Vitamin D, multiple sclerosis and inflammatory bowel disease.

Vitamin D, multiple sclerosis and inflammatory bowel disease.
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DOI:
10.1016/j.abb.2011.11.001
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发表时间:
2012-07-01
影响因子:
3.9
通讯作者:
Cantorna, Margherita T.
Cantorna, Margherita T.
中科院分区:
生物学3区
文献类型:
--
作者:
Cantorna, Margherita T.

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自从在免疫系统细胞中发现维生素 D 受体以来,已经过去 20 多年了。免疫系统现已被确定为维生素 D 的重要靶标。维生素 D 受体敲除和维生素 D 缺乏的小鼠具有过量的效应 T 细胞,这些细胞与多发性硬化症 (MS) 和炎症性肠病 (IBD) 的病理学有关。维生素 D 的活性形式直接或间接抑制这些致病性 T 细胞的功能,同时诱导多种调节性 T 细胞抑制 MS 和 IBD 的发展。有理由相信,维生素 D 可能是一种环境因素,在临床上可能在这些免疫介导疾病的发展中发挥作用,但目前尚未建立因果关系。尽管如此,目前的证据表明,改善维生素 D 状态和/或使用维生素 D 受体激动剂可能对 MS 和 IBD 有用。
It has now been more than 20 years since the vitamin D receptor was identified in cells of the immune system. The immune system has now been established as an important target of vitamin D. Vitamin D receptor knockout and vitamin D deficient mice have a surplus of effector T cells that have been implicated in the pathology of multiple sclerosis (MS) and inflammatory bowel disease (IBD). The active form of vitamin D directly and indirectly suppresses the function of these pathogenic T cells while inducing several regulatory T cells that suppress MS and IBD development. There is reason to believe that vitamin D could be an environmental factor that may play a role in the development of these immune mediated diseases in the clinic but at present there has not been a causal relationship established. Nonetheless, current evidence suggests that improving vitamin D status and/or using vitamin D receptor agonists may be useful in MS and IBD.
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