Servicio de Dermatología, Hospital Universitario y Politécnico La Fe, Valencia, Spain; Instituto de Investigación Sanitaria (IIS) La Fe, Valencia, Spain.
Servicio de Dermatología, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.
Actas Dermosifiliogr. 2024 Jul-Aug;115(7):T679-T692. doi: 10.1016/j.ad.2024.05.017. Epub 2024 May 31.
Vitamin D (VD) deficiency has been associated with various tumors. However, the association between VD and skin cancer is controversial. Although in non-melanoma skin cancer, adequate or even high levels of VD can be associated with a higher risk of developing tumors, this could be biased by the direct association between sun exposure and VD levels. Regarding melanoma, results are contradictory. Most studies analyzed state that higher levels of VD could reduce the risk of melanoma, be associated with melanomas with better prognosis and with an enhanced antitumor response, and also with fewer adverse events associated with melanoma immunotherapy. However, prospective studies of adequate methodological quality are still needed to assess the association between VD levels and its supplementation and development/prognosis in skin cancer.
维生素 D(VD)缺乏与各种肿瘤有关。然而,VD 与皮肤癌之间的关联存在争议。虽然在非黑色素瘤皮肤癌中,足够甚至高水平的 VD 可能与更高的肿瘤发生风险相关,但这可能受到阳光暴露与 VD 水平之间的直接关联的影响。关于黑色素瘤,结果存在矛盾。大多数分析的研究表明,较高水平的 VD 可能降低黑色素瘤的风险,与预后较好的黑色素瘤相关,并增强抗肿瘤反应,也与黑色素瘤免疫治疗相关的不良反应更少。然而,仍需要进行适当方法学质量的前瞻性研究来评估 VD 水平及其补充与皮肤癌的发展/预后之间的关系。