药学实践杂志
藥學實踐雜誌
약학실천잡지
THE JOURNAL OF PHARMACEUTICAL PRACTICE
2014年
5期
329-331,392
,共4页
游春华%熊筱娟%王清华%陈万生%高守红
遊春華%熊篠娟%王清華%陳萬生%高守紅
유춘화%웅소연%왕청화%진만생%고수홍
维生素D%基因多态性%维生素D受体%合理用药
維生素D%基因多態性%維生素D受體%閤理用藥
유생소D%기인다태성%유생소D수체%합리용약
vitamin D%gene polymorphism%vitamin D receptor%rational drug use
近年研究发现,维生素D缺乏除与骨软化相关外,还与高血压、糖尿病、代谢综合征等多种疾病相关。维生素D在体内经肝脏和肾脏两次羟基化后作用于其受体而发挥生理作用。笔者通过查阅国内外相关文献,介绍维生素D与疾病的关系及维生素D受体基因多态性研究现状,阐述检测维生素D常用方法的优缺点,提出检测维生素D的最佳方法及其受体基因多态性检测的重要性,从而指导临床医生合理用药。
近年研究髮現,維生素D缺乏除與骨軟化相關外,還與高血壓、糖尿病、代謝綜閤徵等多種疾病相關。維生素D在體內經肝髒和腎髒兩次羥基化後作用于其受體而髮揮生理作用。筆者通過查閱國內外相關文獻,介紹維生素D與疾病的關繫及維生素D受體基因多態性研究現狀,闡述檢測維生素D常用方法的優缺點,提齣檢測維生素D的最佳方法及其受體基因多態性檢測的重要性,從而指導臨床醫生閤理用藥。
근년연구발현,유생소D결핍제여골연화상관외,환여고혈압、당뇨병、대사종합정등다충질병상관。유생소D재체내경간장화신장량차간기화후작용우기수체이발휘생리작용。필자통과사열국내외상관문헌,개소유생소D여질병적관계급유생소D수체기인다태성연구현상,천술검측유생소D상용방법적우결점,제출검측유생소D적최가방법급기수체기인다태성검측적중요성,종이지도림상의생합리용약。
In recent years , many studies have found that vitamin D insufficiency is associated with osteomalacia , hyperten-sion, diabetes, metabolic syndrome and other diseases .Vitamin D must be hydroxylated in the liver by a 25-hydroxylase for the first time, and then in the kidney by a 1α-hydroxylase for the second time to form the active metabolite 1,25-dihydroxy vitamin D ,which binds to the intracellular vitamin D receptor and exerts its effects .This paper reviewed the relationship between vitamin D and disease , present research situation of gene polymorphism of vitamin D receptor , and the advantages and limitations of several methods of vitamin D detection, and proposed the best method for detecting vitamin D receptor gene polymorphism and the importance of the detection state to guide clinicians to use drug rationally .