维生素D:癌症和超越的争议

C. Rosales, D. Bandyopadhyay
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引用次数: 1

摘要

维生素是健康的重要组成部分。然而,这并不总是为人所知,因为细菌理论是18世纪公认的论点。研究发现,某些辅助因素有助于减轻甚至治愈这些疾病,如脚气病、坏血病和佝偻病。辅助因子,后来由卡西米尔·芬克创造的维生素,是人类饮食的基本组成部分。从技术上讲,维生素D不是维生素,而是一种类固醇激素,其最著名的作用是使人体骨骼钙化。这有助于预防成人骨软化症和佝偻病,这是儿童由于发育阶段造成的严重问题。但除了它众所周知的作用,维生素D还有其他重要的非钙化作用,包括可能是抗癌剂。骨化三醇(1,25二羟基胆骨化醇,维生素D3)已被发现以各种方式治疗某些癌症:从VDR-RXR复合物到能够抑制肿瘤生长、降低干细胞标记基因表达和抑制Wnt途径的类似物。尽管基于对鳞状细胞癌、前列腺癌、乳腺癌、结肠癌和卵巢癌的研究,它的有效性是有希望的;高钙血症、缺乏一致的数据和不充分的临床试验是不断阻碍维生素D作为一种解决方案的合法性进展的严重问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vitamin D: Controversy Cancer and Beyond
Vitamins are an essential part to wellbeing. This was not something always known however, as the Germ theory was the accepted thesis of the 18th century. It was found that certain accessory factors helped mitigate and even cure these diseases such as beriberi, scurvy, and rickets. Accessory factors, later coined vitamins by Casimir Funk, are an essential constituent of the human diet. Vitamin D is technically not a vitamin but functions as a steroid hormone whose most well-known purpose is calcification of the human skeleton. This helps prevent osteomalacia in adults and rickets, a serious problem in children due to their developmental stages. But besides its well-known role, vitamin D also has other important non-calcification purposes, including being a possible anticancer agent. Calcitriol (1,25 dihydroxycholecalciferol, vitamin D3) has found to treat certain cancers in various ways: from the VDR-RXR complex to analogs being able to decrease tumor growth, lowering expression of stem cell marker genes, and inhibition of the Wnt pathway. Although there is promise in its effectiveness based on studies of squamous cell carcinoma, prostate, breast, colon, and ovarian cancer; hypercalcemia, lack of consistent data, and insufficient clinical trials are serious issues that constantly get in the way of progression of vitamin D’s legitimacy as a solution.
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