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维生素D:来源、生理作用、生物动力学、缺乏症、治疗用途、毒性以及维生素D及其代谢产物检测分析方法概述

Vitamin D: sources, physiological role, biokinetics, deficiency, therapeutic use, toxicity, and overview of analytical methods for detection of vitamin D and its metabolites.

作者信息

Janoušek Jiří, Pilařová Veronika, Macáková Kateřina, Nomura Anderson, Veiga-Matos Jéssica, Silva Diana Dias da, Remião Fernando, Saso Luciano, Malá-Ládová Kateřina, Malý Josef, Nováková Lucie, Mladěnka Přemysl

机构信息

Department of Pharmacognosy, Faculty of Pharmacy, Charles University, Hradec Králové, Czech Republic.

Department of Analytical Chemistry, Faculty of Pharmacy, Charles University, Hradec Králové, Czech Republic.

出版信息

Crit Rev Clin Lab Sci. 2022 Dec;59(8):517-554. doi: 10.1080/10408363.2022.2070595. Epub 2022 May 16.

Abstract

Vitamin D has a well-known role in the calcium homeostasis associated with the maintenance of healthy bones. It increases the efficiency of the intestinal absorption of dietary calcium, reduces calcium losses in urine, and mobilizes calcium stored in the skeleton. However, vitamin D receptors are present ubiquitously in the human body and indeed, vitamin D has a plethora of non-calcemic functions. In contrast to most vitamins, sufficient vitamin D can be synthesized in human skin. However, its production can be markedly decreased due to factors such as clothing, sunscreens, intentional avoidance of the direct sunlight, or the high latitude of the residence. Indeed, more than one billion people worldwide are vitamin D deficient, and the deficiency is frequently undiagnosed. The chronic deficiency is not only associated with rickets/osteomalacia/osteoporosis but it is also linked to a higher risk of hypertension, type 1 diabetes, multiple sclerosis, or cancer. Supplementation of vitamin D may be hence beneficial, but the intake of vitamin D should be under the supervision of health professionals because overdosing leads to intoxication with severe health consequences. For monitoring vitamin D, several analytical methods are employed, and their advantages and disadvantages are discussed in detail in this review.

摘要

维生素D在与维持健康骨骼相关的钙稳态中具有众所周知的作用。它能提高肠道对膳食钙的吸收效率,减少尿钙流失,并动员骨骼中储存的钙。然而,维生素D受体在人体中广泛存在,实际上,维生素D具有众多非钙调节功能。与大多数维生素不同,人体皮肤可以合成足够的维生素D。然而,由于衣物、防晒霜、刻意避免阳光直射或居住在高纬度地区等因素,其合成量可能会显著减少。事实上,全球超过10亿人维生素D缺乏,且这种缺乏常常未被诊断出来。长期缺乏不仅与佝偻病/骨软化症/骨质疏松症有关,还与高血压、1型糖尿病、多发性硬化症或癌症的较高风险相关。因此,补充维生素D可能有益,但维生素D的摄入应在健康专业人员的监督下进行,因为过量摄入会导致中毒,产生严重的健康后果。为了监测维生素D,人们采用了几种分析方法,本综述将详细讨论它们的优缺点。

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