Plasma concentrations of biologically active vitamin D
(1,25-(OH)2D) are tightly controlled via feedback regulation of
renal 1α-hydroxylase (CYP27B1; positive) and 24-hydroxylase
(CYP24A1; catabolic) enzymes. In pregnancy, this regulation is
uncoupled, and 1,25-(OH)2D levels are significantly elevated,
suggesting a role in pregnancy progression. Epigenetic regulation of
CYP27B1 and CYP24A1 has previously been described in cell
and animal models, and despite emerging evidence for a critical role of
epigenetics in placentation generally, little is known about the regulation of
enzymes modulating vitamin D homeostasis at the fetomaternal interface. In
this study, we investigated the methylation status of genes regulating vitamin
D bioavailability and activity in the placenta. No methylation of the
VDR (vitamin D receptor) and CYP27B1 genes was found in any
placental tissues. In contrast, the CYP24A1 gene is methylated in
human placenta, purified cytotrophoblasts, and primary and cultured chorionic
villus sampling tissue. No methylation was detected in any somatic human
tissue tested. Methylation was also evident in marmoset and mouse placental
tissue. All three genes were hypermethylated in choriocarcinoma cell lines,
highlighting the role of vitamin D deregulation in this cancer. Gene
expression analysis confirmed a reduced capacity for CYP24A1
induction with promoter methylation in primary cells and in vitro
reporter analysis demonstrated that promoter methylation directly
down-regulates basal promoter activity and abolishes vitamin D-mediated
feedback activation. This study strongly suggests that epigenetic decoupling
of vitamin D feedback catabolism plays an important role in maximizing active
vitamin D bioavailability at the fetomaternal interface.