ergocalciferol
{{Short description|Vitamin D2, a chemical compound}}
{{Use dmy dates|date=October 2022}}
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{{Infobox drug
| image = Ergocalciferol.svg
| image_class = skin-invert-image
| width =
| alt = Skeletal formula of ergocalciferol
| image2 = Ergocalciferol 3D ball.png
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| alt2 = Ball-and-stick model of the ergocalciferol molecule
| caption =
| pronounce =
| tradename = Drisdol, Calcidol, others
| Drugs.com = {{Drugs.com|monograph|ergocalciferol}}
| MedlinePlus = a616042
| DailyMedID = Ergocalciferol
| pregnancy_AU =
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| routes_of_administration = By mouth, intramuscular
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| ATC_prefix = A11
| ATC_suffix = CC01
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| legal_CA = Rx-only
| legal_CA_comment = {{cite web | title=Summary Basis of Decision (SBD) for Rayaldee | website=Health Canada | date=23 October 2014 | url=https://hpr-rps.hres.ca/reg-content/summary-basis-decision-detailTwo.php?linkID=SBD00409&lang=en | access-date=29 May 2022 | archive-date=31 May 2022 | archive-url=https://web.archive.org/web/20220531071351/https://hpr-rps.hres.ca/reg-content/summary-basis-decision-detailTwo.php?linkID=SBD00409&lang=en | url-status=live }}
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| legal_UK = POM
| legal_US = OTC
| legal_US_comment = / Rx-only
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| CAS_number = 50-14-6
| PubChem = 5280793
| IUPHAR_ligand =
| DrugBank = DB00153
| ChemSpiderID = 4444351
| UNII = VS041H42XC
| KEGG = C05441
| ChEBI = 28934
| ChEMBL = 1536
| NIAID_ChemDB =
| PDB_ligand =
| synonyms = vitamin D2
| IUPAC_name = (3S,5Z,7E,22E)-9,10-secoergosta-5,7,10(19),22-tetraen-3-ol
| C = 28
| H = 44
| O = 1
| SMILES = O[C@@H]1CC(\C(=C)CC1)=C\C=C2/CCC[C@]3([C@H]2CC[C@@H]3[C@@H](/C=C/[C@H](C)C(C)C)C)C
| StdInChI = 1S/C28H44O/c1-19(2)20(3)9-10-22(5)26-15-16-27-23(8-7-17-28(26,27)6)12-13-24-18-25(29)14-11-21(24)4/h9-10,12-13,19-20,22,25-27,29H,4,7-8,11,14-18H2,1-3,5-6H3/b10-9+,23-12+,24-13-/t20-,22+,25-,26+,27-,28+/m0/s1
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI_comment =
| StdInChIKey = MECHNRXZTMCUDQ-RKHKHRCZSA-N
| density =
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| melting_point = 114
| melting_high = 118
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Ergocalciferol, also known as vitamin D2 and nonspecifically calciferol, is a type of vitamin D found in food. It is used as a dietary supplement{{cite book| vauthors = Coulston AM, Boushey C, Ferruzzi M |title=Nutrition in the Prevention and Treatment of Disease|date=2013|publisher=Academic Press|isbn=9780123918840|page=818|url=https://books.google.com/books?id=pmapb3rvzpYC&pg=PA818 | url-status=live|archive-url=https://web.archive.org/web/20161230000458/https://books.google.ca/books?id=pmapb3rvzpYC&pg=PA818|archive-date=30 December 2016}} to prevent and treat vitamin D deficiency due to poor absorption by the intestines or liver disease. It may also be used for low blood calcium due to hypoparathyroidism. It is taken by mouth or via injection into a muscle.{{cite book|title=British national formulary : BNF 69|date=2015|publisher=British Medical Association|isbn=9780857111562|pages=703–704|edition=69}}{{cite book | title = WHO Model Formulary 2008 | year = 2009 | isbn = 9789241547659 | vauthors = ((World Health Organization)) | veditors = Stuart MC, Kouimtzi M, Hill SR | hdl = 10665/44053 | author-link = World Health Organization | publisher = World Health Organization | hdl-access=free |page=498 }}
Excessive doses can result in vitamin D toxicity causing increased urine production, high blood pressure, kidney stones, kidney failure, muscle weakness, and constipation.{{cite web|title=Ergocalciferol|url=https://www.drugs.com/monograph/ergocalciferol.html|publisher=The American Society of Health-System Pharmacists|access-date=8 December 2016|url-status=live|archive-url=https://web.archive.org/web/20161230002716/https://www.drugs.com/monograph/ergocalciferol.html|archive-date=30 December 2016}} If high doses are taken for a long period of time, tissue calcification may occur. Normal doses are safe in pregnancy.{{cite book| vauthors = Hamilton R |title=Tarascon Pocket Pharmacopoeia 2015 Deluxe Lab-Coat Edition|date=2015|publisher=Jones & Bartlett Learning|isbn=9781284057560|page=227}} It works by increasing the amount of calcium absorbed by the intestines and reabsorbed by the kidneys. Food in which it is found include some mushrooms.{{cite web|title=Office of Dietary Supplements - Vitamin D|url=https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/|website=ods.od.nih.gov|access-date=30 December 2016|date=11 February 2016|url-status=live|archive-url=https://web.archive.org/web/20161231073744/https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/|archive-date=31 December 2016}}
