Vitamin D :Volume 2: Health, Disease and Therapeutics ( 4 )

Publication subTitle :Volume 2: Health, Disease and Therapeutics

Publication series :4

Author: Feldman   David;Pike   J. Wesley;Bouillon   Roger  

Publisher: Elsevier Science‎

Publication year: 2017

E-ISBN: 9780128099643

P-ISBN(Paperback): 9780128099636

Subject: Q565 vitamin D

Keyword: 普通生物学

Language: ENG

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Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Description

Vitamin D: Volume 2: Health, Disease and Therapeutics, Fourth Edition, authoritatively covers the evidence for new roles for vitamin D, ranging from cardiovascular disease, to cancer, diabetes, inflammatory bowel disease, multiple sclerosis and renal disease.

This collection represents a who’s who of vitamin D research and the coverage is appropriately broad, drawing in internal medicine, orthopedics, oncology and immunology. Clinical researchers will gain a strong understanding of the molecular basis for a particular area of focus.

  • Offers a comprehensive reference, ranging from basic bone biology, to biochemistry, to the clinical diagnostic and management implications of vitamin D
  • Saves researchers and clinicians time in quickly accessing the very latest details on the diverse scientific and clinical aspects of Vitamin D, as opposed to searching through thousands of journal articles
  • Chapter authors include the most prominent and well-published names in the field
  • Targets chemistry, metabolism and circulation, mechanisms of action, mineral and bone homeostasis and vitamin D deficiency
  • Presents a clinical focus on disorders, analogs, cancer, immunity, inflammation, disease and therapeutic applications

Chapter

VITAMIN D STATUS IN OCEANIA

MULTICENTER AND GLOBAL STUDIES USING A CENTRAL LABORATORY FACILITY

ETHNICITY/MIGRATION

NUTRITION

RISK GROUPS

IMPLICATIONS

CONCLUSIONS

References

60 - Vitamin D in Foods: An Evolution of Knowledge

INTRODUCTION

CHALLENGES IN ASSESSING THE VITAMIN D CONTENT OF FOODS

Different Forms of Vitamin D

Variability Among Samples of the Same Food

Diet of Animals

Innate Differences Within and Between Species or Breeds

UV Exposure

Food Fortification

Analytical Methods

METHODS OF ANALYSIS FOR VITAMIN D IN FOODS

Current Methodology

Method Validation and Quality Control

Method Validation

Quality Control

FOOD COMPOSITION DATA

History of Vitamin D Food Composition Data in the United States

Compiling and Maintaining Food Composition Data

Current Food Composition Data

IMPLICATIONS AND FUTURE DIRECTIONS

APPENDIX A

References

61 - Determinants of Vitamin D Deficiency From Sun Exposure: A Global Perspective

BACKGROUND

FACTORS AFFECTING 25-HYDROXYVITAMIN D CONCENTRATIONS

Atmospheric and Environmental Determinants

Geographic Location and Ultraviolet B Doses: Seasonal Variations

Meteorological Factors

Urban Versus Rural Residence

Travel to Sunny Locations in Winter

Endogenous Characteristics

Effect of Age

Obesity

Genetics

Behavioral Determinants

Use of Sunscreen

Shade

Messages to Get UV Exposure Mornings and Afternoons (The Shadow Rule)

Sun Avoidance Because of Concern About Skin Cancer, Melanoma

Occupation (Outdoors vs. Indoors)

Outdoor Recreational Activities

Lack of Knowledge of the Benefits of Vitamin D

Lifestyle Factors Associated With Reduced Sun Exposure

Migration/Migrants

PREDICTING VITAMIN D DEFICIENCY

CONCLUSION

References

62 - Vitamin D Fortification and Supplementation Policies to Correct Vitamin D Insufficiency/Deficiency Globally

INTRODUCTION

RECOMMENDATIONS FOR VITAMIN D STATUS

Recommendations for Vitamin D Intake

Dietary Sources of Vitamin D

Natural Sources

Bioaddition

Fortified Foods

Supplements

Dietary Intakes of Vitamin D

The United States

Measuring D Intakes

STRATEGIES TO IMPROVE NUTRIENT INTAKES

Efficacy of Fortification

Efficacy of Supplement Use

Benefits on Vitamin D Status

Risks

Tools for Safe and Effective Use of Fortified Foods and Dietary Supplements

Setting Upper Levels

Product Labeling

Health Claims on Product Labels

PUBLIC HEALTH MEASURES FOR REDUCING D DEFICIENCY

Mandatory Fortification

Country With Mandatory Fortification of Food Staples With Vitamin D: Canada

Country Transitioning Into the Use of Vitamin D-Fortified Staple Foods: Finland

Fortification

Countries Exploring Fortification or Reliant on Traditional Food Sources of Vitamin D: Denmark and Greenland

SUMMARY

References

63 - Vitamin D and Food Fortification

INTRODUCTION

CURRENT INTAKES OF VITAMIN D IN YOUNG AND ADULT POPULATIONS IN NORTH AMERICA AND EUROPE AND HOW THESE COMPARE AGAINST DIETARY TA...

DIETARY STRATEGIES FOR INCREASING VITAMIN D INTAKE: BRIDGING THE GAP BY FOOD FORTIFICATION

Traditional Food Fortification With Vitamin D

CONSIDERATION OF OTHER VITAMIN D-FORTIFIED FOODS

Additional Considerations in Relation to Forms of Vitamin D and Addition Amounts for Traditional Fortification

Vitamin D2 Versus Vitamin D3

25-Hydroxyvitamin D Metabolites

VITAMIN D-BIOFORTIFIED FOODS

SAFETY CONSIDERATIONS AND PREREQUISITE DATA REQUIRED PRIOR TO INITIATING PUBLIC HEALTH MEASURES

CONCLUDING REMARKS

References

64 - Bariatric Surgery, Vitamin D, and Bone Loss

INTRODUCTION

Obesity Epidemic

Bariatric Surgery Is an Effective Treatment for Weight Loss

Indications for Bariatric Surgery

Bariatric Surgery Procedures

Roux-en-Y Gastric Bypass

Vertical Sleeve Gastrectomy

Adjustable Gastric Banding

Biliopancreatic Diversion With or Without Duodenal Switch

SKELETAL EFFECTS OF BARIATRIC SURGERY

Bone Turnover Markers

Bone Mass

Roux-en-Y Gastric Bypass

Sleeve Gastrectomy

Gastric Banding

Biliopancreatic Diversion With or Without Duodenal Switch

Bone Microstructure

Fracture Risk

Comparison With Nonsurgical Weight Loss

POTENTIAL MECHANISMS OF BONE LOSS

Nutritional Deficiencies: Vitamin D and Calcium

Vitamin D

Preoperative Insufficiency and Deficiency

Postoperative Insufficiency and Deficiency: Mechanisms

Postoperative Insufficiency and Deficiency: Prevalence

Postoperative Vitamin D Dosing Regimens

Calcium

Future Directions

Mechanical Unloading

Loss of Muscle Mass

Adipokines

Leptin

Adiponectin

Sex Steroids

Gut-Derived Hormones

Peptide YY

Ghrelin

Glucagon-like Peptide-1

Glucose-Dependent Insulinotropic Polypeptide or Gastric Inhibitory Peptide

Bone Marrow Fat

PREVENTION AND TREATMENT OF SKELETAL EFFECTS

Universal Recommendations

Management of Osteoporosis After Bariatric Surgery

Acknowledgments

References

65 - Genetics of the Vitamin D Endocrine System

INTRODUCTION

Heritability

Molecular Genetic Dissection

From Candidates to Hypothesis-Free

GENETIC STUDIES

Candidate-Gene Association Studies

Genome-Wide Association Studies

Genome-Wide Sequencing

Metaanalysis

Functional Studies

Mendelian Randomization Studies

GENOME-WIDE ASSOCIATION STUDIES

GWAS on Serum Vitamin D and DBP Levels

The Vitamin D-Binding Protein Gene

Mendelian Randomization With Genome-Wide Association Studies Hits

Vitamin D-Related Genes Identified By Genome-Wide Association Studies

FUTURE DEVELOPMENTS

Acknowledgments

References

66 - Randomized Clinical Trials of Vitamin D for the Primary Prevention of Cancer and Cardiovascular Disease With a Focus on the VITamin D and OmegA-3 TriaL (VITAL)

