The pleiotropic actions of vitamin D
2006
General knowledge of the role of vitamin D3 in human physiology
has been shaped by its discovery as a preventive agent of
nutritional rickets, a defect in bone development due to inadequate
uptake of dietary calcium.
Studies on the function of the biologically active vitamin D3,
1,25-dihydroxyvitamin D3, have been greatly accelerated by
the molecular cloning and structural analysis of the vitamin
D3 receptor, which is a ligand-activated regulator of gene transcription.
Molecular genetic techniques including genomics
have helped to reveal that 1,25-dihydroxyvitamin D3 can control
more than calcium homeostasis. It has effects on cellular
differentiation and proliferation, and can modulate immune responsiveness,
and central nervous system function. Moreover,
accumulating epidemiological and molecular evidence
suggests that 1,25-dihydroxyvitamin D3 acts as a chemopreventive
agent against several malignancies including cancers
of breast, prostate and colon.
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