Ergocalciferol was first described in 1936.{{cite book| vauthors = Fischer J, Ganellin CR |title=Analogue-based Drug Discovery|date=2006|publisher=John Wiley & Sons|isbn=9783527607495|page=451|url=https://books.google.com/books?id=FjKfqkaKkAAC&pg=PA451 | url-status=live|archive-url=https://web.archive.org/web/20161230085612/https://books.google.ca/books?id=FjKfqkaKkAAC&pg=PA451|archive-date=30 December 2016}} Ergocalciferol is available as a generic medication and over the counter. In 2022, it was the 38th most commonly prescribed medication in the United States, with more than 15{{nbsp}}million prescriptions.{{cite web | title=The Top 300 of 2022 | url=https://clincalc.com/DrugStats/Top300Drugs.aspx | website=ClinCalc | access-date=30 August 2024 | archive-date=30 August 2024 | archive-url=https://web.archive.org/web/20240830202410/https://clincalc.com/DrugStats/Top300Drugs.aspx | url-status=live }}{{cite web | title = Ergocalciferol Drug Usage Statistics, United States, 2013 - 2022 | website = ClinCalc | url = https://clincalc.com/DrugStats/Drugs/Ergocalciferol | access-date = 30 August 2024 }} Certain foods such as breakfast cereal and margarine have ergocalciferol added to them in some countries.{{cite book | vauthors = Feral P, Hall L |title=Dining with Friends: The Art of North American Vegan Cuisine|date=2005|publisher=Friends of Animals/Nectar Bat Press|isbn=9780976915904|page=[https://archive.org/details/diningwithfriend0000fera/page/160 160]|url=https://archive.org/details/diningwithfriend0000fera |url-access=registration }}{{cite book | vauthors = Bennett B, Sammartano R |title= The Complete Idiot's Guide to Vegan Living | edition = Second |date=2012|publisher=Penguin|isbn=9781615642793|page=Chapter 15|url=https://books.google.com/books?id=MbzIcj32RzEC&pg=PT215 | url-status=live|archive-url=https://web.archive.org/web/20161230230633/https://books.google.ca/books?id=MbzIcj32RzEC&pg=PT215|archive-date=30 December 2016}} It is on the World Health Organization's List of Essential Medicines.{{cite book | vauthors = ((World Health Organization)) | title = The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023) | year = 2023 | hdl = 10665/371090 | author-link = World Health Organization | publisher = World Health Organization | location = Geneva | id = WHO/MHP/HPS/EML/2023.02 | hdl-access=free }}
Use
Ergocalciferol may be used as a vitamin D supplement, whereas cholecalciferol (vitamin D3) is produced naturally by the skin when exposed to ultraviolet light.{{cite journal | vauthors = Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM | display-authors = 6 | title = Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline | journal = The Journal of Clinical Endocrinology and Metabolism | volume = 96 | issue = 7 | pages = 1911–1930 | date = July 2011 | pmid = 21646368 | doi = 10.1210/jc.2011-0385 | doi-access = free }} Ergocalciferol (D2) and cholecalciferol (D3) are considered to be equivalent for vitamin D production, as both forms appear to have similar efficacy in ameliorating rickets{{cite journal | vauthors = Thacher TD, Fischer PR, Obadofin MO, Levine MA, Singh RJ, Pettifor JM | title = Comparison of metabolism of vitamins D2 and D3 in children with nutritional rickets | journal = Journal of Bone and Mineral Research | volume = 25 | issue = 9 | pages = 1988–1995 | date = September 2010 | pmid = 20499377 | pmc = 3153403 | doi = 10.1002/jbmr.99 }} and reducing the incidence of falls in elderly patients.{{cite journal | vauthors = Fosnight SM, Zafirau WJ, Hazelett SE | title = Vitamin D supplementation to prevent falls in the elderly: evidence and practical considerations | journal = Pharmacotherapy | volume = 28 | issue = 2 | pages = 225–234 | date = February 2008 | pmid = 18225968 | doi = 10.1592/phco.28.2.225 | s2cid = 37034292 | doi-access = free }} Conflicting reports exist, however, concerning the relative effectiveness, with some studies suggesting that ergocalciferol has less efficacy based on limitations in absorption, binding, and inactivation.{{cite journal | vauthors = Tripkovic L, Lambert H, Hart K, Smith CP, Bucca G, Penson S, Chope G, Hyppönen E, Berry J, Vieth R, Lanham-New S | display-authors = 6 | title = Comparison of vitamin D2 and vitamin D3 supplementation in raising serum 25-hydroxyvitamin D status: a systematic review and meta-analysis | journal = The American Journal of Clinical Nutrition | volume = 95 | issue = 6 | pages = 1357–1364 | date = June 2012 | pmid = 22552031 | pmc = 3349454 | doi = 10.3945/ajcn.111.031070 }} A meta-analysis concluded that evidence usually favors cholecalciferol in raising vitamin D levels in blood, although it stated more research is needed.
