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Section of Experimental Pathology, Department of Pathology, Roger Williams Hospital, Providence, Rhode Island 02908; and Boston University, Boston, Massachusetts 02118
Address all correspondence and requests for reprints to: Dr. John W. Morgan, Department of Pathology, Roger Williams Hospital, 825 Chalkstone Avenue, Providence, Rhode Island 02908. E-mail: john_morgan{at}brown.edu
| Abstract |
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,25-dihydroxyvitamin
D3 [1
,25-(OH)2D3]-mediated
genomic trans-activation are dependent upon the state of
cellular activation. The kinetics of the response differ widely among
these B cell subpopulations. However, these density-fractionated B cell
subpopulations are phenotypically diverse and therefore are not
representative of distinct stages of B cell maturation and
differentiation. To examine the role of B cell differentiation on the
induction and maintenance of biological receptivity to
1,25-(OH)2D3, we purified naive, germinal
center, and memory B cells based on their expression of CD38 and CD44
surface antigens and surface Ig isotype. These phenotypically defined B
cell subpopulations were all found to constitutively express VDR, and
all exhibited similar activation requirements and kinetics for
initiation of 1,25-(OH)2D3-mediated genomic
trans-activation. Taken together, these results suggest
that defined stages of differentiation in normal B cells are not
significant predicators of VDR expression or receptivity to
1,25-(OH)2D3. Rather, the degree of cellular
activation, regardless of maturation stage, determines whether the
effects of this immunoregulatory hormone will influence a mature B
lymphocyte. | Introduction |
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,25-dihydroxyvitamin D3
[1,25-(OH)2D3], is a
member of the family of lipophilic ligands that bind to specific
nuclear receptors. Binding of the
1,25-(OH)2D3 ligand
activates the vitamin D receptor (VDR), which facilitates its
interaction with specific cis-acting regulatory vitamin D
response elements (VDRE) within the promoter of the target gene.
In addition to its well defined role in calcium homeostasis and
modulation of bone cell metabolic activity,
1,25-(OH)2D3 is now
recognized as a potent immunoregulatory hormone (reviewed in Ref. 1).
Although most cells responsive to
1,25-(OH)2D3 constitutively
express VDR, lymphoid cells are unique in that in a quiescent state,
these cells do not express VDR, yet require specific activation signals
for its up-regulation (2, 3, 4). Given the typically subnanomolar plasma
concentration of
1
,25-(OH)2D3 (5),
hormone availability in an effective nanomolar concentration range
requires the presence of an exogenous cell source. Cells of the
monocyte/macrophage lineage may provide such a source of
1,25-(OH)2D3. Reports have
demonstrated that cells of this lineage can express 1
-hydroxylase
(6, 7, 8, 9), the enzyme responsible for hydroxylation of the relatively
inert form of vitamin D, 25-hydroxyvitamin D3, to
the active metabolite,
1,25-(OH)2D3. One may
envision a cognate monocyte/B cell or monocyte/T cell interaction as an
event fulfilling the requirements for lymphoid cell activation, and
thereby up-regulation of VDR, as well as synthesis of
1,25-(OH)2D3 in a nanomolar
concentration range within a localized microenvironment (10).
We have recently reported on the kinetics of biological response to 1,25-(OH)2D3 in distinct subpopulations of normal B lymphocytes (11). Exploiting the phenomenon that the stage of lymphoid cell activation directly parallels an increase in cell volume and a decrease in their buoyant density (12), we examined the reactivity of density-fractionated B cells with 1,25-(OH)2D3 (11). Low density B cells were found to constitutively express VDR message and protein and initiate 1,25-(OH)2D3-mediated genomic trans-activation in the absence of in vitro stimulation, as determined by RT-PCR and gel shift analysis. In contrast, high density, quiescent B cells, although ultimately reactive with 1,25-(OH)2D3 subsequent to in vitro stimulation, were found to require a protracted time frame in which to up-regulate VDRE-reactive nuclear proteins and initiate 1,25-(OH)2D3-mediated genomic trans-activation.
