Ergocalciferol: Difference between revisions
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{{Short description|Vitamin D2, a chemical compound}} | {{Short description|Vitamin D2, a chemical compound}} | ||
{{Infobox drug | {{Infobox drug | ||
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| pronounce = | | pronounce = | ||
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| ATC_supplemental = | | ATC_supplemental = | ||
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| legal_AU = <!-- S2, S3, S4, S5, S6, S7, S8, S9 or Unscheduled--> | | legal_AU = <!-- S2, S3, S4, S5, S6, S7, S8, S9 or Unscheduled--> | ||
| legal_AU_comment = | | legal_AU_comment = | ||
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| legal_status = <!--For countries not listed above--> | | legal_status = <!--For countries not listed above--> | ||
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| bioavailability = | | bioavailability = | ||
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<!-- Identifiers --> | <!-- Identifiers --> | ||
| CAS_number = 50-14-6 | | CAS_number = 50-14-6 | ||
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| synonyms = viosterol | | synonyms = viosterol | ||
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<!-- Chemical and physical data --> | <!-- Chemical and physical data --> | ||
| IUPAC_name = (3''S'',5''Z'',7''E'',22''E'')-9,10-secoergosta-5,7,10(19),22-tetraen-3-ol | | IUPAC_name = (3''S'',5''Z'',7''E'',22''E'')-9,10-secoergosta-5,7,10(19),22-tetraen-3-ol | ||
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}} | }} | ||
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<!-- Definition and medical uses --> | <!-- Definition and medical uses --> | ||
'''Ergocalciferol''', also known as '''vitamin D<sub>2</sub>''' and nonspecifically '''calciferol''', is a type of [[vitamin D]] found in food and used as a [[dietary supplement]]. As a supplement it is used to prevent and treat [[vitamin D deficiency]]. This includes vitamin D deficiency due to [[malabsorption|poor absorption by the intestines]] or [[liver disease]]. It may also be used for [[hypocalcemia|low blood calcium]] due to [[hypoparathyroidism]]. It is used by mouth or [[intramuscular|injection into a muscle]]. | '''Ergocalciferol''', also known as '''vitamin D<sub>2</sub>''' and nonspecifically '''calciferol''', is a type of [[vitamin D]] found in food and used as a [[dietary supplement]]. As a supplement it is used to prevent and treat [[vitamin D deficiency]]. This includes vitamin D deficiency due to [[malabsorption|poor absorption by the intestines]] or [[liver disease]]. It may also be used for [[hypocalcemia|low blood calcium]] due to [[hypoparathyroidism]]. It is used by mouth or [[intramuscular|injection into a muscle]]. | ||
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Excessive doses can result in increased urine production, [[high blood pressure]], [[kidney stones]], [[kidney failure]], weakness, and constipation. If high doses are taken for a long period of time, [[tissue calcification]] may occur. Normal doses are safe in [[pregnancy]]. It works by increasing the amount of [[calcium]] absorbed by the intestines and kidneys. Food in which it is found include some [[mushrooms]]. | Excessive doses can result in increased urine production, [[high blood pressure]], [[kidney stones]], [[kidney failure]], weakness, and constipation. If high doses are taken for a long period of time, [[tissue calcification]] may occur. Normal doses are safe in [[pregnancy]]. It works by increasing the amount of [[calcium]] absorbed by the intestines and kidneys. Food in which it is found include some [[mushrooms]]. | ||
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Ergocalciferol was first described in 1936. Ergocalciferol is available as a [[generic medication]] and [[over the counter]]. Certain foods such as [[breakfast cereal]] and [[margarine]] have ergocalciferol added to them in some countries. | Ergocalciferol was first described in 1936. Ergocalciferol is available as a [[generic medication]] and [[over the counter]]. Certain foods such as [[breakfast cereal]] and [[margarine]] have ergocalciferol added to them in some countries. | ||
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==Use== | ==Use== | ||
[[File:Vitamin D pills.jpg|thumb|Vitamin D<sub>2</sub> supplements]] | [[File:Vitamin D pills.jpg|thumb|Vitamin D<sub>2</sub> supplements]] | ||
