• The enzyme catalyzes the hydroxylation of calcifediol to calcitriol (the bioactive form of Vitamin D): calcidiol + 2 reduced adrenodoxin + 2 H+ + O2 ⇌ calcitriol + 2 oxidized adrenodoxin + H2O The enzyme is also able to oxidize ercalcidiol (25-OH D2) to ercalcitriol, secalciferol to calcitetrol, and 25-hydroxy-24-oxocalciol to (1S)-1,25-dihydroxy-24-oxocalciol. (wikipedia.org)
  • The biologically active form of vitamin D is 1,25-dihydroxyvitamin D (1,25(OH) 2 D). Measuring serum levels of 1,25(OH) 2 D should be considered upon suspicion of deficiency or excess of 1,25(OH) 2 D. (medscape.com)
  • Vitamin D has to be metabolically activated in the kidney, and patients with CKD including diabetic kidney disease (DKD) are not able to produce enough of the active form of vitamin D (1,25(OH) 2 D). Vice versa, the kidneys are assumed to be a classical 1,25(OH) 2 D target. (karger.com)
  • Although 1,25(OH)2D3 is the biologically active form of vitamin D the vitamin D status is mainly assessed by the measurement of serum 25(OH)D3 concentration. (vitamindwiki.com)
  • Emerging data identify critical roles for the active form of vitamin D (1a,25(OH)2D3) in a variety of other biological processes including regulation of cellular growth, differentiation and metabolic modulations [13, 14]. (vitamindwiki.com)
  • Recent NICE guidelines recommend that pregnant and breastfeeding women, children ages 6 months to 5 years, adults over 65 years or anyone who is not regularly exposed to the sun should take a daily vitamin D3 (cholecalciferol) supplement up to 10,000 IU [ 3 , 4 ]. (biomedcentral.com)
  • In humans, the most important compounds in this group are vitamin D3 (also known as cholecalciferol) and vitamin D2 (ergocalciferol). (truthwiki.org)
  • 1] Cholecalciferol and ergocalciferol can be ingested from the diet and from supplements. (truthwiki.org)
  • In the liver, cholecalciferol (vitamin D3) is converted to calcidiol, which is also known as calcifediol (INN), 25-hydroxycholecalciferol, or 25-hydroxyvitamin D3 - abbreviated 25(OH)D3. (truthwiki.org)
  • Vitamin D is a fat soluble vitamin and exists in two main forms as cholecalciferol(vitamin D3) which is synthesized in skin from 7-dehydrocholesterol in response to sunlight exposure & Ergocalciferol(vitamin D2) present mainly in dietary sources.Both cholecalciferol & Ergocalciferol are converted to 25(OH)vitamin D in liver. (meditest.in)
  • The main source (about 95%) is vitamin D3 (cholecalciferol) that is photochemically synthesized in the skin by ultraviolet-B radiation. (vitamindwiki.com)
  • Thermal conversion of pro-vitamin D3 (7-dehydrocholesterol) leads to pre-vitamin D3, which isomerizes into cholecalciferol. (vitamindwiki.com)
  • Cholecalciferol is bound to serum vitamin D-binding protein (DBP) and through a two-step enzymatic pathway involving 25-hydroxylase of the liver and 1a-hydroxylase (CYP27B1) of the kidney and extrarenal tissues, it is converted to the biologically active hormone calcitriol (1a,25(OH)2D3) [1]. (vitamindwiki.com)
  • Treatment with 25(OH)D can normalize 1,25(OH) 2 D concentrations in patients with vitamin D deficiency. (medscape.com)
  • Evidence supports wider beneficial effects of vitamin D but to achieve such, maintaining serum 25 dihydroxyvitamin D [25(OH)2D] concentrations of more than 30 ng/mL is necessary. (vitamindwiki.com)
  • The individual and the population health can be markedly improved by maintaining serum 25(OH)D concentrations of greater than 30 ng /mL (75 nmol/L). This would also improves the quality of life and reduces all-cause mortality. (vitamindwiki.com)
  • However, for prevention of certain other diseases and to reduce all-cause mortality, serum 25(OH)D concentrations need to be maintained between 40 and 60 ng/mL. (vitamindwiki.com)
  • Another effect of PTH is the stimulation of renal 1,25(OH)2D3 production with possibly misleading 1,25(OH)2D3 concentrations within the normal range. (vitamindwiki.com)
  • 25-Hydroxyvitamin D 1-alpha-hydroxylase (VD 1A hydroxylase) also known as calcidiol 1-monooxygenase or cytochrome p450 27B1 (CYP27B1) or simply 1-alpha-hydroxylase is a cytochrome P450 enzyme that in humans is encoded by the CYP27B1 gene. (wikipedia.org)
  • Findings have shown that low serum 25-hydroxy vitamin D level is a possible risk factor for incidence of preeclampsia during pregnancy. (ac.ir)
  • This test is used to determine the levels of 25-hydroxy-vitamin D and is used to determine if bone weakness, bone malformation, or abnormal metabolism of calcium is occurring as a result of a deficiency or more than D. (meditest.in)
