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维生素D补充剂对多发性硬化症的影响。

Impact of Vitamin D Supplementation on Multiple Sclerosis.

作者信息

Gandhi Fenil, Jhaveri Sharan, Avanthika Chaithanya, Singh Abhishek, Jain Nidhi, Gulraiz Azouba, Shah Pratiksha, Nasir Fareeha

机构信息

Internal Medicine, Shree Krishna Hospital, Anand, IND.

Internal Medicine, Nathiba Hargovandas Lakhmichand Municipal Medical College, Ahmedabad, IND.

出版信息

Cureus. 2021 Oct 5;13(10):e18487. doi: 10.7759/cureus.18487. eCollection 2021 Oct.

Abstract

Multiple sclerosis (MS) is an autoimmune disease affecting a large number of people every year. The exact causal factor for this disease is unclear, but it commonly affects middle-aged women, with known triggers like stress, childbirth, infections, poor diet, lack of sleep, etc. Many epidemiological studies have indicated that various genetic abnormalities are also critical drivers of the onset of MS. The major risk factors of MS identified include hypovitaminosis D while environmental protective factors include allele HLA DRB1 1501, obesity, Epstein-Barr virus infection, sexual hormones, and smoking. Our article explores the correlation between the deficiency of vitamin D and the onset and progression of MS. The study uses a systematic review methodology by researching and reviewing scholarly articles exploring the topic. We conducted online searches of literature on Google Scholar and PubMed using the keywords "vitamin D deficiency" and "multiple sclerosis" and accessed the relevant secondary literature sources for review. The variables under study included vitamin D insufficiency as the dependent variable while MS was the independent variable. Causal variables included environmental, genetic, and protective factors. We hypothesized that there is indeed a correlation between vitamin D deficiency and MS. The findings from our review indicate a strong correlation between the insufficiency of vitamin D and the onset and progression of MS. These results are essential in devising interventions to accomplish primary and secondary prevention of MS, as well as integrating vitamin D supplementation in current treatment protocols for MS.

摘要

多发性硬化症(MS)是一种自身免疫性疾病,每年影响大量人群。这种疾病的确切病因尚不清楚,但它通常影响中年女性,已知的触发因素包括压力、分娩、感染、不良饮食、睡眠不足等。许多流行病学研究表明,各种基因异常也是MS发病的关键驱动因素。已确定的MS主要风险因素包括维生素D缺乏,而环境保护因素包括等位基因HLA DRB1 1501、肥胖、爱泼斯坦-巴尔病毒感染、性激素和吸烟。我们的文章探讨了维生素D缺乏与MS发病及进展之间的相关性。该研究采用系统综述方法,通过研究和综述探讨该主题的学术文章来进行。我们在谷歌学术和PubMed上使用关键词“维生素D缺乏”和“多发性硬化症”对文献进行在线搜索,并查阅相关的二次文献来源进行综述。研究的变量包括维生素D不足作为因变量,而MS作为自变量。因果变量包括环境、基因和保护因素。我们假设维生素D缺乏与MS之间确实存在相关性。我们综述的结果表明,维生素D不足与MS的发病及进展之间存在很强的相关性。这些结果对于制定干预措施以实现MS的一级和二级预防,以及将维生素D补充纳入当前MS治疗方案至关重要。

相似文献

1
Impact of Vitamin D Supplementation on Multiple Sclerosis.维生素D补充剂对多发性硬化症的影响。
Cureus. 2021 Oct 5;13(10):e18487. doi: 10.7759/cureus.18487. eCollection 2021 Oct.
2
Vitamin D and multiple sclerosis: An update.维生素D与多发性硬化症:最新进展
Mult Scler Relat Disord. 2017 May;14:35-45. doi: 10.1016/j.msard.2017.03.014. Epub 2017 Mar 29.
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Environmental factors in multiple sclerosis.多发性硬化的环境因素。
Expert Rev Neurother. 2013 Dec;13(12 Suppl):3-9. doi: 10.1586/14737175.2013.865866.
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Vitamin D and Multiple Sclerosis: A Comprehensive Review.维生素D与多发性硬化症:全面综述
Neurol Ther. 2018 Jun;7(1):59-85. doi: 10.1007/s40120-017-0086-4. Epub 2017 Dec 14.
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The initiation and prevention of multiple sclerosis.多发性硬化症的发病与预防。
Nat Rev Neurol. 2012 Nov 5;8(11):602-12. doi: 10.1038/nrneurol.2012.198. Epub 2012 Oct 9.
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The case for vitamin D supplementation in multiple sclerosis.多发性硬化症中补充维生素D的情况。
Mult Scler Relat Disord. 2013 Oct;2(4):281-306. doi: 10.1016/j.msard.2012.12.008. Epub 2013 Feb 12.

引用本文的文献

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How Much Vitamin D is Too Much? A Case Report and Review of the Literature.维生素 D 补多少算多?病例报告及文献复习。
Endocr Metab Immune Disord Drug Targets. 2021;21(9):1653-1659. doi: 10.2174/1871530320666201007152230.
4
Treatment of Multiple Sclerosis: A Review.多发性硬化症的治疗:综述
Am J Med. 2020 Dec;133(12):1380-1390.e2. doi: 10.1016/j.amjmed.2020.05.049. Epub 2020 Jul 17.
7
Vitamin D enhances responses to interferon-β in MS.维生素 D 增强多发性硬化症患者对干扰素-β的反应。
Neurol Neuroimmunol Neuroinflamm. 2019 Oct 3;6(6):e622. doi: 10.1212/NXI.0000000000000622. Print 2019 Nov.
10
Vitamin D Toxicity-A Clinical Perspective.维生素D中毒——临床视角
Front Endocrinol (Lausanne). 2018 Sep 20;9:550. doi: 10.3389/fendo.2018.00550. eCollection 2018.

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