Vitamin D and hematopoiesis

CM Bunce, G Brown, M Hewison - Trends in Endocrinology & Metabolism, 1997 - cell.com
CM Bunce, G Brown, M Hewison
Trends in Endocrinology & Metabolism, 1997cell.com
Abstract Analysis of the nonclassic actions of vitamin D 3 has highlighted a wide range of
target tissues for the hormone 1, 25-dihydroxyvitamin D 3 [1, 25 (OH) 2 D 3]. Systemic or
locally produced 1, 25 (OH) 2 D 3 may play a role in modulating cell development processes
such as hematopoiesis. The mechanisms by which 1, 25 (OH) 2 D 3 achieves this are
discussed in this review. In particular, data from our laboratories suggest that 1, 25 (OH) 2 D
3 does not provide a deterministic signal for monocyte differentiation. Rather, the hormone …
Abstract
Analysis of the nonclassic actions of vitamin D3 has highlighted a wide range of target tissues for the hormone 1,25-dihydroxyvitamin D3 [1,25(OH)2D3]. Systemic or locally produced 1,25(OH)2D3 may play a role in modulating cell development processes such as hematopoiesis. The mechanisms by which 1,25(OH)2D3 achieves this are discussed in this review. In particular, data from our laboratories suggest that 1,25(OH)2D3 does not provide a deterministic signal for monocyte differentiation. Rather, the hormone acts as a permissive agent for myeloid precursor cells to enter a genetically determined terminal maturation pathway. The effiacy of 1,25(OH)2D3 in leukemia therapy has been improved by the development of novel vitamin D analogues that have potent antiproliferative activity and low hypercalcemic side effects. Another solution to the problem of side effects is to enhance specifically the antiproliferative effects of 1,25(OH)2D3. A novel mechanism within hematopoiesic cells that governs their responsiveness to the antiproliferative/differentiative actions of 1,25(OH)2D3 outlined.
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