Mechanism
Ergocalciferol is a secosteroid formed by a photochemical bond breaking of a steroid, specifically, by the action of ultraviolet light (UV-B or UV-C) on ergosterol, a form of provitamin D2.{{cite journal | vauthors = Cardwell G, Bornman JF, James AP, Black LJ | title = A Review of Mushrooms as a Potential Source of Dietary Vitamin D | journal = Nutrients | volume = 10 | issue = 10 | page = 1498 | date = October 2018 | pmid = 30322118 | pmc = 6213178 | doi = 10.3390/nu10101498 | doi-access = free }}
Like cholecalciferol, ergocalciferol is inactive by itself. It requires two hydroxylations to become active: the first in the liver by CYP2R1 to form 25-hydroxyergocalciferol (ercalcidiol or 25-OH D2{{cite journal | vauthors = Suda T, DeLuca HF, Schnoes H, Blunt JW | title = 25-hydroxyergocalciferol: a biologically active metabolite of vitamin D2 | journal = Biochemical and Biophysical Research Communications | volume = 35 | issue = 2 | pages = 182–185 | date = April 1969 | pmid = 5305760 | doi = 10.1016/0006-291X(69)90264-2 }}), and the second in the kidney by CYP27B1, to form the active 1,25-dihydroxyergocalciferol (ercalcitriol or 1,25-(OH)2D2), which activates the vitamin D receptor.{{cite journal | vauthors = | title = IUPAC-IUB Joint Commission on Biochemical Nomenclature (JCBN): Nomenclature of vitamin D. Recommendations 1981 | journal = European Journal of Biochemistry | volume = 124 | issue = 2 | pages = 223–227 | date = May 1982 | pmid = 7094913 | doi = 10.1111/j.1432-1033.1982.tb06581.x | doi-access = free }} Unlike cholecalciferol, 25-hydroxylation is not performed by CYP27A1 for ergocalciferol.
Ergocalciferol and metabolites have lower affinity to the vitamin D-binding protein compared to the D3 counterparts. The binding affinity of ercalcitriol to the vitamin D receptor is similar to that of calcitriol.{{cite journal | vauthors = Bikle DD | title = Vitamin D metabolism, mechanism of action, and clinical applications | journal = Chemistry & Biology | volume = 21 | issue = 3 | pages = 319–329 | date = March 2014 | pmid = 24529992 | pmc = 3968073 | doi = 10.1016/j.chembiol.2013.12.016 }} Ergocalciferol itself and metabolites can be deactivated by 24-hydroxylation.{{cite journal | vauthors = Houghton LA, Vieth R | title = The case against ergocalciferol (vitamin D2) as a vitamin supplement | journal = The American Journal of Clinical Nutrition | volume = 84 | issue = 4 | pages = 694–697 | date = October 2006 | pmid = 17023693 | doi = 10.1093/ajcn/84.4.694 | doi-access = free }}
Sources
Fungus, from USDA nutrient database (per 100g), D2 + D3:{{cite web |url=http://www.nal.usda.gov/fnic/foodcomp/search/index.html |title=USDA nutrient database – use the keyword 'portabello' and then click submit |url-status=live |archive-url=https://web.archive.org/web/20150222164135/http://www.nal.usda.gov/fnic/foodcomp/search/index.html |archive-date=22 February 2015 }}{{cite web|author=Haytowitz DB|title=Vitamin D in mushrooms|url=https://www.ars.usda.gov/ARSUserFiles/80400525/Articles/AICR09_Mushroom_VitD.pdf|publisher=Nutrient Data Laboratory, US Department of Agriculture|access-date=16 April 2018|date=2009|archive-date=1 February 2021|archive-url=https://web.archive.org/web/20210201181749/https://www.ars.usda.gov/ARSUserFiles/80400525/Articles/AICR09_Mushroom_VitD.pdf|url-status=live}}
- Mushrooms, Agaricus bisporus:
- raw portobello: 0.3 μg (10 IU); exposed to ultraviolet light: 11.2 μg (446 IU)
- raw crimini: 0.1 μg (3 IU); exposed to ultraviolet light: 31.9 μg (1276 IU)
- Mushrooms, shiitake:
- raw: Vitamin D (D2 + D3): 0.4 μg (18 IU)
- dried: Vitamin D (D2 + D3): 3.9 μg (154 IU)
Lichen
- Cladina arbuscula specimens grown under different natural conditions contain provitamin D2 and vitamin D2, ranges 89–146 and 0.22–0.55 μg/g dry matter respectively. They also contain vitamin D3 (range 0.67 to 2.04 μg/g) although provitamin D3 could not be detected. Vitamin D levels correlate positively with UV irradiation.
