Ercalcidiol
Detailed information about Ercalcidiol, its role, and significance in medicine.
Ercalcidiol[edit | edit source]
Ercalcidiol, also known as 25-hydroxyergocalciferol, is a vitamin D metabolite that plays a crucial role in the regulation of calcium and phosphate metabolism in the human body. It is a form of vitamin D2 that is hydroxylated in the liver, and it is an important marker for assessing vitamin D status in patients.
Chemical Structure and Properties[edit | edit source]
Ercalcidiol is a secosteroid, which means it is a steroid with a "broken" ring. Its chemical formula is C28H44O2, and it has a molecular weight of 412.65 g/mol. The structure of ercalcidiol includes a hydroxyl group at the 25th carbon position, which is critical for its biological activity.
Biosynthesis[edit | edit source]
Ercalcidiol is synthesized in the liver from ergocalciferol (vitamin D2) through the action of the enzyme 25-hydroxylase. Ergocalciferol is obtained from dietary sources or supplements and is converted to ercalcidiol as part of the body's mechanism to maintain adequate levels of active vitamin D.
Biological Role[edit | edit source]
Ercalcidiol is an intermediate in the metabolic pathway of vitamin D. It is further hydroxylated in the kidneys by the enzyme 1-alpha-hydroxylase to form calcitriol (1,25-dihydroxyvitamin D), the biologically active form of vitamin D. Calcitriol is essential for the absorption of calcium and phosphate from the gastrointestinal tract, and it plays a vital role in bone health and immune function.
Clinical Significance[edit | edit source]
The measurement of ercalcidiol levels in the blood is used to assess vitamin D status in patients. Low levels of ercalcidiol can indicate vitamin D deficiency, which is associated with conditions such as rickets in children and osteomalacia in adults. Conversely, high levels may indicate vitamin D toxicity, which can lead to hypercalcemia and associated complications.
Laboratory Measurement[edit | edit source]
Ercalcidiol levels are typically measured using immunoassays or liquid chromatography-tandem mass spectrometry (LC-MS/MS). These methods provide accurate quantification of ercalcidiol and other vitamin D metabolites in the serum.
Also see[edit | edit source]
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