INTRODUCTION

VITAMIN D AND OMEGA-3 TRIAL STUDY DESIGN

Overview

Aims

Vitamin D Intervention

Recruitment and Eligibility

Follow-Up and Endpoint Determination

Data Analysis and Power

Blood Samples

Ancillary Studies

The Clinical and Translational Science Center Subcohort

BASELINE CHARACTERISTICS OF VITAL PARTICIPANTS

Validity

Internal Validity

Generalizability

OTHER ONGOING AND RECENTLY COMPLETED LARGE AND MIDSIZED TRIALS OF VITAMIN D

CONCLUSION

Acknowledgments

References

VIII - DISORDERS

67 - Vitamin D Deficiency and Nutritional Rickets in Children

INTRODUCTION

HISTORICAL PERSPECTIVE

THE EPIDEMIOLOGY OF VITAMIN D DEFICIENCY AND NUTRITIONAL RICKETS

CLINICAL PRESENTATION

BIOCHEMICAL ABNORMALITIES

RADIOLOGIC CHANGES

THE GROWTH PLATE IN RICKETS

TREATMENT AND PREVENTION

Treatment

Prevention

DIETARY CALCIUM DEFICIENCY

THE PATHOGENETIC SPECTRUM OF NUTRITIONAL RICKETS

CONCLUSIONS

References

68 - Vitamin D and Osteoporosis

EFFECTS OF VITAMIN D ON THE SKELETON

THE ROLE OF VITAMIN D GENETIC FACTORS IN OSTEOPOROSIS AND POSSIBLE INTERACTIONS WITH VITAMIN D THERAPY

DETERMINING OPTIMAL SERUM 25 HYDROXYVITAMIN D CONCENTRATIONS FOR MUSCULOSKELETAL HEALTH

EFFECTS OF VITAMIN D ALONE OR CALCIUM AND VITAMIN D ON BONE MINERAL DENSITY

Conclusion

PRIMARY FRACTURE PREVENTION WITH VITAMIN D OR CALCIUM AND VITAMIN D

EFFECT OF VITAMIN D ALONE ON FRACTURES

Conclusion

SINGLE HIGH ANNUAL OR MONTHLY DOSES OF VITAMIN D

Conclusion

PRIMARY FRACTURE PREVENTION WITH CALCIUM AND VITAMIN D

METAANALYSES

Conclusion

SAFETY

Vitamin D

Calcium and Vitamin D

SECONDARY FRACTURE PREVENTION WITH VITAMIN D OR CALCIUM AND VITAMIN D

Conclusion

EFFECTS OF ACTIVE VITAMIN D ANALOGS ON FRACTURES

THE ANABOLIC VITAMIN D ANALOGS, 2MD

THE VITAMIN D ANALOGS, ELDECALCITOL

ONGOING LARGE RANDOMIZED CONTROLLED TRIALS OF VITAMIN D SUPPLEMENTATION

FUTURE DIRECTIONS FOR VITAMIN D IN OSTEOPOROSIS

References

69 - Adult Vitamin D Deficiency: Fracture and Fall Prevention

VITAMIN D: MUSCLE AND BALANCE

VITAMIN D AND FALLS

VITAMIN D: BONE MINERAL DENSITY AND FRACTURE RISK

TRIALS TESTING HIGHER DOSES OF VITAMIN D GIVEN AT INFREQUENT INTERVALS

CONCLUSIONS

References

70 - Clinical Disorders of Phosphate Homeostasis

PHOSPHATE HOMEOSTASIS

REGULATION OF PHOSPHATE HOMEOSTASIS

PHOSPHATE AND VITAMIN D METABOLISM

CLINICAL SYMPTOMS OF HYPOPHOSPHATEMIA AND HYPERPHOSPHATEMIA

DISORDERS OF PHOSPHATE HOMEOSTASIS

Fanconi’s Syndrome

Genetic Hypophosphatemic Syndromes of Excess Fibroblast Growth Factor 23

Hypophosphatemic Rickets

X-Linked Hypophosphatemia

Autosomal Dominant Hypophosphatemic Rickets

Autosomal Recessive Hypophosphatemic Rickets

Fibrous Dysplasia

Linear Nevus Sebaceous Syndrome/Epidermal Nevus Syndrome

GENETIC HYPOPHOSPHATEMIC DISORDERS WITH LOW FIBROBLAST GROWTH FACTOR 23 LEVELS

NPT2a Mutations

NPT2c Mutations

ACQUIRED HYPOPHOSPHATEMIC DISORDERS WITH ELEVATED FIBROBLAST GROWTH FACTOR 23 LEVELS

Tumor-Induced Osteomalacia

GENETIC HYPERPHOSPHOSPHATEMIC DISORDERS

Tumoral Calcinosis

DISORDERS OF ALTERED PHOSPHATE LOAD

Phosphate Deprivation

Gastrointestinal Malabsorption

References

71 - Vitamin D Hydroxylation–Deficient Rickets, Type 1A: CYP27B1 Mutations

INTRODUCTION

CLINICAL MANIFESTATIONS

BIOCHEMICAL FINDINGS

GENETIC AND MOLECULAR STUDIES

TREATMENT OF VDDR1A

EVOLUTION OF VDDR1A UNDER TREATMENT FROM CHILDHOOD TO ADULTHOOD

Short-Term Effects of Treatment With Calcitriol

From Childhood to Adulthood

Adult Patients With VDDR1A

Pregnancies in Women With VDDR1A

PERSPECTIVE AND CONCLUSIONS

References

72 - Hereditary 1,25-Dihydroxyvitamin D Resistant Rickets

INTRODUCTION

THE CLINICAL FEATURES OF HVDRR

Clinical and Biochemical Findings

Pathophysiology

Alopecia

Other Aspects of HVDRR

HVDRR Patients and the Immune System

HVDRR and Asthma

The Cardiovascular System in HVDRR Patients

MECHANISM OF 1,25(OH)2D ACTION

The Vitamin D Receptor

Regulation of Gene Expression by 1,25-Dihydroxyvitamin D

CELLULAR BASIS OF HVDRR

Initial Studies Using Cultured Skin Fibroblasts

Studies in Other Cell Types

MOLECULAR BASIS FOR HVDRR

First Description of a Genetic Defect in the Nuclear Receptor Superfamily

Mutations in the VDR DNA-Binding Domain

Analyses of DNA-Binding Domain Mutations

Structural Analysis of DNA-Binding Domain Mutations

Mutations Causing Premature Termination of the VDR

Nonsense Mutations

Mutations That Disrupt mRNA Splicing

Deletions

Mutations in the VDR Ligand-Binding Domain

Mutations That Affect 1,25(OH)2D3 Binding

Structural Analysis of LBD Mutations That Affect 1,25(OH)2D3 Binding

Mutations That Affect VDR–RXR Heterodimerization

Structural Analysis of VDR–RXR Heterodimerization Mutations

Mutations That Affect Coactivator Binding

Compound Heterozygous Mutations in the VDR

Other Mutations in the VDR

HVDRR in Cats and Dogs

HVDRR Without Mutations in the VDR

THERAPY OF HVDRR

Vitamin D

Calcium

Prenatal Diagnosis

Spontaneous Healing

Future Therapy Using Vitamin D Analogs

ALOPECIA

CONCLUDING REMARKS

References

73 - The Role of Genetic Variation in CYP2R1, the Principal Vitamin D 25-Hydroxylase, in Vitamin D Homeostasis

