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39 Cards in this Set

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What is the most bioactive form of Vitamin D?
1,25(OH)2D3
What is the name of Provitamin D3?
7,8-dehydrocholesterol
What are the 3 sites of Vitamin D metabolism? (in order)
Epidermal
Hepatic
Renal
Describe epidermal metabolism of Vitamin D
7,8-dehydrocholesterol is made into Previtam D3 via UV rays. Previtamin D3 is isomerized into Vitamin D3 via heat from sun.
What does Vitamin D bind to?
DBP (Vitamin D Binding Protein)
What carries vitamin D from lymph system to circulatory system and then to the liver?
Chylomicron
Which 2 dietary sources do vitamin D come from?
Meat = D3
Plant/fungal source = D2
Where will carnivores get most of their Vitamin D from?
Dietary sources
Where will diurnal omnivorous reptiles get most of their Vitamin D from?
Epidermal synthesis
Primary source of hepatically metabolized Vitamin D is: free or bound Vitamin D3?
Free
What do the microsomes in liver do?
Convert Vitamin D3 to other form of Vitamin D
What's inside microsome?
Enzymes
Since PTH cant freely enter cell, what does it do?
It acts on the promoter of 1a(OH)ase, which takes in the 25(OH)D3 and converts it to 1,25(OH)2D3
What happens with bioactive form?
It is released into circulation
Some of the 1,25(OH)2D3 does not leave cell....what does it do?
Inhibits PTH from going to receptor & starting the cascade of events
How else does it inhibit the cascade?
It inhibits 1a(OH)ase & stimulates the synthesis of 24(OH)ase, which makes 24,25(OH)2D3
What does legumain do?
Degrades DBP & frees Vitamin D3 in proximal tubule.
What transports Vit D3 to mitochondria?
IDBP-3
What happens in the mitochondria?
Bioactive form is produced
What takes the bioactive form to the nucleus?
IDBP-1
What happens once it's in the nucleus?
Production of 24(OH)ase increases and production of 1a(OH)ase decreases
What does the bioactive form of Vitamin D3 bind to?
VDR
Which Vitamin D actions are rapid?
Non-genomic actions
Which Vitamin D actions are slow?
Genomic actions
What is Vitamin D's primary actin?
To increase circulating calcium
Which are the responsive tissues?
Intestine, bone, PTH gland, kidney
What does PTH do?
Increases reabsorption calcium from the renal tubules and increases phosphate excretion from kidneys
When does PTH levels increase?
When calcium blood levels are low
What does calcitonin do?
Decreases reabsorption of calcium
What does VDR do when it binds to VDR?
VDR inhibits transcription of PTH
What are the actions of 1,25(OH)2D3 in parathyroid?
Increases VDR expression, increases CaSR , decreases parathyroid cell growth
Most effective action in suppression of PTH is in concert with what?
Calcium
What do antigen presenting cells and T lymphocytes do?
Possess VDR, synthesize 1a(OH)ase, and stimulates 24(OH)ase activity
Vitamin D (analogs & metabolites) have most similar properties to:
a. Minerals
b. Polypeptides
c. Receptors
d. Steroids
Steroids
>99% of circulating Vitamin D compounds compounds are protein bound, mostly to:
a. Albumin
b. Chylomicron
c. DBP
d. Hemoglobin
DBP
Most active form of Vitamin D is:
1a, 25-dihydroxyvitamin D3
Which organ/tissue is primary site where Vitamin D is transformed to most bioactive form?
Kidney
Cellular effects of Vitamin D occur mostly via genomic actions or nongenomic actions?
Genomic actions
Not classic Vitamin D response tissue but falls in nonclassic system?
a. Bone
b. Intestine
c. Kidney
d. Parathyroid
e. Rennin-angiotensin system
Rennin-angiotensin system