How does vitamin D work?

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    Last Updated: May 16, 2025

    Vitamin D works by binding to the vitamin D receptor and acts as a transcription factor to regulate over 1,000 genes, which leads to slower genomic effects, as well as rapid nongenomic actions through various signaling pathways. Its effects extend beyond bone metabolism to include anticancer properties, brain development, anti-inflammatory and antioxidant effects, and regulation of calcium and immune responses.

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    Vitamin D exerts its effects by binding to and activating the vitamin D receptor (VDR). Upon binding vitamin D, the VDR functions as a transcription factor, regulating the activity of over 1,000 different genes.[1] This “genomic” action of vitamin D tends to be slower-acting, requiring the synthesis of new mRNA and proteins to take effect.

    Vitamin D also works through “non-genomic” mechanisms, causing rapid activation of various signaling pathways within the cell. Although VDRs have been identified on cell membranes, it isn’t currently known whether the more rapid, non-genomic action of vitamin D occurs through membrane-associated vitamin D receptors or a different cellular receptor.[2]

    Although the most commonly associated effects of vitamin D on the body are associated with bone metabolism, the almost ubiquitous presence of VDRs in cells and tissues throughout the body indicates that vitamin D can affect a wide range of physiological processes.[3] The additional effects of vitamin D on the body include, but aren’t limited to, the following:[4]

    • Anticancer effects (promotion of cell death or suppressing proliferation in cancer cells)
    • Brain development[5]
    • Cell differentiation[6][7]
    • Anti-inflammatory effects[8]
    • Antibacterial effects (through vitamin D’s effects on immune cells, and its promotion of the expression of genes encoding antimicrobial peptides)[9]
    • Blood vessel protection[10]
    • Nervous system health
    • Calcium regulation
    How does vitamin D work? - Examine