BACKGROUND

CYP2R1 IS THE PRINCIPAL HUMAN VITAMIN D 25-HYDROXYLASE

CYP2R1 AND VITAMIN D-DEPENDENT RICKETS

IN VITRO AND IN SILICO ANALYSES OF CYP2R1 FUNCTION

ASSOCIATIONS BETWEEN CYP2R1 VARIANTS AND DISEASE

CONCLUSION AND FUTURE DIRECTIONS

References

74 - Infantile Hypercalcemia and CYP24A1 Mutations

INFANTILE HYPERCALCEMIA—DIFFERENTIAL DIAGNOSIS

IDIOPATHIC INFANTILE HYPERCALCEMIA—HISTORICAL ASPECTS

SPECTRUM OF DISEASE CAUSED BY CYP24A1 MUTATIONS

MUTATIONS IN CYP24A1—MOLECULAR GENETICS

FUNCTIONAL STUDIES OF MUTANT CYP24A1

MEASUREMENT OF CYP24A1 ACTIVITY IN VIVO

CYP24A1 MOUSE MODEL

ADDITIONAL DEFECTS LEADING TO AN INCREASED ACTION OF VITAMIN D

THERAPEUTIC ASPECTS

SUMMARY AND CONCLUSIONS

References

75 - Drug and Hormone Effects on Vitamin D Metabolism

INTRODUCTION

HORMONE EFFECTS ON VITAMIN D METABOLISM

Parathyroid Hormone and Parathyroid Hormone-Related Protein

Fibroblast Growth Factor 23

Leptin

Calcitonin

Growth Hormone and Insulin-Like Growth Factor

Prolactin

Progesterone

Insulin

Sex Steroids

Estradiol

Testosterone

Thyroid Hormone

Prostaglandins

Tumor Necrosis Factor-α and Interferon-γ

DRUG EFFECTS ON VITAMIN D METABOLISM

Anticonvulsants

Corticosteroids

Ethanol

Ketoconazole

Hypolipidemics

Antiresorptive Therapy

Thiazide Diuretics

Calcium Channel Blockers

Heparin

Cimetidine and Antiacids

Proton Pump Inhibitors

Aluminum

Antituberculous Agents

Caffeine

Theophylline

Immunosuppressants

Fluoride

Olestra

Orlistat

Lithium

Antiretroviral Therapy

CONCLUSION

References

Further Reading

76 - Vitamin D and Organ Transplantation

INTRODUCTION

EFFECTS OF VITAMIN D ON IMMUNITY AND GRAFT REJECTION

Role of Vitamin D in Allograft Rejection

Immune Effects of Vitamin D

VITAMIN D DEFICIENCY PRIOR TO ORGAN TRANSPLANT

Vitamin D Deficiency in Patients With End-Stage Pulmonary Disease

Vitamin D Deficiency in Patients With Liver Failure

Vitamin D Deficiency in Patients With Congestive Heart Failure

Vitamin D Deficiency in Patients With Chronic Kidney Disease

VITAMIN D DEFICIENCY FOLLOWING ORGAN TRANSPLANT

Vitamin D Deficiency at the Time of Organ Transplantation

Vitamin D Deficiency in Long-Term Transplant Recipients

TREATMENT OF POSTTRANSPLANT BONE LOSS WITH VITAMIN D AND ANALOGS

CONCLUSIONS

References

77 - The Role of Vitamin D in Type 2 Diabetes and Hypertension

EPIDEMIOLOGY AND BURDEN OF TYPE 2 DIABETES AND HYPERTENSION

BIOLOGIC PLAUSIBILITY OF AN ASSOCIATION BETWEEN VITAMIN D AND TYPE 2 DIABETES AND HYPERTENSION

Vitamin D and Pancreatic Beta Cell Function/Insulin Secretion

Vitamin D and Insulin Sensitivity

Vitamin D and Systemic Inflammation

Vitamin D and the Renin–Angiotensin–Aldosterone System

Other Potential Mechanisms for Vitamin D Action in Hypertension

EVIDENCE FROM HUMAN STUDIES FOR A LINK BETWEEN VITAMIN D AND TYPE 2 DIABETES

Seasonal and Geographic Studies of Vitamin D and Type 2 Diabetes

Case-Control and Cross-Sectional Studies of Vitamin D and Type 2 Diabetes

Longitudinal Observational Cohort Studies of Vitamin D and Type 2 Diabetes

Mendelian Randomization Studies

Effect of Vitamin D Supplementation on Glycemia and Type 2 Diabetes

EVIDENCE FROM HUMAN STUDIES FOR A LINK BETWEEN VITAMIN D AND HYPERTENSION

Seasonal and Geographic Studies of Vitamin D and Hypertension

Case-Control and Cross-Sectional Studies of Vitamin D and Hypertension

Longitudinal Observational Cohort Studies

Mendelian Randomization Studies

Effect of Vitamin D Supplementation on Hypertension

SUMMARY OF EVIDENCE FROM HUMAN STUDIES ON TYPE 2 DIABETES AND HYPERTENSION AND LIMITATIONS IN THE STUDY OF VITAMIN D

Confounding

Measurement of 25(OH)D

Blacks Versus Whites

OPTIMAL INTAKE OF VITAMIN D IN RELATION TO TYPE 2 DIABETES AND HYPERTENSION

CONCLUSIONS

References

78 - Vitamin D, Obesity, and the Metabolic Syndrome

INTRODUCTION

ADIPOSE TISSUE AS A VITAMIN D RESERVE

OBESITY AND VITAMIN D DEFICIENCY

OBESITY, VITAMIN D-BINDING PROTEINS, AND “FREE” VITAMIN D CONCENTRATIONS

THE EFFECT OF WEIGHT LOSS ON SERUM 25(OH)D CONCENTRATIONS

CAN VITAMIN D SUPPLEMENTATION PREVENT, OR REDUCE, OBESITY?

OBESITY AND THE EFFICACY OF VITAMIN D SUPPLEMENTATION

BROWN ADIPOSE TISSUE, OBESITY, AND VITAMIN D

OBESITY, VITAMIN D, AND METABOLIC SYNDROME

Inflammation and Hormonal Adipokines

Insulin Resistance, Insulin Secretion, and Glycemia

Dyslipidaemia and Nonalcoholic Fatty Disease of the Liver

IMPORTANCE OF EARLY LIFE D STATUS FOR OBESITY AND SUBSEQUENT RISKS OF METABOLIC SYNDROME, TYPE 2 DIABETES MELLITUS, AND CARDIOVA...

CONCLUSIONS AND FUTURE DIRECTIONS

References

79 - Vitamin D and Renal Disease

INTRODUCTION

RENAL MAINTENANCE OF THE VITAMIN D ENDOCRINE SYSTEM

Alterations in Vitamin D Bioactivation to 25(OH)D in Chronic Kidney Disease

Alterations in Renal Calcitriol Synthesis and Catabolism in Chronic Kidney Disease

Alterations in Calcitriol Production by Nonrenal 1-Hydroxylases in Chronic Kidney Disease

Alterations in Calcitriol/VDR Endocrine and Autocrine/Paracrine Actions in CKD

CRITICAL CALCITRIOL/VDR ACTIONS TO IMPROVE PARATHYROID, SKELETAL, RENAL, AND CARDIOVASCULAR OUTCOMES IN CKD

Vitamin D Control of Secondary Hyperparathyroidism

Vitamin D Control of Skeletal Health in CKD Unrelated to the Attenuation of Secondary Hyperparathyroidism

Vitamin D Maintenance of Renal Klotho: Relevance for Renal and Cardiovascular Protection

Acknowledgments

References

80 - Calcitriol and Analogs in the Treatment of Chronic Kidney Disease

INTRODUCTION

ANALOGS OF VITAMIN D USED IN CHRONIC KIDNEY DISEASE

ANALOGS IN ANIMAL MODELS OF UREMIA

CHRONIC KIDNEY DISEASE STAGES 3–4

END-STAGE RENAL DISEASE

Effects on Mineral Metabolism

Effects on Survival

Correction of 25(OH)D

CARDIOVASCULAR DISEASE IN CHRONIC KIDNEY DISEASE AND DIFFERENT FORMS OF VITAMIN D

CONCLUSIONS

References

81 - Idiopathic Hypercalciuria and Nephrolithiasis

INTRODUCTION TO KIDNEY STONES

Mechanisms of Hypercalciuria

IDIOPATHIC HYPERCALCIURIA

Overview

Pathogenesis of Human Idiopathic Hypercalciuria

Increased Intestinal Calcium Absorption

Elevated 1,25(OH)2D

Renal Histopathology in Calcium Oxalate Nephrolithiasis

Decreased Renal Ca Reabsorption

Low Bone Mass

Genetic Contributions to Stone Disease

Proposed Pathogenetic Models of Idiopathic Hypercalciuria

Tests of the Models

Fasting Serum Parathyroid Hormone, Urine Ca

External Ca Balance

Urine Ca and Ca Balance During Low-Ca Diet

Role of 1,25(OH)2D Excess

CURRENT VIEW OF HUMAN GENETIC HYPERCALCIURIA

THERAPEUTICS OF IDIOPATHIC HYPERCALCIURIA AND EFFECTS ON CALCIUM METABOLISM

Dietary Calcium Restriction

Thiazide Diuretics

Bisphosphonates

GENETIC HYPERCALCIURIC RATS

RISK OF STONE FORMATION USING VITAMIN D ANALOGS

References

Further Reading

82 - Hypercalcemia Due to Vitamin D Toxicity

INTRODUCTION

FORMS OF EXOGENOUS VITAMIN D TOXICITY

Vitamin D and 25-Hydroxyvitamin D Toxicity

1,25-Dihydroxyvitamin D Toxicity

Toxicity Due to Synthetic Analogs

FORMS OF ENDOGENOUS VITAMIN D TOXICITY

Endogenous Production of 25-Hydroxyvitamin D

Production of 1,25-Dihydroxyvitamin D

Granulomatous Diseases

Sarcoidosis

Tuberculosis

Other Granulomatous Diseases

Lymphoma

Decreased Clearance of 1,25-Dihydroxyvitamin D

Mechanisms of Vitamin D Toxicity

General Mechanisms

Role of Vitamin D Receptor in Vitamin D Toxicity

Control of Renal 1α-Hydroxylase in Vitamin D Toxicity

Inhibition of the Catabolic Pathway of 24-Hydroxylase

Vitamin D-Binding Protein and the Level of Free Metabolite in Vitamin D Toxicity

CLINICAL MANIFESTATIONS

Diagnosis of Vitamin D Toxicity

Treatment of Vitamin D Toxicity

SUMMARY AND CONCLUSIONS

References

83 - The Hypocalcemic Disorders

PHYSIOLOGY

Parathyroid Hormone in the Acute Defense of Serum Calcium Concentration

Vitamin D in the Long-Term Maintenance of Eucalcemia

Biochemical Changes Induced by Hypocalcemia

CLINICAL MANIFESTATIONS OF HYPOCALCEMIA

DIFFERENTIAL DIAGNOSIS OF HYPOCALCEMIA

Classification

Hypocalcemia Due to Abnormalities of Parathyroid Hormone Availability

Disorders of Parathyroid Gland Formation

Disorders of Parathyroid Hormone Production or Secretion

Parathyroid Gland Damage/Destruction

Hypocalcemia Due to Resistance to the Actions of Parathyroid Hormone

Pseudohypoparathyroidism

Hypomagnesemia

Parathyroid Hormone–Independent Hypocalcemia

Neonatal Hypocalcemia

Nutritional Vitamin D Deficiency (see Fig. 83.1)

