Department of Paediatric Nephrology, Charité Children's Hospital, Augustenburger Platz 1, 13353, Berlin, Germany.
Pediatr Nephrol. 2013 Apr;28(4):605-10. doi: 10.1007/s00467-012-2377-4. Epub 2012 Dec 13.
Recent studies have provided evidence for an important role of vitamin D deficiency in the pathogenesis of cardiovascular disease (CVD) in the general population, and of an association with markers of inflammation. Vitamin D deficiency, defined by low serum levels of 25-hydroxyvitamin D, is especially prevalent in patients with chronic kidney disease (CKD). Chronic low-grade inflammation is a hallmark of CKD and has been disclosed as one important factor contributing to the progression of CKD and a high cardiovascular comorbidity. This review highlights clinical and experimental studies that could potentially explain a link between vitamin D and inflammation. Whether correction of vitamin D deficiency has beneficial effects on markers of inflammation and cardiovascular outcome should be investigated by controlled clinical trials.
最近的研究为维生素 D 缺乏在普通人群中心血管疾病 (CVD) 的发病机制中的重要作用提供了证据,并且与炎症标志物有关。维生素 D 缺乏症的定义是血清 25-羟维生素 D 水平低,在慢性肾脏病 (CKD) 患者中尤为普遍。慢性低度炎症是 CKD 的一个标志,并已被揭示为导致 CKD 进展和高心血管合并症的一个重要因素。本综述强调了可能解释维生素 D 与炎症之间联系的临床和实验研究。通过对照临床试验,应该研究纠正维生素 D 缺乏症是否对炎症标志物和心血管结局有有益影响。