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维生素D与脉管系统:我们能让一种老药发挥新作用吗?

Vitamin D and the vasculature: can we teach an old drug new tricks?

作者信息

Valdivielso José M, Coll Blai, Fernandez Elvira

机构信息

Hospital Universitario Arnau de Vilanova, Experimental Nephrology Laboratory, Spain.

出版信息

Expert Opin Ther Targets. 2009 Jan;13(1):29-38. doi: 10.1517/14728220802564390.

Abstract

BACKGROUND

Vitamin D is a steroid hormone known for its role in regulating levels of calcium and phosphorus. Vitamin D has important autocrine/paracrine roles and it is involved in vascular biology. Clinical studies have shown a relationship between vitamin D levels and cardiovascular health, and low levels of vitamin D metabolites have been associated with higher incidence of congestive heart failure and increases in mortality.

OBJECTIVE

To summarise the effect of vitamin D on cardiovascular pathology, the leading cause of death in chronic kidney disease patients.

CONCLUSIONS

All results indicate a potential effect of vitamin D on cardiovascular health. Therefore, maintaining optimum levels of circulating vitamin D is critical for a healthy cardiovascular system. In patients with low vitamin D status, like renal patients, supplementation with vitamin D metabolites has shown beneficial cardiovascular effects.

摘要

背景

维生素D是一种类固醇激素,以其在调节钙和磷水平方面的作用而闻名。维生素D具有重要的自分泌/旁分泌作用,并且参与血管生物学过程。临床研究表明维生素D水平与心血管健康之间存在关联,维生素D代谢物水平低与充血性心力衰竭发病率较高及死亡率增加有关。

目的

总结维生素D对慢性肾病患者主要死因——心血管病理的影响。

结论

所有结果均表明维生素D对心血管健康具有潜在影响。因此,维持循环维生素D的最佳水平对健康的心血管系统至关重要。在维生素D水平低的患者(如肾病患者)中,补充维生素D代谢物已显示出有益的心血管作用。

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