Vitamin D Malabsorption

Deficiency of 25-Hydroxyvitamin D-1α-Hydroxylase

Hereditary Resistance to 1,25(OH)2D

Dietary Calcium Deficiency

Hyperphosphatemia-Mediated Hypocalcemia

Hypocalcemia Due to Accelerated Skeletal Mineralization

Medical Illness

Medications

TREATMENT OF HYPOCALCEMIA

Acute Management

Newborns and Children

Adults

Role of Magnesium Supplementation

Long-Term Management

CONCLUSION

Acknowledgments

References

84 - Vitamin D: Cardiovascular Effects and Vascular Calcification

INTRODUCTION

VITAMIN D SIGNALING IN MYOCARDIAL REMODELING AND FUNCTION

VITAMIN D ACTIONS IN ATHEROSCLEROSIS ANDARTERIOSCLEROSIS

VITAMIN D AND HUMAN CARDIOVASCULAR DISEASE: COMPELLING EPIDEMIOLOGY AND PHYSIOLOGY, EMERGING BUT LESS COMPELLING EVIDENCE OF INT...

VITAMIN D INTOXICATION AND CARDIOVASCULAR CALCIFICATION: PHARMACOLOGICAL CONSIDERATIONS

THE IMPACT OF CALCIUM, PHOSPHATE, AND VITAMIN D EXCESSES ON SMOOTH MUSCLE MATRIX VESICLE PHYSIOLOGY AND VASCULAR CALCIFICATION

THE FGF23/KLOTHO/VITAMIN D AXIS, NEPHROCALCINOSIS, AND CARDIOVASCULAR CALCIFICATION

VITAMIN D, VASCULAR PARATHYROID HORMONE RECEPTOR SIGNALING, AND ARTERIOSCLEROTIC CALCIUM ACCRUAL: LESSONS LEARNED FROM PRECLINIC...

DEFINING CARDIOVASCULAR TOXICITY THRESHOLDS FOR VITAMIN D: CRITICAL CLUES FROM THE CLINICAL LITERATURE

VITAMIN D, THE CALCIUM-SENSING RECEPTOR, AND CARDIOVASCULAR DISEASE

SUMMARY, CONCLUSIONS, AND FUTURE DIRECTIONS

Acknowledgments

References

85 - Vitamin D and Paget’s Disease

INTRODUCTION

MECHANISM OF ACTION OF 1,25(OH)2D3 ON OSTEOCLAST FORMATION

INCREASED LEVELS OF TAF12 IN OSTEOCLAST PRECURSORS FROM PAGET’S DISEASE PATIENTS CONTRIBUTE TO THEIR HYPERRESPONSIVITY TO 1,25(O...

TAF12 EXPRESSION IS INCREASED IN OSTEOCLASTS FROM PATIENTS WITH PAGET’S DISEASE

Measles Virus Infection of Osteoclast Precursors Induces TAF12

Tartrate-Resistance Acid Phosphatase–Measles Virus Nucleocapsid Gene Mice Express TAF12

Antisense Measles Virus Nucleocapsid Protein Reduced TAF12 Expression in Osteoclast Precursors From Patients With Paget’s Diseas...

Effects of IL-6 on TAF12 Expression by Osteoclast Precursors

OVEREXPRESSION OF TAF12 IS SUFFICIENT TO INDUCE 1,25(OH)2D3 HYPERRESPONSIVITY IN HUMAN OSTEOCLAST PRECURSORS

Overexpression of TAF12 in Human Osteoclast Precursors

Osteoclast Precursors From TRACP–TAF12 Mice Display 1,25(OH)2D3 Hyperresponsivity

Effects of TAF12 Antisense Transduction on OCL Formation in Marrow Cultures From PD Patients That Express MVNP in Their OCL Prec...

MECHANISM OF ACTION OF TAF12 IN THE INCREASED 1,25(OH)2D3 RESPONSIVITY OF OCL PRECURSORS FROM PD PATIENTS

TAF12 Binds the cyp24A1 Promoter in Osteoclast Precursors

TAF12 Interacts With ATF7

TAF12 Enhances Vitamin D Nuclear Receptor Content and Half-Life in Cells

MARROW STROMAL CELLS DERIVED FROM P62P394L KNOCK-IN MICE AND P62P392L PAGET’S PATIENTS ARE HYPERRESPONSIVE TO 1,25(OH)2D3 AND DI...

SERUM CONCENTRATIONS OF 1,25(OH)2D3 IN PAGET’S PATIENTS

CONCLUSION

References

IX - VITAMIN D ANALOGS

86 - Analogs of Calcitriol

INTRODUCTION

14-EPI ANALOGS OF 1,25(OH)2D3

DECALIN ANALOGS

C- AND D-RING ANALOGS

C-Ring Analogs

D-Ring Analogs

CF-RING ANALOGS

E-RING ANALOGS

ACYCLIC ANALOGS

NONSECOSTEROIDAL COMPOUNDS

GEMINI ANALOGS

CONCLUSION

References

87 - Nonsecosteroidal Ligands and Modulators of Vitamin D Receptor

INTRODUCTION

CD-RING-REPLACEMENT LIGANDS

Identification, Structure, and Biological Characterization

DIARYLMETHANE LIGANDS

Identification, Structure, and Biological Characterization

MISCELLANEOUS NONSECOSTEROIDS

Identification, Structure, and Biological Characterization

NONSECOSTEROIDAL MODULATORS OF VITAMIN D RECEPTOR-COREGULATOR INTERACTIONS

Identification, Structure, and Biological Characterization

PERSPECTIVES

References

88 - Bile Acid-Derived Vitamin D Receptor Ligands

THE VITAMIN D RECEPTOR IS A DUAL-FUNCTIONAL RECEPTOR FOR VITAMIN D AND BILE ACIDS

BILE ACIDS AND NUCLEAR RECEPTORS

Bile Acid Metabolism

Regulation of Bile Acid Metabolism by Nuclear Receptors

DEVELOPMENT OF BILE ACID DERIVATIVES

Bile Acid Derivatives Acting on Farnesoid X Receptor and TGR5

Bile Acid Derivatives That Act on Vitamin D Receptor

X-RAY CRYSTAL STRUCTURES OF VITAMIN D RECEPTOR IN COMPLEX WITH LITHOCHOLIC ACID AND ITS DERIVATIVES

Docking Models of the Vitamin D Receptor–Ligand-Binding Domain Bound to Lithocholic Acid and Lithocholic Acid Derivatives

Vitamin D Receptor–Ligand-Binding Domain Complexed With Lithocholic Acid and DRIP205 Coactivator Peptide

Zebrafish Vitamin D Receptor–Ligand-Binding Domain Complexed With Lithocholic Acid and Steroid Receptor Coactivator Peptide

Vitamin D Receptor–Ligand-Binding Domain Complexed With 3-Keto-Lithocholic Acid and DRIP205

Vitamin D Receptor–Ligand-Binding Domain Complexed With Lithocholic Acid Acetate/Lithocholic Acid Propionate and DRIP205

PERSPECTIVES

References

89 - Bifunctional Vitamin D Hybrid Molecules

INTRODUCTION

COMBINATION THERAPY AND BIFUNCTIONAL AGENTS

NUCLEAR RECEPTOR LIGANDS AS TROJAN HORSES

VITAMIN D/HISTONE DEACETYLASE INHIBITOR HYBRIDS

NONSECOSTEROIDAL HYBRIDS

NON-HDACI HYBRIDS

CONCLUSION

References

90 - Modulating Vitamin D Receptor–Coregulator Binding With Small Molecules

INTRODUCTION

VITAMIN D RECEPTOR COACTIVATORS

VITAMIN D RECEPTOR COREPRESSORS

INHIBITING VITAMIN D RECEPTOR: VDR ANTAGONISTS VERSUS VDR–COREGULATOR INHIBITORS

PEPTIDE-BASED INHIBITORS OF VITAMIN D RECEPTOR–COREGULATOR INTERACTIONS

SMALL MOLECULE-BASED INHIBITORS OF VITAMIN D RECEPTOR–COREGULATOR INTERACTIONS

CONCLUSION AND FUTURE DIRECTION

Acknowledgment

References

91 - Extended-Release Calcifediol in Renal Disease

INTRODUCTION

BACKGROUND—VITAMIN D SIGNALING AND METABOLISM (FIG. 91.1)

