Deri Yaşlanması ve D Vitamini

Yazarlar

Ülker Gül

Özet

D vitamininin temel görevi kalsiyum ve fosfor dengesini düzenleyerek kemik homeostazını sağlamak olsa da, insan sağlığı üzerinde çok yönlü prohormon etkileri göstererek deri, kas ve kemik yaşlanmasında düzenleyici rol oynar. Biyolojik olarak aktif D vitaminini sentezleyebilen tek hedef doku olan deride, yaşlanmayla birlikte üretim kapasitesi ciddi oranda azalır. D vitamini, anti-inflamatuar ve antioksidan etkileri sayesinde hem kronolojik hem de ultraviyole ışınları, hava kirliliği ve sigara gibi çevresel faktörlerin tetiklediği ekstrinsik deri yaşlanmasını azaltır, foto-hasarı onarır ve DNA hasarını inhibe eder. Kas dokusunda ise miyostatin ekspresyonunu baskılayarak kas dejenerasyonunu önler, kas liflerinin proliferasyonunu ve kas gücünü destekler. Benzer şekilde, yaşlanmayla birlikte yüz iskeletinde oluşan hacim ve yoğunluk kayıplarını, özellikle mandibula osteoporozunu engelleyerek yüzün yaşlı görünümünü azaltmada etkilidir. Bu doğrultuda, genel sağlık ve doku gençliği için serum 25(OH)D düzeyinin 30-50 ng/ml arasında tutulması ve duruma göre günlük 800-2000 IU D vitamini takviyesi alınması önerilmektedir.

Although the primary function of vitamin D is to maintain bone homeostasis by regulating calcium and phosphorus balance, it acts as a versatile prohormone with regulatory effects on skin, muscle, and bone aging. In the skin, which is the only target tissue capable of synthesizing biologically active vitamin D, the dermal production capacity decreases significantly with advancing age. Through its anti-inflammatory and antioxidant properties, vitamin D reduces both chronological and extrinsic skin aging triggered by environmental factors such as ultraviolet radiation, air pollution, and smoking, while also repairing photo-damage and inhibiting DNA damage. In muscle tissue, it prevents degeneration by suppressing myostatin expression, thereby supporting muscle fiber proliferation and overall strength. Similarly, it helps alleviate the aged appearance of the face by counteracting the loss of volume and density in the facial skeleton over time, particularly preventing mandibular osteoporosis. Consequently, to preserve tissue health and mitigate aging, it is recommended to maintain serum 25(OH)D levels between 30-50 ng/ml, supported by a daily intake of 800-2000 IU of vitamin D depending on individual requirements.

Referanslar

Mostafa WZ, Hegazy RA. Vitamin D and the skin: Focus on a complex relationship: A review. J Adv Res. 2014. http://dx.doi.org/10.1016/j.jare.2014.01.011

(file:///C:/Users/latif/Downloads/VitaminDandtheSkinFocusonaComplexRelation.pdf adresinden 31.01.2022 tarihinde alıntılandı)

Reichrath J. Unravelling of hidden secrets. The role of vitamin D in skin aging. Dermato-Endocrinology. 2012;4(3): 241-4.

Ata AM, Kara M, Kara Ö, et al. Ultrasonographic measurements of the skin, fat and muscle in vitamin D deficiency. Int J Clin Pract. 2020;74(6):e13494.

Slominski AT, Kim TK, Li W, Tuckey RC. Classical and non-classical metabolic transformation of vitamin D in dermal fibroblasts. Exp Dermatol. 2016; 25: 231-2.

Slominski AT, Kim TK, Li W, et al. The role of CYP11A1 in the production of vitamin D metabolites and their role in the regulation of epidermal functions. J Steroid Biochem. Mol Biol. 2014; 144PA: 28-39.

Krämer C, Seltmann H, Seifert M, et al. Characterization of the vitamin D endocrine system in human sebocytes in vitro. J Steroid Biochem Mol Biol. 2009; 113: 9-16.

Holick MF, Matsuoka LY, Wortsman J. Age, vitamin D, and solar ultraviolet. Lancet. 1989;2(8671):1104-5.

Bocheva G, Slominski RM, Slominski AT. The impact of vitamin D on skin aging. Int J Mol Sci. 2021; 22: 9097.

Mousavi SE, Amini H, Heydarpour P, et al. Air pollution, environmental chemicals, and smoking may trigger vitamin D deficiency: Evidence and potential mechanisms. Environ Int. 2019; 122: 67-90. Scott JF, Das LM, Ahsanuddin S, et al. Oral Vitamin D rapidly attenuates inflammation from sunburn: An interventional study. J Investig. Dermatol. 2017; 137: 2078–86.

Scott JF, Das LM, Ahsanuddin S, et al. Oral Vitamin D rapidly attenuates inflammation from sunburn: An interventional study. J Investig. Dermatol. 2017; 137: 2078–86.

Chaiprasongsuk A, Janjetovic Z, Kim TK, et al. Protective effects of novel derivatives of vitamin D3 and lumisterol against UVB-induced damage in human keratinocytes involve activation of Nrf2 and p53 defense mechanisms. Redox Biol. 2019; 24: 101206.