Plantae
- Alfalfa (Medicago sativa subsp. sativa), shoot: 4.8 μg (192 IU) vitamin D2, 0.1 μg (4 IU) vitamin D3{{cite web |url=http://sun.ars-grin.gov:8080/npgspub/xsql/duke/plantdisp.xsql?taxon=606 |title=Dr. Duke's Phytochemical and Ethnobotanical Databases |url-status=dead |archive-url=https://web.archive.org/web/20151016051622/http://sun.ars-grin.gov:8080/npgspub/xsql/duke/plantdisp.xsql?taxon=606 |archive-date=16 October 2015 }}
= Biosynthesis =
The vitamin D2 content in mushrooms and C. arbuscula increase with exposure to ultraviolet light.{{cite journal | vauthors = Wang T, Bengtsson G, Kärnefelt I, Björn LO | title = Provitamins and vitamins D₂and D₃in Cladina spp. over a latitudinal gradient: possible correlation with UV levels | journal = Journal of Photochemistry and Photobiology. B, Biology | volume = 62 | issue = 1–2 | pages = 118–122 | date = September 2001 | pmid = 11693362 | doi = 10.1016/S1011-1344(01)00160-9 | url = http://lup.lub.lu.se/record/133512 | access-date = 27 January 2019 | url-status = live | archive-url = https://web.archive.org/web/20200528231009/https://lup.lub.lu.se/search/publication/133512 | archive-date = 28 May 2020 }}{{cite web|author=Haytowitz DB|title=Vitamin D in mushrooms|url=https://www.ars.usda.gov/ARSUserFiles/80400525/Articles/AICR09_Mushroom_VitD.pdf|publisher=Nutrient Data Laboratory, US Department of Agriculture|access-date=16 April 2018|date=2009|archive-date=1 February 2021|archive-url=https://web.archive.org/web/20210201181749/https://www.ars.usda.gov/ARSUserFiles/80400525/Articles/AICR09_Mushroom_VitD.pdf|url-status=live}} Ergosterol (provitamin D2) found in these fungi is converted to previtamin D2 on UV exposure, which then turns into vitamin D2. As cultured mushrooms are generally grown in darkness, less vitamin D2 is found compared to those grown in the wild or dried in the sun.
