Vitamin D3 Presented by John Lear
Vitamin D3: The Basics A fat-soluble vitamin: C27H44O Sources: Skin, Diet Active form: Calcitriol - steroid hormone Overall effect: ↑Ca2+ in blood Vitamin D2: from plants, not as efficient
Cholesterol Precursor (in skin) Structure Cholesterol Precursor (in skin)
(prohormone) Calcitriol 1,25(OH)2D3
Vitamin D3 Pathway
Vitamin D Binding Protein
Vitamin D Receptor (VDR) A type of “Nuclear Receptor”
Vitamin D Receptor (VDR)
Effects of ↑Calcitriol? (Hint: ↑Ca2+!) Intestines ↑Absorption of Ca2+ (↑calbindin) ↑Absorption of PO4- ↑Absorption of Mg2+ Parathyroid Glands ↓PTH Synthesis ↓PTH Secretion 3. Bone ↑Ca2+ Resorption from bone 4. Kidneys ↑Ca2+ Reabsorption in tubules Auto-regulation (negative feedback) of Calcitriol production
Regulation of Calcitriol
“Permissive Effect”
↓Phosphorus - - ↑Phosphorus +
Vitamin D Abnormalities Normal Blood Vitamin D levels: 20- 50 ng/ml Vitamin D Abnormalities Vitamin D Deficiency Rickets (children) Osteomalacia (adults) Secondary Hyperparathyroidism May lead to: Depression Greater risk of cancers
Vitamin D Abnormalities Normal Blood Vitamin D levels: 20- 50 ng/ml Vitamin D Abnormalities Vitamin D Toxicity Calcium Kidney Stones Bone Pains Gastrointestinal Pains Psychological problems
In Summation Vitamin D3 Active form is Calcitriol Primary action: increase intestinal Ca2+ absorption Closely linked with PTH for Ca2+ and PO4- regulation
Thank you! Sources: http://themedicalbiochemistrypage.org/vitamins.php#d https://www.youtube.com/channel/UCGL_VmFb7IUr-4z5anXtCPw (Dr. David Cohen - Medical Education)