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Vitamin D and Melanoma

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Resumo:Vitamin D plays an important role in calcium homeostasis and bone metabolism. Recently, vitamin D was shown to play an important part in cancer pathology and, more specifically, in melanoma. Seric deficiency of 25(OD)D3, active precursor of vitamin D, has been linked to higher incidence and poorer melanoma prognosis. In vitro studies of several tumors showed that vitamin D supplementation has anti-inflammatory and pro-apoptotic properties, induces differentiation, inhibits proliferation and sensitizes tumoral cells to anti-tumoral therapies. Also, the modulation of the expression of vitamin D receptors (VSR) seems to be implied on vitamin D anti-tumoral effect. The relationship between vitamin D and melanoma becomes more controversial when vitamin D synthesis through UV radiation is associated with increased melanoma risk. In this article we review present bibliography and present clinical suggestions concerning solar exposure, seric blood levels of vitamin D and reduction of melanoma incidence and prognosis.
Autores principais:Maia Silva, João
Outros Autores:de Sousa Teixeira, Catarina; Correia, Miguel
Assunto:Melanoma Skin Neoplasms Sunlight Vitamin D. Luz Solar Melanoma Neoplasias da Pele Vitamina D.
Ano:2017
País:Portugal
Tipo de documento:artigo
Instituição associada:Sociedade Portuguesa de Dermatologia e Venereologia
Idioma:português
Origem:Portuguese Journal of Dermatology
Descrição
Resumo:Vitamin D plays an important role in calcium homeostasis and bone metabolism. Recently, vitamin D was shown to play an important part in cancer pathology and, more specifically, in melanoma. Seric deficiency of 25(OD)D3, active precursor of vitamin D, has been linked to higher incidence and poorer melanoma prognosis. In vitro studies of several tumors showed that vitamin D supplementation has anti-inflammatory and pro-apoptotic properties, induces differentiation, inhibits proliferation and sensitizes tumoral cells to anti-tumoral therapies. Also, the modulation of the expression of vitamin D receptors (VSR) seems to be implied on vitamin D anti-tumoral effect. The relationship between vitamin D and melanoma becomes more controversial when vitamin D synthesis through UV radiation is associated with increased melanoma risk. In this article we review present bibliography and present clinical suggestions concerning solar exposure, seric blood levels of vitamin D and reduction of melanoma incidence and prognosis.