Action and Function of Vitamin D in Digestive Tract Physiology and Pathology

Author(s): Maikel P. Peppelenbosch*, Gwenny M. Fuhler, Auke P. Verhaar, Luc J.W. van der Laan*.

Journal Name: Current Medicinal Chemistry

Volume 24 , Issue 9 , 2017

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Abstract:

Background: The body of biomedical literature on Vitamin D effector mechanisms in gastrointestinal biology and pathophysiology is rapidly expanding. Accordingly, new possibilities of vitamin D biology-based therapeutical intervention in gastroenterological disease are being identified. However, the literature lacks a concise review on these developments, hampering comprehension of the possibilities involved for many in the community.

Results: Genetic vitamin D receptor (VDR) polymorphisms and other VDR biology regulation are involved in predisposition to gastrointestinal cancers and might allow tailored strategies for managing those individuals especially at risk, e.g. through vitamin D supplementation. Likewise, modulation of Hedgehog signaling by vitamin D analogues may have promise in combating gastrointestinal cancers or improving barrier function in IBD, but shortage in vitamin D levels may also influence inflammatory conditions of the gut through direct interaction with the mucosal immune system. Evidence justifying population-wide monitoring for vitamin D status is accumulating.

Conclusion: There is kaleidoscopic interaction of vitamin D biology with many aspects of gastrointestinal tract biology. Vitamin D appears an attractive target for personalized approaches like precision and P4 medicine.

Keywords: Digestive tract physiology, kaleidoscopic, gastrointestinal, pathophysiology, Vitamin D, VDR.

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Article Details

VOLUME: 24
ISSUE: 9
Year: 2017
Page: [928 - 936]
Pages: 9
DOI: 10.2174/0929867323666161228145137
Price: $58

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