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维生素 D 与神经疾病:内分泌学视角

Vitamin D and Neurological Diseases: An Endocrine View.

机构信息

IRCCS SDN, Napoli Via Gianturco 113, 80143 Naples, Italy.

Dipartimento di Medicina Clinica e Chirurgia, Divisione di Endocrinologia Università "Federico II" Napoli, 80138 Napoli, Italy.

出版信息

Int J Mol Sci. 2017 Nov 21;18(11):2482. doi: 10.3390/ijms18112482.

Abstract

Vitamin D system comprises hormone precursors, active metabolites, carriers, enzymes, and receptors involved in genomic and non-genomic effects. In addition to classical bone-related effects, this system has also been shown to activate multiple molecular mediators and elicit many physiological functions. In vitro and in vivo studies have, in fact, increasingly focused on the "non-calcemic" actions of vitamin D, which are associated with the maintenance of glucose homeostasis, cardiovascular morbidity, autoimmunity, inflammation, and cancer. In parallel, growing evidence has recognized that a multimodal association links vitamin D system to brain development, functions and diseases. With vitamin D deficiency reaching epidemic proportions worldwide, there is now concern that optimal levels of vitamin D in the bloodstream are also necessary to preserve the neurological development and protect the adult brain. The aim of this review is to highlight the relationship between vitamin D and neurological diseases.

摘要

维生素 D 系统包括激素前体、活性代谢物、载体、酶和受体,涉及基因组和非基因组效应。除了经典的骨骼相关作用外,该系统还被证明可以激活多种分子介质并发挥许多生理功能。事实上,体外和体内研究越来越关注维生素 D 的“非钙调”作用,这些作用与维持葡萄糖内稳态、心血管发病率、自身免疫、炎症和癌症有关。与此同时,越来越多的证据表明,维生素 D 系统与大脑发育、功能和疾病之间存在多模式关联。随着维生素 D 缺乏在全球范围内达到流行程度,人们现在担心血液中最佳水平的维生素 D 对于保护神经发育和保护成人大脑也是必要的。本文旨在强调维生素 D 与神经疾病之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f887/5713448/9273d3c05c1b/ijms-18-02482-g001.jpg

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