Journal
NUTRIENTS
Volume 14, Issue 10, Pages -Publisher
MDPI
DOI: 10.3390/nu14102113
Keywords
acute pancreatitis; chronic pancreatitis; vitamin D; vitamin D receptor; vitamin D analog
Categories
Funding
- National Natural Science Foundation of China [82074230, 82104715]
- Sichuan Provincial Department of Science and Technology [2020YJ0235]
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Vitamin D metabolic disorder is implicated in both acute and chronic pancreatitis, with studies showing its anti-inflammatory and anti-fibrotic effects through binding with VDR. Further research is needed to establish the protective role of vitamin D in pancreatitis, but current evidence suggests that assessing and supplementing vitamin D levels are important strategies for management.
Emerging research indicates that vitamin D metabolic disorder plays a major role in both acute pancreatitis (AP) and chronic pancreatitis (CP). This has been demonstrated by studies showing that vitamin D deficiency is associated with pancreatitis and its anti-inflammatory and anti-fibrotic effects by binding with the vitamin D receptor (VDR). However, the role of vitamin D assessment and its management in pancreatitis remains poorly understood. In this narrative review, we discuss the recent advances in our understanding of the molecular mechanisms involved in vitamin D/VDR signaling in pancreatic cells; the evidence from observational studies and clinical trials that demonstrate the connection among vitamin D, pancreatitis and pancreatitis-related complications; and the route of administration of vitamin D supplementation in clinical practice. Although further research is still required to establish the protective role of vitamin D and its application in disease, evaluation of vitamin D levels and its supplementation should be important strategies for pancreatitis management according to currently available evidence.
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