This issue features internationally renowned experts who have
provided their expertise on a variety of topics related to the
importance of vitamin D. It was not until feedback loops were
identified between vitamin D production and parathyroid hormone,
phosphate that it earned its place as a true endocrine hormone.
Current social and economic conditions have brought it back into
the limelight with outbreaks of rickets and osteomalacia even in
developed countries. However its complex regulation, together with
the identification and characterization of the vitamin D receptor
and its role in influencing multiple genetic pathways and function
has heralded a new era highlighting its importance in health and
disease. This includes its role in autoimmune diseases such as
multiple sclerosis, diabetes mellitus, cancer especially breast and
prostate, skin, neurological and cognitive disorders, and
infectious diseases such as tuberculosis. We now know that adequate
levels of vitamin D it is important in preventing falls and
fracture. The need for supplementation and the amount recommended
has also changed considerably from what we previously considered
sufficient. The ongoing development of selective active analogs of
vitamin D targeted to specific organs and function leads to the
exciting possibility of improving outcomes of diseases associated
with vitamin D regulation.
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