Vitamin D Deficiency: An Underestimated Factor in Sepsis?

被引:19
作者
Delrue, Charlotte [1 ]
Speeckaert, Reinhart [2 ]
Delanghe, Joris R. R. [3 ]
Speeckaert, Marijn M. M. [1 ,4 ]
机构
[1] Ghent Univ Hosp, Dept Nephrol, B-9000 Ghent, Belgium
[2] Ghent Univ Hosp, Dept Dermatol, B-9000 Ghent, Belgium
[3] Univ Ghent, Dept Diagnost Sci, B-9000 Ghent, Belgium
[4] Res Fdn Flanders FWO, B-1000 Brussels, Belgium
关键词
vitamin D deficiency; sepsis; mortality; vitamin D treatment; CRITICALLY-ILL CHILDREN; ONSET NEONATAL SEPSIS; LENGTH-OF-STAY; PRETERM INFANTS; ANTIMICROBIAL PEPTIDES; 25-HYDROXYVITAMIN D; RISK-FACTORS; CATHELICIDIN; EXPRESSION; SUPPLEMENTATION;
D O I
10.3390/ijms24032924
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
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.
引用
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页数:21
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