A determination of which B lymphocyte subpopulations may be either refractory or constitutively reactive with 1,25-(OH)2D3 is confounded by the fact that peripheral lymphoid tissues, such as the tonsil, contain B cells that are highly heterogeneous with respect to their degree of activation and their stage of differentiation. To assess the role of cellular differentiation on the capacity of B cells to biologically respond to 1,25-(OH)2D3, we exploited the phenomenon that B cells characteristically undergo distinct maturational stages defined by their expression of specific surface markers (reviewed in Ref. 13). In situ, during T cell-dependent immune responses, resting naive B cells (which characteristically express a IgD+, CD38- phenotype) are activated in association with antigen-specific T cells and interdigitating dendritic cells within the extrafollicular areas of secondary lymphoid organs, such as the tonsil (14, 15). After this cognate interaction, some activated B cells migrate into B cell follicles and differentiate into IgD-, CD38+, CD77+, Ki67+ proliferating centroblasts, which form the dark zone of germinal centers where somatic mutation in IgV genes occurs (16, 17). Three types of somatically mutated B cells can be generated, including high affinity and low affinity antigen-binding subsets, in addition to autoreactive lymphocytes, which compose the basal light zone of the germinal center (18). Although the majority of centroblasts undergo apoptosis, surviving centroblasts ultimately give rise to centrocytes, which bear a characteristic IgD-, CD38+, CD77-, Ki67- phenotype (19). High affinity antigen binding centrocytes present processed antigen to antigen-specific T cells, and these activated T cells are induced to express CD40 ligand and secrete cytokines. This cognate T cell-B cell interaction results in the expansion and isotype switch of high affinity centrocytes. In the presence of prolonged CD40 ligand signaling, these centrocytes differentiate into memory B cells bearing a characteristic IgD-, CD38- phenotype. In the absence of sufficient CD40 ligand signaling, these centrocytes differentiate into CD382+, CD20- plasma cells (20, 21).
Given such a highly heterogeneous composition with respect to differentiation and maturation, it is difficult to accurately assess which of these B cell subpopulations may be constitutively reactive, inducible, or refractory to biological effects of 1,25-(OH)2D3. To address this issue and to further characterize the influence of 1,25-(OH)2D3 on B cell biology, we undertook the present study using phenotypically defined B cell subpopulations representative of distinct phases of B cell maturation. Using defined monoclonal antibodies and magnetic cell separation, normal human tonsillar B cells were fractionated into populations enriched for naive, memory, or germinal center B cells. These B cell populations were assessed for their functional capacity to up-regulate VDR and to initiate 1,25-(OH)2D3-mediated genomic trans-activation. We demonstrate that B cell reactivity with 1,25-(OH)2D3 is a characteristic universally shared by naive, germinal center, and memory B cell subpopulations, and that cellular activation, rather than differentiation, is a more stringent criterion defining their biological receptivity to 1,25-(OH)2D3.
| Materials and Methods |
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and antihuman
(anti-
/
)
antibodies were obtained from DAKO Corp. (Carpinteria,
CA). Antihuman
and antihuman
antibodies were covalently coupled
to activated Immunobead Matrix from Irvine Scientific (Santa Ana, CA)
and used at a final concentration of 10 µg/ml.
Antibodies
Antihuman CD40 mouse monoclonal antibody (22) was affinity
purified in our laboratory from the G285 cell line, which was
obtained from the American Type Culture Collection
(Manassas, VA). Other monoclonal antibodies were purchased from various
companies as follows: anti-IgD, anti-IgG,
anti-IgA1/IgA2, anti-CD38,
anti-CD39, and anti-CD44 (PharMingen, San Diego, CA);
PE-conjugated anti-CD39, and PE-conjugated anti-IgD
(PharMingen, San Diego, CA); fluorescein isothiocyanate
(FITC)-conjugated anti-CD38, FITC-conjugated anti-CD44, and
FITC-conjugated anti-IgD (PharMingen, San Diego, CA); and
anti-CD77 (Biodesign International, Kennebunk, ME).
Flow cytometric analysis
Antibody binding was analyzed on a FACScan flow cytometer
(Becton Dickinson and Co., San Jose, CA), as previously
described (23).
