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Comparison of free and total 25-hydroxyvitamin D in normal human pregnancy
Abstract
Vitamin D status correct monitoring during pregnancy is critically important for both maternal and fetal health. 25-Hydroxyvitamin D (25(OH)D) - a prohormone of a biologically active 1,25-dihydroxyvitamin D (1,25(OH) 2 D), despite the lack of biological activity, during the past decades has been routinely used as a main biomarker characterizing vitamin D status. About 85% of 25(OH)D in the bloodstream is bound to its specific carrier - vitamin D-binding protein (DBP), the remaining 15% are loosely bound to albumin, and only less than 0.1% are free in the circulation ("free 25(OH)D"). Total 25(OH)D is the sum of DBP-bound, albumin-bound and free 25(OH)D. According to a "free hormone hypothesis", only free 25(OH)D is able to induce a biological effect. Normal pregnancy is characterized by elevated serum DBP levels, and due to this fact the diagnostic strength of serum total 25(OH)D has been questioned. Free 25(OH)D might be a better characteristic of vitamin D status in this settings. We aimed to compare the diagnostic strength of a routine total 25(OH)D with directly measured free 25(OH)D in normal pregnancy by comparing the association strength between free and total 25(OH)D with biomarkers of bone health (PTH, calcium, bone-specific alkaline phosphatase (BSAP)), lipid metabolism (adiponectin, LDL, HDL), kidney function (urea), endocrine parameters (T4, T3, TSH), and group B water-soluble vitamins. The study was conducted in 368 healthy white pregnant women - residents of nor…
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“Valorization of a patient’s vitamin D status in clinical settings where DBP levels are altered, such as CKD, obesity and liver problems, has also been deemed more appropriate when using free serum 25(OH)D as compared to total serum 25(OH)D [243–246].”
From Role of sex hormone-binding globulin in the free hormone hypothesis and the relevance of free testosterone in androgen physiology (2022) · cites this paper as [245]
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Narinx, N., David, K., Walravens, J., Vermeersch, P., Claessens, F., Fiers, T., Lapauw, B., Antonio, L., & Vanderschueren, D. (2022) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-022-04562-1 · Cited by 96
Metadata
- Authors
- Tsuprykov, O., Buse, C., Skoblo, R., & Hocher, B.
- Affiliations
- NanoTecCenter Weiz Forschungsgesellschaft (Austria) (AT)
- Hunan Normal University (CN)
- Corresponding author
- Hocher, Berthold
- Venue
- The Journal of Steroid Biochemistry and Molecular Biology
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 190
- Pages
- 29-36
- ISSN
- 0960-0760 (ISSN-L)
- OpenAlex
- W2922539926
- Cited by
- 33
- References
- 0
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 4 · 2021: 6 · 2020: 6 · 2019: 3
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Steroid Biochemistry and Molecular Biology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Vitamin D Research Studies
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin K Research Studies
- Keywords
- free 25-hydroxyvitamin D, vitamin D status, pregnancy, vitamin D binding protein, free hormone hypothesis, bone metabolism, bone-specific alkaline phosphatase, parathyroid hormone, adiponectin, lipid metabolism, thyroid hormones, water-soluble vitamins, gestational age
- MeSH terms
- Adult, Female, Gestational Age, Humans, Pregnancy, Protein Binding, Vitamin D, Vitamin D-Binding Protein, Vitamins, Biomarkers, Young Adult
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