Plasma concentrations of biologically active vitamin D (1,25-(OH)2D) are tightly controlled via feedback regulation of renal 1␣-hydroxylase (CYP27B1; positive) and 24-hydroxylase (CYP24A1; catabolic) enzymes. In pregnancy, this regulation is uncoupled, and 1,25-(OH) 2 D levels are significantly elevated, suggesting a role in pregnancy progression. Epigenetic regulation of CYP27B1 and CYP24A1 has previously been described in cell and animal models, and despite emerging evidence for a critical role of epigenetics in placentation generally, little is known about the regulation of enzymes modulating vitamin D homeostasis at the fetomaternal interface. In this study, we investigated the methylation status of genes regulating vitamin D bioavailability and activity in the placenta. No methylation of the VDR (vitamin D receptor) and CYP27B1 genes was found in any placental tissues. In contrast, the CYP24A1 gene is methylated in human placenta, purified cytotrophoblasts, and primary and cultured chorionic villus sampling tissue. No methylation was detected in any somatic human tissue tested. Methylation was also evident in marmoset and mouse placental tissue. All three genes were hypermethylated in choriocarcinoma cell lines, highlighting the role of vitamin D deregulation in this cancer. Gene expression analysis confirmed a reduced capacity for CYP24A1 induction with promoter methylation in primary cells and in vitro reporter analysis demonstrated that promoter methylation directly down-regulates basal promoter activity and abolishes vitamin D-mediated feedback activation. This study strongly suggests that epigenetic decoupling of vitamin D feedback catabolism plays an important role in maximizing active vitamin D bioavailability at the fetomaternal interface.In eutherian mammals, proper fetal growth and development are dependent on the formation and function of the placenta. In combination with the maternal decidua, cells of the placenta (primarily trophoblasts) regulate the exchange of nutrients, growth factors, oxygen, and waste between maternal and fetal circulations. The placenta also protects the developing pregnancy from the maternal immune system (1).Although mammalian placentas share a basic common function in modulating exchange at the fetomaternal interface, it is clear that the human placenta is unique in structure and function (2). Animal models may therefore be of limited value in fully dissecting processes underlying certain aspects of human pathologies, such as pre-eclampsia and gestational trophoblastic disease (3). An examination of human placentation is therefore critical in understanding its unique function and potential role in disease.The biologically active form of vitamin D (1,25-(OH) 2 D) 4 is a potent secosteroid hormone. Its wide ranging actions include regulating calcium and phosphorus homeostasis, immune system modulation, cellular differentiation, and apoptosis (4 -6). It also has potent antiproliferative effects (7-9). Vitamin D deficiency has been linked to several adverse pregnancy outco...