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Altered Endocrine and Autocrine Metabolism of Vitamin D in a Mouse Model of Gastrointestinal Inflammation

Department of Orthopaedic Surgery (N.L., R.F.C., V.L., J.S.A., M.H.), David Geffen School of Medicine, and Molecular Biology Institute (J.S.A., M.H.), UCLA, Los Angeles, California 90095; Division of Endocrinology, Diabetes and Metabolism (L.N., S.R., S.W.), Burns and Allen Research Center, Cedars-Sinai Medical Center, David Geffen School of Medicine, Los Angeles, California 90048; Medical University of South Carolina (B.H.), Charleston, South Carolina 29425; and Department of Biochemistry (H.F.D.), The University of Wisconsin, Madison, Wisconsin 53706

Address all correspondence and requests for reprints to: Martin Hewison, Ph.D., Department of Orthopaedic Surgery, David Geffen School of Medicine UCLA, 615 Charles E. Young Drive South, Los Angeles, California 90095. E-mail: mhewison{at}mednet.ucla.edu.

The active form of vitamin D, 1,25-dihydroxyvitamin D₃, [1,25(OH)₂D₃] has potent actions on innate and adaptive immunity. Although endocrine synthesis of 1,25(OH)₂D₃ takes place in the kidney, the enzyme that catalyzes this, 25-hydroxyvitamin D-1-hydroxylase (CYP27b1 in humans, Cyp27b1 in mice), is expressed at many extra-renal sites including the colon. We have shown previously that colonic expression of CYP27b1 may act to protect against the onset of colitis. To investigate this further, we firstly characterized changes in Cyp27b1 expression in a mouse model of colitis. Mice treated with dextran sodium sulfate (DSS) showed weight loss, histological evidence of colitis, and increased expression of inflammatory cytokines. This was associated with decreased renal expression of Cyp27b1 (5-fold, P = 0.013) and lower serum 1,25(OH)₂D₃ (51.8 ± 5.9 pg/nl vs. 65.1 ± 1.6 in controls, P < 0.001). However, expression of CYP27b1 was increased in the proximal colon of DSS mice (4-fold compared with controls, P < 0.001). Further studies were carried out using Cyp27b1 null (–/–) mice. Compared with +/– controls the Cyp27b1 –/– mice showed increased weight loss (4.9% vs. 22.8%, P < 0.001) and colitis. This was associated with raised IL-1 in the distal colon and IL-17 in the proximal and distal colon. Conversely, DSS-treated Cyp27b1–/– mice exhibited lower IL-10 in the proximal colon and toll-like receptors 2 and 4 in the distal colon. These data indicate that both local and endocrine synthesis of 1,25(OH)₂D₃ affect colitis in DSS-treated mice. Lack of Cyp27b1 exacerbates disease in this model, suggesting that similar effects may occur with vitamin D deficiency.

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