Wilczek H
III. interní klinika 1. LF UK a VFN, Praha.
Cas Lek Cesk. 1996 Nov 20;135(22):716-8.
Vitamin D has an antiproliferative effect on carcinomatous cells of the prostate. Vitamin D deficiency is considered a risk factor for the manifestation and development of prostate cancer. The authors present a report on plasma levels of vitamin D metabolites in patients with prostate cancer and vitamin D therapy is discussed.
In 14 patients with prostate carcinoma plasma concentrations of the sum of hydroxylated vitamin D metabolites and 1.25-dihydroxy vitamin D were assessed before treatment and three months after treatment. For evaluation of the sum of hydroxylated metabolites the radiotest was used; the plasma concentration of 1.25-dihydroxyvitamin D was assessed by radioimmunoanalysis. For statistical evaluation Friedman's test and simultaneous testing were used.
Vitamin D deficiency was not revealed, however, after 3 months treatment a mild vitamin D deficiency was manifested. In 28.5% of the patients very low levels of the sum of hydroxylated vitamin D metabolites and higher values of the specific prostatic antigen (PSA) persisted.
维生素D对前列腺癌细胞具有抗增殖作用。维生素D缺乏被认为是前列腺癌发生和发展的一个危险因素。作者发表了一篇关于前列腺癌患者血浆维生素D代谢物水平的报告,并讨论了维生素D治疗。
对14例前列腺癌患者在治疗前和治疗后三个月评估血浆中羟基化维生素D代谢物总和及1,25 - 二羟基维生素D的浓度。采用放射检测法评估羟基化代谢物总和;通过放射免疫分析评估1,25 - 二羟基维生素D的血浆浓度。采用弗里德曼检验和同步检验进行统计学评估。
未发现维生素D缺乏,但治疗3个月后出现轻度维生素D缺乏。28.5%的患者羟基化维生素D代谢物总和水平极低且前列腺特异性抗原(PSA)值较高的情况持续存在。