Vitamin D is a regulator of endothelial nitric oxide synthase and arterial stiffness in mice

Mol Endocrinol. 2014 Jan;28(1):53-64. doi: 10.1210/me.2013-1252. Epub 2013 Jan 1.

Abstract

The vitamin D hormone 1α,25-dihydroxyvitamin D3 [1,25(OH)2D3] is essential for the preservation of serum calcium and phosphate levels but may also be important for the regulation of cardiovascular function. Epidemiological data in humans have shown that vitamin D insufficiency is associated with hypertension, left ventricular hypertrophy, increased arterial stiffness, and endothelial dysfunction in normal subjects and in patients with chronic kidney disease and type 2 diabetes. However, the pathophysiological mechanisms underlying these associations remain largely unexplained. In this study, we aimed to decipher the mechanisms by which 1,25(OH)2D3 may regulate systemic vascular tone and cardiac function, using mice carrying a mutant, functionally inactive vitamin D receptor (VDR). To normalize calcium homeostasis in VDR mutant mice, we fed the mice lifelong with the so-called rescue diet enriched with calcium, phosphate, and lactose. Here, we report that VDR mutant mice are characterized by lower bioavailability of the vasodilator nitric oxide (NO) due to reduced expression of the key NO synthesizing enzyme, endothelial NO synthase, leading to endothelial dysfunction, increased arterial stiffness, increased aortic impedance, structural remodeling of the aorta, and impaired systolic and diastolic heart function at later ages, independent of changes in the renin-angiotensin system. We further demonstrate that 1,25(OH)2D3 is a direct transcriptional regulator of endothelial NO synthase. Our data demonstrate the importance of intact VDR signaling in the preservation of vascular function and may provide a mechanistic explanation for epidemiological data in humans showing that vitamin D insufficiency is associated with hypertension and endothelial dysfunction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Aorta / enzymology
  • Aorta / pathology
  • Elastin / metabolism
  • Enzyme Induction
  • Gene Expression
  • Gene Knockout Techniques
  • HEK293 Cells
  • Humans
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Nitric Oxide / metabolism
  • Nitric Oxide Synthase Type III / genetics
  • Nitric Oxide Synthase Type III / metabolism*
  • Receptors, Calcitriol / genetics
  • Receptors, Calcitriol / metabolism
  • Tissue Culture Techniques
  • Transcriptional Activation
  • Vascular Stiffness*
  • Vitamin D / analogs & derivatives*
  • Vitamin D / physiology

Substances

  • Receptors, Calcitriol
  • dihydroxy-vitamin D3
  • Vitamin D
  • Nitric Oxide
  • Elastin
  • Nitric Oxide Synthase Type III
  • Nos3 protein, mouse

Grants and funding

This work was supported by a grant from Deutsche Forschungsgemeinschaft (DFG ER223/9-1) to R.G.E., O.A. was supported by a postdoctoral fellowship of the University of Veterinary Medicine Vienna.