Vitamin D, in general, is a secosteroid generated in the skin when 7-dehydrocholesterol located there interacts with ultraviolet irradiation - like that commonly found in sunlight . Both the endogenous form of vitamin D (that results from 7-dehydrocholesterol transformation), vitamin D3 (cholecalciferol), and the plant-derived form, vitamin D2 (ergocalciferol), are considered the main forms of vitamin d and are found in various types of food for daily intake . Structurally, ergocalciferol differs from cholecalciferol in that it possesses a double bond between C22 and C23 and has an additional methyl group at C24 . Finally, ergocalciferol is pharmacologically less potent than cholecalciferol, which makes vitamin D3 the preferred agent for medical use .
Appropriate levels of vitamin D must be upheld in the body in order to maintain calcium and phosphorus levels in a healthy physiologic range to sustain a variety of metabolic functions, transcription regulation, and bone metabolism . However, studies are also ongoing to determine whether or not cholecalciferol may also play certain roles in cancer, autoimmune disorders, cardiovascular disease, and other medical conditions that may be associated with vitamin D deficiency .
Cholecalciferol use is indicated for the treatment of specific medical conditions like refractory rickets (or vitamin D resistant rickets), hypoparathyroidism, and familial hypophosphatemia .
Concurrently, as one of the most commonly utilized forms of vitamin D, cholecalciferol is also very frequently used as a supplement in individuals to maintain sufficient vitamin d levels in the body or to treat vitamin D deficiency, as well as various medical conditions that can be associated directly or indirectly with vitamin d insufficiency like osteoporosis and chronic kidney disease, among others .
University of Colorado Denver Clinical Translational Research Center, Aurora, Colorado, United States
Columbia University Medical Center, New York, New York, United States
Evergreen Center, Oregon City, Oregon, United States
Albert Einstein College of Medicine, Bronx, New York, United States
Royal Victoria Hospital, McGill University Health Center, Montreal, Quebec, Canada
Turku University Hospital, Turku, Finland
Children's Hospital of Wisconsin, Milwaukee, Wisconsin, United States
Children's Healthcare of Atlanta, Atlanta, Georgia, United States
Heart Center North Rhine-Westphalia, Bad Oeynhausen, Federal State of North Rhine-Westphalia, Germany
Carolina Urologic Research Center, Myrtle Beach, South Carolina, United States
University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Hospital, Baltimore, Maryland, United States
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