  • VD 1A hydroxylase is located in the proximal tubule of the kidney and a variety of other tissues, including skin (keratinocytes), immune cells, and bone (osteoblasts). (wikipedia.org)
  • FGF-23 and sFRP-4 in chronic kidney disease and post-renal transplantation. (medscape.com)
  • Decreased levels of 1,25(OH) 2 D can result from chronic kidney disease , various heritable disorders, tumor-induced osteomalacia, the use of HIV protease inhibitors, or severe vitamin D deficiency . (medscape.com)
  • Chronic kidney disease: Low 1,25(OH) 2 D levels have been shown to present even in early stages of kidney failure. (medscape.com)
  • The decrease of 1,25(OH) 2 D level is more prominent when kidney failure progresses. (medscape.com)
  • [ 3 ] Impaired production of the enzyme 1α-hydroxylase in kidney failure was thought to be the main mechanism. (medscape.com)
  • [ 12 ] However, unlike the kidney, the 1α-hydroxylase in the macrophages in granulomatous diseases is not controlled by the usual physiologic regulators. (medscape.com)
  • Striated nephrogram which is an appearance of gas in the renal area in emphysematous described for acute pyelonephritis shows discrete pyelonephritis or abscess and the typical mass like rays of alternating hypo attenuation and hyper calcification in end stage renal tuberculosis (Putty attenuation radiating from the papilla to the cortex kidney). (egyptianjournal.xyz)
  • DKD, one of the most common forms of CKD, accounts for almost 50% of end-stage kidney disease in developed countries requiring renal replacement therapy. (karger.com)
  • This study aims to determine the protein expression patterns of acetylated α-tubulin, inversin, dishevelled-1, Wnt5a/b, and ß-catenin in developing (E13.5 and E15.5) and early postnatal (P4 and P14) kidneys of Dab1-/- (yotari) mice, their role in regulating the Wnt signaling pathway, and the possible relation to congenital anomalies of kidney and urinary tract (CAKUT). (bvsalud.org)
  • An increase in ß-catenin and cytosolic DVL-1 levels, indicating a switch from non-canonical to canonical Wnt signaling, is found in the postnatal kidney of yotari mice. (bvsalud.org)
  • This review of literature discusses kidney injury associated with the use of AAS and ADE, highlighting the mechanisms of acute and chronic renal lesion, such as direct renal toxicity, glomerular hyperfiltration and hypercalcemia. (revistanefrologia.com)
  • The level of creatinine in the blood depends on a person's muscle mass and the quality of their renal (kidney) function. (biron.com)
  • in the liver, vitamin D3 is hydroxylated at the 25' position to produce 25-hydroxycholecalciferol (calcidiol). (gpnotebook.com)
  • Renal excretion of excess dietary phosphate intake ensures maintenance of phosphate homeostasis, maintaining serum phosphate at a level of approximately 3-4 mg/dL in the serum. (medscape.com)
  • Poor enhancement severity of acute pyelonephritis and its of renal parenchyma, absent excretion of contrast complications. (egyptianjournal.xyz)
  • An alpha-globulin, vitamin D transport protein, binds to the gut- and skin-derived vitamin D3 and transports it to the liver. (gpnotebook.com)
  • Renal phosphaturia during metabolic acidosis revisited: molecular mechanisms for decreased renal phosphate reabsorption. (medscape.com)
  • Tumors secreting PTHrP cause increased bone resorption and distal renal tubular calcium reabsorption. (hindawi.com)
  • In tumor-induced osteomalacia, tumor-secreted FGF-23 inhibits enzyme 1α-hydroxylase and subsequently results in decreased 1,25(OH) 2 D synthesis. (medscape.com)
  • In granulomatous disease such as lymphoproliferative disorders, sarcoidosis, tuberculosis, and inflammatory bowel disease, 1α-hydroxylase enzyme activity was found in macrophages as the extrarenal source of 1,25(OH) 2 D. When 1α-hydroxylase is activated, it converts 25(OH)D to 1,25(OH) 2 D, just as what occurs under physiologic conditions in the kidneys. (medscape.com)
  • and enzyme-inducing drugs, in particular many antiepileptic drugs, that increase 25-OH-VitD metabolism. (meditest.in)
  • The patient was found to have a calcium level of 16.3 mg/dL (reference range 8.6-10.2) and acute renal failure with a Cr of 4.9 mg/dL. (hindawi.com)
  • Renal inflammatory diseases range from mild to severe, acute to chronic and may be associated with predisposing risk factors like diabetes mellitus, human immunodeficiency virus (HIV), leukemia, vesico- ureteric reflux and staghorn calculi. (egyptianjournal.xyz)
