Division of Liver Diseases, Mount Sinai School of Medicine, New York, NY 10029, USA.
J Hepatol. 2013 Jan;58(1):184-9. doi: 10.1016/j.jhep.2012.07.026. Epub 2012 Aug 4.
Vitamin D is increasingly becoming recognized as an important physiological regulator with pleiotropic functions outside of its classical role in skeletal homeostasis. A growing body of clinical evidence highlights the prevalence and risks of vitamin D deficiency in patients suffering from chronic hepatitis C infection, and vitamin D supplementation has been proposed as an adjunct to current standards of care. This review considers the experimental evidence for the anti-inflammatory, antifibrotic and antiviral effects of vitamin D, and discusses the therapeutic potential of vitamin D supplementation to protect against liver disease progression and improve responses to treatment.
维生素 D 日益被认为是一种重要的生理调节剂,具有除了在骨骼稳态中的经典作用之外的多种功能。越来越多的临床证据强调了慢性丙型肝炎感染患者中维生素 D 缺乏的流行和风险,并且已经提出了维生素 D 补充作为当前护理标准的辅助手段。本综述考虑了维生素 D 的抗炎、抗纤维化和抗病毒作用的实验证据,并讨论了维生素 D 补充剂的治疗潜力,以防止肝病进展并改善对治疗的反应。