Newly identified actions of the vitamin D endocrine system.

Newly identified actions of the vitamin D endocrine system.
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DOI:
10.1210/edrv-13-4-719
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发表时间:
1992-11
期刊:
影响因子:
20.3
通讯作者:
M. Walters
M. Walters
中科院分区:
医学1区
文献类型:
--
作者:
M. Walters

文献摘要

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简介维生素D是一种开环甾体,其中环戊烷全氢菲结构的B环被裂解。维生素可以从饮食中获得,也可以在皮肤中由7-脱氢胆固醇合成(图1),本身是生物惰性的(有关综述见参考文献1)。第1-8段)。维生素D及其代谢物在血液中循环,主要与维生素D结合球蛋白[DBP]结合并平衡结合。在肝脏中,酶25-羟化酶将维生素转化为无活性的激素前体25-羟基维生素D [25(OH)D]。随后,肾lα-羟化酶将25(OH)D转化为生物活性形式1,25-二羟基维生素D [1,25(OH)2D]。两种羟化酶都是含有细胞色素P450的酶。Ia-羟化酶活性受到许多离子和内分泌因素的严格控制,包括在经典的负反馈回路中通过PTH和降低的血浆Ca 2+的刺激或通过1,25(OH)2D的抑制。虽然图1中未示出,但在条件下,
Introduction VITAMIN D is a seco-steroid in which the B-ring of the cyclopentanoperhydrophenanthrene structure is cleaved. The vitamin is either obtained from the diet or is synthesized in the skin from 7-dehydrocholesterol (Fig. 1) and is itself biologically inert (for reviews see Refs. 1–8). Vitamin D and its metabolites circulate in the blood primarily bound to and in equilibrium association with the vitamin D-binding globulin [DBP]. In the liver, the enzyme 25-hydroxylase converts the vitamin to the inactive hormonal precursor 25-hydroxyvitamin D [25(OH)D]. Subsequently, the renal lα-hydroxylase enzyme converts 25(OH)D to the biologically active form 1,25-dihydroxyvitamin D [1,25(OH)2D]. Both hydroxylase enzymes are cytochrome P450-containing enzymes. la-Hydroxylase activity is tightly controlled by a number of ionic and endocrine factors including stimulation by PTH and reduced plasma Ca2+ or inhibition by 1,25(OH)2D in a classic negative feedback loop. Although not illustrated in Fig. 1, under condi...