Alfonso B, Liao E, Busta A, Poretsky L
Division of Endocrinology and Metabolism, Department of Medicine, Beth Israel Medical Center and Albert Einstein College of Medicine, New York, NY 10003, USA.
Diabetes Metab Res Rev. 2009 Jul;25(5):417-9. doi: 10.1002/dmrr.927.
This commentary reviews the current state of knowledge regarding the role of vitamin D in the pathogenesis of diabetes mellitus. In type 1 diabetes mellitus or in adult onset latent autoimmune diabetes (LADA), vitamin D exhibits immunomodulatory actions, influencing the activity of lymphocytes and interleukins. In type 2 diabetes mellitus vitamin D appears to act through different mechanisms, affecting insulin secretion and insulin sensitivity through its effects on the beta cells, mediators of inflammation and parathyroid hormone. Much work remains to be done in this new field of knowledge before the role of vitamin D in the pathogenesis of diabetes mellitus is completely understood.
本评论综述了关于维生素D在糖尿病发病机制中作用的当前知识状况。在1型糖尿病或成人隐匿性自身免疫性糖尿病(LADA)中,维生素D具有免疫调节作用,影响淋巴细胞和白细胞介素的活性。在2型糖尿病中,维生素D似乎通过不同机制起作用,通过其对β细胞、炎症介质和甲状旁腺激素的影响来影响胰岛素分泌和胰岛素敏感性。在维生素D在糖尿病发病机制中的作用被完全理解之前,在这个新知识领域仍有许多工作要做。