Department of Forensic Pathology, School of Forensic Medicine, China Medical University, Shenyang, 110122, China.
College of Life Science, Northwest University, Xi'an City, 710069, China.
Food Funct. 2024 Nov 25;15(23):11342-11364. doi: 10.1039/d4fo03234a.
Vitamin D plays important roles in various physiological processes such as cardiovascular health, calcium balance regulation, bone health, immune system support, neurological function regulation, muscle function maintenance, and anti-inflammatory effects. Therefore, maintaining its adequate levels is essential for overall health. Genetic polymorphisms in vitamin D metabolic pathways have become a key factor affecting the susceptibility and progression of cardiovascular disease (CVD). This article reviews the relationship between gene polymorphisms in vitamin D metabolic pathways and vitamin D levels or CVD. It is emphasized that the polymorphisms of key genes such as GC, VDR, CYP2R1, CYP24A1 and CYP27B1 are related to the pathogenesis of CVD. These polymorphisms can regulate serum levels of vitamin D, thereby affecting the susceptibility, comorbidities and clinical manifestations of CVD. Despite the progress made, there are still inconsistencies and gaps in the literature. Thus, it is necessary to conduct large-scale, multicenter studies to verify these findings and deepen our understanding of the intricate interactions between gene polymorphisms in vitamin D metabolic pathways and CVD.
维生素 D 在各种生理过程中发挥着重要作用,如心血管健康、钙平衡调节、骨骼健康、免疫系统支持、神经系统功能调节、肌肉功能维持和抗炎作用。因此,维持其足够的水平对于整体健康至关重要。维生素 D 代谢途径中的基因多态性已成为影响心血管疾病 (CVD) 易感性和进展的关键因素。本文综述了维生素 D 代谢途径中基因多态性与维生素 D 水平或 CVD 的关系。强调了 GC、VDR、CYP2R1、CYP24A1 和 CYP27B1 等关键基因的多态性与 CVD 的发病机制有关。这些多态性可以调节血清维生素 D 水平,从而影响 CVD 的易感性、合并症和临床表现。尽管已经取得了进展,但文献中仍然存在不一致和差距。因此,有必要开展大规模、多中心的研究来验证这些发现,并加深我们对维生素 D 代谢途径中基因多态性与 CVD 之间复杂相互作用的理解。