Ergocalciferol may be used as a vitamin D [[dietary supplement|supplement]], whereas [[cholecalciferol]] (vitamin D<sub>3</sub>) is produced naturally by the skin when exposed to ultraviolet light. Ergocalciferol (D<sub>2</sub>) and cholecalciferol (D<sub>3</sub>) are considered to be equivalent for vitamin D production, as both forms appear to have similar efficacy in ameliorating [[rickets]] Conflicting reports exist, however, concerning the relative effectiveness, with some studies suggesting that ergocalciferol has less efficacy based on limitations in absorption, binding, and inactivation. A [[meta-analysis]] concluded that evidence usually favors cholecalciferol in raising vitamin D levels in blood, although it stated more research is needed. | Ergocalciferol may be used as a vitamin D [[dietary supplement|supplement]], whereas [[cholecalciferol]] (vitamin D<sub>3</sub>) is produced naturally by the skin when exposed to ultraviolet light. Ergocalciferol (D<sub>2</sub>) and cholecalciferol (D<sub>3</sub>) are considered to be equivalent for vitamin D production, as both forms appear to have similar efficacy in ameliorating [[rickets]] Conflicting reports exist, however, concerning the relative effectiveness, with some studies suggesting that ergocalciferol has less efficacy based on limitations in absorption, binding, and inactivation. A [[meta-analysis]] concluded that evidence usually favors cholecalciferol in raising vitamin D levels in blood, although it stated more research is needed. | ||
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==Mechanism== | ==Mechanism== | ||
Ergocalciferol is a [[secosteroid]] formed by a [[photochemistry|photochemical]] bond breaking of a [[steroid]], specifically, by the action of [[ultraviolet light]] (UV-B or UV-C) on [[ergosterol]], a form of provitamin D<sub>2</sub>. | Ergocalciferol is a [[secosteroid]] formed by a [[photochemistry|photochemical]] bond breaking of a [[steroid]], specifically, by the action of [[ultraviolet light]] (UV-B or UV-C) on [[ergosterol]], a form of provitamin D<sub>2</sub>. | ||
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Like [[cholecalciferol]], ergocalciferol is inactive by itself. It requires two [[hydroxylation]]s to become active: the first in the liver by [[CYP2R1]] to form 25-hydroxyergocalciferol (ercalcidiol or 25-OH D<sub>2</sub>), and the second in the kidney by [[CYP27B1]], to form the active 1,25-dihydroxyergocalciferol (ercalcitriol or 1,25-(OH)<sub>2</sub>D<sub>2</sub>), which activates the [[vitamin D receptor]]. Unlike [[cholecalciferol]], 25-hydroxylation is not performed by [[CYP27A1]] for ergocalciferol. | Like [[cholecalciferol]], ergocalciferol is inactive by itself. It requires two [[hydroxylation]]s to become active: the first in the liver by [[CYP2R1]] to form 25-hydroxyergocalciferol (ercalcidiol or 25-OH D<sub>2</sub>), and the second in the kidney by [[CYP27B1]], to form the active 1,25-dihydroxyergocalciferol (ercalcitriol or 1,25-(OH)<sub>2</sub>D<sub>2</sub>), which activates the [[vitamin D receptor]]. Unlike [[cholecalciferol]], 25-hydroxylation is not performed by [[CYP27A1]] for ergocalciferol. | ||
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Ergocalciferol and metabolites have lower affinity to the [[vitamin D-binding protein]] compared to the D<sub>3</sub> counterparts. The binding affinity of ercalcitriol to the vitamin D receptor is similar to that of [[calcitriol]]. Ergocalciferol itself and metabolites can be deactivated by 24-hydroxylation. | Ergocalciferol and metabolites have lower affinity to the [[vitamin D-binding protein]] compared to the D<sub>3</sub> counterparts. The binding affinity of ercalcitriol to the vitamin D receptor is similar to that of [[calcitriol]]. Ergocalciferol itself and metabolites can be deactivated by 24-hydroxylation. | ||
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==Sources== | ==Sources== | ||
'''Fungus''', from USDA nutrient database (per 100g), D<sub>2</sub> + D<sub>3</sub>: | '''Fungus''', from USDA nutrient database (per 100g), D<sub>2</sub> + D<sub>3</sub>: | ||
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** dried: Vitamin D (D<sub>2</sub> + D<sub>3</sub>): 3.9 μg (154 IU) | ** dried: Vitamin D (D<sub>2</sub> + D<sub>3</sub>): 3.9 μg (154 IU) | ||
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'''Lichen''' | '''Lichen''' | ||
* ''[[Cladina]] arbuscula'' specimens grown under different natural conditions contain provitamin D<sub>2</sub> and vitamin D<sub>2</sub>, ranges 89-146 and 0.22-0.55 μg/g dry matter respectively. They also contain vitamin D<sub>3</sub> (range 0.67 to 2.04 μg/g) although provitamin D<sub>3</sub> could not be detected. Vitamin D levels correlate positively with UV irradiation. | * ''[[Cladina]] arbuscula'' specimens grown under different natural conditions contain provitamin D<sub>2</sub> and vitamin D<sub>2</sub>, ranges 89-146 and 0.22-0.55 μg/g dry matter respectively. They also contain vitamin D<sub>3</sub> (range 0.67 to 2.04 μg/g) although provitamin D<sub>3</sub> could not be detected. Vitamin D levels correlate positively with UV irradiation. | ||
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'''Plantae''' | '''Plantae''' | ||
