Vitamin D is a fat-soluble vitamin that acts more like a hormone once it is produced or consumed. Its potent biological effects, from regulating calcium and phosphate to modulating immune function, are tightly controlled by a sophisticated system of binding proteins and receptors. The journey of vitamin D from the skin or gut to its target tissues involves distinct binding interactions that dictate its availability and activity.
The Primary Transporter: Vitamin D Binding Protein (DBP)
In the bloodstream, the majority of vitamin D binds to vitamin D binding protein (DBP), also called Gc-globulin. Produced mainly in the liver, DBP carries vitamin D and its metabolites, including calcifediol (25-hydroxyvitamin D) and calcitriol (1,25-dihydroxyvitamin D). DBP's main functions include transporting and storing vitamin D metabolites, especially 25(OH)D, which has a long half-life of 15–20 days. This provides a stable reserve and prevents rapid changes in vitamin D levels. DBP binding also regulates how much vitamin D is free and available to enter cells. In the kidneys, DBP-bound vitamin D is reabsorbed via megalin and cubilin, preventing its loss in urine. DBP has different forms (isoforms) that can affect its binding and an individual's vitamin D status.
The Cellular Target: The Vitamin D Receptor (VDR)
Inside cells, vitamin D binds to the vitamin D receptor (VDR). The active form, calcitriol (1,25(OH)2D), binds to the VDR, which is a type of nuclear receptor. This binding is essential for activating vitamin D's genomic actions, which control its main physiological effects.
The VDR-RXR Heterodimer
For its actions on genes, the calcitriol-VDR complex combines with the retinoid-X receptor (RXR). This complex then enters the cell's nucleus and attaches to specific DNA areas called vitamin D response elements (VDREs). By binding to VDREs, the complex controls the activity of many genes, influencing processes like:
- Calcium and phosphorus absorption in the gut
- Bone maintenance and rebuilding
- Immune system regulation
- Cell growth and development
Key Binding Interactions Throughout the Body
Here are the main molecules vitamin D binds to and their roles:
- In the Blood: Vitamin D from skin or food initially binds to DBP and albumin. DBP holds onto the precursor 25(OH)D more strongly than the active 1,25(OH)2D.
- At Target Cells: Calcitriol binds to the VDR, which is present in most body tissues.
- In the Kidneys: The megalin/cubilin complex in the kidneys recovers DBP-bound vitamin D from filtration, preventing its loss and providing 25(OH)D for activation.
- In Fat and Muscle: These tissues have VDRs and can store vitamin D, releasing it when needed.
Comparison of DBP and VDR
| Feature | Vitamin D Binding Protein (DBP) | Vitamin D Receptor (VDR) | 
|---|---|---|
| Location | Primarily in the bloodstream and some cell surfaces | Inside the nucleus and on the membrane of target cells | 
| Function | Transports vitamin D metabolites throughout the body, serves as a reservoir, and prevents urinary loss | Binds the active hormone (calcitriol) to regulate gene expression | 
| Binding Affinity | High affinity, especially for 25(OH)D | High affinity for the active hormone, calcitriol | 
| Genetic Variants | Highly polymorphic (e.g., Gc1f, Gc1s, Gc2) influencing binding capacity | Allelic variants exist, influencing vitamin D signaling and activity | 
| Role in Metabolism | Controls the amount of bioavailable vitamin D; levels fluctuate in certain liver and kidney diseases | Mediates the direct hormonal action of vitamin D on its target genes | 
| Activation | Binds newly synthesized or ingested vitamin D and its metabolites | Activated upon binding calcitriol, which enables it to heterodimerize with RXR | 
Conclusion
Understanding what vitamin D binds to reveals its complex role in the body. In the blood, DBP and albumin carry it, ensuring its stability and transport. Inside cells, active vitamin D (calcitriol) binds to the VDR in the nucleus to exert its effects on genes. This interaction between transport proteins and receptors allows vitamin D to control key processes like mineral balance and immune function. Variations in DBP and VDR can affect how individuals respond to vitamin D. For more details on vitamin D, consult resources like the National Center for Biotechnology Information.