • Mutation*
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Receptors, Calcitriol / genetics*
  • Receptors, Calcitriol / metabolism
  • Sequence Analysis, DNA
  • Steroid Hydroxylases / genetics
  • Steroid Hydroxylases / metabolism
  • Vitamin D3 24-Hydroxylase
  • Vitamins / therapeutic use
  • Young Adult

Substances

  • RNA, Messenger
  • Receptors, Calcitriol
  • Vitamins
  • Steroid Hydroxylases
  • Vitamin D3 24-Hydroxylase
  • Calcitriol