2010, Número 4
<< Anterior Siguiente >>
Rev Endocrinol Nutr 2010; 18 (4)
Vitamina D y diabetes mellitus tipo 2
Gómez-Cruz JR
Idioma: Español
Referencias bibliográficas: 46
Paginas: 186-193
Archivo PDF: 338.88 Kb.
RESUMEN
La importancia de la vitamina D en el metabolismo óseo y mineral es bien conocida. Recientemente se ha generado un cúmulo de conocimientos sobre otras acciones de la VD, en particular sobre su participación en el metabolismo de la glucosa. Estudios en animales y en humanos demostraron que modula tanto la secreción como la sensibilidad a la insulina. Para explorar la asociación entre los niveles de VD y el riesgo de diabetes mellitus (DM) se revisó la evidencia disponible hasta el momento, empezando con estudios transversales, pasando por estudios de cohortes y terminando con los estudios de intervención, con un breve comentario acerca de los hallazgos de estudios genéticos. Los estudios observacionales, tanto transversales como de cohortes demostraron una asociación consistente e inversa entre los niveles de VD y el riesgo de DM, sin embargo, los estudios de intervención presentan datos no tan claros, posiblemente relacionados con la metodología empleada. Este contexto abre la oportunidad de desarrollar nuevos trabajos prospectivos y experimentales que permitan responder de manera más firme esta asociación.
REFERENCIAS (EN ESTE ARTÍCULO)
Holick M. Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr 2004; 79: 362-371.
Deluca H, Cantorna M. Vitamin D: its role and uses in immunology. FASEB J 2001; 15: 2579-2585.
Zella J, Deluca H. Vitamin D and autoimmune diabetes. J Cell Biochem 2003; 88: 216-222.
Zittermann A. Vitamin D in preventive medicine: are we ignoring the evidence? Br J Nutr 2003; 89: 552- 572.
Mathieu C, Gysemans C, Giulietti A, Bouillon R. Vitamin D and diabetes. Diabetologia 2005; 48: 1247-1257.
Ogunkolade B, Boucher B, Prahj J et al. Vitamin D receptor (VDR) mRNA and VDR protein levels in relation to vitamin D status, insulin secretory capacity and VDR genotype in Blangadeshi Asians. Diabetes 2002; 51: 2294-2300.
Bikle D. Clinical counterpoint: Vitamin D: new actions, new analogs, new therapeutic potential. Endocr Rev 1992; 13: 765-784.
Giulietti A, van Etten E, Overbergh L et al. Monocytes from type 2 diabetic patients have a pro-inflammatory profile. 1,25-Dihydroxyvitamin D(3) works as anti-inflammatory. Diabetes Res Clin Pract 2007; 77: 47-57.
Rigby WF, Denome S, Fanger MW. Regulation of lymphokine production and human T lymphocyte activation by 1,25-dihydroxyvitamin D3. Specific inhibition at the level of messenger RNA. J Clin Invest 1987; 79: 1659-1664.
Morrissey RL, Bucci TJ, Empson RN et al. Calcium binding protein: its cellular localization in jejunum, kidney and pancreas. Proc Soc Exp Biol Med 1975; 149: 56-60.
Ishida H, Norman AW. Demonstration of a high affinity receptor for 1,25-dihydroxyvitamin D3 in rat pancreas. Mol Cell Endocrinol 1988; 60: 109-117.
Johnson JA, Grande JP, Roche PC et al. Immunohistochemical localization of the 1, 25(OH)2D3 receptor and calbindin D28K in human and rat pancreas. Am J Physiol 1994; 267: E356-E360.
Milner R, Hales C. The role of calcium and magnesium in insulin secretion from rabbit pancreas studied in vitro. Diabetologia 1967; 3: 47-49.
Chiu K, Chu A, Go V. Hypovitaminosis D is associated with insulin resistance and beta cell dysfunction. Am J Nutr 2004; 79: 820-825.
Norman A, Frankel J, Heldt A, Grodsky G. Vitamin D deficiency inhibits pancreatic secretion of insulin. Science 1980; 209: 823-825
Kadowaki S, Norman A. Dietary vitamin D is essential for normal insulin secretion from the perfused rat pancreas. J Clin Invest 1984; 73: 759-766.
Gedik O, Akalin S. Effects of Vitamin D deficiency and repletion on insulin and glucagon secretion in man. Diabetologia 1986; 29: 142-145.
Inomata S, Kadowaki S, Yamatani T et al. Effect of 1a(OH)-vitamin D3 on insulin secretion in diabetes mellitus. Bone Miner 1986; 1: 187-192.
Orwoll E, Riddle M, Prince M. Effects of vitamin D on insulin and glucagon secretion in non-insulindependent diabetes mellitus. Am J Clin Nutr 1994; 59: 1083-1087.
Sergeev IN, Rhoten WB. 1,25-Dihydroxyvitamin D3 evokes oscillations of intracellular calcium in a pancreatic b-cell line. Endocrinology 1995; 136: 2852-2861.
Boucher BJ. Inadequate vitamin D status: does it contribute to the disorders comprising syndrome ‘‘X’’. Br J Nutr 1998; 79: 315-327.
Wright DC, Hucker KA, Holloszy JO et al. Ca2+ and AMPK both mediate stimulation of glucose transport by muscle contractions. Diabetes 2004; 53: 330-335.
