Guest guest Posted July 6, 2005 Report Share Posted July 6, 2005 Tho it may have pathological consequences in some cases, I wouldnt call the elevation of 1,25 in disease " dysregulation, " unless you believe it obstructs pathogen clearance. If it does not obstruct clearance, then it is simply up-regulated. I dont get what youre saying about using it up? If you stop ingesting 25 I dont know how much will be lost via the 1,25 route (I may vaguely recall that some 1,25 is converted right back into 25, some not) as opposed to other routes such as excretion. But clearly the 25 is gradually lost. It is very lipophilic and also present at concentrations orders of magnitude higher than that of 1,25 - therefore levels take a long time to go down when you cease to ingest it. Also one or both of the species can be synthed by the skin using light, I forget which one(s). > As I start to take a gander at this literature, one (quick) question comes to mind: If > 1,25D is over-regulated by macrophages (e.g., not the usual 25D-> 1,25D kidney > stuff), that WOULDN'T per se require a concommitant drop in 25D (the " using it up " > hypothesis). Thus, 1,25D dysregulation from inflammation would exist independent > of any 25D deficiency. In contrast, LOW 25D and HIGH 1,25D would implicate a > deficiency vs a immune dysregulation, no? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 7, 2005 Report Share Posted July 7, 2005 Here's what I'm saying: You don't need a decrease in 25D to account for an increase in 1,25 D. Instead, a DECREASE in the ENZYME that eats up 1,25 D could also yield high 1,25D. Thus, one could get high 1,25D in the ABSENCE of lower 25 D. And indeed that is what the Vidals paper you refered me to seems to be saying. Upregulation, downregulation are specific instances of dysregulation, doesn't matter the effects. > > As I start to take a gander at this literature, one (quick) question > comes to mind: If > > 1,25D is over-regulated by macrophages (e.g., not the usual 25D-> > 1,25D kidney > > stuff), that WOULDN'T per se require a concommitant drop in 25D > (the " using it up " > > hypothesis). Thus, 1,25D dysregulation from inflammation would exist > independent > > of any 25D deficiency. In contrast, LOW 25D and HIGH 1,25D would > implicate a > > deficiency vs a immune dysregulation, no? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 8, 2005 Report Share Posted July 8, 2005 " Dys " means bad and bad can only be relative to a goal - in this case the goal of squooshing our gross lil enemies. The upregulation of serum (and paracrine) 1,25d could be eufunctional during infection just as upregulation of serum adrenaline is eufunctional during a gunfight. Its not just semantics to me, since to me " dys " immediately suggests that we ought to intentionally modulate (fix) our 1,25d levels in order to beat bacteria, which I am not at all convinced is correct. Thanks for the clarification on the other thing; I now see what you mean: that reducing expression of 1,25d catabolizing enzymes could increase 1,25d levels *without* changing the rate at which 25d is converted to 1,25d. That is a good point. Are you saying that this pattern, which clearly is a biological possibility, happens in fact? Dont feel obliged to study/reply re that question on my account if youre not personally interested in it, since D is not a huge interest for me personally. > > > As I start to take a gander at this literature, one (quick) question > > comes to mind: If > > > 1,25D is over-regulated by macrophages (e.g., not the usual 25D- > > > 1,25D kidney > > > stuff), that WOULDN'T per se require a concommitant drop in 25D > > (the " using it up " > > > hypothesis). Thus, 1,25D dysregulation from inflammation would exist > > independent > > > of any 25D deficiency. In contrast, LOW 25D and HIGH 1,25D would > > implicate a > > > deficiency vs a immune dysregulation, no? Quote Link to comment Share on other sites More sharing options...
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