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维生素D缺乏在系统性红斑狼疮发病及病情加重中的作用。

Role of vitamin D deficiency in systemic lupus erythematosus incidence and aggravation.

作者信息

Hassanalilou Tohid, Khalili Leila, Ghavamzadeh Saeid, Shokri Ali, Payahoo Laleh, Bishak Yaser Khaje

机构信息

Department of Nutrition, Faculty of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, I.R., Iran.

Department of Human Nutrition, Medicine Faculty, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Auto Immun Highlights. 2017 Dec 26;9(1):1. doi: 10.1007/s13317-017-0101-x.

Abstract

Vitamin D is one of the main groups of sterols; playing an important role in phospho-calcic metabolism. The conversion of 7-dehydrocholesterol to pre- vitamin D3 in the skin, through solar ultraviolet B radiation, is the main source of vitamin D. Since lupus patients are usually photosensitive, the risk of developing vitamin D deficiency in is high in this population. Although evidences showed the connotation between systemic lupus erythematosus (SLE) and vitamin D through which SLE can lead to lower vitamin D levels, it is also important to consider the possibility that vitamin D deficiency may have a causative role in SLE etiology. This paper analyzes existing data from various studies to highlight the role of vitamin D deficiency in SLE occurrence and aggravation and the probable efficacy of vitamin D supplementation on SLE patients. We searched "Science Direct" and "Pub Med" using "Vitamin D" and "SLE" for finding the studies focusing on the association between vitamin D deficiency and SLE incidence and consequences. Evidences show that vitamin D plays an important role in the pathogenesis and progression of SLE and vitamin D supplementation seems to ameliorate inflammatory and hemostatic markers; so, can improve clinical subsequent.

摘要

维生素D是主要的甾醇类之一,在磷酸钙代谢中发挥重要作用。皮肤中的7-脱氢胆固醇通过太阳紫外线B辐射转化为维生素D3前体,这是维生素D的主要来源。由于狼疮患者通常对光敏感,该人群中维生素D缺乏的风险很高。尽管有证据表明系统性红斑狼疮(SLE)与维生素D之间存在内在联系,即SLE可导致维生素D水平降低,但也有必要考虑维生素D缺乏可能在SLE病因中起致病作用的可能性。本文分析了各项研究的现有数据,以突出维生素D缺乏在SLE发生和加重中的作用以及补充维生素D对SLE患者可能产生的疗效。我们在“Science Direct”和“Pub Med”上使用“维生素D”和“SLE”进行搜索,以查找关注维生素D缺乏与SLE发病率及后果之间关联的研究。证据表明,维生素D在SLE的发病机制和进展中起重要作用,补充维生素D似乎可改善炎症和止血指标,从而改善临床预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/501e/5743852/b8349393dd08/13317_2017_101_Fig1_HTML.jpg

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