Preparation of tonsillar B lymphocyte subpopulations
Cells from normal human tonsils were prepared as previously
described (24). Briefly, tonsils were obtained from children under age
13 yr after surgical extirpation for chronic tonsillitis. Tonsils were
finely minced, and the resulting cell suspension was subjected to
depletion of non-B cells by adherence to plastic and rosetting with
sheep erythrocytes. Cells prepared in this manner are routinely 96% or
more B lymphocytes as determined by immunofluorescence with anti-CD3,
-CD19, -CD20, and -CD45 antibodies. Subpopulations of B lymphocytes
were isolated by magnetic cell separation (25) (MACS; Miltenyi Biotec,
Sunnyvale, CA), Percoll density gradient centrifugation (26), or a
combination of the two procedures. To isolate B cell subpopulations
highly enriched for naive, germinal center, and memory B cells, we
exploited the observations that 1) expression of CD44 and CD38 on
tonsillar B cells is mutually exclusive (27, 28, 29, 30); 2) CD38 and IgD
discriminate follicular mantle (IgD+,
CD38-) from germinal center
(CD38+, IgD-) B cells (31, 32); and 3) CD44 expression has been reported to be low or negative on
germinal center B cells (30, 33, 34, 35). Accordingly, naive B cells were
obtained by depletion of CD38+,
IgG+, and IgA+ B cells
(30). These cells express high levels of IgD, IgM, CD44, and
cytoplasmic Bcl-2 protein, and they are negative for CD38, CD77, and
IgG (data not shown) (17). Germinal center B cells were obtained by
depletion of CD44+ and IgD+
B cells (30). These cells express high levels of CD38, CD10, and IgG
and are negative for CD44, IgD, and CD23 (data not shown) (17). Memory
B cells were obtained by depletion of CD38+ and
IgD+ B cells (30). These cells express high
levels of IgG and CD44 and are negative for IgD, CD38, CD77, and CD23
(data not shown) (17). For purification of subpopulations by MACS,
total tonsillar B cells were incubated with a murine monoclonal
antibody cocktail containing either anti-CD38 and anti-IgD mAbs,
anti-CD44 and anti-IgD mAbs, or anti-CD38, anti-IgG and anti-IgA
monoclonal antibodies for 20 min at 10 C, and then with rat antimouse
IgG1 microbeads (Miltenyi Biotec) for 15 min at 10 C. After incubation,
the cells were washed in ice-cold column buffer (PBS supplemented with
0.5% BSA and 5 mM EDTA) and applied to Miltenyi VS columns
on a VarioMACS magnetic separator according to the manufacturers
directions. The negative fraction was collected, and experimental
culture conditions were initiated immediately.
In some experiments naive, germinal center, and memory B cells were fractionated on discontinuous Percoll density gradients according to density, essentially as previously described (26), with the exception that Percoll mix solution was substituted for HBSS. The density of cells prepared in this manner may be categorized as high (1.094 g/ml Percoll solution), intermediate (1.089 g/ml), or low (1.082 g/ml).
Measurement of proliferation
Freshly isolated tonsillar B cell subpopulations (1 x
105 in 0.2 ml) were stimulated in 96-well
round-bottomed microtiter plates containing RPMI 1640 supplemented with
100 µg/ml streptomycin, 100 U/ml penicillin, 2 mM
L-glutamine, and 10% endotoxin-free heat-inactivated FCS.
Twelve hours before completion of the 60-h incubation period, 1 µCi
[3H]thymidine or 1 µCi
[3H]uridine was added to each well.
Postincubation, cells were collected onto glass-fiber filters and
counted for radioactivity after being placed into a scintillation
cocktail.
Cell lines
The human myelomonocytic cell line U937 (36) was obtained from
the American Type Culture Collection (Manassas, VA).
Purification of RNA and RT-PCR
Total RNA was obtained using the RNeasy kit
(QIAGEN, Santa Clarita, CA). RNA (5 µg) was reverse
transcribed after annealing with 0.1 nM
oligo(deoxythymidine) for priming of complementary DNA (cDNA) synthesis
in a 20-µl reaction using the SuperScript Preamplification System
(Life Technologies, Inc., Gaithersburg, MD). Primers for
human VDR cDNA were: forward (sense) primer, 5'-ATG GCC ATC TGC ATC GTC
TC-3' (corresponding to bases 11281147); and reverse (antisense)
primer, 5'-GCA CCG CAC AGG CTG TCC TA-3' (corresponding to bases
14141433) (37). The expected length of the PCR product is 306 bp.
