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Vitamin D
Comprehensive Course
Module 1
Vitamin D Physiology
Dr. Samar Abbas Jaffri
MBBS, MRCP(UK), FCPS(Med), FRCP(Edin)
Consultant Physician & Assistant Professor
Department of Medicine,
Liaquat National Hospital & Medical College,
Karachi
Physiology
Vitamin D Receptor
VDR Polymorphism
 VDR gene polymorphism restricts anti-
imflammatory action of vitamin D by altering the 1,
25(OH)2 D3 binding sites
 Arthritis: rs10735810, rs1544410, rs7975232, and
rs731236 associated with the onset of arthritis
 Metabolic Syndrome: rs7975232, and rs1544410
variants associated
 Fokl variant is associated with elevated circulating
FFA and Adipose tissue IR
 Multiple sclerosis: TaqI, Bsml polymorphism increase
susceptibility; ApaI decreases risk
 Cirrhosis: ApaI, TaqI and BsmI associated with
severity; FokI possibly protective
VDR Polymorphism &
Malignancies
Different Forms of Vitamin D
Cholecalciferol Ergocalciferol
Vitamin D3 Vitamin D2
Animal source Plant source
Naturally derived supplement Synthetic supplement
Significantly increases Vitamin D
levels in body
Moderately increases Vitamin D
levels in body
Optimal for bone and immune support Suitable alternative for vegetarians
 5 subtypes – Vitamin D1, D2, D3, D4 & D5
Vitamin D Deficiency
Epidemiology
Age & Occupation
Risk Factors
Clinical
Impact
Vitamin d physiology

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Vitamin d physiology

  • 3. Vitamin D Physiology Dr. Samar Abbas Jaffri MBBS, MRCP(UK), FCPS(Med), FRCP(Edin) Consultant Physician & Assistant Professor Department of Medicine, Liaquat National Hospital & Medical College, Karachi
  • 4.
  • 7. VDR Polymorphism  VDR gene polymorphism restricts anti- imflammatory action of vitamin D by altering the 1, 25(OH)2 D3 binding sites  Arthritis: rs10735810, rs1544410, rs7975232, and rs731236 associated with the onset of arthritis  Metabolic Syndrome: rs7975232, and rs1544410 variants associated  Fokl variant is associated with elevated circulating FFA and Adipose tissue IR  Multiple sclerosis: TaqI, Bsml polymorphism increase susceptibility; ApaI decreases risk  Cirrhosis: ApaI, TaqI and BsmI associated with severity; FokI possibly protective
  • 9. Different Forms of Vitamin D Cholecalciferol Ergocalciferol Vitamin D3 Vitamin D2 Animal source Plant source Naturally derived supplement Synthetic supplement Significantly increases Vitamin D levels in body Moderately increases Vitamin D levels in body Optimal for bone and immune support Suitable alternative for vegetarians  5 subtypes – Vitamin D1, D2, D3, D4 & D5
  • 11.
  • 12.