Barichella Michela, Garrì Federica, Caronni Serena, Bolliri Carlotta, Zocchi Luciano, Macchione Maria Carmela, Ferri Valentina, Calandrella Daniela, Pezzoli Gianni
Parkinson Institute, ASST Gaetano Pini-CTO, 20126 Milan, Italy.
Fondazione Grigioni per il Morbo di Parkinson, 20126 Milan, Italy.
Brain Sci. 2022 Jun 16;12(6):790. doi: 10.3390/brainsci12060790.
Parkinson's disease (PD) is a complex and progressive neurodegenerative disease, characterized by resting tremor, rigidity, slowness of movement, and postural instability. Furthermore, PD is associated with a wide spectrum of non-motor symptoms that add to overall disability. In recent years, some investigations, from basic science to clinical applications, have focused on the role of vitamin D in PD, often with controversial findings. Vitamin D has widespread effects on several biological processes in the central nervous system, including neurotransmission in dopaminergic neural circuits. Various studies have recorded lower levels of vitamin D in PD patients than in healthy controls. Low vitamin D status has also been correlated with the risk for PD and motor severity, whereas less is known about the effects vitamin D has on cognitive function and other non-motor symptoms. This review aims to better characterize the correlation between vitamin D and PD, clarify the role of vitamin D in PD prevention and treatment, and discuss avenues for future research in this field.
帕金森病(PD)是一种复杂的进行性神经退行性疾病,其特征为静止性震颤、肌强直、运动迟缓及姿势不稳。此外,PD还伴有一系列加重整体残疾的非运动症状。近年来,从基础科学到临床应用的一些研究聚焦于维生素D在PD中的作用,但其结果往往存在争议。维生素D对中枢神经系统的多种生物学过程具有广泛影响,包括多巴胺能神经回路中的神经传递。多项研究记录了PD患者体内维生素D水平低于健康对照。维生素D水平低还与PD风险及运动严重程度相关,而关于维生素D对认知功能和其他非运动症状的影响则知之甚少。本综述旨在更好地描述维生素D与PD之间的相关性,阐明维生素D在PD预防和治疗中的作用,并探讨该领域未来的研究方向。