The Synthesis of Wellness

148. 1,25-Dihydroxycholecalciferol & The Brain | Forms of Vitamin D, Activation to 1,25-Dihydroxycholecalciferol, Mechanisms of Action / Neuroprotective Effects of Vitamin D, Cognitive Symptoms


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In this episode, we explore the role of Vitamin D in brain health, focusing on how its active form, calcitriol (1,25-dihydroxyvitamin D3), influences cognitive function and neuroprotection. We’ll discuss the synthesis of Vitamin D, its conversion into its active form, and its ability to cross the blood-brain barrier to exert effects on neurons and glial cells. Additionally, we will highlight how calcitriol regulates gene expression through Vitamin D Response Elements (VDREs), impacting inflammation, antioxidant defense, and neurotrophic support. Finally, we touch on the symptoms of low Vitamin D and the link to cognitive decline.


Topics:

1. Introduction to Vitamin D and the Brain

- Forms of Vitamin D, synthesis, conversion/activation, and its role in the brain


2. Vitamin D

- Vitamin D2 (ergocalciferol), plant-based sources like mushrooms

- Vitamin D3 (cholecalciferol), UVB radiation, animal-based foods

- Inactive forms


3. Synthesis and Conversion of Vitamin D3

- Synthesis in the skin: 7-dehydrocholesterol converts to pre-vitamin D3

- Conversion in the liver: 25-hydroxylase converts D3 to 25-hydroxyvitamin D (calcidiol)

- Final activation in the kidneys: 1-alpha-hydroxylase converts calcidiol to 1,25-dihydroxycholecalciferol (calcitriol), the active form


4. Calcitriol and the Blood-Brain Barrier

- Calcitriol’s lipophilic nature, crossing the BBB

- The structure and function of the blood-brain barrier

- How calcitriol diffuses across the BBB and reaches brain cells


5. Calcitriol's Role in the Brain

- Interaction with Vitamin D receptors (VDRs) in neurons and glial cells

- VDRs in key brain regions: hippocampus, prefrontal cortex, cerebellum, basal ganglia

- Binding of calcitriol to VDRs, conformational change, and formation of the VDR-RXR complex


6. Gene Regulation via Vitamin D Response Elements (VDREs)

- Overview of VDREs in promoter regions of genes

- Role of calcitriol in activating or repressing gene transcription


7. Impact on Inflammatory Responses

- VDREs in anti-inflammatory genes promote IL-10 expression

- Calcitriol’s role in reducing pro-inflammatory cytokines like IL-6 and TNF-alpha


8. Neurotrophic Factors

- VDREs’ role in regulating genes that promote BDNF

- BDNF’s impact on neuron survival, growth, and synaptic connectivity


9. Antioxidant Enzymes

- VDREs influence the expression of glutathione peroxidase and superoxide dismutase (SOD)

- The role of these enzymes in defending neurons from oxidative stress


10. Brain Regions & Calcitriol

- Hippocampus: Learning, memory, neurogenesis, synaptic plasticity

- Prefrontal Cortex: Executive functions, mood regulation

- Cerebellum: Motor control, cognitive processing, calcium homeostasis

- Basal Ganglia: Movement regulation, protection of dopaminergic neurons

- Amygdala: Emotion processing, fear, anxiety, stress response


11. Interconnection of Brain Regions

- How Vitamin D’s effects on neurotransmitter regulation, anti-inflammatory action, and calcium homeostasis create a global protective effect.


12. Conclusion

- Recap of calcitriol’s cellular mechanisms and neuroprotective effects

- Symptoms of low Vitamin D


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The Synthesis of WellnessBy Chloe Porter

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