CYP4A22 loss-of-function causes a new type (1C) of vitamin D–dependent rickets (VDDR1C)

This topic will be of interest to some of you. The human cytochrome P450 gene encoding CYP4A22 has been well studied for more than two decades (Pharmacogenetics 2004; 14: 1-18), but is shown here to have a (previously undiscovered) role in preventing vitamin-D-dependent rickets (VDDR).

CYP4A22See the attached article. A nonsense mutation in the CYP4A22 gene was found in a Chinese pedigree exhibiting vitamin D–dependent rickets and low serum phosphate. The CYP4A22 enzyme protein localizes in the endoplasmic reticulum and Golgi apparatus, and processes 25-hydroxylase activity in liver cells. CYP4A22 loss-of-function (LoF) results in lowered synthesis of 25(OH)D3, which causes genetic compensation of CYP2R1 (which is another enzyme involved in 25(OH)D3 formation).

Hence, our review from a decade ago can now be updated, by adding CYP4A22 :

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