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1 Department of Medicine, University of Chicago, Chicago, IL, USA
2 Department of Pathology, University of Chicago, Chicago, IL, USA
3 Departments of Biochemistry and Orthopedic Surgery, Rush University Medical School, Chicago, IL, USA
4 Western New York Veteran Affairs Medical Center and Department of Internal Medicine, State University of New York at Buffalo, Buffalo, NY, USA
* To whom correspondence should be addressed. E-mail: cyan{at}medicine.bsd.uchicago.edu.
As the fourth most abundant anion in the body, sulfate plays an essential role in numerous physiological processes. One key protein involved in the transcellular transport of sulfate is the sodium-sulfate co-transporter, NaSi-1, and previous studies suggest that vitamin D modulates sulfate homeostasis by regulating NaSi-1 expression. In the present study, we found that in mice lacking the vitamin D receptor (VDR), NaSi-1 expression in the kidney was reduced by 72%, but intestinal NaSi-1 levels remained unchanged. In connection with these findings, urinary sulfate excretion was increased by 42%, whereas serum sulfate concentration was reduced by 50% in VDR knockout mice. Moreover, levels of hepatic glutathione and skeletal sulfated proteoglycans were also reduced by 18% and 45%, respectively, in the mutant mice. Similar results were observed in VDR knockout mice after their blood ionized calcium levels and rachitic bone phenotype were normalized by dietary means, indicating that vitamin D regulation of NaSi-1 expression and sulfate metabolism is independent of its role in calcium metabolism. Treatment of wild-type mice with 1,25-dihydroxyvitamin D3 markedly stimulated renal NaSi-1 mRNA expression. These data provide strong in vivo evidence that vitamin D plays a critical role in sulfate homeostasis. However, the observation that serum sulfate and skeletal proteoglycan levels in normocalcemic VDR knockout mice remained low in the absence of rickets and osteomalacia suggests that the contribution of sulfate-deficiency to the development of rickets and osteomalacia is minimal.
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