Department of Hematology, University Hospital Virgen del Rocio, Instituto de Biomedicina de Sevilla (IBIS/CSIC/CIBERONC), Universidad de Sevilla, 41013 Sevilla, Spain.
Int J Mol Sci. 2018 Sep 8;19(9):2663. doi: 10.3390/ijms19092663.
Vitamin D is a steroid-like hormone which acts by binding to vitamin D receptor (VDR). It plays a main role in the calcium homeostasis and metabolism. In addition, vitamin D display other important effects called "non-classical actions." Among them, vitamin D regulates immune cells function and hematopoietic cells differentiation and proliferation. Based on these effects, it is currently being evaluated for the treatment of hematologic malignancies. In addition, vitamin D levels have been correlated with patients' outcome after allogeneic stem cell transplantation, where it might regulate immune response and, accordingly, might influence the risk of graft-versus-host disease. Here, we present recent advances regarding its clinical applications both in the treatment of hematologic malignancies and in the transplant setting.
维生素 D 是一种类固醇样激素,通过与维生素 D 受体 (VDR) 结合发挥作用。它在钙稳态和代谢中起主要作用。此外,维生素 D 还表现出其他重要的作用,称为“非经典作用”。其中,维生素 D 调节免疫细胞功能和造血细胞的分化和增殖。基于这些作用,目前正在评估其治疗血液系统恶性肿瘤的效果。此外,维生素 D 水平与异基因造血干细胞移植后的患者预后相关,它可能调节免疫反应,从而影响移植物抗宿主病的风险。在这里,我们介绍了其在血液系统恶性肿瘤的治疗和移植环境中的临床应用的最新进展。