Статья
ВИТАМИН D, ОЖИРЕНИЕ И РИСК КАРДИОРЕНАЛЬНЫХ НАРУШЕНИЙ У ДЕТЕЙ
В обзоре рассмотрены некоторые механизмы плейотропного действия витамина D, значимости уровня 25 (ОН)D в плазме как индикатора обеспеченности организма витамином, вопрос о токсичности витамина D. Отражены современные представления о строении и функциях витамин D-рецептора, регуляции экспрессии витамин D-зависимых генов. Обсуждается адипогенная активность витамина D, роль его метаболитов, витамин D-связывающего протеина, фактора роста фибробластов-23 в регуляции жирового, углеводного и энергетического обмена. Приводятся данные экспериментальных и клинических исследований влияния дефицита витамина D на развитие инсулинорезистентности, сердечно-сосудистых заболеваний и патологии почек. Показаны перспективы клинического применения витамина D в ренопротекции, влияния на ренин-ангиотензиновую систему, модификации эффектов гена, ассоциированного с ожирением (FTO) у детей. Требуются дальнейшие исследования для выработки практических рекомендаций по применению витамина D при ожирении и метаболическом синдроме у детей.
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