* [[Alfalfa]] (''Medicago sativa'' subsp. sativa), shoot: 4.8 μg (192 IU) vitamin D<sub>2</sub>, 0.1 μg (4 IU) vitamin D<sub>3</sub> | * [[Alfalfa]] (''Medicago sativa'' subsp. sativa), shoot: 4.8 μg (192 IU) vitamin D<sub>2</sub>, 0.1 μg (4 IU) vitamin D<sub>3</sub> | ||
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=== Biosynthesis === | === Biosynthesis === | ||
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The vitamin D<sub>2</sub> content in mushrooms and ''C. arbuscula'' increase with exposure to ultraviolet light. [[Ergosterol]] (provitamin D<sub>2</sub>) found in these fungi is converted to previtamin D<sub>2</sub> on UV exposure, which then turns into vitamin D<sub>2</sub>. As cultured mushrooms are generally grown in darkness, less vitamin D<sub>2</sub> is found compared to those grown in the wild or dried in the sun. | The vitamin D<sub>2</sub> content in mushrooms and ''C. arbuscula'' increase with exposure to ultraviolet light. [[Ergosterol]] (provitamin D<sub>2</sub>) found in these fungi is converted to previtamin D<sub>2</sub> on UV exposure, which then turns into vitamin D<sub>2</sub>. As cultured mushrooms are generally grown in darkness, less vitamin D<sub>2</sub> is found compared to those grown in the wild or dried in the sun. | ||
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When fresh mushrooms or dried powders are purposely exposed to ultraviolet light, vitamin D<sub>2</sub> levels can be concentrated to much higher levels. The irradiation procedure does not cause significant discoloration, or whitening, of mushrooms. Claims have been made that a normal serving (approx. 2 oz or 60 grams) of fresh mushrooms treated with ultraviolet light have increased vitamin D content to levels up to 80 micrograms or 3200 IU if exposed to just five minutes of UV light after being harvested. | When fresh mushrooms or dried powders are purposely exposed to ultraviolet light, vitamin D<sub>2</sub> levels can be concentrated to much higher levels. The irradiation procedure does not cause significant discoloration, or whitening, of mushrooms. Claims have been made that a normal serving (approx. 2 oz or 60 grams) of fresh mushrooms treated with ultraviolet light have increased vitamin D content to levels up to 80 micrograms or 3200 IU if exposed to just five minutes of UV light after being harvested. | ||
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Button mushrooms with enhanced vitamin D<sub>2</sub> content produced this way functions similarly to a vitamin D<sub>2</sub> supplement; both effectively improves vitamin D status. Vitamin D<sub>2</sub> from UV-irradiated yeast baked into bread or mushrooms is bioavailable and increases blood levels of 25(OH)D. | Button mushrooms with enhanced vitamin D<sub>2</sub> content produced this way functions similarly to a vitamin D<sub>2</sub> supplement; both effectively improves vitamin D status. Vitamin D<sub>2</sub> from UV-irradiated yeast baked into bread or mushrooms is bioavailable and increases blood levels of 25(OH)D. | ||
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==Names== | ==Names== | ||
Viosterol, the name given to early preparations of irradiated ergosterol, is essentially synonymous with ergocalciferol. However, currently, Viosterol is also the brand name for [[cholecalciferol]] (vitamin D<sub>3</sub>) in some countries. | Viosterol, the name given to early preparations of irradiated ergosterol, is essentially synonymous with ergocalciferol. However, currently, Viosterol is also the brand name for [[cholecalciferol]] (vitamin D<sub>3</sub>) in some countries. | ||
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Ergocalciferol is manufactured and marketed under various names, including Deltalin ([[Eli Lilly and Company]]), Drisdol (Sanofi-Synthelabo), and Calcidol (Patrin Pharma). | Ergocalciferol is manufactured and marketed under various names, including Deltalin ([[Eli Lilly and Company]]), Drisdol (Sanofi-Synthelabo), and Calcidol (Patrin Pharma). | ||
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== External links == | == External links == | ||
* [https://webbook.nist.gov/cgi/cbook.cgi?ID=C50146 NIST Chemistry WebBook page for ergocalciferol] | * [https://webbook.nist.gov/cgi/cbook.cgi?ID=C50146 NIST Chemistry WebBook page for ergocalciferol] | ||
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{{Vitamins}} | {{Vitamins}} | ||
{{Sterols}} | {{Sterols}} | ||
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{{Portal bar|Medicine}} | {{Portal bar|Medicine}} | ||
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{{二次利用|date=22 March 2024}} | {{二次利用|date=22 March 2024}} | ||
[[Category:Cyclohexanols]] | [[Category:Cyclohexanols]] | ||
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[[Category:Wikipedia medicine articles ready to translate]] | [[Category:Wikipedia medicine articles ready to translate]] | ||
[[Category:Vinylidene compounds]] | [[Category:Vinylidene compounds]] | ||
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