Vitamin D Biosynthesis and Homeostasis

Systemic and Target Tissue Regulation of Vitamin D Signaling and Metabolism

TREATING SECONDARY HYPERPARATHYROIDISM ASSOCIATED WITH VITAMIN D INSUFFICIENCY IN CHRONIC KIDNEY DISEASE

Vitamin D Supplementation

Vitamin D Receptor Agonist Therapy

Calcifediol Therapy

Extended-Release Calcifediol

Extended-Release Calcifediol for Secondary Hyperparathyroidism

SUMMARY

Acknowledgments

References

92 - Vitamin D Receptor Antagonists

INTRODUCTION

ZK SERIES

ZK159222, ZK168281, and Their Analogs

ZK191784

ADAMANTYL DERIVATIVES

LACTAM DERIVATIVES

AMIDE DERIVATIVE

TEI-9647 AND ITS DERIVATIVES

TEI-9647

Synthetic Derivatives of TEI-9647

22-ALKYL DERIVATIVES

NONSECOSTEROIDAL VITAMIN D RECEPTOR ANTAGONIST

CONCLUSION AND DIRECTIONS FOR FUTURE STUDY

References

93 - Eldecalcitol and Osteoporosis

INTRODUCTION

STRUCTURE–FUNCTION RELATIONSHIP

Vitamin D-Binding Protein

Vitamin D Receptor Binding

Metabolic Pathway

Pharmacokinetics

ANIMAL STUDIES

Effect on Bone Resorption

Effect on Bone Formation

Effect on Bone Quality and Strength

Collagen Cross-Links

Mineralization

Bone Microdamage

Bone Microarchitecture

Bone Strength

EFFECT ON OTHER TISSUES

CLINICAL STUDIES IN OSTEOPOROTIC PATIENTS

Effect on Bone Mineral Density

Effect on Bone Turnover Markers

Effect on Fracture

Effect on Bone Structure

Quality of Life

Safety

Remaining Questions and Conclusions

Acknowledgments

References

X - VITAMIN D AND CANCER

94 - Overview of Vitamin D Actions in Cancer

INTRODUCTION

VITAMIN D AND CANCER

Vitamin D Receptor

Epidemiology

Vitamin D Receptor Gene Polymorphisms

Growth and Development

Clinical Studies

Angiogenesis and Metastasis

Parathyroid Hormone-Related Peptide

VITAMIN D EFFECTS ON TUMOR CELLS

Cell Cycle

(Proto)-oncogenes and Tumor Suppressor Genes

Apoptosis

Differentiation

Growth Factors and Growth Factor Receptors

COMBINATION THERAPY

RESISTANCE AND VITAMIN D METABOLISM

STIMULATION OF PROLIFERATION

CONCLUSIONS

References

95 - Vitamin D Status and Cancer Incidence, Mortality, and Prognosis

INTRODUCTION

CANCER INCIDENCE

Colorectal Cancer or Adenoma

Breast Cancer

Prostate Cancer

Other Cancers

Randomized Controlled Trial Studies of Vitamin D and Total Cancer Incidence

CANCER MORTALITY AND SURVIVAL

Sun Exposure

Ecologic Studies

Case-Control and Cohort Studies

Circulating 25(OH)D

Colorectal Cancer

Breast Cancer

Prostate Cancer

Lung Cancer

Other Cancers

Studies Using Predicted 25(OH)D

Studies of Vitamin D Intake

Randomized Controlled Trials

Genetic Variation and Gene Expression in the Vitamin D Pathway

Common Variation

Gene Expression

Tumor Subtypes and Molecular Characteristics

Conclusions and Implications for Future Research

References

96 - Effects of Vitamin D Derivatives on Differentiation, Cell Cycle, and Apoptosis in Hematological Malignancies

DIFFERENTIATION OF MYELOID LEUKEMIA CELLS BY VITAMIN D DERIVATIVES

Differentiation and Its Markers

SIGNALING AND EXECUTION OF MONOCYTIC DIFFERENTIATION INDUCED BY VITAMIN D DERIVATIVES

Activation of VDR as the Initial VDD-Induced Signal for Differentiation of Acute Myeloid Leukemia Cells

Differentiation Signaling Pathways Activated by Vitamin D Derivatives in Acute Myeloid Leukemia Cells

Protein Kinase C Signaling

Phosphoinositide 3-Kinase/AKT Pathway

Mitogen-Activated Protein Kinase Pathway

WNT/ß-Catenin Signaling

Janus Kinase–Signal Transducer and Activator of Transcription Pathway

TRANSCRIPTION FACTORS IN VITAMIN D DERIVATIVE–INDUCED DIFFERENTIATION

Developmental Differentiation

Activator Protein-1

SP1 Transcription Factor

Master Transcription Factors

Other Transcription Factors That Contribute to Vitamin D Derivative–Induced Differentiation

ROLE OF MICRO-RNAS IN HEMATOPOIESIS, DIFFERENTIATION, AND CELL CYCLE BLOCK

VITAMIN D DERIVATIVES–INDUCED PROGRESSION OF MONOCYTIC TO MACROPHAGE DIFFERENTIATION

EFFECTS OF VITAMIN D DERIVATIVES ON THE CELL CYCLE AND PROLIFERATION OF HUMAN LEUKEMIA CELLS

General Features of the Cell Cycle

Regulation of Cell Cycle Progression

Progression Through G1

Control of S Phase and DNA Replication Licensing

The G2 and M Phase Transition

Modulation of Cell Cycle Events by Vitamin D and Its Analogs

The G1/S Block

Upregulation of p21Cip1 and p27Kip1

Retinoblastoma Protein Control of 1,25(OH)2D3-Induced G1 Block

Downregulation of c-MYC Expression in 1,25(OH)2D3-Induced Differentiation and G1 Arrest

G2/M Retardation and Polyploidization

Inhibition of Cell Proliferation by Vitamin D and Analogs Without Evidence of Differentiation: Cell Type Specificity

EFECTS OF VITAMIN D DERIVATIVES ON CELL SURVIVAL AND CELL DEATH

Vitamin D Derivatives Can Increase Cell Death

Vitamin D Derivatives Can Increase Cell Survival

Autophagy and Vitamin D Derivatives

EFFECTS OF VITAMIN D DERIVATIVES ON LYMPHOID LINEAGE CELLS

T Lymphocytes

B Lymphocytes

CLINICAL APPLICATIONS OF VITAMIN D DERIVATIVES' ACTIONS AGAINST HEMATOPOIETIC MALIGNANCIES

Differentiation Therapy of Leukemia

Vitamin D Analogs and Their Functional Analysis

Alfacalcidol

Inecalcitol

Paricalcitol

Doxercalciferol

PRI-1906 and Its Derivatives

Potential Mechanisms by Which Vitamin D Analogs Have Increased Biological Activity

Vitamin D Compounds in Combination With Other Agents

Cytotoxic and Cytostatic Drugs

Retinoids

Protein Kinase C Activators

Antiinflammatory Agents

Kinase Inhibitors

Phytochemicals

Clinical Trials of Vitamin D Derivatives in Hematopoietic Malignancies

1,25(OH)2D3 and 25(OH)D3

Synthetic Vitamin D Analogs

Alfacalcidol

Necalcitol

Paricalcitol and Doxercalciferol

CONCLUSIONS

References

97 - Vitamin D Actions in Mammary Gland and Breast Cancer: Genomics, Metabolism, and Stem Cells

INTRODUCTION TO BREAST CANCER

Overview

Subtypes and Prognosis

Molecular Heterogeneity of Human Breast Cancer

Breast Cancer Cells of Origin

OBSERVATIONAL AND INTERVENTIONAL STUDIES ON VITAMIN D AND BREAST CANCER

Association Studies of Vitamin D and Breast Cancer

Vitamin D Supplementation Trials in Breast Cancer Prevention

Vitamin D and Breast Cancer Subtypes

EXPRESSION AND FUNCTION OF THE VITAMIN D PATHWAY IN NORMAL AND NEOPLASTIC BREAST CELLS/TISSUES

Vitamin D Receptor Expression and Function in Normal Mammary Gland

Local Metabolism of Vitamin D in Mammary Gland

Evidence for Deregulation of the Vitamin D Pathway in Breast Cancer

Mechanisms of Vitamin D Resistance in Tumor Cells

IMPACT OF VITAMIN D SIGNALING IN ANIMAL MODELS OF BREAST CANCER

Overview

Efficacy of Vitamin D Compounds to Inhibit Chemically-Induced Carcinogenesis

Studies on Vitamin D Receptor Agonists, Diet, and Ultraviolet Radiation in Tumor Graft Models

Effect of Dietary Vitamin D and/or Vitamin D Receptor Agonists on Transgenic Models of Breast Cancer

Effect of Vitamin D Receptor Ablation on Mammary Carcinogenesis

GENOMIC PROFILING OF VITAMIN D RECEPTOR AGONISTS IN BREAST CANCER MODEL SYSTEMS

Overview

1,25-dihydroxyvitamin D3 Regulated Genes and Enriched Pathways in Nontumorigenic Mammary Epithelial Cells