Primers for human 24-hydroxylase cDNA were: forward (sense) primer,
5'-CGG GTG TAC CAT TTA CAA CTC GG-3' (corresponding to bases
15561578); and reverse (antisense) primer, 5'-CTC AAC AGG CTC ATT GTC
TGT GG-3' (corresponding to bases 18501872). The expected length of
the PCR product is 317 bp. Primers for human glyceraldehyde phosphate
dehydrogenase (GAPDH) cDNA were: forward (sense) primer, 5'-GAC ATC AAG
AAG GTG GTG AAG CAG G-3' (corresponding to bases 802826); and reverse
(antisense) primer, 5'-CCT GTT GCT GTA GCC AAA TTC GTT G-3'
(corresponding to bases 1002978). The expected length of the PCR
product is 201 bp. All primers were complementary to sequences that
spanned intronic regions and are therefore messenger RNA (mRNA)
specific. To determine that PCR contamination did not occur, a negative
control of cDNA from which the reverse transcriptase enzyme had been
omitted was included for each sample analysis.
A hot start technique was used in 50-µl reactions in which 2 µl reverse transcribed cDNA were amplified in 0.5-ml GeneAmp reaction tubes (Perkin-Elmer Corp., Emeryville, CA) in the presence of a 200-nM final concentration of 5'- and 3'-primers, 200 µM deoxy-NTPs, 1.5 U Taq polymerase (Promega Corp., Madison, WI), and PCR buffer containing 1.5 mM MgCl2, 15 mM (NH4)SO4, 60 mM Tris-Cl (pH 8.5; for 24-hydroxylase and GAPDH primers) or 2 mM MgCl2, 15 mM (NH4)SO4, 60 mM Tris-Cl (pH 9.5; for VDR primers). The reaction mixture was overlaid with 50 µl light mineral oil, and the amplification reaction was performed in a GeneAmp PCR System 9600 thermal cycler (Perkin-Elmer Corp.). Cycle characteristics for the VDR-, 24-hydroxylase-, and GAPDH-specific primers were 1 min at 94 C, 1 min at 55 C, and 2.5 min at 72 C.
To determine an optimal number of PCR cycles exhibiting an exponential rate of amplification, RNA extracted from U937 cells was used, as physiological effects of 1,25-(OH)2D3 on this monocytic leukemia cell line have been described previously (38, 39). U937 cells were stimulated for 24 h with 1,25-(OH)2D3 (50 nM), RNA was isolated and reverse transcribed, and multiple replicate cDNA samples were subjected to PCR amplification using oligonucleotide primers complementary to VDR, 24-hydroxylase, or GAPDH mRNA. After completion of a specific number of cycles, each sample was transferred to a 72 C water bath to permit final product extension. As PCR amplification theoretically doubles PCR product at each cycle, a plot of product vs. cycle number should lie on a straight line. A plot of the relative densities of ethidium bromide-stained PCR product was sigmoidal, with nonlinear amplification at low and high cycle numbers (data not shown). However, there was a region of linearity within each sigmoidal curve corresponding to an exponential amplification of the PCR reaction. A cycle number within this linear region was used for subsequent PCR amplifications. For determination of VDR and 24-hydroxylase message expression, PCR amplification was terminated after 27 cycles. To further control for variability in RNA extraction yield, mRNA degradation, and RT amplification efficiency, a GAPDH transcript was used as an internal standard (40); optimal PCR amplification for this reaction was determined to be at 18 cycles.
Aliquots (20 µl) of the amplified cDNA were electrophoresed on 2% agarose gels in 0.5 x TBE (Tris/borate/EDTA) running buffer containing 0.1 µg/ml ethidium bromide, and visualized under UV illumination. For improved resolution and clarity, figures depicting PCR products are derived from film negatives. Densitometric values were determined using with the Scan Analysis software program (Biosoft, Ferguson, MO), and values were normalized using the GAPDH value for each sample. The maximum signal for each experiment was then set to 100%, and all other values for the corresponding experiment were expressed accordingly. Experimental results were replicated minimally three times.
