Calcitriol (1,25(OH)2-D3) Synthesis
1. Precursors - Fish liver oil and egg yolk
2. Produced in the malphigian layer of the epidermis from 7-dehydrocholesterol in an ultraviolet light-mediated, nonenzymatic photolysis reaction
3. Transported by vitamin D-binding protein to the liver for 25-hydroxylation
4. 25-hydroxylation occurs in the endoplasmic reticulum and requires magnesium, NADPH, molecular oxygen, and uncharacterized cytoplasmic factor
5. Enzymes involved - NADPH-dependent cytochrome P450 reductase, Cytochrome P450
6. 25(OH)2-D3 - weak agonist, must be modified by hydroxylation at position C1 in the kidney mitochondria for full biologic activity