The Emerging Role of Vitamin D in Neurological Health and Disease

Amna Noor, Syed Imran Ali Shah
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Abstract

Vitamin D has come up as a pluripotent biochemical modulator of several systemic functions including its well-established musculoskeletal effects functioning as well as other key roles in nervous, cardiac, immune, vascular, and endocrinological systems. It undergoes metabolic activation in the skin, liver, and kidneys to exert its systemic actions primarily through Vitamin D receptor-mediated gene expression. In recent times, the involvement of Vitamin D has been documented in the regulation of neurotrophins, neural differentiation, and maturation, and the synthesis of neuromodulators including acetylcholine, dopamine, and gamma-aminobutyric acid. Clinical studies have also highlighted the involvement of Vitamin D in neurological disorders, thereby underscoring its potential in the clinical management of such disorders. Further, research is required to determine the multipronged roles of Vitamin D and its molecular pathways in neurophysiology for the potential prevention and treatment of neurological dysfunction.
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维生素D在神经系统健康和疾病中的新作用
维生素D已成为多种系统功能的多能生化调节剂,包括其公认的肌肉骨骼效应,以及在神经、心脏、免疫、血管和内分泌系统中的其他关键作用。它主要通过维生素D受体介导的基因表达,在皮肤、肝脏和肾脏中进行代谢激活,发挥其全身作用。近年来,已有文献证明维生素D参与调节神经营养素、神经分化和成熟,以及包括乙酰胆碱、多巴胺和γ -氨基丁酸在内的神经调节剂的合成。临床研究也强调了维生素D在神经系统疾病中的作用,从而强调了它在这类疾病的临床管理中的潜力。此外,还需要研究确定维生素D及其分子途径在神经生理学中的多管齐下的作用,以潜在地预防和治疗神经功能障碍。
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