Transcriptional and Non-Transcriptional Regulation of Glucose Metabolism and Insulin Sensitivity through Vitamin D
: Enormous progress in investigation of vitamin D currently being made from basic science to clinical medicine. The classic view of vitamin D function limited to calcium metabolism and bone homeostasis has undergone extensive revision and it has been revealed that vitamin D receptors exist in most tissues of the body. Nowadays, one of the most popular aspect of vitamin D in research area is its role in glucose metabolism and insulin resistance. The functional mechanism of vitamin D in metabolism includes genomic and rapid non-genomic actions which is expanded in this review. Briefly, the modulatory action of vitamin D in gene expression of insulin signaling compartments and secretion of insulin hormone may point to its role in pathogenesis and development of Type II diabetes. Vitamin D induced activation of the PI3K/AKT pathway is through PTEN-mediated AKT down regulation. Also, allelic variations in VDR and DBP might affect insulin secretion and diabetes occurrence. Vitamin D influences on insulin secretion from β-cell through calcium dependent endopeptidases which promotes the conversion of pro-insulin to insulin hence it can be declared that calcium and vitamin D are essential for insulin exocytosis. Hypovitaminosis D in obese individuals is also associated with higher levels of serum parathormone which this secondary hyperparathyroidism probably contributes to insulin resistance associated with obesity. Moreover, vitamin D is an immune modulator which may affect inflammation as a contributor of diabetes.