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维生素 D 及其相关分子在与血栓形成发病机制相关途径中的新兴作用。

Emerging Role of Vitamin D and its Associated Molecules in Pathways Related to Pathogenesis of Thrombosis.

机构信息

Department of Biotechnology, Faculty of Natural Sciences, Jamia Millia Islamia, New Delhi, 110025, India.

出版信息

Biomolecules. 2019 Oct 24;9(11):649. doi: 10.3390/biom9110649.

Abstract

Vitamin D, besides having an essential role in calcium and bone metabolism, also acts as a mediator of many non-calcemic effects through modulations of several biological responses. Vitamin D exists in its two major forms, vitamin D, or commonly known as ergocalciferol, and vitamin D, or commonly known as cholecalciferol. Both of these forms bind to vitamin D-binding protein to get transported to all vital target organs, where it serves as a natural ligand to vitamin D receptors for enabling their biological actions. Clinical reports corroborating vitamin D deficiency with an increase in thrombotic episodes implicate the role of vitamin D and its associated molecule in the regulation of thrombosis-related pathways. Thrombosis is the formation and propagation of a blood clot, known as thrombus. It can occur either in the arterial or the venous system resulting in many severe complications, including myocardial infarction, stroke, ischemia, and venous thromboembolism. Vitamin D, directly or indirectly, controls the expression of several genes responsible for the regulation of cellular proliferation, differentiation, apoptosis, and angiogenesis. All of these are the processes of potential relevance to thrombotic disorders. This review, thus, discussed the effects of vitamin D on pathways involved in thrombosis, such as hemostatic process, inflammatory pathway, and endothelial cell activation, with a focus on the molecular mechanisms associated with them.

摘要

维生素 D 除了在钙和骨骼代谢中发挥重要作用外,还通过调节多种生物学反应作为许多非钙调作用的介质。维生素 D 有两种主要形式,维生素 D,通常称为麦角钙化醇,和维生素 D,通常称为胆钙化醇。这两种形式都与维生素 D 结合蛋白结合,以便被转运到所有重要的靶器官,在那里它作为维生素 D 受体的天然配体,使其发挥生物学作用。临床报告证实维生素 D 缺乏与血栓形成事件增加之间存在关联,这表明维生素 D 及其相关分子在调节血栓形成相关途径中发挥作用。血栓形成是指血液凝块的形成和传播,称为血栓。它可以发生在动脉或静脉系统中,导致许多严重的并发症,包括心肌梗死、中风、缺血和静脉血栓栓塞。维生素 D 直接或间接地控制着负责调节细胞增殖、分化、凋亡和血管生成的几个基因的表达。所有这些都是与血栓形成疾病相关的潜在过程。因此,本综述讨论了维生素 D 对血栓形成途径的影响,如止血过程、炎症途径和内皮细胞激活,并重点讨论了与之相关的分子机制。

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