Department of Nephrology, Ghent University Hospital, 9000 Ghent, Belgium.
Department of Dermatology, Ghent University Hospital, 9000 Ghent, Belgium.
Int J Mol Sci. 2023 Feb 2;24(3):2924. doi: 10.3390/ijms24032924.
Vitamin D is an important immune modulator that is linked to infection susceptibility. It has been suggested that vitamin D deficiency plays a role in sepsis and septic shock because vitamin-D-related pathways are associated with various immunological, endocrine, and endothelial functions. Previous research has yielded inconclusive results regarding the link between mortality and vitamin D deficiency in sepsis patients. In patients with sepsis and severe vitamin D deficiency, an adequate vitamin D concentration may reduce mortality. Randomized controlled trials to assess the influence of vitamin D supplementation on clinical outcomes in sepsis patients with vitamin D deficiency are uncommon. We will provide an overview of the current knowledge about the relationship between vitamin D and sepsis in this review, as well as consider the potential value of vitamin D supplementation in this situation.
维生素 D 是一种重要的免疫调节剂,与感染易感性有关。有人认为,维生素 D 缺乏在脓毒症和感染性休克中起作用,因为维生素 D 相关途径与各种免疫、内分泌和内皮功能有关。关于脓毒症患者死亡率与维生素 D 缺乏之间的联系,先前的研究结果尚无定论。在脓毒症和严重维生素 D 缺乏的患者中,充足的维生素 D 浓度可能降低死亡率。评估维生素 D 缺乏的脓毒症患者补充维生素 D 对临床结局影响的随机对照试验并不常见。我们将在这篇综述中概述维生素 D 与脓毒症之间的现有知识,并考虑在这种情况下补充维生素 D 的潜在价值。