Ojuka EO. Role of calcium AMP kinase in the regulation of mitochondrial biogenesis and GLUT4 levels in muscle. Proc Nutr Soc 2004; 63: 275-278.
Maestro B, Molero S, Bajo S et al. Transcriptional activation of the human insulin receptor gene by 1, 25-dihydroxyvitamin D(3). Cell Biochem Funct 2002; 20: 227-232.
Maestro B, Campion J, Davila N et al. Stimulation by 1,25 dihydroxyvitamin D3 of insulin receptor expression and insulin responsiveness for glucose transport in U-937 human promonocytic cells. Endocr J 2000; 47: 383-391.
Alvarez J, Bush N, Choquette S, Hunter S, Darnell B, Oster R, Gower B. Vitamin D intake is associated with insulin sensitivity in African American, but not European American, women. Nutr Metab (Lond) 2010; 7: 28.
Scragg R, Sowers MF, Bell C. Serum 25-hydroxyvitamin D, diabetes and ethnicity in the Third National Health and Nutrition Examination Survey. Diabetes Care 2004; 27: 2813-2818.
Ozfirat Z, Chowdhury T. Vitamin D deficiency and type 2 diabetes. Postgrad Med J 2010; 86: 18-25.
Hypponen E, Boucher BJ, Berry DJ et al. 25-hydroxyvitamin D, IGF-1, and metabolic syndrome at 45 years of age: a cross sectional study in the 1958 British Birth Cohort. Diabetes 2008; 57: 298-305.
Need AG, O’Loughlin PD, Horowitz M et al. Relationship between fasting serum glucose, age, body mass index and serum 25-hydroxyvitamin D in postmenopausal women. Clin Endocrinol (Oxf) 2005; 62: 738-741.
Scragg R, Holdaway I, Singh V et al. Serum 25-hydroxyvitamin Ds levels decreased in IGT and diabetes. Diabetes Res Clin Pract 1995; 27: n181-188.
Baynes KC, Boucher BJ, Feskens EJ et al. Vitamin D glucose tolerance and insulinaemia in elderly men. Diabetologia 1997; 40: 344-347.
Boucher BJ, Mannan N, Noonan K et al. Glucose intolerance and impairment of insulin secretion in relation to vitamin D deficiency in East London Asians. Diabetologia 1995; 38: 1239-1245.
Mattila C, Laaksonen MA, Knekt P, et al. Serum 25-hydroxyvitamin D concentration and subsequent risk of type 2 diabetes. Diabetes Care 2007; 30: 2569-2570.
Pittas AG, Willett WC, Dawson-Hughes B et al. Vitamin D and calcium intake in relation to type 2 diabetes in women. Diabetes Care 2006; 29: 650-656.
Liu S, Klevak A, Choi HK et al. A prospective study of dairy intake and the risk of type 2 diabetes in women. Diabetes Care 2006; 29: 1579-1584.
Orwoll E, Riddle M, Prince M. Effects of vitamin D on insulin and glucagon secretion in non-insulin-dependent diabetes mellitus. Am J Clin Nutr 1994; 59: 1083-1087.
Borissova AM, Tankova T, Kirilov G et al. The effect of vitamin D3 on insulin secretion and peripheral insulin sensitivity in type 2 diabetic patients. Int J Clin Pract 2003; 57: 258-261.
Pittas AG, Harris SS, Stark PC, Dawson-Hughes B. The effects of calcium and vitamin D supplementation on blood glucose and markers of inflammation in non-diabetic adults. Diabetes Care 2007; 30: 980-986.
Nagpal J, Pande JN, Bhartia A. A double-blind, randomized, placebo-controlled trial of the short-term effect of vitamin D3 supplementation on insulin sensitivity in apparently healthy, middle-aged, centrally obese men. Diabet Med 2009; 26: 19-27.
Von Hurst P, Stonehouse W, Coad J. Vitamin D supplementation reduces insulin resistance in South Asian women living in New Zealand who are insulin resistant and vitamin D deficient - a randomized, placebo-controlled trial. Br J Nutr 2009; 102: 1-7.
Ljunghall S, Lind L, Lithell H et al. Treatment with one-alphahydroxycholecalciferol in middle aged men with impaired glucose tolerance–a prospective randomized double-blind study. Acta Med Scand 1987; 222: 361-367.
Oh JY, Barrett Connor E. Association between vitamin D receptor polymorphism and type 2 diabetes or metabolic syndrome in community-dwelling older adults: the Rancho Bernardo Study. Metabolism 2002; 51: 356-359.
Filus A, Trzmiel A, Kuliczkowska-Płaksej J et al. Relationship between vitamin D receptor BsmI and FokI polymorphisms and anthropometric and biochemical parameters describing metabolic syndrome. Aging Male 2008; 11: 134-139.
Ortlepp J, Metrikat J, Albrecht M, von Korff A, Hanrath P, Hoffmann R. The vitamin D receptor gene variant and physical activity predicts fasting glucose levels in healthy young men. Diabet Med 2003; 20: 451-454.
Chiu K, Chuang L, Yoon C. The vitamin D receptor polymorphism in the translation initiation codon is a risk factor for insulin resistance in glucose tolerant Caucasians. BMC Med Genet 2001; 2: 2.