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维生素D3和25-羟基维生素D3在肠道疾病中的吸收比较

Comparative absorption of vitamin D3 and 25-hydroxyvitamin D3 in intestinal disease.

作者信息

Davies M, Mawer E B, Krawitt E L

出版信息

Gut. 1980 Apr;21(4):287-92. doi: 10.1136/gut.21.4.287.

DOI:10.1136/gut.21.4.287
PMID:6253363
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1419609/
Abstract

The absorption of simultaneously administered equimolar doses of 14C vitamin D3 and 3H 25 hydroxyvitamin D3 (25-OH-D3) has been studied in controls and patients with a variety of gastrointestinal disorders. As assessed from peak radioactivity in the serum and from faecal excretion of radioactivity, malabsorption of both vitamin D3 and 25-OH-D3 occurred in patients with steatorrhoea. Malabsorption of vitamin D3 was greater than 25-OH-D3. The magnitude of malabsorption of these compounds was related to the severity of the steatorrhoea but was moderate enough to suggest that replacement therapy in patients with intestinal malabsorption should be accomplished with relatively small doses of vitamin D. The more potent vitamin D metabolites are probably unnecessary in this situation.

摘要

在对照组以及患有各种胃肠道疾病的患者中,对同时给予等摩尔剂量的14C维生素D3和3H 25-羟基维生素D3(25-OH-D3)的吸收情况进行了研究。从血清中的放射性峰值以及粪便中的放射性排泄物评估,脂肪泻患者中维生素D3和25-OH-D3均出现吸收不良。维生素D3的吸收不良比25-OH-D3更严重。这些化合物吸收不良的程度与脂肪泻的严重程度相关,但程度适中,表明肠道吸收不良患者的替代治疗应以相对小剂量的维生素D来完成。在这种情况下,可能不需要更强效的维生素D代谢产物。

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本文引用的文献

1
Competitive protein-binding radioassay for 25-hydroxycholecalciferol.25-羟基胆钙化醇的竞争性蛋白结合放射分析
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The metabolism of isotopically labelled vitamin D3 in man: the influence of the state of vitamin D nutrition.
Clin Sci. 1971 Jan;40(1):39-53. doi: 10.1042/cs0400039.
3
Metabolism of vitamin D3-3H in human subjects: distribution in blood, bile, feces, and urine.人体中维生素D3-3H的代谢:在血液、胆汁、粪便和尿液中的分布。
J Clin Invest. 1967 Jun;46(6):983-92. doi: 10.1172/JCI105605.
4
Absorption of vitamin D3-3H in control subjects and patients with intestinal malabsorption.正常对照者和肠道吸收不良患者对维生素D3-3H的吸收情况。
J Clin Invest. 1966 Jan;45(1):94-102. doi: 10.1172/JCI105327.
5
Vitamin-D absorption after partial gastrectomy.胃部分切除术后维生素D的吸收情况。
Lancet. 1966 Feb 26;1(7435):457-8. doi: 10.1016/s0140-6736(66)91458-9.
6
Intestinal absorption of 25-hydroxycholecalciferol.
Lancet. 1974 Jul 20;2(7873):121-3. doi: 10.1016/s0140-6736(74)91553-0.
7
Treatment of osteomalacia with oral 1-alpha-hydroxyvitamin D3 in a patient with malabsorption.一名吸收不良患者口服1-α-羟基维生素D3治疗骨软化症
Br Med J. 1977 Sep 3;2(6087):612. doi: 10.1136/bmj.2.6087.612.
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Absorption, hydroxylation, and excretion of vitamin D3 in primary biliary cirrhosis.原发性胆汁性肝硬化中维生素D3的吸收、羟基化及排泄
Lancet. 1977 Dec 17;2(8051):1246-9. doi: 10.1016/s0140-6736(77)92660-5.