The roles of vitamin D in skeletal muscle: form, function, and metabolism

Endocr Rev. 2013 Feb;34(1):33-83. doi: 10.1210/er.2012-1012. Epub 2012 Nov 20.

Abstract

Beyond its established role in bone and mineral homeostasis, there is emerging evidence that vitamin D exerts a range of effects in skeletal muscle. Reports of profound muscle weakness and changes in the muscle morphology of adults with vitamin D deficiency have long been described. These reports have been supplemented by numerous trials assessing the impact of vitamin D on muscle strength and mass and falls in predominantly elderly and deficient populations. At a basic level, animal models have confirmed that vitamin D deficiency and congenital aberrations in the vitamin D endocrine system may result in muscle weakness. To explain these effects, some molecular mechanisms by which vitamin D impacts on muscle cell differentiation, intracellular calcium handling, and genomic activity have been elucidated. There are also suggestions that vitamin D alters muscle metabolism, specifically its sensitivity to insulin, which is a pertinent feature in the pathophysiology of insulin resistance and type 2 diabetes. We will review the range of human clinical, animal, and cell studies that address the impact of vitamin D in skeletal muscle, and discuss the controversial issues. This is a vibrant field of research and one that continues to extend the frontiers of knowledge of vitamin D's broad functional repertoire.

Publication types

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

MeSH terms

  • Adult
  • Animals
  • Calcium / metabolism
  • Cell Differentiation / drug effects
  • Diabetes Mellitus, Type 2
  • Disease Models, Animal
  • Humans
  • Insulin / pharmacology
  • Insulin Resistance
  • Mice
  • Mice, Knockout
  • Muscle Contraction / physiology
  • Muscle Weakness / etiology
  • Muscle Weakness / pathology
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / physiology*
  • Muscular Diseases / etiology
  • Muscular Diseases / physiopathology
  • Polymorphism, Genetic
  • Receptors, Calcitriol / deficiency
  • Receptors, Calcitriol / genetics
  • Receptors, Calcitriol / physiology
  • Vitamin D / physiology*
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / pathology
  • Vitamin D Deficiency / physiopathology

Substances

  • Insulin
  • Receptors, Calcitriol
  • Vitamin D
  • Calcium