Janjetovic Z, Tuckey RC, Nguyen MN, et al. 20,23-dihydroxyvitamin D3, novel P450scc product, stimulates differentiation and inhibits proliferation and NF-kappaB activity in human keratinocytes. J Cell Physiol. 2010; 223: 36-48.

Janjetovic Z, Zmijewski MA, Tuckey RC, et al. 20-Hydroxycholecalciferol, product of vitamin D3 hydroxylation by P450scc, decreases NF-kappaB activity by increasing IkappaB alpha levels in human keratinocytes. PLoS ONE 2009, 4, e5988.

Chaiprasongsuk A, Janjetovi, Z, Kim TK, et al. Photoproducts of pre-vitamin D3, protect human keratinocytes against UVB-induced damage. Int J Mol Sci. 2020, 21, 9374.

Scott JF, Das LM, Ahsanuddin S, et al. Oral vitamin D rapidly attenuates inflammation from sunburn: An interventional study. J Investig Dermatol. 2017; 137: 2078-86.

Tremezaygues L, Sticherling M, Pföhler C, et al. Cutaneous photosynthesis of vitamin D: An evolutionary highly-conserved endocrine system that protects against environmental hazards including UV-radiation and microbial infections. Anticancer Res. 2006; 26: 2743-8.

De Silva WGM, Abboud M, Yang C, et al. Protection from ultraviolet damage and photocarcinogenesis by Vitamin D compounds. Adv Exp Med Biol. 2020; 1268: 227-53.

Abiri B, Vafa MR. Vitamin D and muscle sarcopenia in aging. Ed. Guest PC. Clinical and Preclinical Models for Maximizing Healthspan. 2020: 29-47. (https://link.springer.com/book/10.1007/978-1-0716-0471-7#toc; 31 Ocak 2022’de alıntılandı).

Aspell N, Laird E , Healy M, et al. Vitamin D deficiency ıs associated with ımpaired muscle strength and physical performance ın community-Dwelling older adults: Findings from the English longitudinal study of ageing. Clin Interv Aging. 2019;14:1751-61.

Latham CM, Brightwell CR, Keeble AR, et al. Vitamin D promotes skeletal muscle regeneration and mitochondrial health. Front Physiol, 14 April 2021 | https://doi.org/10.3389/fphys.2021.660498

Remelli F, Vitali A, Zurlo A, Volpato S. Vitamin D deficiency and sarcopenia in older persons. Nutrients. 2019; 11(12): 2861.

Shaw RB, Katzel EB, Koltz PF, et al. Facial bone density: effects of aging and impact on facial rejuvenation. Aesthet Surg J. 2012;32(8):937-42.

Shaw RB, Jr, Katzel EB, Koltz PF, et al. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg. 2011;127(1):374-83.

Pessa JE, Zadoo VP, Mutimer KL, et al. Relative maxillary retrusion as a natural consequence of aging: combining skeletal and soft tissue changes into an integrated model of midfacial aging. Plast Reconstr Surg. 1998;102(1): 205-12.

Shaw RB, Jr, Kahn DM. Aging of the midface bony elements: a three dimensional CT study. Plast Reconstr Surg. 2007;119(2):675-81.

Kahn DM, Shaw RB, Jr. Aging of the bony orbit: a three dimensional CT study. Aesthetic Surg J. 2008;28(3):258-64.

Deguchi T, Yoshihara A, Hanada N, Miyazaka H. Relationship between mandibular inferior cortex and general bone metabolism in older adults. Osteoporosis Int. 2007;19(7):935-940.

Drozdzowska B, Pluskiewicz W. Longitudinal changes in mandibular bone mineral density compared with hip bone mineral density and quantitative ultrasound at calcaneus and hand phalanges. Br J Radiol. 2002;75:743-747.

Kyrgidis A, Tzellos TG, Toulis K, Antoniades K. The facial skeleton in patients with osteoporosis: a field for disease signs and treatment complications. J Osteoporos. 2011;2011:147689.

Elkady AA, Kazem HH, Elgendy EA. Protective effect of vitamin D against rats’ mandibular osteoporosis ınduced by corticosteroids and gamma rays. Intern J Radıat Research. 2020; 18(1): 125-31.

Jagelavičienė E, Vaitkevičienė I, Šilingaitė D, et al. The Relationship between vitamin D and periodontal pathology. Medicina (Kaunas). 2018;54(3):45.

Bashutski JD, Eber RM, Kinney JS, et al. Teriparatide and osseous regeneration in the oral cavity. New England J Medicine. 2010; 363(25): 2396-405.

Türkiye Endokrinoloji ve Metabolizma Derneği. Osteoporoz metabolik kemik hastalıkları tanı ve tedavi kılavuzu. BAYT Bilimsel Araştırmalar Basın Yayın ve Tanıtım Ltd. Şti. 2019.

Gelecek

11 Haziran 2022

Lisans

Lisans