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最新的维生素 D 在高血压中的作用知识。

Latest Knowledge on the Role of Vitamin D in Hypertension.

机构信息

Department of Biomedicine, Aarhus University, Ole Worms Allé 4, 8000 Aarhus, Denmark.

Department of Microgravity and Translational Regenerative Medicine, University Clinic for Plastic, Aesthetic and Hand Surgery, Otto von Guericke University, Universitätsplatz 2, 39106 Magdeburg, Germany.

出版信息

Int J Mol Sci. 2023 Feb 28;24(5):4679. doi: 10.3390/ijms24054679.


DOI:10.3390/ijms24054679
PMID:36902110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10003079/
Abstract

Hypertension is the third leading cause of the global disease burden, and while populations live longer, adopt more sedentary lifestyles, and become less economically concerned, the prevalence of hypertension is expected to increase. Pathologically elevated blood pressure (BP) is the strongest risk factor for cardiovascular disease (CVD) and related disability, thus making it imperative to treat this disease. Effective standard pharmacological treatments, i.e., diuretics, angiotensin converting enzyme (ACE) inhibitors, angiotensin receptor blocker (ARBs), beta-adrenergic receptor blockers (BARBs), and calcium channel blockers (CCBs), are available. Vitamin D (vitD) is known best for its role in bone and mineral homeostasis. Studies with vitamin D receptor (VDR) knockout mice show an increased renin-angiotensin-aldosterone system (RAAS) activity and increased hypertension, suggesting a key role for vitD as a potential antihypertensive agent. Similar studies in humans displayed ambiguous and mixed results. No direct antihypertensive effect was shown, nor a significant impact on the human RAAS. Interestingly, human studies supplementing vitD with other antihypertensive agents reported more promising results. VitD is considered a safe supplement, proposing its great potential as antihypertensive supplement. The aim of this review is to examine the current knowledge about vitD and its role in the treatment of hypertension.

摘要

高血压是全球疾病负担的第三大主要原因,随着人口寿命的延长、生活方式变得更加久坐不动以及经济压力的减轻,高血压的患病率预计将会上升。病理性升高的血压(BP)是心血管疾病(CVD)及相关残疾的最强危险因素,因此必须对这种疾病进行治疗。现已有有效的标准药物治疗方法,即利尿剂、血管紧张素转换酶(ACE)抑制剂、血管紧张素受体阻滞剂(ARBs)、β-肾上腺素能受体阻滞剂(BARBs)和钙通道阻滞剂(CCBs)。维生素 D(vitD)最广为人知的作用是在骨骼和矿物质的动态平衡中发挥作用。维生素 D 受体(VDR)敲除小鼠的研究表明,肾素-血管紧张素-醛固酮系统(RAAS)活性增加和高血压增加,这表明 vitD 作为一种潜在的降压药物具有关键作用。在人类中的类似研究显示出了模棱两可和混合的结果。没有显示出直接的降压作用,也没有对人类 RAAS 产生重大影响。有趣的是,人类研究报告称,补充 vitD 与其他降压药物一起使用,结果更有希望。vitD 被认为是一种安全的补充剂,提出了其作为降压补充剂的巨大潜力。本综述的目的是检查目前关于 vitD 及其在高血压治疗中的作用的知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/958b5ebc30b4/ijms-24-04679-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/87da5849af9c/ijms-24-04679-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/9e1663285bb4/ijms-24-04679-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/fe489dcea4eb/ijms-24-04679-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/958b5ebc30b4/ijms-24-04679-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/87da5849af9c/ijms-24-04679-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/9e1663285bb4/ijms-24-04679-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/fe489dcea4eb/ijms-24-04679-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ba/10003079/958b5ebc30b4/ijms-24-04679-g004.jpg

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PLoS One. 2025-8-29

[2]
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J Family Med Prim Care. 2025-6

[3]
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J Family Med Prim Care. 2025-6

[4]
Impact of vitamin D supplementation on cognitive impairment in elderly individuals with hypertension.

Front Neurol. 2025-6-24

[5]
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Int J Mol Sci. 2025-5-9

[6]
Effect of Vitamin D Supplementation on Blood Pressure: A Systematic Review.

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[7]
Bone mineral density and cardiovascular diseases: a two-sample Mendelian randomization study.

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[8]
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J Transl Med. 2025-3-7

[9]
Effects of Vitamin D Supplementation on Blood Pressure in Patients With Type 1 Diabetes Mellitus: A Systematic Review of Clinical Trials.

Health Sci Rep. 2025-3-2

[10]
Correlation of renal biomarkers, electrolyte imbalances and vitamin D levels in hypertensive subjects.

Med Int (Lond). 2025-2-5

本文引用的文献

[1]
Vitamin D and risk of hypertension among Black women.

J Clin Hypertens (Greenwich). 2023-2

[2]
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Front Pediatr. 2022-11-18

[3]
Losartan as an ACE inhibitor: a description of the mechanism of action through quantum biochemistry.

RSC Adv. 2022-10-5

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Hypertens Res. 2022-12

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J Nutr Biochem. 2022-11

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The Association of Vitamin D and Its Pathway Genes' Polymorphisms with Hypertensive Disorders of Pregnancy: A Prospective Cohort Study.

Nutrients. 2022-6-6

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Hypertension in obese children is associated with vitamin D deficiency and serotonin dysregulation.

BMC Pediatr. 2022-5-17

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Nutrients. 2022-3-24

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Front Nutr. 2022-3-10

[10]
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J Hum Hypertens. 2022-7

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