A potent analog of 1α,25-dihydroxyvitamin D3 selectively induces bone formation

NK Shevde, LA Plum… - Proceedings of the …, 2002 - National Acad Sciences
NK Shevde, LA Plum, M Clagett-Dame, H Yamamoto, JW Pike, HF DeLuca
Proceedings of the National Academy of Sciences, 2002National Acad Sciences
1, 25-Dihydroxyvitamin D3 [1, 25 (OH) 2D3] is a principal regulator of calcium and
phosphorus homeostasis through actions on intestine, kidney, and bone. 1, 25 (OH) 2D3 is
not considered to play a significant role in bone formation, except for its role in supporting
mineralization. We report here on the properties of 2-methylene-19-nor-(20S)-1α, 25 (OH)
2D3 (2MD), a highly potent analog of 1, 25 (OH) 2D3 that induces bone formation both in
vitro and in vivo. Selectivity for bone was first demonstrated through the observation that …
1,25-Dihydroxyvitamin D3 [1,25(OH)2D3] is a principal regulator of calcium and phosphorus homeostasis through actions on intestine, kidney, and bone. 1,25(OH)2D3 is not considered to play a significant role in bone formation, except for its role in supporting mineralization. We report here on the properties of 2-methylene-19-nor-(20S)-1α,25(OH)2D3 (2MD), a highly potent analog of 1,25(OH)2D3 that induces bone formation both in vitro and in vivo. Selectivity for bone was first demonstrated through the observation that 2MD is at least 30-fold more effective than 1,25(OH)2D3 in stimulating osteoblast-mediated bone calcium mobilization while being only slightly more potent in supporting intestinal calcium transport. 2MD is also highly potent in promoting osteoblast-mediated osteoclast formation in vitro, a process essential to both bone resorption and formation. Most significantly, 2MD at concentrations as low as 10−12 M causes primary cultures of osteoblasts to produce bone in vitro. This effect is not found with 1,25(OH)2D3 even at 10−8 M, suggesting that 2MD might be osteogenic in vivo. Indeed, 2MD (7 pmol/day) causes a substantial increase (9%) in total body bone mass in ovariectomized rats over a 23-week period. 1,25(OH)2D3 (500 pmol three times a week) only prevented the bone loss associated with ovariectomy and did not increase bone mass. These results indicate that 2MD is a potent bone-selective analog of 1,25(OH)2D3 potentially effective in treating bone loss diseases.
National Acad Sciences