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补充维生素D对减轻创伤性脑损伤继发性损伤的益处?

Benefits of vitamin D supplementation to attenuate TBI secondary injury?

作者信息

Saadatmand Kiana, Khan Saba, Hassan Quaratulain, Hautamaki Raymond, Ashouri Rani, Lua Josh, Doré Sylvain

机构信息

Department of Anesthesiology, Center for Translational Research in Neurodegenerative Disease, University of Florida College of Medicine, Gainesville, FL, 32610, United States of America.

Departments of Psychiatry, Pharmaceutics, Psychology, and Neuroscience, McKnight Brain Institute, University of Florida College of Medicine, Gainesville, FL, 32610, United States of America.

出版信息

Transl Neurosci. 2021 Dec 15;12(1):533-544. doi: 10.1515/tnsci-2020-0195. eCollection 2021 Jan 1.

Abstract

Vitamin D supplementation has been shown to improve outcomes for patients suffering from a variety of illnesses such as stroke and cancer. Vitamin D deficiencies have been associated with longer hospital stays, greater severity of symptoms, and death in some complex cases. Due to vitamin D's burgeoning role in improving patient outcomes, a new sector of research is focusing on the lesser-known implications of vitamin D on health. Traumatic brain injury (TBI) affects approximately 69 million people worldwide per year. Here, we summarize the current scientific understanding of vitamin D dynamics with TBI to elucidate a potential way to lessen the cascade of secondary damage after an initial insult, with the goal of improving overall patient outcomes. Because vitamin D supplementation has been correlated with better outcomes in other pathologies involving immune and inflammatory molecules, it is important to study the potential effect of vitamin D deficiency (VDD) and supplementation on TBI outcomes. Research on vitamin D supplementation in TBI remains in the preliminary stages. There is still much to learn about vitamin D deficiency, dosage, variants of supplementary forms, mechanisms, and its role in TBI.

摘要

补充维生素D已被证明可改善患有多种疾病(如中风和癌症)患者的预后。维生素D缺乏与住院时间延长、症状更严重以及在某些复杂病例中的死亡有关。由于维生素D在改善患者预后方面的作用日益凸显,一个新的研究领域正聚焦于维生素D对健康鲜为人知的影响。创伤性脑损伤(TBI)每年在全球约影响6900万人。在此,我们总结当前对维生素D与TBI关系的科学认识,以阐明一种潜在方法,减轻初次损伤后继发性损伤的连锁反应,目标是改善患者的总体预后。由于补充维生素D在涉及免疫和炎症分子的其他病症中与更好的预后相关,研究维生素D缺乏(VDD)和补充对TBI预后的潜在影响很重要。关于TBI补充维生素D的研究仍处于初步阶段。关于维生素D缺乏、剂量、补充形式的变体、机制及其在TBI中的作用仍有许多需要了解的地方。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/685a/8678475/f07d6f5daf29/j_tnsci-2020-0195-fig001.jpg

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