<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <id type="integer">2736</id>
  <title>T3D2694</title>
  <common-name>Calcidiol</common-name>
  <description>The major circulating metabolite of vitamin D3 (cholecalciferol).  It is produced in the liver and is the best indicator of the body's vitamin D stores. It is effective in the treatment of rickets and osteomalacia, both in azotemic and non-azotemic patients. Calcifediol also has mineralizing properties.</description>
  <cas>19356-17-3</cas>
  <pubchem-id>5283731</pubchem-id>
  <chemical-formula>C27H44O2</chemical-formula>
  <weight>400.334130</weight>
  <appearance>White powder.</appearance>
  <melting-point></melting-point>
  <boiling-point nil="true"/>
  <density nil="true"/>
  <solubility>Insoluble</solubility>
  <specific-gravity nil="true"/>
  <flash-point nil="true"/>
  <vapour-pressure nil="true"/>
  <route-of-exposure>Oral, readily absorbed.</route-of-exposure>
  <target nil="true"/>
  <mechanism-of-toxicity>Calcidiol is transformed in the kidney by 25-hydroxyvitamin D3-1-(alpha)-hydroxylase to calcitriol, the active form of vitamin D3. Calcitriol binds to intracellular receptors that then function as transcription factors to modulate gene expression. Like the receptors for other steroid hormones and thyroid hormones, the vitamin D receptor has hormone-binding and DNA-binding domains. The vitamin D receptor forms a complex with another intracellular receptor, the retinoid-X receptor, and that heterodimer is what binds to DNA. In most cases studied, the effect is to activate transcription, but situations are also known in which vitamin D suppresses transcription. Calcitriol increases the serum calcium concentrations by: increasing GI absorption of phosphorus and calcium, increasing osteoclastic resorption, and increasing distal renal tubular reabsorption of calcium. Calcitriol appears to promote intestinal absorption of calcium through binding to the vitamin D receptor in the mucosal cytoplasm of the intestine. Subsequently, calcium is absorbed through formation of a calcium-binding protein.</mechanism-of-toxicity>
  <metabolism>Calcidiol undergoes hydroxylation in the mitochondria of kidney tissue, and this reaction is activated by the renal 25-hydroxyvitamin D3-1-(alpha)-hydroxylase to produce calcitriol (1,25- dihydroxycholecalciferol), the active form of vitamin D3.Half Life: 288 hours</metabolism>
  <toxicity nil="true"/>
  <lethaldose nil="true"/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use-source>Used to treat vitamin D deficiency or insufficiency, refractory rickets (vitamin D resistant rickets), familial hypophosphatemia and hypoparathyroidism, and in the management of hypocalcemia and renal osteodystrophy in patients with chronic renal failure undergoing dialysis. Also used in conjunction with calcium in the management and prevention of primary or corticosteroid-induced osteoporosis.</use-source>
  <min-risk-level nil="true"/>
  <health-effects nil="true"/>
  <symptoms>Bone pain, constipation (especially in children or adolescents), diarrhea, drowsiness, dryness of mouth; headache (continuing), increased thirst, increase in frequency of urination, especially at night, or in amount of urine, irregular heartbeat, itching skin, loss of appetite, metallic taste, muscle pain, nausea or vomiting (especially in children or adolescents), unusual tiredness or weakness.</symptoms>
  <treatment nil="true"/>
  <created-at type="dateTime">2009-07-21T20:26:08Z</created-at>
  <updated-at type="dateTime">2014-12-24T20:25:49Z</updated-at>
  <interacting-proteins nil="true"/>
  <wikipedia>Calcidiol</wikipedia>
  <uniprot-id></uniprot-id>
  <kegg-compound-id>C01561</kegg-compound-id>
  <omim-id>259750
600081</omim-id>
  <chebi-id>17933</chebi-id>
  <biocyc-id>CALCIDIOL</biocyc-id>
  <ctd-id nil="true"/>
  <stitch-id>Calcidiol</stitch-id>
  <drugbank-id>DB00146</drugbank-id>
  <pdb-id>VDY</pdb-id>
  <actor-id nil="true"/>
  <organism nil="true"/>
  <export type="boolean">true</export>
  <metabolizing-proteins nil="true"/>
  <transporting-proteins nil="true"/>
  <moldb-smiles>[H]\C(\C(\[H])=C1/CCC[C@@]2(C)[C@@]1([H])CC[C@]2([H])[C@]([H])(C)CCCC(C)(C)O)=C1/C[C@@]([H])(O)CCC1=C</moldb-smiles>
  <moldb-formula>C27H44O2</moldb-formula>
  <moldb-inchi>InChI=1S/C27H44O2/c1-19-10-13-23(28)18-22(19)12-11-21-9-7-17-27(5)24(14-15-25(21)27)20(2)8-6-16-26(3,4)29/h11-12,20,23-25,28-29H,1,6-10,13-18H2,2-5H3/b21-11+,22-12-/t20-,23+,24-,25+,27-/m1/s1</moldb-inchi>
  <moldb-inchikey>InChIKey=JWUBBDSIWDLEOM-DTOXIADCSA-N</moldb-inchikey>
  <moldb-average-mass type="decimal">400.6371</moldb-average-mass>
  <moldb-mono-mass type="decimal">400.334130652</moldb-mono-mass>
  <origin>Endogenous</origin>
  <state>Solid</state>
  <logp>6</logp>
  <hmdb-id>HMDB03550</hmdb-id>
  <chembl-id>CHEMBL1040</chembl-id>
  <chemspider-id>4446820</chemspider-id>
  <structure-image-file-name nil="true"/>
  <structure-image-content-type nil="true"/>
  <structure-image-file-size type="integer" nil="true"/>
  <structure-image-updated-at type="dateTime" nil="true"/>
  <biodb-id nil="true"/>
  <synthesis-reference>&lt;p&gt;Dae-Jung Kang, Jong-Hyuk Im, Hyun-Jung Jung, Jae-Hoon Kang, &amp;#8220;&lt;span class="caps"&gt;BUFFER&lt;/span&gt; &lt;span class="caps"&gt;COMPOSITION&lt;/span&gt; &lt;span class="caps"&gt;FOR&lt;/span&gt; &lt;span class="caps"&gt;CATALYZING&lt;/span&gt; &lt;span class="caps"&gt;THE&lt;/span&gt; &lt;span class="caps"&gt;PREPARATION&lt;/span&gt; OF &lt;span class="caps"&gt;CALCITRIOL&lt;/span&gt; OR &lt;span class="caps"&gt;CALCIFEDIOL&lt;/span&gt; &lt;span class="caps"&gt;AND&lt;/span&gt; &lt;span class="caps"&gt;METHOD&lt;/span&gt; &lt;span class="caps"&gt;FOR&lt;/span&gt; &lt;span class="caps"&gt;PREPARING&lt;/span&gt; &lt;span class="caps"&gt;CALCITRIOL&lt;/span&gt; OR &lt;span class="caps"&gt;CALCIFEDIOL&lt;/span&gt; &lt;span class="caps"&gt;USING&lt;/span&gt; &lt;span class="caps"&gt;SAME&lt;/span&gt;.&amp;#8221; U.S. Patent US20120064584, issued March 15, 2012.&lt;/p&gt;</synthesis-reference>
  <structure-image-caption nil="true"/>
</compound>