When fresh mushrooms or dried powders are purposely exposed to ultraviolet light, vitamin D2 levels can be concentrated to much higher levels.{{cite journal | vauthors = Keegan RJ, Lu Z, Bogusz JM, Williams JE, Holick MF | title = Photobiology of vitamin D in mushrooms and its bioavailability in humans | journal = Dermato-Endocrinology | volume = 5 | issue = 1 | pages = 165–176 | date = January 2013 | pmid = 24494050 | pmc = 3897585 | doi = 10.4161/derm.23321 }}{{cite journal | vauthors = Simon RR, Borzelleca JF, DeLuca HF, Weaver CM | title = Safety assessment of the post-harvest treatment of button mushrooms (Agaricus bisporus) using ultraviolet light | journal = Food and Chemical Toxicology | volume = 56 | pages = 278–289 | date = June 2013 | pmid = 23485617 | doi = 10.1016/j.fct.2013.02.009 }} The irradiation procedure does not cause significant discoloration, or whitening, of mushrooms.{{cite journal | vauthors = Koyyalamudi SR, Jeong SC, Song CH, Cho KY, Pang G | title = Vitamin D2 formation and bioavailability from Agaricus bisporus button mushrooms treated with ultraviolet irradiation | journal = Journal of Agricultural and Food Chemistry | volume = 57 | issue = 8 | pages = 3351–3355 | date = April 2009 | pmid = 19281276 | doi = 10.1021/jf803908q | bibcode = 2009JAFC...57.3351K }} Claims have been made that a normal serving (approx. 2 oz or 60 grams) of fresh mushrooms treated with ultraviolet light have increased vitamin D content to levels up to 80 micrograms or 3200 IU if exposed to just five minutes of UV light after being harvested.{{Cite news |title=Bringing Mushrooms Out of the Dark |date=18 April 2006 |url=http://www.nbcnews.com/id/12370708 |work=NBC News |access-date=6 August 2007 |archive-date=7 November 2017 |archive-url=https://web.archive.org/web/20171107112253/http://www.nbcnews.com/id/12370708 |url-status=dead }}
Button mushrooms with enhanced vitamin D2 content produced this way functions similarly to a vitamin D2 supplement; both effectively improves vitamin D status.{{cite journal | vauthors = Urbain P, Singler F, Ihorst G, Biesalski HK, Bertz H | title = Bioavailability of vitamin D₂ from UV-B-irradiated button mushrooms in healthy adults deficient in serum 25-hydroxyvitamin D: a randomized controlled trial | journal = European Journal of Clinical Nutrition | volume = 65 | issue = 8 | pages = 965–971 | date = August 2011 | pmid = 21540874 | doi = 10.1038/ejcn.2011.53 | doi-access = free }} Vitamin D2 from UV-irradiated yeast baked into bread or mushrooms is bioavailable and increases blood levels of 25(OH)D.
Names
Viosterol, the name given to early preparations of irradiated ergosterol, is essentially synonymous with ergocalciferol.{{cite journal | date = 1930 | title = Viosterol official name for irradiated ergosterol | journal = Journal of Chemical Education | volume = 7 | issue = 1 | pages = 166 | doi = 10.1021/ed007p166 | last1 = Science Service | bibcode = 1930JChEd...7..166S }}See "Viosterol" and "Calciferol" at Merriam-Webster Medical Dictionary, e.g., {{cite web |url=http://www.merriam-webster.com/medical/viosterol |title=Medical Definition of VIOSTEROL |access-date=10 July 2014 |url-status=live |archive-url=https://web.archive.org/web/20140714154919/http://www.merriam-webster.com/medical/viosterol |archive-date=14 July 2014 }} and {{cite web |url=http://www.merriam-webster.com/medical/calciferol |title=Definition of CALCIFEROL |access-date=10 July 2014 |url-status=live |archive-url=https://web.archive.org/web/20140714212827/http://www.merriam-webster.com/medical/calciferol |archive-date=14 July 2014 }}, accessed 10 July 2014. However, currently, Viosterol is also the brand name for cholecalciferol (vitamin D3) in some countries.{{cite web |url=https://www.vademecum.es/equivalencia-lista-viosterol+comprimido+5000+ui-uruguay-a11cc05--uy_1 |title=Viosterol comprimido 5000 UI |access-date=5 September 2022 |archive-date=5 September 2022 |archive-url=https://web.archive.org/web/20220905231617/https://www.vademecum.es/equivalencia-lista-viosterol+comprimido+5000+ui-uruguay-a11cc05--uy_1 |url-status=dead }}{{cite web |url=https://www-eticos-com-py.translate.goog//producto/247/viosterol-1000?_x_tr_sch=http&_x_tr_sl=es&_x_tr_tl=en&_x_tr_hl=en&_x_tr_pto=wapp |title=Viosterol 1000 |access-date=6 September 2022 |archive-date=6 September 2022 |archive-url=https://web.archive.org/web/20220906000655/https://www-eticos-com-py.translate.goog//producto/247/viosterol-1000?_x_tr_sch=http&_x_tr_sl=es&_x_tr_tl=en&_x_tr_hl=en&_x_tr_pto=wapp |url-status=dead }}
Ergocalciferol is manufactured and sold under various brand names, including Deltalin (Eli Lilly and Company), Drisdol (Sanofi-Synthelabo), and Calcidol (Patrin Pharma).{{cn|date=August 2024}}
References
{{reflist}}
External links
- [https://webbook.nist.gov/cgi/cbook.cgi?ID=C50146 NIST Chemistry WebBook page for ergocalciferol]
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Category:Drugs developed by Eli Lilly and Company
Category:World Health Organization essential medicines