Genomic Profiling in 1,25-Dihydroxyvitamin D3-Treated Breast Cancer Cell Lines

Demonstration of 1,25-Dihydroxyvitamin D3-Mediated Gene Expression in Human Breast Cancers Cultured Ex Vivo

Summary of Genomic Profiling Data

NEW MECHANISTIC INSIGHT INTO VITAMIN D ACTIONS IN BREAST CANCER

Overview

Cell Metabolism

Regulation of Breast Cancer Stem Cell Populations by 1,25-Dihydroxyvitamin D3

OVERALL CONCLUSIONS AND REMAINING RESEARCH QUESTIONS

References

98 - The Antitumor Effects of Vitamin D in Genitourinary Cancer

INTRODUCTION

PROSTATE CANCER

Anticancer Mechanisms and Mechanisms of Resistance

Analogs of Calcitriol

Resistance to the Antitumor Effects of Vitamin D Analogs

Combination Therapies With Vitamin D Compounds

Glucocorticoids

Inhibitors of CYP24A1

Nonsteroidal Antiinflammatory Drugs

Retinoids

Cytotoxic Agents

Ionizing Radiation and Photodynamic Therapy

Clinical Trials of Vitamin D Compounds in Prostate Cancer Therapy

Single Agent Vitamin D Compounds

Combinations of Vitamin D Compounds and Cytotoxic Agents in Prostate Cancer

Vitamin D Analogs Administered to Patients Prior to Prostate Removal: Exploration of Biologic Effects

BLADDER CANCER

RENAL CELL CARCINOMA

Testicular Cancer

SUMMARY

References

Further Reading

99 - Vitamin D and Colon Cancer

INTRODUCTION

Colon Cancer

Genetics and Subtypes of Colon Cancer

Wnt/β-Catenin Signaling Pathway

HUMAN STUDIES

Epidemiological Studies

Clinical Data

EXPRESSION OF VITAMIN D HYDROXYLASES AND THE VITAMIN D RECEPTOR IN COLON CANCER

MECHANISM OF ACTION OF 1,25(OH)2D3 IN COLON CANCER

Antagonism of the Wnt/β-Catenin Pathway by 1,25(OH)2D3 in Colon Cancer

Enhancement of Vitamin D Receptor-β-Catenin Protein–Protein Interaction

Induction of E-Cadherin

Upregulation of DKK1

Downregulation of DKK4

Other Mechanisms of Wnt/β-Catenin Antagonism by 1,25(OH)2D3

Wnt/β-Catenin Antagonism by 1,25(OH)2D3 in Animal Models and Clinical Trials

Effects on Colon Cancer Cell Proliferation, Survival, and Differentiation

Cell Proliferation

Cell Survival

Cell Differentiation

Antiangiogenic, Antiinflammatory, Immunomodulatory, and Detoxifying Effects

Angiogenesis

Inflammation and Immunomodulation

Detoxification

Target Genes in Colon Cancer Cells

Effects of 1,25(OH)2D3 in Colon Cancer-Associated Fibroblasts

ANIMAL MODELS

Diet Studies

Xenografted Mice

Chemically-Induced Colon/Colorectal Cancer Models

Genetic Models of Colon/Colorectal Cancer

Vdr-Deficient Mice

CONCLUSIONS

References

100 - Vitamin D and Skin Cancer

INTRODUCTION

TWO SOURCES OF VITAMIN D: DIET OR SUNLIGHT

VITAMIN D AND INDOOR TANNING

UV EXPOSURE CONTRIBUTES TO THE DEVELOPMENT OF MELANOMA AND NONMELANOMA SKIN CANCER

VITAMIN D IN SKIN CANCER: ROLE OF VITAMIN D IN KERATINOCYTES

ROLE OF VITAMIN D IN SQUAMOUS CELL CARCINOMAS

ROLE OF VITAMIN D IN BASAL CELL CARCINOMAS

ROLE OF VITAMIN D IN MELANOMA

PHOTOPROTECTION AND VITAMIN D LEVELS

CONCLUSIONS

References

101 - Vitamin D and Lung Cancer

LUNG CANCER OVERVIEW

ETIOLOGY OF LUNG CANCER

VITAMIN D AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Gc Polymorphisms and Risk of Chronic Obstructive Pulmonary Disease

VARIATION IN VITAMIN D SIGNALING PATHWAY COMPONENTS AND LUNG CANCER RISK/OUTCOMES

Vitamin D Receptor Polymorphisms and Lung Cancer Risk and Survival

Polymorphisms in Vitamin D Metabolizing Enzymes and Lung Cancer Risk

Vitamin D Levels and Lung Cancer Risk

VITAMIN D AND THE CHEMOPREVENTION OF NONSMALL CELL LUNG CANCER

VITAMIN D ACTIONS IN NONSMALL CELL LUNG CANCER

Epidemiologic Studies Implicate Vitamin D in Controlling Growth of Established Lung Tumors

Determinants of the Antiproliferative Activity of Vitamin D in Nonsmall Cell Lung Cancer

Vitamin D Receptor Expression Level Predicts Growth Inhibitory Effects of Calcitriol in Human Nonsmall Cell Lung Cancer Cell Lin...

CYP24A1 is Upregulated in Primary Human Lung Tumors and Adversely Affects Vitamin D Signaling in Nonsmall Cell Lung Cancer Model...

Molecular Actions of Calcitriol in Nonsmall Cell Lung CancerCells

Regulation of Cell Cycle Progression by Calcitriol

Regulation of the Epithelial–Mesenchymal Transition by Calcitriol

Stromal Modulation by Vitamin D in Lung Cancer

VITAMIN D-BASED COMBINATION THERAPIES FOR ADVANCED NONSMALL CELL LUNG CANCER: PRECLINICAL RATIONALE AND CLINICAL STUDIES

Vitamin D and Platinum-Based Chemotherapy

Vitamin D and Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitors

ACTIVITY OF CALCITRIOL ANALOGS IN NONSMALL CELL LUNG CANCER MODELS

CONCLUSIONS

Acknowledgments

References

102 - Vitamin D Inflammation and Cancer

INTRODUCTION

VITAMIN D AND THE VITAMIN D SYSTEM

INFLAMMATION

Main Characteristics of Inflammation

Major Pathways Involved in Inflammation

Nuclear Factor κB Pathway

Signal Transducers and Activators of Transcription 3 Pathway

Prostaglandin Pathway

Vitamin D and Inflammation

Effect of Vitamin D on Inducers of Inflammation: Antimicrobial Effects of Vitamin D

