Effects of vitamin D and its metabolites in calcium homeostasis, bone metabolism, and the immune system. Vitamin D3 obtained from the diet or synthesized by photoconversion from sunlight is converted into the hormonal form 1,25(OH)2D3 by two hydroxylations occurring in the liver and kidney, respectively. After this conversion, 1,25(OH)2D3 circulates in blood to target tissues. The integrated actions of the 1,25(OH)2D3 hormone via binding to the intracellular VDR, to control calcium homeostasis in bone, kidney, intestine, and parathyroid, is shown above [64]. This figure was made using Biorender.com, agreement number UN24V0NHC0.