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                          Vitamin D: Role in Cancer Prevention and Treatment




                              1
             Dr Pallavi Mahajan , Dr Deepak Abrol 2
             1. Department of Biochemistry, Government Medical College, Jammu
             2. Department of Radiotherapy, Government Medical College, Jammu






       Vitamin D, traditionally known as an essential nutrient, is a precursor of a potent steroid hormone that regulates a

       broad spectrum of physiological processes. In addition to its classical roles in bone metabolism, epidemiological,
       preclinical, and cellular research during the last decades, it revealed that vitamin D may play a key role in the
       prevention and treatment of many extra-skeletal diseases such as cancer. However, accumulating data suggest that

       the metabolism and functions of vitamin D are dysregulated in many types of cancer, conferring resistance to the anti-
       tumorigenic effects of vitamin D and thereby contributing to the development and progression of cancer. Thus,
       understanding dysregulated vitamin D metabolism and function in cancer will be critical for the development of

       promising new strategies for successful vitamin D-based cancer therapy. The hormone exerts its effects through the
       vitamin D receptor (VDR), a member of the nuclear receptor superfamily. VDR is present not only in cells and tissues
       involved in calcium regulation but also a wide variety of other cells including malignant cells. Both prospective and

       retrospective studies help support the concept that it is vitamin D deficiency that is the driving force for increased risk of
       common cancers in people living at higher latitudes. Most tissues and cells not only have a vitamin D receptor, but also
       have the ability to make 1,25-dihydroxyvitamin D. It has been suggested that increasing vitamin D intake or sun

       exposure  increases  circulating  concentrations  of  25-hydroxyvitamin  D,  which  in  turn,  is  metabolized  to  1,25-
       dihydroxyvitamin D3 in prostate, colon, breast, etc. The local cellular production of 1,25-dihydroxyvitamin D acts in an
       autocrine  fashion  to  regulate  cell  growth  and  decrease  the  risk  of  the  cells  becoming  malignant.  Therefore,

       measurement of 25-hydroxyvitamin D is important not only to monitor vitamin D status for bone health, but also for
       cancer prevention.
       Keywords: Vitamin D, Cancer, Prevention, Treatment.



















             Corresponding Author
             Dr. Pallavi Mahajan
             Department of Biochemistry,
             Government Medical College, Jammu








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