2020
DOI: 10.1038/s41574-019-0312-5
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New aspects of vitamin D metabolism and action — addressing the skin as source and target

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Cited by 232 publications
(223 citation statements)
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“…2 Vitamin D is a secosteroid hormone, derived like cortisol and sex hormones from cholesterol, so not surprisingly it has a broad range of actions reflecting the several hundred or more genes that are vitamin D responsive. 3,4 Thrombosis is another aspect of severe COVID-19 illness where vitamin D may be very important, as previously highlighted by Tian and Rong. 5 The lupus anti-coagulant abnormality, characterised by prolonged activated partial thromboplastin time, has recently been reported in COVID-19.…”
Section: Editorsmentioning
confidence: 89%
“…2 Vitamin D is a secosteroid hormone, derived like cortisol and sex hormones from cholesterol, so not surprisingly it has a broad range of actions reflecting the several hundred or more genes that are vitamin D responsive. 3,4 Thrombosis is another aspect of severe COVID-19 illness where vitamin D may be very important, as previously highlighted by Tian and Rong. 5 The lupus anti-coagulant abnormality, characterised by prolonged activated partial thromboplastin time, has recently been reported in COVID-19.…”
Section: Editorsmentioning
confidence: 89%
“…In this review, the gut-skin axis is the main target of discussion, thus skin-specific cells, such as epidermal keratinocytes and dermal fibroblasts, are not discussed. The nuclear receptors such as RARs, VDR, and RORs are expressed not only in immune cells, but also in epidermal keratinocytes [26], making the epidermal keratinocytes another target of immune regulation. Skin has its own microbiome, through influencing the homeostasis of epidermis, it regulates the immune status of the whole body.…”
Section: Discussionmentioning
confidence: 99%
“…Ultraviolet (UV) B and antimicrobial peptides, such as cathelicidin and S100 proteins, are inducers of active vitamin D3 production in epidermis. Active vitamin D3 systemically distribute through blood flow binding to vitamin D binding protein (DBP), enter target cells through binding to heat shock protein (HSP) 70 in cytoplasm, and finally transported to the nucleus binding to VDR [26]. VDR binds to its binding site in enhancer regions of Foxp3 gene, resulting in induction and stabilization of Foxp3 expression.…”
Section: Regulatory T Cellsmentioning
confidence: 99%
“…The amount of 7-DHC substrate available for the vitamin D 3 production is indirectly controlled by the activity of 7-dehydrocholesterol reductase (DHCR7), an enzyme involved in the last step of cholesterol synthesis, which, in the case of the skin, competes with the vitamin D production since both pathways require the same precursor [ 15 ]. UV light intensity and the type of skin pigmentation also regulate the production of pre-vitamin D 3 and, in turn, of vitamin D 3 [ 16 ].…”
Section: Vitamin D: State Of the Artmentioning
confidence: 99%
“…In the presence of low vitamin D status, PTH secretion—mediated by the parathyroid gland ( Figure 2 )—increases and promotes the activity of CYP27B1, leading to an enhanced conversion of 25(OH)D in 1,25(OH) 2 D [ 50 , 51 , 52 , 53 , 54 ]. In turn, circulating 1.25(OH) 2 D promotes the CYP24A1 activity while suppressing the CYP27B1 one; it also enhances the intestinal absorption of both calcium [ 55 ] and phosphate [ 15 , 47 ] and in parallel reduces the serum PTH levels by a negative feedback [ 56 , 57 ].…”
Section: Vitamin D: State Of the Artmentioning
confidence: 99%