Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical cases
As well as being essential for musculoskeletal health, vitamin D is involved in numerous other physiological processes. Poor vitamin D status is linked to a wide range of diseases, including cardiovascular disease, autoimmune conditions, pulmonary disorders and upper respiratory tract infections. Wh...
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| Format: | Article |
| Language: | English |
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BioExcel Publishing Ltd
2023-09-01
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| Series: | Drugs in Context |
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| Online Access: | https://www.drugsincontext.com/calcifediol-in-the-management-of-vitamin-d-deficiency-related-skeletal-and-extraskeletal-diseases-overview-and-clinical-cases/ |
| _version_ | 1797691886103691264 |
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| author | Enrique Casado Ester Costa Pedro Mezquita-Raya Rubén Andújar-Espinosa José Luis Neyro |
| author_facet | Enrique Casado Ester Costa Pedro Mezquita-Raya Rubén Andújar-Espinosa José Luis Neyro |
| author_sort | Enrique Casado |
| collection | DOAJ |
| description | As well as being essential for musculoskeletal health, vitamin D is involved in numerous other physiological processes. Poor vitamin D status is linked to a wide range of diseases, including cardiovascular disease, autoimmune conditions, pulmonary disorders and upper respiratory tract infections. While optimal target concentrations of serum 25-hydroxyvitamin D (25(OH)D) for health maintenance or therapeutic purposes are still the subject of debate, there is reasonable agreement that serum 25(OH)D levels <50 nmol/L (20 ng/mL) constitute vitamin D deficiency and that severe deficiency states (serum 25(OH)D levels <25-30 nmol/L ≈ 10-12 ng/ mL) should be avoided. Main strategies to maintain or improve vitamin D status are food supplementation and therapeutic use of medicinal forms of vitamin D. In this review, we examine evidence that implicates vitamin D deficiency in diverse conditions in the clinical settings of endocrinology, rheumatology, pneumology and reproductive health. Cholecalciferol (vitamin D3) is the most frequently used vitamin D supplement worldwide, though calcifediol (25-hydroxyvitamin D3) has recently become more widely available. Calcifediol is one step closer than cholecalciferol in the metabolic pathway to biologically active vitamin D. Pharmacokinetic differences between these vitamin D metabolites confer putative advantages for calcifediol in certain clinical situations. The clinical use of calcifediol is explored more closely through case studies, which illustrate its adjunctive role in the treatment of several vitamin D deficiency-related skeletal and extraskeletal diseases. |
| first_indexed | 2024-03-12T02:20:47Z |
| format | Article |
| id | doaj.art-0571ea4bd1e24c739ba87e4848f1354d |
| institution | Directory Open Access Journal |
| issn | 1740-4398 |
| language | English |
| last_indexed | 2024-03-12T02:20:47Z |
| publishDate | 2023-09-01 |
| publisher | BioExcel Publishing Ltd |
| record_format | Article |
| series | Drugs in Context |
| spelling | doaj.art-0571ea4bd1e24c739ba87e4848f1354d2023-09-06T05:05:39ZengBioExcel Publishing LtdDrugs in Context1740-43982023-09-011211310.7573/dic.2023-5-4Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical casesEnrique CasadoEster CostaPedro Mezquita-RayaRubén Andújar-EspinosaJosé Luis NeyroAs well as being essential for musculoskeletal health, vitamin D is involved in numerous other physiological processes. Poor vitamin D status is linked to a wide range of diseases, including cardiovascular disease, autoimmune conditions, pulmonary disorders and upper respiratory tract infections. While optimal target concentrations of serum 25-hydroxyvitamin D (25(OH)D) for health maintenance or therapeutic purposes are still the subject of debate, there is reasonable agreement that serum 25(OH)D levels <50 nmol/L (20 ng/mL) constitute vitamin D deficiency and that severe deficiency states (serum 25(OH)D levels <25-30 nmol/L ≈ 10-12 ng/ mL) should be avoided. Main strategies to maintain or improve vitamin D status are food supplementation and therapeutic use of medicinal forms of vitamin D. In this review, we examine evidence that implicates vitamin D deficiency in diverse conditions in the clinical settings of endocrinology, rheumatology, pneumology and reproductive health. Cholecalciferol (vitamin D3) is the most frequently used vitamin D supplement worldwide, though calcifediol (25-hydroxyvitamin D3) has recently become more widely available. Calcifediol is one step closer than cholecalciferol in the metabolic pathway to biologically active vitamin D. Pharmacokinetic differences between these vitamin D metabolites confer putative advantages for calcifediol in certain clinical situations. The clinical use of calcifediol is explored more closely through case studies, which illustrate its adjunctive role in the treatment of several vitamin D deficiency-related skeletal and extraskeletal diseases.https://www.drugsincontext.com/calcifediol-in-the-management-of-vitamin-d-deficiency-related-skeletal-and-extraskeletal-diseases-overview-and-clinical-cases/calcifediolcholecalciferolpharmacokineticsvitamin d deficiencyvitamin d endocrine system |
| spellingShingle | Enrique Casado Ester Costa Pedro Mezquita-Raya Rubén Andújar-Espinosa José Luis Neyro Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical cases Drugs in Context calcifediol cholecalciferol pharmacokinetics vitamin d deficiency vitamin d endocrine system |
| title | Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical cases |
| title_full | Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical cases |
| title_fullStr | Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical cases |
| title_full_unstemmed | Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical cases |
| title_short | Calcifediol in the management of vitamin D deficiency-related skeletal and extraskeletal diseases: overview and clinical cases |
| title_sort | calcifediol in the management of vitamin d deficiency related skeletal and extraskeletal diseases overview and clinical cases |
| topic | calcifediol cholecalciferol pharmacokinetics vitamin d deficiency vitamin d endocrine system |
| url | https://www.drugsincontext.com/calcifediol-in-the-management-of-vitamin-d-deficiency-related-skeletal-and-extraskeletal-diseases-overview-and-clinical-cases/ |
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