“…Renal (28)(29)(30)(31)(32)(33)(34)(35) as well as a variety of extrarenal tissues, including intestine (36), bone cells (37,38), and skin fibroblasts (13,14), have been shown to possess the enzyme 25(OH)D3-24-hydroxylase (24-OHase), which can be induced by 1,25(OH)2D; this induction appears to be mediated through the receptor for 1,25(OH)2D via a classical steroid hormone mechanism (34,35). Cultured skin fibroblasts from seven patients representing six kindreds with DD II have been evaluated and showed deficient 24-OHase induction by 1,25(OH)2D3 (13,14,19,20).…”