Aggeletopoulou Ioanna, Geramoutsos Georgios, Pastras Ploutarchos, Triantos Christos
Division of Gastroenterology, Department of Internal Medicine, University of Patras, 26504 Patras, Greece.
Nutrients. 2025 Mar 14;17(6):1028. doi: 10.3390/nu17061028.
Irritable Bowel Syndrome (IBS) is a chronic functional gastrointestinal disorder. Despite its common occurrence, the pathophysiology of IBS remains not fully understood. Emerging evidence suggests that IBS is a multifactorial condition characterized by low-grade inflammation, immune system activation, impaired gut permeability, intestinal hypersensitivity, and alterations in intestinal microbiota. Recent data have highlighted the potential role of vitamin D in modulating these underlying mechanisms. Vitamin D is known to influence various cellular processes, including the regulation of the gut microbiome, immune response modulation, and anti-inflammatory effects, which may alleviate the altered gut function observed in IBS. Research indicates that individuals with IBS often have lower levels of vitamin D compared to healthy controls, suggesting a possible link between vitamin D deficiency and IBS. Vitamin D supplementation has been associated with improvements in IBS symptoms, such as bloating, flatulence, abdominal pain, constipation, and overall quality of life. The mechanisms by which vitamin D exerts these effects may involve direct or indirect modulation of immune responses, the production of antimicrobial peptides, and the regulation of gene expression related to serotonergic metabolism. Despite these promising findings, the exact pathways through which vitamin D affects IBS pathophysiology remain unclear. The aim of this review is to outline the current knowledge and evidence regarding these mechanisms, as well as the therapeutic potential of vitamin D supplementation in IBS patients. Exploring the connection between vitamin D and IBS may pave the way for innovative interventions, enhancing both management strategies and the quality of life for those affected by the disorder.
肠易激综合征(IBS)是一种慢性功能性胃肠疾病。尽管其很常见,但IBS的病理生理学仍未被完全理解。新出现的证据表明,IBS是一种多因素疾病,其特征为低度炎症、免疫系统激活、肠道通透性受损、肠道超敏反应以及肠道微生物群改变。最近的数据突出了维生素D在调节这些潜在机制中的潜在作用。已知维生素D会影响各种细胞过程,包括肠道微生物群的调节、免疫反应调节和抗炎作用,这可能会缓解IBS中观察到的肠道功能改变。研究表明,与健康对照组相比,IBS患者的维生素D水平通常较低,这表明维生素D缺乏与IBS之间可能存在联系。补充维生素D与IBS症状的改善有关,如腹胀、肠胃胀气、腹痛、便秘以及整体生活质量的改善。维生素D发挥这些作用的机制可能涉及对免疫反应的直接或间接调节、抗菌肽的产生以及与血清素能代谢相关的基因表达的调节。尽管有这些有前景的发现,但维生素D影响IBS病理生理学的确切途径仍不清楚。本综述的目的是概述关于这些机制的当前知识和证据,以及维生素D补充剂对IBS患者的治疗潜力。探索维生素D与IBS之间的联系可能为创新干预措施铺平道路,提高管理策略以及改善受该疾病影响者的生活质量。
Expert Rev Gastroenterol Hepatol. 2019-1-23
World J Gastroenterol. 2022-3-28
Curr Issues Mol Biol. 2024-11-26
Int J Mol Sci. 2024-11-19
Cureus. 2023-11-30
Neurogastroenterol Motil. 2024-1