Lommers E, Lecrompe L, Moonen G, Phan-Ba R, Belachew S
MYelin Disorders REseArch teaM (MYDREAM), Liège, Belgique.
Rev Med Liege. 2012 May-Jun;67(5-6):359-65.
The relationship between sunlight exposure and the incidence of multiple sclerosis and the understanding of immunomodulatory effects of vitamin D triggered, in recent years, a broad range of investigations. Immunological studies performed in vitro and in vivo have demonstrated how tolerogenic vitamin D can be. Epidemiological studies confirmed an increased incidence of multiple sclerosis in vitamin D deficient subjects and signs of increased disease activity in such MS patients. Although small-scale observational studies have suggested a beneficial impact of vitamin D supplementation on the incidence and severity of multiple sclerosis, large scale clinical trials remain warranted to confirm these preliminary results.
近年来,阳光照射与多发性硬化症发病率之间的关系以及对维生素D免疫调节作用的认识引发了广泛的研究。在体外和体内进行的免疫学研究已经证明了维生素D具有多大的耐受性。流行病学研究证实,维生素D缺乏的受试者患多发性硬化症的发病率增加,此类多发性硬化症患者的疾病活动迹象也有所增加。尽管小规模的观察性研究表明补充维生素D对多发性硬化症的发病率和严重程度有有益影响,但仍需要大规模临床试验来证实这些初步结果。