Genc D Bahar, Ozkan M Alp, Buyukgebiz Atilla
Sişli Etfal Education and Research Hospital, Istanbul, Turkey.
Pediatr Endocrinol Rev. 2013 Jul;10(4):485-93.
Children diagnosed and treated for cancer are vulnerable to Vitamin D deficiency depending on many factors. The Vitamin D status in children with cancer has been mostly regarded as a contributory factor for skeletal pathologies so far. However, the calcitriol was found to promote cell differentiation, inhibit malignant proliferation, and exhibit antiinflammatory, proapoptotic and antiangiogenic properties. In addition to this, numerous epidemiological studies link Vitamin D and cancer and indicate to possible role of Vitamin D in cancer pathogenesis and progression. This article aims to provide an overview of the possible role of Vitamin D deficiency in childhood cancer in terms of prevention and treatment.
根据多种因素,被诊断患有癌症并接受治疗的儿童易患维生素D缺乏症。迄今为止,癌症患儿的维生素D状况大多被视为骨骼病变的一个促成因素。然而,发现骨化三醇可促进细胞分化、抑制恶性增殖,并具有抗炎、促凋亡和抗血管生成特性。除此之外,大量流行病学研究将维生素D与癌症联系起来,并表明维生素D在癌症发病机制和进展中可能发挥的作用。本文旨在概述维生素D缺乏在儿童癌症的预防和治疗方面可能发挥的作用。