| Results |
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/
antibodies, anti-CD40 antibodies and/or
1,25-(OH)2D3. Total RNA was
isolated and reverse transcribed, and PCR amplifications were performed
using oligonucleotide primers complementary to VDR, 24-hydroxylase, or
GAPDH mRNA. As depicted in Fig. 3A
/
antibodies (Fig. 3A
|
A strikingly similar pattern of VDR and 24-hydroxylase mRNA expression
was observed from germinal center and memory B cell subpopulations
(Figs. 4
and 5
, respectively). In each of these
subpopulations, VDR-specific PCR product was detected, even in the
absence of exogenous stimulation (Figs. 4A
and 5A
, lane 1). Maximal
levels of VDR mRNA were again detected in those cultures stimulated
with IL-4 (Figs. 4A
and 5A
, lanes 4, 5, 7, 8 11, and 12). Germinal
center and memory B cell subpopulations were found to up-regulate
24-hydroxylase mRNA only in the presence of
1,25-(OH)2D3 (Figs. 4B
and 5B
, lanes 3, 5, 8, 10, and 12), similar to our observations with naive
B cells. Taken together, these results examining the expression of the
VDR and induction of
1,25-OH)2D3-mediated
genomic trans-activation in naive, germinal center, and
memory B cells suggest that phenotype alone (and therefore specific
stage of B cell differentiation) is not a significant predicator of
1,25-(OH)2D3 responsiveness
in normal B cells. Additionally, it is apparent that signals derived
from ligation of the IL-4 receptor alone are sufficient to maximally
up-regulate VDR in these B cell subpopulations and to initiate vitamin
D-dependent 24-hydroxylase expression in the presence of
1,25-(OH)2D3.
|
|
/
antibodies, and
1,25-(OH)2D3. Total RNA was
reverse transcribed, and PCR amplification was performed using
oligonucleotide primers complementary to VDR, 24-hydroxylase, or GAPDH
mRNA. As depicted in Fig. 6A
/
antibodies, and
1,25-(OH)2D3.
|
| Discussion |
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The similar kinetic response of phenotypically defined B cell subpopulations is in contrast to our previous report examining the influence of cellular activation on B cell reactivity with 1,25-(OH)2D3 (11). Therein we demonstrated that activation requirements rendering tonsillar B cells responsive to 1,25-(OH)2D3, and the kinetics of the response, are widely different among density-fractionated normal B cell subpopulations. Similar to phenotypically defined B cell subpopulations, low density B cells were observed to constitutively express VDR message and protein and could rapidly up-regulate VDRE-reactive nuclear proteins and initiate 1,25-(OH)2D3-dependent genomic trans-activation even in the absence of exogenous simulation. In contrast, high density B lymphocyte subpopulations did not express detectable VDR message or protein, yet required specific cellular activation signals initiating its up-regulation. Furthermore, the high density B cell subpopulations required a protracted activation phase for the initiation of 1,25-(OH)2D3-dependent genomic trans-activation. This temporal lag of hormone-mediated genomic transcription is attributed to events occurring before cellular interaction with 1,25-(OH)2D3.
Density fractionation of naive, germinal center, and memory B cells revealed that these subpopulations were indeed heterogeneous with respect to density and therefore degree of cellular activation. It may be argued that the phenotypically defined B cells isolated do not accurately represent these B cell subpopulations in situ, as the techniques used for cell fractionation and isolation may have artificially activated these B cells. To address this issue, we used a negative selection procedure, such that the cells to be analyzed were not those B cell subpopulations that reacted with either antibodies or magnetic microbeads during fractionation. Furthermore, an examination of de novo DNA and RNA synthesis, as determined by incorporation of [3H]thymidine and [3H]uridine revealed that the B cell subpopulations were not artificially activated by the selection procedure, yet could vigorously respond to stimulation in vitro.
When examined for their capacity to up-regulate VDR expression and initiate 1,25-(OH)2D3-mediated genomic trans-activation, these density-fractionated B cell populations demonstrated a reactivity profile strikingly similar to that observed in our earlier report (11). Constitutive VDR expression was detected from each phenotypically defined population in the low density fraction, substantiating our detection of constitutive VDR expression in naive, germinal center, and memory B cells. In contrast, little or no VDR was detected in the high density fraction of the relatively quiescent naive and memory B cells. The high density fraction of germinal center B cells could not be analyzed, as very few of these cells were obtained, consistent with the blastogenic nature of this stage of B cell maturation (46). After a 24-h in vitro activation phase in the presence of 1,25-(OH)2D3, VDR message was up-regulated in all density fractions of naive, germinal center, and memory B cells; however, significantly less VDR message was induced from the more quiescent, high density naive B cell subpopulation. Taken together, these observations demonstrate that in human B lymphocytes, the expression of VDR closely parallels the degree of cellular activation, yet it is not correlated with their specific phenotypic profile. In this context, expression of the VDR may be considered an activation marker in B lymphocytes (47).
