Key Points
1. Although vitamin D is a nutrient whose functions are most closely linked to the control of calcium and bone metabolism, it is also proposed to have a variety of other biological roles, including anti-cancer effects.
2. There is considerable controversy as to what constitutes optimal vitamin D status. While most accept that serum 25OHD levels < 25 nmol/l are deficient and lead to rickets in growing children, some argue that serum 25OHD levels > 80 nmol/l are necessary to optimize bone health and prevent other chronic diseases like cancer.
3. Epidemiological studies have shown that high UVB exposure is associated with lower risk of a wide variety of cancers. From these observations, researchers have hypothesized a link between UVB exposure–vitamin D status and cancer risk.
4. One way that cancer can influence the effects of 1,25(OH)2 D is by influencing its metabolism. Several groups have shown that CYP27b1 activity, and the ability to produce 1,25(OH)2 D locally, is lost as cancer develops.
5. Very few intervention studies have been conducted in the area of vitamin D and cancer. In addition, the development of effective vitamin D interventions for cancer prevention or treatment may be limited by the changes in vitamin D metabolism and signaling that have been documented to occur during carcinogenesis.
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Fleet, J.C. (2010). Vitamin D and Cancer Chemoprevention. In: Milner, J., Romagnolo, D. (eds) Bioactive Compounds and Cancer. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-627-6_17
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