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维生素 D 与动脉高血压:事实与误区。

Vitamin D and Arterial Hypertension: Facts and Myths.

机构信息

Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Francuska 20-24, 40-027, Katowice, Poland.

出版信息

Curr Hypertens Rep. 2020 Jul 15;22(8):57. doi: 10.1007/s11906-020-01059-9.

Abstract

PURPOSE OF REVIEW

Vitamin D and its derivatives are biologically active fat-soluble steroid hormones, which are transcription factors for numerous genes. The results of several observational studies suggest the relationship between plasma concentration of vitamin D and the risk of arterial hypertension, as well as between the intensity of insolation and the risk of arterial hypertension.

RECENT FINDINGS

Based on the results of the abovementioned studies, it was hypothesized that vitamin D is characterized by the antihypertensive properties. Animal experiments have shown that vitamin D reduces activity of the renin-angiotensin-aldosterone system and improves vasorelaxation of blood vessels. Results of clinical studies did not confirm these results. Moreover in interventional clinical trials, it was documented that supplementation of vitamin D did not reduce blood pressure. The influence of exposure to sunshine at different wave lengths on blood pressure was examined in clinical studies and it was found that ultraviolet A radiation (UVA) lead to the release of nitric oxide from the skin. This might explain lower level of blood pressure in subjects from the regions with a higher rate of insolation. The aim of this review is to summarize current knowledge concerning the relationship between vitamin D and arterial hypertension based on both observational and interventional studies.

摘要

综述目的

维生素 D 及其衍生物是生物活性脂溶性甾体激素,是许多基因的转录因子。一些观察性研究的结果表明,血浆维生素 D 浓度与动脉高血压风险之间存在关系,以及日照强度与动脉高血压风险之间存在关系。

最近的发现

基于上述研究的结果,有人假设维生素 D 具有抗高血压特性。动物实验表明,维生素 D 可降低肾素-血管紧张素-醛固酮系统的活性,并改善血管舒张。临床研究的结果并未证实这些结果。此外,在干预性临床试验中,补充维生素 D 并未降低血压。在临床研究中检查了不同波长的阳光照射对血压的影响,发现紫外线 A 辐射 (UVA) 导致皮肤释放一氧化氮。这可能解释了在阳光照射率较高的地区,血压水平较低的原因。本综述的目的是基于观察性和干预性研究,总结目前关于维生素 D 与动脉高血压之间关系的知识。

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