  • Acute infections include acute pyelonephritis, The study aim to highlight the value of renal and perirenal abscesses, pyonephrosis, multidetecter C.T imaging in assessment of renal emphysematous pyelonephritis and emphysematous inflammatory diseases. (egyptianjournal.xyz)
  • An amino acid used to manage chronic renal failure and for nutritional therapy in acute renal dysfunction. (drugbank.com)
  • Vitamin D deficiency is associated with several human diseases including end-stage renal disease. (biomedcentral.com)
  • Vitamin D, with a vital role in calcium absorption and bone metabolism, also functioned in cell proliferation and differentiation, affecting the immune system as well [ 1 ]. (biomedcentral.com)
  • 75 nmol/L), 3.07% were sufficient (25(OH)D ≥ 75 nmol/L). The maternal 25(OH)D levels varied with age, pre-pregnancy BMI, season when blood sample was collected, number of previous-pregnancy. (biomedcentral.com)
  • Based on associations between plasma 25(OH)D3 and PTH concentration, calcium absorption, bone turnover markers, and bone mineral density, investigators have argued that a plasma 25(OH)D3 concentration of greater than 75 nmol/l (to convert to ng/ml divide by 2.5) is appropriate to define vitamin D sufficiency [5-7]. (vitamindwiki.com)
  • Although there is currently no consensus for optimal levels, most experts use a plasma concentration of 25(OH)D3 of 25 nmol/l as a conventional cut-off for defining the lower limit of adequacy of vitamin D status [8]. (vitamindwiki.com)
  • Lammoglia JJ, Mericq V. Familial tumoral calcinosis caused by a novel FGF23 mutation: response to induction of tubular renal acidosis with acetazolamide and the non-calcium phosphate binder sevelamer. (medscape.com)
  • [ 5 , 6 ] However, lowered serum phosphate levels correlated with an equal degree of renal tubular reduction of tubular time of maximal concentration (T max ) of phosphate in both sexes, pointing to an additional factor in the creation of the bone disease in affected males. (medscape.com)
  • A positive correlation between serum levels of 25(OH)D and 1,25(OH) 2 D was observed during seasonal changes. (medscape.com)
  • Correlation of vitamin D3 levels with demographic characteristics and disease activity parameters of patients. (reumatologiaclinica.org)
  • Jain SK, Micinski D. Vitamin D upregulates glutamate cysteine ligase and glutathione reductase, and GSH formation, and decreases ROS and MCP-1 and IL-8 secretion in high-glucose exposed U937 monocytes. (springer.com)
  • Tumors that cause elevation in 1,25D cause hypercalcemia as a result of a combination of increased bone resorption and intestinal calcium absorption. (hindawi.com)
  • Biologically active vitamin D (1,25-dihydroxyvitamin D) is involved in the regulation of gastrointestinal calcium absorption and bone homeostasis [ 1 ]. (biomedcentral.com)
  • However, phosphate retention and FGF-23 also contribute to the decreased synthesis of 1,25(OH) 2 D. (medscape.com)
  • HIV protease inhibitors have been reported to markedly suppress the activities of 25- and 1α-hydroxylase and thus affect 1,25(OH) 2 D synthesis. (medscape.com)
  • The analysis of target protein co-expression, observed in the renal vesicles/immature glomeruli, ampullae/collecting ducts, convoluted tubules, metanephric mesenchyme of developing kidneys, but proximal convoluted tubules, distal convoluted tubules and glomeruli of postnatal kidneys, was performed using double immunofluorescence and semi-quantitative methods. (bvsalud.org)
  • Increased 1,25(OH) 2 D levels can result from extrarenal 1α-hydroxylation or hereditary vitamin D-resistant rickets. (medscape.com)
  • Despite the significant effort in the last century to eradicate or minimize vitamin D deficiency among the population, especially children, there is still a high prevalence for vitamin D insufficiency/deficiency worldwide [ 1, 2 ]. (karger.com)
  • In distinction to the high prevalence of 25-OH-VitD deficiency, hypervitaminosis D is rare, and is only seen after prolonged exposure to extremely high doses of vitamin D. (meditest.in)
  • In vitro studies of monocytes/macrophages indicate that gamma interferon is an important regulator of 1α-hydroxylase but only when other key signaling pathways are also activated (eg, JAK-STAT and MAP-Kinase). (medscape.com)
  • Since the VDR and 1a-hydroxylase are expressed in reproductive tissues including ovary, uterus, placenta, testis and hypophysis an association with vitamin D and many potential pathways linking vitamin D to reproductive health outcomes almost suggests itself [19-21]. (vitamindwiki.com)