Additionally revealing were experiments examining initiation of 1,25-(OH)2D3-mediated genomic trans-activation in density-fractionated naive, germinal center, and memory B cells. As expected, 24-hydroxylase message was not detected in any freshly isolated density fractions of naive, germinal center, and memory B cells. After a 24-h in vitro activation phase in the presence of 1,25-(OH)2D3, 24-hydroxylase message was detected in all three of the phenotypically defined B cell subpopulations in the low and intermediate density fractions. Significantly less 24-hydroxylase message was found in the high density fraction of memory B cells, and 24-hydroxylase message was not detected in the high density fraction of naive B cells. Of interest is the observation that although high density naive B cells up-regulate significant VDR expression, 1,25-(OH)2D3-mediated genomic trans-activation is not detected in these B cell subpopulations within a 24-h time period. Extended culture revealed that 24-hydroxylase message was up-regulated in these B cell subpopulations after approximately 48 h of culture (data not shown). These results mimic our previous study (11), in which phenotypically heterogeneous high density B cells required approximately 48 h for hormone-dependent up-regulation of 24-hydroxylase mRNA.
The protracted time interval required for high density B lymphocytes (regardless of their surface phenotype) to initiate transcription of 1,25-(OH)2D3-responsive genes is a conundrum that remains unresolved from these studies. Although we chose to examine up-regulation of 24-hydroxylase message expression primarily as an indicator of 1,25-(OH)2D3-mediated transcriptional activation, it is noteworthy that this enzyme is critical for initiation of a catabolic pathway eliminating 1,25-(OH)2D3 from the target cell. Induction of 24-hydroxylase activity ensures a limited amount of ligand and a limited time frame for the effects of intranuclear 1,25-(OH)2D3 (48). Currently it is unclear whether the extended exposure of high density B lymphocytes to the biologically active form of vitamin D [1,25-(OH)2D3] serves a biological necessity unique to these relatively quiescent cells or is of little consequence to the cell.
It has been well documented that a functional VDR:ligand complex is
comprised of a heterodimer consisting of the VDR and the retinoid X
receptor (RXR) (49, 50, 51). Preliminary observations examining the
expression of RXR isoforms (RXR-
, RXR-ß, and RXR-
) in both
phenotypically defined B lymphocytes and density-fractionated B
lymphocytes have provided evidence implicating this auxiliary nuclear
receptor as a central mediator of B lymphocyte reactivity with
1,25-(OH)2D3. Naive,
germinal center, and memory B cells were found to express message for
RXR-
and RXR-ß, but not for RXR-
(our manuscript in
preparation). Message encoding RXR-ß was observed to be
constitutively expressed regardless of B cell phenotypic profile
(i.e. stage of maturation) or density (i.e.
degree of activation). As such, although RXR-ß may be a significant
participatory component of a functional VDR complex in human B
lymphocytes (4), it is difficult to ascribe RXR-ß as a limiting
heterodimeric partner with VDR. In contrast, we observed that message
encoding RXR-
is minimally detected in quiescent, high density B
lymphocytes, yet is up-regulated in these cells after activation
in vitro. Furthermore, the kinetic profile of RXR-
message expression in these activated B cells is very similar to that
observed for the expression of 24-hydroxylase mRNA in these cells
(our manuscript in preparation). Taken together, it may be
speculated that RXR-
is a limiting component in quiescent, high
density B lymphocytes, and as such may modulate the establishment of a
functional VDR:RXR nuclear complex, thereby providing an additional
level of regulatory control mediating
1,25-(OH)2D3-dependent
genomic trans-activation in normal B lymphocytes. A
precedent for multiple RXR isoforms contributing to the establishment
of functional VDR:RXR complexes has been demonstrated (52). The
contribution of these auxiliary nuclear receptors as modulators of B
cell receptivity to
1,25-(OH)2D3 is the subject
of current studies.
| Acknowledgments |
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| Footnotes |
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Received March 16, 2000.
| References |
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cells. Prog ClinBiol Res 332:8197
,25-dihydroxyvitamin D3-mediated gene
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production in human immunodeficiency virus-infected
monocytes. J Exp Med 172:14331442
,25-Dihydroxyvitamin D3
receptors in human thymic and tonsillar lymphocytes. J Bone Miner
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