Albert Einstein College of Medicine, Beth Israel Medical Center, 10 Union Square East, New York, NY 10003, USA.
Med Hypotheses. 2011 May;76(5):643-5. doi: 10.1016/j.mehy.2011.01.021.
The pathogenesis of amyotrophic lateral sclerosis (ALS) is multifactorial and a treatment targeting only one aspect of the disease is unlikely to be beneficial. Vitamin D is safe and may delay progression of ALS by acting on several aspects of the disease. In this article we explore how vitamin D may promote VGEF, IGF-1 and axonal regeneration delaying ALS progression. In addition, we discuss how vitamin D may increase calcium binding protein in motor neuron cells conferring a greater resistance to the underlying disease process, as seen in the oculomotor nerve and Onuf's nucleus. Finally, we discuss vitamin D immunomodulator role, decreasing the reactive gliosis in ALS.
肌萎缩侧索硬化症(ALS)的发病机制是多因素的,仅针对疾病某一方面的治疗不太可能有益。维生素 D 安全,可能通过作用于疾病的多个方面来延缓 ALS 的进展。在本文中,我们探讨了维生素 D 如何促进 VGEF、IGF-1 和轴突再生,从而延缓 ALS 的进展。此外,我们还讨论了维生素 D 如何增加运动神经元细胞中的钙结合蛋白,从而使这些细胞对潜在的疾病过程产生更大的抵抗力,就像动眼神经和 Onuf 核中所观察到的那样。最后,我们讨论了维生素 D 的免疫调节剂作用,减少 ALS 中的反应性神经胶质增生。