Evidence map›Paper›PMID 19815438›Full record

ArticleMolecular genetics and metabolism2010

Hereditary 1,25-dihydroxyvitamin D-resistant rickets with alopecia resulting from a novel missense mutation in the DNA-binding domain of the vitamin D receptor.

Peter J Malloy, Jining Wang, Tarak Srivastava, David Feldman

Open access · greenAbstract readCase Reports
In one paragraph

Article in Molecular genetics and metabolism, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.8field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
  2. Genetic Forms of Calciopenic Rickets.The Eurasian journal of medicine · 2022
    Article
  3. Hereditary Vitamin-D Dependent Rickets Type II: A Case Report.JNMA; journal of the Nepal Medical Association · 2021
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Renal rickets-practical approach.Indian journal of endocrinology and metabolism · 2013
    Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Peter J MalloyDepartment of Medicine, Stanford University School of Medicine, Room S025, Stanford, CA 94305, USA. pjmalloy@stanford.edu
Jining Wang
Tarak Srivastava
David Feldman
Stanford University · USUniversity of Missouri–Kansas City · US

Funding

VITAMIN D RECEPTOR AND REGULATION OF HORMONE RESPONSER01DK042482 · NIDDK · STANFORD UNIVERSITY · PI FELDMAN, DAVID · 1991 to 2010
$3.1M
VITAMIN D RECEPTOR AND REGULATION OF HORMONE RESPONSER56DK042482 · NIDDK · STANFORD UNIVERSITY · PI FELDMAN, DAVID · 2005 to 2005
$115k
NIDDK NIH HHS DK42482NIDDK NIH HHS R01 DK042482NIDDK NIH HHS R56 DK042482
6 · The paper itself

Abstract

The rare genetic recessive disease, hereditary vitamin D resistant rickets (HVDRR), is caused by mutations in the vitamin D receptor (VDR) that result in resistance to the active hormone 1,25-dihydroxyvitamin D(3) (1,25(OH)(2)D(3) or calcitriol). In this study, we examined the VDR from a young boy with clinical features of HVDRR including severe rickets, hypocalcemia, hypophosphatemia and partial alopecia. The pattern of alopecia was very unusual with areas of total baldness, adjacent to normal hair and regions of scant hair. The child failed to improve on oral calcium and vitamin D therapy but his abnormal chemistries and his bone X-rays normalized with intravenous calcium therapy. We found that the child was homozygous for a unique missense mutation in the VDR gene that converted valine to methionine at amino acid 26 (V26M) in the VDR DNA-binding domain (DBD). The mutant VDR was studied in the patient's cultured skin fibroblasts and found to exhibit normal [(3)H]1,25(OH)(2)D(3) binding and protein expression. However, the fibroblasts were unresponsive to treatment with high concentrations of 1,25(OH)(2)D(3) as demonstrated by their failure to induce CYP24A1 gene expression, a marker of 1,25(OH)(2)D(3) responsiveness. We recreated the V26M mutation in the WT VDR and showed that in transfected COS-7 cells the mutation abolished 1,25(OH)(2)D(3)-mediated transactivation. The mutant VDR exhibited normal ligand-induced binding to RXRalpha and to the coactivator DRIP205. However, the V26M mutation inhibited VDR binding to a consensus vitamin D response element (VDRE). In summary, we have identified a novel V26M mutation in the VDR DBD as the molecular defect in a patient with HVDRR and an unusual pattern of alopecia.

Indexed as

Mutation, MissenseAlopeciaAmino Acid SequenceAnimalsBase SequenceBinding SitesCalciumCells, CulturedChlorocebus aethiopsCOS CellsDNA Mutational AnalysisDrug ResistanceFibroblastsHumansInfantMale1,25-dihydroxyvitamin DCalciumCYP24A1 protein, humanReceptors, CalcitriolSteroid HydroxylasesVitamin DVitamin D3 24-Hydroxylase

Identifiers

PMID19815438
PMCPMC2794978
OpenAlexW2006715600

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.