Kubis Adriana Maria, Piwowar Agnieszka
Department of Toxicology, Faculty of Pharmacy, Wroclaw Medical University, Borowska 211 Str., 50-552 Wrocław, Poland.
Department of Toxicology, Faculty of Pharmacy, Wroclaw Medical University, Borowska 211 Str., 50-552 Wrocław, Poland.
Ageing Res Rev. 2015 Nov;24(Pt B):126-37. doi: 10.1016/j.arr.2015.07.008. Epub 2015 Jul 31.
Apart from the classical function of regulating intestinal, bone and kidney calcium and phosphorus absorption as well as bone mineralization, there is growing evidence for the neuroprotective function of vitamin D3 through neuronal calcium regulation, the antioxidative pathway, immunomodulation and detoxification. Vitamin D3 and its derivates influence directly or indirectly almost all metabolic processes such as proliferation, differentiation, apoptosis, inflammatory processes and mutagenesis. Such multifactorial effects of vitamin D3 can be a profitable source of new therapeutic solutions for two radically divergent diseases, cancer and neurodegeneration. Interestingly, an unusual association seems to exist between the occurrence of these two pathological states, called "inverse comorbidity". Patients with cognitive dysfunctions or dementia have considerably lower risk of cancer, whereas survivors of cancer have lower prevalence of central nervous system (CNS) disorders. To our knowledge, there are few publications analyzing the role of vitamin D3 in biological pathways existing in carcinogenic and neuropathological disorders.
除了调节肠道、骨骼和肾脏对钙和磷的吸收以及骨矿化这一经典功能外,越来越多的证据表明维生素D3通过神经元钙调节、抗氧化途径、免疫调节和解毒发挥神经保护作用。维生素D3及其衍生物直接或间接影响几乎所有代谢过程,如增殖、分化、凋亡、炎症过程和诱变。维生素D3的这种多因素作用可能为两种截然不同的疾病——癌症和神经退行性疾病提供新的治疗解决方案。有趣的是,这两种病理状态的发生之间似乎存在一种不寻常的关联,称为“反向共病”。认知功能障碍或痴呆患者患癌症的风险显著较低,而癌症幸存者患中枢神经系统(CNS)疾病的患病率较低。据我们所知,很少有出版物分析维生素D3在致癌和神经病理疾病中存在的生物学途径中的作用。