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维生素 D 在降低癌症风险和进展中的作用。

The role of vitamin D in reducing cancer risk and progression.

机构信息

Department of Medicine, Division of Endocrinology, Stanford University School of Medicine, Stanford, California 94305, USA.

Departments of Epidemiology and Nutrition, Harvard School of Public Health, Boston, Massachusetts 02115, USA.

出版信息

Nat Rev Cancer. 2014 May;14(5):342-57. doi: 10.1038/nrc3691. Epub 2014 Apr 4.

Abstract

Vitamin D is not really a vitamin but the precursor to the potent steroid hormone calcitriol, which has widespread actions throughout the body. Calcitriol regulates numerous cellular pathways that could have a role in determining cancer risk and prognosis. Although epidemiological and early clinical trials are inconsistent, and randomized control trials in humans do not yet exist to conclusively support a beneficial role for vitamin D, accumulating results from preclinical and some clinical studies strongly suggest that vitamin D deficiency increases the risk of developing cancer and that avoiding deficiency and adding vitamin D supplements might be an economical and safe way to reduce cancer incidence and improve cancer prognosis and outcome.

摘要

维生素 D 实际上并不是一种维生素,而是强效类固醇激素 1,25-二羟维生素 D3(calcitriol)的前体,后者在全身发挥广泛作用。1,25-二羟维生素 D3 调节着众多细胞通路,这些通路可能在决定癌症风险和预后方面发挥作用。尽管流行病学和早期临床试验结果并不一致,而且尚未开展人体随机对照试验以明确支持维生素 D 具有有益作用,但越来越多的临床前和部分临床研究结果强烈提示,维生素 D 缺乏会增加癌症发病风险,而避免维生素 D 缺乏并补充维生素 D 可能是一种经济且安全的方法,可降低癌症发病率并改善癌症预后和结局。

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