TLDR A single amino acid change in the vitamin D receptor can disrupt its function and lead to hair loss.
This study investigated a novel mutation, S360P, in the vitamin D receptor (VDR) gene associated with hereditary 1,25-dihydroxyvitamin D-resistant rickets (HVDRR) and alopecia in a 2-year-old girl. Despite predictions that S360P was not disease-causing, functional analyses showed disrupted transcriptional activity similar to other mutations like Q152X, R274L, and H305Q. The mutation led to a lack of ligand binding affinity, no interaction with cofactors or RXR, and impaired nuclear localization signals. The findings supported the importance of DNA binding by the VDR/RXR heterodimer for VDR function in hair development, highlighting that a single amino acid substitution could significantly disrupt protein function.
28 citations
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January 2012 in “Biological & pharmaceutical bulletin” Hairless protein can both repress and activate vitamin D receptor functions, affecting gene regulation.
109 citations
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June 2011 in “Molecular and Cellular Endocrinology” Vitamin D receptor mutations can cause alopecia by affecting hair growth genes.
76 citations
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January 2010 in “Journal of bone and mineral metabolism” 50 citations
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September 2009 in “Molecular Genetics and Metabolism” A new gene mutation causes vitamin D resistance and rickets, treatable with calcium therapy.
144 citations
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December 2004 in “Molecular Endocrinology” The vitamin D receptor is essential for normal hair growth, even without its usual binding.
107 citations
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March 2014 in “BoneKEy Reports” Mutations in the vitamin D receptor cause hereditary vitamin D-resistant rickets, leading to poor bone health and requiring high calcium doses for treatment.
29 citations
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December 2017 in “International Journal of Dermatology” People with alopecia areata often have lower vitamin D levels, which are linked to more severe and longer-lasting hair loss, but vitamin D receptor levels in the skin don't show the same pattern and don't predict treatment success.
51 citations
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January 2012 in “Annals of dermatology/Annals of Dermatology” A boy with alopecia regrew hair using a vitamin D cream after other treatments failed.
6 citations
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June 2018 in “Journal of pediatric endocrinology & metabolism/Journal of pediatric endocrinology and metabolism” Patients with the same genetic mutation for vitamin D-resistant rickets showed different symptoms but all improved with treatment except for hair loss.
January 2024 in “Clinical, cosmetic and investigational dermatology” A child with a rare vitamin D-resistant condition improved with treatment.
11 citations
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November 2021 in “JBMR plus” The vitamin D receptor can act without its usual activating molecule, affecting hair growth and skin cancer, but its full range of actions is not well understood.