  • Despite some short-term consequences in the newborns, maternal vitamin D deficiency also have long-term effects as rickets, increased susceptibility to respiratory illness, autoimmune diseases and type 1 diabetes [ 9 , 10 ]. (biomedcentral.com)
  • However, it has much broader effects mediated by genomic (vitamin D directly or indirectly influences expression of up to 2,000 genes) as well as non-genomic mechanisms [ 1 ]. (karger.com)
  • This is one of the mechanisms by which 1,25-dihydroxyvitamin D regulates the genome, but it has also been shown to affect the epigenome through chromatin modifiers and methylation changes [ 11 ]. (biomedcentral.com)
  • Severe vitamin D deficiency: 25(OH)D is the main substrate of 1,25(OH) 2 D. Vitamin D deficiency can affect the production of 1,25(OH) 2 D owing to the lack of substrate. (medscape.com)
  • Vitamin D deficiency also contributes to many extraskeletal outcomes, including higher risk of type 1 or type 2 diabetes mellitus, allergy, autoimmunity, pregnancy complications, and many other pathologies. (karger.com)
  • However, despite the presence of abundant sunlight, the incidence of vitamin D deficiency is high even among those who live within 1,000 km of the equator, such as the populations of India, Sri Lanka, and Far Eastern, Middle Eastern, and Persian Gulf countries [1-4]. (vitamindwiki.com)
  • Significant changes in gene expression after stimulation with 1,25-dihydroxyvitamin D were observed for gene loci such as IRF8 and PTPN2 which were not previously associated with vitamin D regulation [ 13 ]. (biomedcentral.com)
  • The recommended phases of CT scan for Imaging is not routinely indicated in urinary tract evaluating renal infections are a non-contrast scan, infections, however with severe symptoms, high nephrographic phase at 50-90 s and excretory phase risk immunocompromised state, diabetic patients at 2 min if there is obstruction ( 4) . (egyptianjournal.xyz)
  • Finally, XLH patients demonstrate a normal or low serum concentration of 1,25-dihydroxyvitamin D3, suggestive of inadequate formation of this vitamin D metabolite. (medscape.com)
  • Even the serum concentration of 1,25 dihydroxyvitamin D is inappropriately normal or low in XLH patients. (medscape.com)
  • The recognition of fibroblast growth factor 23 (FGF23), a phosphaturic hormone related to tumor necrosis factor alpha (TNF-α) makes it plausible to hypothesize its possible relation to this pathology. (biomedcentral.com)
  • [ 1 ] X-linked hypophosphatemia (XLH) is a dominant disorder and accounts for more than 80% of all familial hypophosphatemia. (medscape.com)
  • In a study by Levin et al (2007), 13% of patients with an estimated glomerular filtration rate (eGFR) greater than 80 mL/min and more than 60% of patients with an eGFR of less than 30 mL/min had low serum levels of 1,25(OH) 2 D. (medscape.com)
  • these women also have high serum levels of anti-angiogenic soluble Fms-like tyrosine kinase-1 (sFlt-1), which is known to be located on the chromosome13 and 3 (15). (ac.ir)
  • In this cross-sectional study, 25-hydroxy (OH) vitamin D3 levels were measured in adult patients with systemic small and medium vessel vasculitis including antineutrophil cytoplasmic antibody-associated vasculitis (AAV), cryoglobulinaemic vasculitis (CryV), IgA vasculitis (IgAV) and polyarteritis nodosa (PAN), and age- and sex-matched healthy subjects (HS) and patients with rheumatoid arthritis (RA) as control groups. (reumatologiaclinica.org)
  • Low levels of Vitamin D3 can cause loss of bone density which can further trigger fractures. (meditest.in)
  • Worldwide, 25 percent of maternal deaths are related to preeclampsia (4). (ac.ir)
  • The study aim to highlight the value of multidetecter C.T imaging in assessment of renal inflammatory diseases. (egyptianjournal.xyz)
  • Evidence linking sunlight, vitamin D, and the risk of multiple sclerosis and type 1 diabetes is summarized to develop the thesis that vitamin D is the environmental factor that most strongly influences autoimmune disease development. (frontiersin.org)
  • Macrophages and dendritic cells can produce 1,25-dihydroxyvitamin D within the microenvironment. (springer.com)
  • 1 Department of Physiology and 2 Department of Pathology, University of Tübingen, Tübingen, Germany. (jci.org)
  • C.T has the ability to diagnose and assess renal infection site and extension of infection to pararenal fascia, renal infection unilateral or bilateral and infection focal or diffused. (egyptianjournal.xyz)