Effect of Vitamin D on Receptors and Mediators of Inflammation

Effect of Vitamin D on Immune Cells

Effect of Vitamin D in Inflammatory Diseases

INFLAMMATION-ASSOCIATED CANCER

Key Factors in Inflammation-Associated Cancer

Vitamin D and Inflammation-Associated Cancer

Molecular Pathways Regulated by Vitamin D in Inflammation-Associated Cancer

Effect of Vitamin D in Inflammation-Associated Colorectal Cancer

Effect of Vitamin D on Inflammatory and Colon Cancer-Promoting Pathways

Effect of Vitamin D in Inflammation-Associated Prostate Cancer

Effect of Vitamin D on Inflammatory and Prostate Cancer-Promoting Pathways

Effect of Vitamin D in Inflammation-Associated Breast Cancer

Effect of Vitamin D on Inflammatory and Breast Cancer-Promoting Pathways

Effect of Vitamin D in Inflammation-Associated Pancreatic Cancer

Effect of Vitamin D on Inflammatory and Pancreatic Cancer-Promoting Pathways

Effect of Vitamin D in Inflammation-Associated Hepatocellular Cancer

CONCLUSIONS

References

XI - IMMUNITY, INFLAMMATION AND DISEASE

103 - Vitamin D and Tuberculosis

INTRODUCTION

THE IMMUNE RESPONSE IN TUBERCULOSIS

INFLUENCE OF VITAMIN D ON THE IMMUNE RESPONSE TO MYCOBACTERIUM TUBERCULOSIS

HISTORICAL STUDIES

STUDIES WITH MYCOBACTERIUM TUBERCULOSIS INFECTION AS AN END POINT

Observational Studies

Intervention Studies

STUDIES WITH ACTIVE TUBERCULOSIS DISEASE AS END POINT

Observational Studies

Intervention Studies

STUDIES OF TREATMENT OUTCOME

Observational Studies

Intervention Studies

CONCLUSIONS

References

104 - Vitamin D and Adaptive Immunology in Health and Disease

EPIDEMIOLOGICAL EVIDENCE FOR A ROLE OF VITAMIN D IN IMMUNE DISEASE

ACTIONS OF VITAMIN D ON PROINFLAMMATORY T LYMPHOCYTE RESPONSES

ACTIONS OF VITAMIN D ON REGULATORY T LYMPHOCYTE RESPONSES

ACTIONS OF VITAMIN D ON B LYMPHOCYTES

ACTIONS OF VITAMIN D ON THE IMMUNE MICROENVIRONMENT AND THE FUNCTION OF ANTIGEN-PRESENTING CELLS

VITAMIN D AND VACCINE RESPONSES

TRANSLATIONAL STUDIES AS A WINDOW TO STUDY EFFECTS OF VITAMIN D ON ADAPTIVE IMMUNOLOGY

DISPARITY BETWEEN ASSOCIATION, TRANSLATIONAL, AND CLINICAL STUDIES

ULTRAVIOLET B VERSUS ORAL VITAMIN D SUPPLEMENTATION—EFFECTS ON THE ADAPTIVE IMMUNE SYSTEM

VITAMIN D AS A TEMPORAL REGULATOR OF ADAPTIVE IMMUNE RESPONSES

CONCLUSIONS

References

105 - Vitamin D and Innate Immunity

INTRODUCTION

MYCOBACTERIA

Tuberculosis

Leprosy

MECHANISMS FOR PATHOGEN SENSING

Toll-Like Receptors

Nucleotide Oligomerization Domain

BARRIER FUNCTION AND ASSOCIATED INFECTIOUS DISEASES

Respiratory Epithelia

INNATE IMMUNE ACTIVITY OF 1,25-DIHYDROXYVITAMIN D

Antimicrobial Peptides

Oxidative Stress: Reactive Oxygen Species

Oxidative Stress: Reactive Nitrogen Species

Autophagy

Intracellular Iron Homeostasis

VITAMIN D PATHWAY AND TUBERCULOSIS

Role of 25-Hydroxyvitamin D on the Innate Immune Response

Vitamin D-Mediated Antimicrobial Response

Contribution of Adaptive Immune Responses to the Antibacterial Effects of Vitamin D

VITAMIN D PATHWAY AND LEPROSY

Vitamin D Pathway and Immune Evasion

Clinical Relevance

HISTORY OF VITAMIN D, SUNSHINE, AND TUBERCULOSIS TREATMENT

CONCLUSION

References

106 - Vitamin D and Diabetes

INTRODUCTION

VITAMIN D AND GENETIC PREDISPOSITION TO DIABETES

VITAMIN D, THE BETA CELL, AND INSULIN RESISTANCE IN TYPE 2 DIABETES

Effect of Vitamin D Metabolites on Beta Cell Function

Effects of Vitamin D Metabolites on Overall Beta Cell Health

Effect of Vitamin D Deficiency on Beta Cell Function and Insulin Resistance in Type 2 Diabetes

Effect of Vitamin D Metabolites on Type 2 Diabetes Prevention In Vivo

VITAMIN D AS AN IMMUNE MODULATOR IN TYPE 1 DIABETES

Effects of Vitamin D Deficiency on Type 1 Diabetes Development

In Vivo Interventions Using Vitamin D Metabolites to Arrest or Prevent Type 1 Diabetes

Animal Studies

Human Studies

Mechanisms Underlying the Beneficial Effect of Vitamin D Metabolites on Diabetes

Analogs of 1,25(OH)2D3

Combination With Other Immune Modulators

CONCLUSIONS AND CLINICAL PERSPECTIVES

References

107 - Vitamin D and Multiple Sclerosis

INTRODUCTION

GENES AND ENVIRONMENT IN MULTIPLE SCLEROSIS

Multiple Sclerosis Susceptibility Genes

Multiple Sclerosis Environmental Exposures

Ultraviolet Light

The Vitamin D Hypothesis and a Plausible Mechanism

VITAMIN D AND MULTIPLE SCLEROSIS RISK AND SEVERITY

Enzymes of Vitamin D Activation

Vitamin D Receptor and Vitamin D-Responsive Elements

Genetic Support for the Vitamin D Hypothesis

Vitamin D Status and Multiple Sclerosis Risk

Vitamin D Interventions and Demyelinating Disease Activity

VITAMIN D SIGNALING IN THE IMMUNE AND NERVOUS SYSTEMS

Vitamin D Receptor Expression in Immune Cells

Vitamin D Receptor and CD4+ T Cell Subsets

Synthesis and Metabolism of 1,25(OH)2D3 in Immune Cells

Vitamin D Receptor Expression in the Nervous System

Synthesis and Metabolism of 1,25(OH)2D3 in the Central Nervous System

VITAMIN D MECHANISMS OF IMMUNE REGULATION

T Lymphocytes in Autoimmune Disease

Vitamin D and the Thymus

The T Cell Antimicrobial Response and Autoimmune Disease

Vitamin D and T Helper 1 Cells

Vitamin D and T Helper 17 Cells

Vitamin D Regulation of Effector T Cell Apoptosis

Vitamin D, T Regulatory Cells, and FoxP3

Vitamin D, T Regulatory Type 1 Cells, and Interleukin-10

Vitamin D and Microglial Cells

VITAMIN D MECHANISMS OF NEUROPROTECTION

Blood–Brain Barrier Maintenance

Axon Regeneration

Myelin Synthesis

Nerve Growth Factor, Neurotrophins, and Neurotrophin Receptors

RISING MULTIPLE SCLEROSIS INCIDENCE IN WOMEN

SEX-BASED DIFFERENCES IN MULTIPLE SCLEROSIS AND THE ROLE OF ESTROGEN

Genes

Puberty

Estrogens and Their Receptors

Estrogen Mechanisms

VITAMIN D AND ESTROGEN SYNERGY FOR T CELL SELF-TOLERANCE

Female Bias in Vitamin D-Mediated Protection

E2 and 1,25(OH)2D3 Synergy in CD4+ T Cells

E2 Enhancement of Vitamin D Receptor Gene Expression

E2 Repression of CYP24A1 Gene Expression

1,25(OH)2D3 Enhancement of Aromatase (CYP19) Gene Expression

1,25(OH)2D3 Enhancement of IKZF2 and FOXP3 Gene Expression

Cooperative Hormone Interaction for ImmuneTolerance

DECLINING VITAMIN D STATUS AND RISING MULTIPLE SCLEROSIS INCIDENCE

Declining Global Vitamin D Status

Environmental Drivers of the Female Relapsing-Remitting Multiple Sclerosis Epidemic

VITAMIN D AND MULTIPLE SCLEROSIS PREVENTION

Causality or Fortuitous Correlation

How to Intervene

When to Intervene

Intervention Study Population

CONCLUSIONS AND UNANSWERED QUESTIONS

Acknowledgments

References

108 - Vitamin D and Inflammatory Bowel Disease

INTRODUCTION

WHAT IS INFLAMMATORY BOWEL DISEASE?

WHO GETS INFLAMMATORY BOWEL DISEASE?

Genetic Factors

Environment

The “Hygiene Hypothesis”

The “Vitamin D Hypothesis”

THE GUT EPITHELIUM, COMMENSALS, AND INFLAMMATORY BOWEL DISEASE

THE IMMUNE RESPONSE AND INFLAMMATORY BOWEL DISEASE

VITAMIN D REGULATES T CELL RESPONSIVENESS

EXPERIMENTAL MODELS OF INFLAMMATORY BOWEL DISEASE

VITAMIN D AND THE MICROBIOTA

CURRENT TREATMENTS FOR INFLAMMATORY BOWEL DISEASE

VITAMIN D AS A TREATMENT OPTION FOR INFLAMMATORY BOWEL DISEASE

CONCLUSIONS

References

109 - Psoriasis and Other Skin Diseases

INTRODUCTION/HISTORICAL OVERVIEW

PATHOGENESIS OF PSORIASIS

Psoriasis: Pathogenesis, Immunology, and Histology of Skin Lesions

THE VITAMIN D SYSTEM IN NORMAL AND PSORIATIC SKIN

PHYSIOLOGICAL AND PHARMACOLOGICAL ACTIONS OF VITAMIN D ANALOGS IN NORMAL AND PSORIATIC SKIN

Biological Effects of Vitamin D and Analogs in Psoriasis

CLINICAL USE OF 1,25(OH)2D3 AND ITS ANALOGS IN PSORIASIS AND OTHER SKIN DISEASES

Treatment of Scalp Psoriasis

Treatment of Nail Psoriasis

Treatment of Face and Flexures

Treatment of Skin Lesions in Children

Treatment of Psoriatic Lesions in HIV Patients

Combination of Vitamin D Analogs With Other Therapies

VITAMIN D ANALOG THERAPY IN OTHER SKIN DISEASES

Ichthyosis

Scleroderma

Actinic Keratoses, Skin Cancer

Acne

Cutaneous Wound Healing and Skin Health

Other Skin Diseases

EVALUATION OF NEW VITAMIN D ANALOGS, WITH LESS CALCEMIC ACTIVITY, WHICH CAN BE USED FOR THE TREATMENT OF HYPERPROLIFERATIVE SKIN...

