Vitamin D and the vasculature: can we teach an old drug new tricks?

Elvira Fernández, Blai Coll, José M Valdivielso

Journal: Expert opinion on therapeutic targets 2009;13(1):29-38

PMID: 19063704

Abstract

BACKGROUND

Vitamin D is a steroid hormone known for its role in regulating levels of calcium and phosphorus. Vitamin D has important autocrine/paracrine roles and it is involved in vascular biology. Clinical studies have shown a relationship between vitamin D levels and cardiovascular health, and low levels of vitamin D metabolites have been associated with higher incidence of congestive heart failure and increases in mortality.

OBJECTIVE

To summarise the effect of vitamin D on cardiovascular pathology, the leading cause of death in chronic kidney disease patients.

CONCLUSIONS

All results indicate a potential effect of vitamin D on cardiovascular health. Therefore, maintaining optimum levels of circulating vitamin D is critical for a healthy cardiovascular system. In patients with low vitamin D status, like renal patients, supplementation with vitamin D metabolites has shown beneficial cardiovascular effects.

Address: Hospital Universitario Arnau de Vilanova, Experimental Nephrology Laboratory, Spain. [email protected]

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