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炎症性肠病与维生素 D 之间的关联。

Associations between inflammatory bowel diseases and vitamin D.

机构信息

a Medical School of Marília - UNIMAR - Marília , São Paulo , Brazil.

b Food Technology School , Marília - São Paulo - Brazil.

出版信息

Crit Rev Food Sci Nutr. 2019;59(8):1347-1356. doi: 10.1080/10408398.2017.1406333. Epub 2017 Dec 13.

Abstract

Inflammatory Bowel Diseases (IBD) are increasing sharply, and the common medications are not effective for most patients. Vitamin D (VD) has been considerate to reduce inflammatory processes and may be helpful in IBD. The aim of this review was to perform an update on the potential role of VD in the IBD. We performed a search for articles associating VD and IBD published in MEDLINE-PubMed and EMBASE. The focused question used for the search was "What is the association between Inflammatory Bowel Disease and Vitamin D?" The exclusion criteria for this search were studies not in English, editorials, case reports, or poster presentations. VD prevents the inflammatory process such as negatively interfering with the release of Interleukin (IL)-1, IL-6, and Tumour Necrosis Factor-α; enhancing the function of the intestinal epithelial barrier; decreasing the occurrence of apoptosis; stimulating Toll-Like Receptor-4; inducing the production of an antimicrobial peptide in Paneth cells. Furthermore, deficiency of VD is related to the severity of the symptoms and increased the risk of cancer and surgery. In conclusion, VD shows a potential role in the management of IBD, the supplementation is inexpensive, safe, and leads to improvement of the quality of life.

摘要

炎症性肠病(IBD)的发病率正在急剧上升,而常见的药物对大多数患者并不有效。维生素 D(VD)已被认为可以减轻炎症过程,可能对 IBD 有帮助。本综述的目的是对 VD 在 IBD 中的潜在作用进行更新。我们在 MEDLINE-PubMed 和 EMBASE 中搜索了与 VD 和 IBD 相关的文章。用于搜索的重点问题是“炎症性肠病与维生素 D 之间有何关联?”本搜索的排除标准是英语以外的研究、社论、病例报告或海报展示。VD 可预防炎症过程,如负干扰白细胞介素(IL)-1、IL-6 和肿瘤坏死因子-α的释放;增强肠道上皮屏障的功能;减少细胞凋亡的发生;刺激 Toll 样受体-4;诱导 Paneth 细胞产生抗菌肽。此外,VD 缺乏与症状的严重程度有关,并增加了癌症和手术的风险。总之,VD 在 IBD 的治疗中显示出潜在的作用,补充剂价格低廉、安全,并能提高生活质量。

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