CONCLUSION

References

XII - THERAPEUTIC APPLICATIONS AND NEW ADVANCES

110 - Sunlight Protection by Vitamin D Compounds

INTRODUCTION

DNA DAMAGE BY ULTRAVIOLET RADIATION

Direct DNA Damage by Absorption of Ultraviolet

Indirect DNA Damage by Ultraviolet

DNA REPAIR

Nucleotide Excision Repair

Base Excision Repair

Role of Tumor Suppressor Protein p53

ULTRAVIOLET-INDUCED IMMUNE SUPPRESSION

Similarity of Action Spectra for Vitamin D Synthesis and Skin Cancer

SYNTHESIS AND METABOLISM OF VITAMIN D COMPOUNDS IN SKIN

THE VITAMIN D SYSTEM AND PHOTOCARCINOGENESIS

VITAMIN D COMPOUNDS REDUCE SEVERAL TYPES OF ULTRAVIOLET-INDUCED DNA DAMAGE

Mechanisms: Reduced Generation of Reactive Oxygen and Nitrogen Species

Mechanisms: Enhanced Repair of DNA Damage

VITAMIN D COMPOUNDS AND UV-INDUCED IMMUNE SUPPRESSION

PATHWAYS—EVIDENCE FOR INVOLVEMENT OF NONCLASSICAL PATHWAYS

CONCLUSIONS

References

111 - Vitamin D, Cardiovascular Disease, and Hypertension

INTRODUCTION

HISTORICAL PERSPECTIVE

MECHANISTIC EFFECTS

Knockout Models

Vitamin D Deficiency in Animal Models

Molecular/Pathophysiologic Effects

OBSERVATIONAL STUDIES

Rickets and Cardiovascular Diseases

Hypertension

Other Cardiovascular Risk Factors

Cardiovascular Diseases

MENDELIAN RANDOMIZATION STUDIES

RANDOMIZED CONTROLLED TRIALS

Hypertension

Other Cardiovascular Risk Factors

Cardiovascular Diseases

FUTURE PERSPECTIVE

CONCLUSIONS

References

112 - Vitamin D, Acute Respiratory Infection, and Asthma/Chronic Obstructive Pulmonary Disease

INTRODUCTION

COMMON RESPIRATORY DISORDERS

Respiratory Infections

Childhood Wheezing

Asthma

Chronic Obstructive Pulmonary Disease

VITAMIN D AND LUNG DEVELOPMENT

VITAMIN D AND ACUTE RESPIRATORY INFECTION

Observational Studies on Acute Respiratory Infection, Including Childhood Wheezing

Interventional Studies on Acute Respiratory Infection

VITAMIN D AND ASTHMA

Asthma Pathogenesis

Asthma Control, Including Exacerbations

Responsiveness to Corticosteroids

Asthma Exacerbations

VITAMIN D AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Chronic Obstructive Pulmonary Disease Pathogenesis and Progression

Acute Exacerbations of Chronic Obstructive Pulmonary Disease

POTENTIAL MECHANISMS

Vitamin D and Immunity

Vitamin D, Atopy, and Allergies

Atopic Dermatitis

Food Allergy/Anaphylaxis

Allergic Rhinitis

Summary of Vitamin D, Atopy, and Allergies

FUTURE RESEARCH

Lung Development

Acute Respiratory Infection

Asthma

Asthma Pathogenesis

Asthma Control, Including Exacerbations

Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease Pathogenesis and Progression

Acute Exacerbations of Chronic Obstructive Pulmonary Disease

Potential Mechanisms

Immunity

Atopy and Allergies

New Directions

SUMMARY

Acknowledgments

References

113 - Vitamin D and Muscle Performance in Athletes

INTRODUCTION

HISTORICAL LINKS BETWEEN VITAMIN D AND ATHLETIC PERFORMANCE

BASIC RESEARCH INFLUENCING INTEREST IN VITAMIN D IN ATHLETIC PERFORMANCE

Muscle Contraction

Muscle Growth

Muscle Regeneration

Vascular Regeneration

Mechanisms by Which Vitamin D Acts on Skeletal Muscle

Indirect Mechanisms

Direct Mechanism of Action—Vitamin D Receptor

CLINICAL RESEARCH INFLUENCING INTEREST IN VITAMIN D IN ATHLETIC PERFORMANCE

RECENT CLINICAL RESEARCH IN ATHLETES

Vitamin D Deficiency in Athletes

Observational Studies in Athletes

Vitamin D Intervention Studies in Athletes

Studies Showing Potential Vitamin D Benefit on Athletic Performance

Studies Showing No Benefit on Athletic Performance

Systematic Reviews

CONCLUSION

References

114 - Vitamin D: Presence and Function in the Eye

INTRODUCTION

VITAMIN D AND THE EYE

OCULAR INFECTION

DRY EYE DISEASE

Dry Eye and Vitamin D

Primary Sjögren’s Syndrome

Summary

CATARACT

GLAUCOMA

Glaucoma and Vitamin D

Summary

UVEITIS

Behçet’s Disease and Vitamin D

Genetic Basis of Vitamin D Activity in Uveitis

HLAB27 Spondyloarthropathies

Summary

AGE-RELATED MACULAR DEGENERATION

Vitamin D and Age-Related Macular Degeneration

Possible Mechanisms for Vitamin D in AMD

Genetic Basis of Vitamin D Activity in AMD

Meta Analysis of Vitamin D in AMD

Summary

DIABETIC RETINOPATHY

Genetics Basis of Vitamin D and Diabetic Retinopathy

Vitamin D and Type 1 Diabetes

Summary

CONCLUSION

References

115 - Adult Vitamin D Deficiency and Adverse Brain Outcomes

INTRODUCTION

EPIDEMIOLOGY

Cognitive Impairment and Dementia

Alzheimer’s Disease

Parkinson’s Disease

Depression

Stroke and Traumatic Brain Injury

Epilepsy

Amyotrophic Lateral Sclerosis

PRECLINICAL STUDIES

Introduction

Developmental Vitamin D Deficiency

Animal Models Related to Cognitive Outcomes

Animal Models Related to Alzheimer’s Disease and Amyloid-Beta

Animal Models Related to Parkinson’s Disease

Animal Models Related to Depression

Animal Models Related to Stroke and Traumatic Brain Injury

Animal Models Related to Epilepsy

FUTURE DIRECTIONS

CONCLUSION

References

116 - Vitamin D in Pregnancy and Lactation: Moving Into the Future

INTRODUCTION

VITAMIN D NOMENCLATURE AND METABOLISM

VITAMIN D METABOLISM DURING PREGNANCY WHEN COMPARED WITH THE NONPREGNANT STATE INCLUDING LACTATION

OBSTETRICAL “PARANOIA” REGARDING VITAMIN D ADMINISTRATION DURING PREGNANCY

OBSERVATIONAL STUDIES SUGGESTING THE FUNCTION OF VITAMIN D EXTENDED BEYOND CALCIUM HOMEOSTASIS DURING PREGNANCY

RANDOMIZED CONTROLLED TRIALS INVESTIGATING VITAMIN D SUPPLEMENTATION DURING PREGNANCY

SUPPLEMENTING VITAMIN D DURING PREGNANCY TO PREVENT CHILDHOOD ASTHMA

NEURODEVELOPMENT AND AUTOIMMUNE CONSEQUENCES

CURRENT RECOMMENDATION FOR VITAMIN D SUPPLEMENTATION DURING PREGNANCY

VITAMIN D REQUIREMENTS OF THE MOTHER/INFANT DYAD DURING LACTATION

ALTERING THE VITAMIN D CONTENT OF HUMAN MILK

INTERVENTIONAL AND RCTS TO DETERMINE IF MATERNAL VITAMIN D SUPPLEMENTATION CAN SUPPLY ADEQUATE VITAMIN D TO THE NURSING INFANT

CURRENT RECOMMENDATION FOR MATERNAL VITAMIN D SUPPLEMENTATION DURING LACTATION

SUMMARY

Financial Support

References

117 - Vitamin D and Critically Ill Intensive Care Unit Patients

INTRODUCTION

PREVALENCE OF VITAMIN D DEFICIENCY IN THE CRITICALLY ILL PATIENTS

VITAMIN D DEFICIENCY RISK FACTORS IN THE CRITICALLY ILL PATIENTS

Ethnicity

Seasonality and Sun Exposure

Chronic Disease

Medication Usage

Severity of Critical Illness and Organ Failure

VITAMIN D MECHANISM IN CRITICAL ILLNESS

ANTIMICROBIAL PEPTIDES

Β-DEFENSIN 2

CATHELICIDIN

INFLAMMASOME ACTIVATION

METABOLOMICS, TRANSCRIPTOMICS, AND EPIGENETICS OF VITAMIN D

ASSAY

OBSERVATIONAL DATA

VITAMIN D AND CRITICAL ILLNESS OUTCOMES

SEPSIS

ACUTE KIDNEY INJURY

ACUTE LUNG INJURY

INTERVENTIONAL DATA

DOSE IN CRITICAL ILLNESS

IS VITAMIN D SUPPLEMENTATION SAFE?

CONCLUSIONS

References

Index for Volume 2

#

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

Y

Z

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