Article (Scientific journals)
Recommendations on the measurement and theclinical useof vitamin D metabolites and vitamin D binding protein - A position paper from the IFCC Committee on Bone Metabolism.
Makris, Konstantinos; Bhattoa, Harjit P.; Cavalier, Etienne et al.
2021In Clinica Chimica Acta
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Keywords :
1α,25-dihydroxyvitamin D; 24,25-dihydroxyvitamin D; 25-hydroxyvitamin D,; Immunoassays,; Liquid chromatography,; Mass spectrometry,; Standardization,; Vitamin D; Vitamin D Standardization Program; Vitamin D binding protein
Abstract :
[en] Vitamin D, an important hormone with a central role in calcium and phosphate homeostasis, is required for bone and muscle development as well as preservation of musculoskeletal function.The most abundant vitamin D metabolite is 25-hydroxyvitamin D [25(OH)D], which is currently considered the best marker to evaluate overall vitamin D status. 25(OH)D is therefore the most commonly measured metabolite in clinical practice. However, several other metabolites, although not broadly measured, are useful in certain clinical situations. Vitamin D and all its metabolites are circulating in blood bound to vitamin D binding protein, (VDBP). This highly polymorphic protein is not only the major transport protein which, along with albumin, binds over 99% of the circulating vitamin D metabolites, but also participates in the transport of the 25(OH)D into the cell via a megalin/cubilin complex. The accurate measurement of 25(OH)D has proved a difficult task. Although a reference method and standardization program are available for 25(OH)D, the other vitamin D metabolites still lack this. Interpretation of results, creation of clinical supplementation, and generation of therapeutic guidelines require not only accurate measurements of vitamin D metabolites, but also the accurate measurements of several other "molecules" related with bone metabolism. IFCC understood this priority and a committee has been established with the task to support and continue the standardization processes of vitamin D metabolites along with other bone-related biomarkers. In this review, we present the position of this IFCC Committee on Bone Metabolism on the latest developments concerning the measurement and standardization of vitamin D metabolites and its binding protein, as well as clinical indications for their measurement and interpretation of the results.
Disciplines :
Laboratory medicine & medical technology
Author, co-author :
Makris, Konstantinos
Bhattoa, Harjit P.
Cavalier, Etienne  ;  Université de Liège - ULiège > Département de pharmacie > Chimie médicale
Phinney, Karen
Sempos, Christopher T.
Ulmer, Candice Z.
Vasikaran, Samuel D.
Vesper, Hubert
Heijboer, Annemieke C.
Language :
English
Title :
Recommendations on the measurement and theclinical useof vitamin D metabolites and vitamin D binding protein - A position paper from the IFCC Committee on Bone Metabolism.
Publication date :
March 2021
Journal title :
Clinica Chimica Acta
ISSN :
0009-8981
eISSN :
1873-3492
Publisher :
Elsevier, Netherlands
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright © 2021. Published by Elsevier B.V.
Available on ORBi :
since 26 July 2021

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