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[Effects of vitamin D on the cardiovascular system]
Tetsuo Shoji1, Yoshiki Nishizawa
1Osaka City University Graduate School of Medicine, Depanartment of Metabolism, Endocrinology and Molecular Medicine.
Insights
Active vitamin D, crucial for bone health, also benefits the cardiovascular system. Studies show vitamin D analogs reduce mortality risk, especially from heart disease, in dialysis patients.
Area of Science:
- Endocrinology
- Nephrology
- Cardiology
Context:
- Active vitamin D is vital for bone and mineral metabolism.
- Emerging evidence highlights its role in cardiovascular and kidney health.
- Dialysis patients often face significant cardiovascular risks.
Purpose:
- To review the multifaceted roles of active vitamin D.
- To explore its impact on cardiovascular and kidney functions.
- To summarize its therapeutic potential in chronic kidney disease and cardiovascular disease.
Summary:
- Active vitamin D analogs are linked to reduced mortality in hemodialysis patients, particularly cardiovascular disease deaths.
- Vitamin D treatment shows benefits for cardiac and immune functions in dialysis patients.
- It exhibits anti-proteinuric effects in chronic kidney disease and inhibits atherogenic processes experimentally.
Impact:
- Active vitamin D is a key regulator of cardiovascular and kidney functions.
- Findings suggest potential therapeutic applications for active vitamin D in managing cardiovascular and renal diseases.
- Further research can elucidate mechanisms and optimize treatment strategies.
Abstract:
Active vitamin D plays important roles not only in bone and mineral metabolism but also in the cardiovascular system. Cohort studies in hemodialysis patients demonstrated that use of active vitamin D analogs was associated with reduced risk of death, particularly death from cardiovascular disease. Treatment with vitamin D had beneficial effects on cardiac and immune functions in dialysis patients, and inflammatory markers in non-renal subjects. Also, anti-proteinuric effect was recently shown in chronic kidney disease. Experimentally, active vitamin D inhibits atherogenic cellular behaviors and activation of the renin-angiotensin system. Thus, active vitamin D is a regulator of cardiovascular and kidney functions.
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