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维生素D与过敏性疾病的发展:其重要性如何?

Vitamin D and the development of allergic disease: how important is it?

作者信息

Mirzakhani H, Al-Garawi A, Weiss S T, Litonjua A A

机构信息

Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.

出版信息

Clin Exp Allergy. 2015 Jan;45(1):114-25. doi: 10.1111/cea.12430.

Abstract

Vitamin D has known effects on lung development and the immune system that may be important in the development, severity, and course of allergic diseases (asthma, eczema, and food allergy). Vitamin D deficiency is prevalent worldwide and may partly explain the increases in asthma and allergic diseases that have occurred over the last 50-60 years. In this review, we explore past and current knowledge on the effect of vitamin D on lung development and immunomodulation and present the evidence of its role in allergic conditions. While there is growing observational and experimental evidence for the role of vitamin D, well-designed and well-powered clinical trials are needed to determine whether supplementation of vitamin D should be recommended in these disorders.

摘要

维生素D对肺部发育和免疫系统具有已知的影响,这在过敏性疾病(哮喘、湿疹和食物过敏)的发生、严重程度及病程中可能具有重要意义。维生素D缺乏在全球范围内普遍存在,这可能部分解释了过去50至60年间哮喘和过敏性疾病发病率的上升。在本综述中,我们探讨了关于维生素D对肺部发育和免疫调节作用的既往及当前知识,并阐述了其在过敏性疾病中作用的证据。虽然越来越多的观察性和实验性证据表明维生素D具有一定作用,但仍需要设计良好且样本量充足的临床试验来确定在这些疾病中是否应推荐补充维生素D。

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