Vitamin D Flashcards

1
Q

Name the precursor to vitamin D3 found in the skin.

A

7-dehydrocholesterol

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2
Q

(D2/D3) has 33~50% of the biological activity of (D2/D3)

A

D2 has 33~50% of the biological activity of D3

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3
Q

This form of vitamin D is found in yeasts and fungi.

A

Ergocalciferol (Vitamin D2)

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4
Q

T or F. Supplements can contain either D2 or D3.

A

True

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5
Q

What happens to vitamin D3 (cholecalciferol) in the liver?

A

It undergoes hydroxylation at the 25 position to form 25-OHD3 (calcifediol).

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6
Q

What happens to 25-OHD3? Is this the active form?

A

No, it is not the active form. It goes to the kidney to hydroxylated at the 1 position to form 1,25-(OH)2D3 or Calcitriol.

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7
Q

Which form of Vitamin D3 is the major circulating form?

A

25-hydroxyD3 or Calcifediol

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8
Q

Which form is the active form?

A

Calcitriol

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9
Q

What is the function of vitamin D?

A
  • Maintain serum Ca and Phosphate within narrow physiological range
  • This indirectly supports normal bone mineralization, neuromuscular function and cell physiology
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10
Q

Name 3 ways that vitamin D increases serum Ca and Pi.

A

1) Increases Ca and Pi absorption by the small intestine
2) Enhances the mobilization of Ca and Pi from bone
3) Decreases Ca and Pi excretion by the kidney

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11
Q

How does vitamin D affect bone metabolism?

A

It increases RANKL production by osteoblast stromal cells, enhancing osteoclast-mediated bone resorption

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12
Q

Name the nuclear hormone receptor that VDR heterodimerizes with once in the nucleus.

A

RXR - retinoic acid X receptor

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13
Q

T or F. Vitamin D decreases insulin production.

A

False, it increases it

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14
Q

T or F. Vitamin D increases myocardial relaxation.

A

False. It increases myocardial contractility

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15
Q

T or F. Vitamin D inhibits renin synthesis.

A

True

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16
Q

What is cathelicidin?

A

Vit.D increases macrophage expression of this peptide that causes the destruction of M. tuberculosis

17
Q

T or F. Dark skin is a risk factor for vitamin D deficiency.

A

True. Melanin in the skin absorbs UV rays, reducing the production of vitamin D.

18
Q

Are babies able to get vitamin D through breast milk?

A

No, vitamin D is not secreted into breast milk

19
Q

Which types of cancer are observed to have inverse association with serum 25-OHD3?

A

Breast and colon cancer

20
Q

What is the clinical estimate that 1 mcg/40IU vitamin D can raise serum 25-OHD3 by?

A

1nmol/L

21
Q

According to osteoporosis Canada, vitamin D insufficiency is between…

A

25-75nmol/L

22
Q

What is considered adequate vitamin D levels according to Food and Nutrition Board?

A

50nmol/L

23
Q

What is considered desirable vitamin D status according to Osteoporosis Canada?

A

> 75nmol/L

24
Q

At what doses are toxicity most often witnessed?

A

> 10,000 IU/day

25
Q

What are some signs of vitamin D toxicity?

A

Weakness and fatigue, headache, N&V&D

26
Q

Vitamin D toxicity can lead to renal failure that is reversible or irreversible?

A

Irreversible

27
Q

In which conditions are vitamin D analogs used?

A

Conditions associated with impaired renal production of calcitriol. E.g. hypoparathyroidism