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Nausea may be due to delayed gastric emptying, and abdominal distention and constipation may be due to delayed intestinal motility, but the reason for the diarrhea is unclear

Upon activation, VDR typically forms a heterodimer with RXR, and this complex binds with high affinity to Vitamin D response elements (VDREs), typically of the DR3 type(a direct repeat of the hexameric core sequence separated by three nucleotides), located in promoters or enhancers of target genes via a zinc fingercontaining DNA-binding motif [116].The VDRRXR complex then utilizes its AF-2 domain to recruit coactivators/corepressors and chromatin remodeling enzymes, orchestrating precise transcriptional programs involved in cell proliferation, differentiation, immune homeostasis, antioxidant defense, and barrier function [117,118,119,120].Given that the skin is a frontline environmental sensor chronically exposed to UV radiation, pathogens, and oxidative stress, the ability of VDR to bridge environmental cues and gene expression is particularly critical in this context
doi: 10.1038/s41557-020-0465-9 232 ReddyK.ZamiriB.StanleyS
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