Vitamin D and multiple sclerosis: where do we go from here?

被引:16
作者
Salzer, Jonatan [1 ]
Bistrom, Martin [1 ]
Sundstrom, Peter [1 ]
机构
[1] Umea Univ, Dept Pharmacol & Clin Neurosci, Neurol Sect, SE-90187 Umea, Sweden
关键词
multiple sclerosis; primary prevention; prospective biobank studies; randomized controlled trials; ultraviolet B (UVB) radiation; vitamin D; RANDOMIZED CONTROLLED-TRIAL; CIS-UROCANIC ACID; PLACEBO-CONTROLLED TRIAL; GENOME-WIDE ASSOCIATION; 25-HYDROXYVITAMIN D; D SUPPLEMENTATION; DOUBLE-BLIND; D DEFICIENCY; HUMAN-SKIN; CARDIOVASCULAR-DISEASE;
D O I
10.1586/14737175.2014.864952
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This article briefly introduces the basics of multiple sclerosis' (MS) clinical hallmarks and pathophysiology. Vitamin D is presented, including its metabolism and effects on the immune system. The epidemiological observations linking vitamin D to MS range from a half century old findings of latitude gradients and migrational risk patterns to modern, nested, case-control biobank studies. These observations show an association without doubt although causation has yet to be proven. Vitamin D as a treatment for MS is an emerging concept and both current and anticipated data will be covered. Lastly, we discuss future challenges, ideas on how to move from association to causation, and the prospect of primary prevention of this disabling disease.
引用
收藏
页码:9 / 18
页数:10
相关论文
共 77 条
[1]   Genome-wide association study of circulating vitamin D levels [J].
Ahn, Jiyoung ;
Yu, Kai ;
Stolzenberg-Solomon, Rachael ;
Simon, K. Claire ;
McCullough, Marjorie L. ;
Gallicchio, Lisa ;
Jacobs, Eric J. ;
Ascherio, Alberto ;
Helzlsouer, Kathy ;
Jacobs, Kevin B. ;
Li, Qizhai ;
Weinstein, Stephanie J. ;
Purdue, Mark ;
Virtamo, Jarmo ;
Horst, Ronald ;
Wheeler, William ;
Chanock, Stephen ;
Hunter, David J. ;
Hayes, Richard B. ;
Kraft, Peter ;
Albanes, Demetrius .
HUMAN MOLECULAR GENETICS, 2010, 19 (13) :2739-2745
[2]   SUN EXPOSURE AND VITAMIN D ARE INDEPENDENT RISK FACTORS FOR CNS DEMYELINATION Reply [J].
Lucas, R. M. ;
Ponsonby, A. -L. ;
Valery, P. ;
Taylor, B. .
NEUROLOGY, 2011, 77 (14) :1405-1406
[3]  
[Anonymous], 2009, NUTR REV
[4]  
Ascherio A, 1405, NEUROLOGY, V77, P1405
[5]   The initiation and prevention of multiple sclerosis [J].
Ascherio, Alberto ;
Munger, Kassandra L. ;
Luenemann, Jan D. .
NATURE REVIEWS NEUROLOGY, 2012, 8 (11) :602-612
[6]   No evidence of association between mutant alleles of the CYP27B1 gene and multiple sclerosis [J].
Ban, Maria ;
Caillier, Stacy ;
Mero, Inger-Lise ;
Myhr, Kjell-Morten ;
Celius, Elisabeth G. ;
Aarseth, Jan ;
Torkildsen, Oivind ;
Harbo, Hanne F. ;
Oksenberg, Jorge ;
Hauser, Stephen L. ;
Sawcer, Stephen ;
Compston, Alastair .
ANNALS OF NEUROLOGY, 2013, 73 (03) :430-432
[7]   No evidence for a role of rare CYP27B1 functional variations in multiple sclerosis [J].
Barizzone, Nadia ;
Pauwels, Ine ;
Luciano, Bernadetta ;
Franckaert, Dean ;
Guerini, Franca Rosa ;
Cosemans, Leentje ;
Hilven, Kelly ;
Salviati, Alessandro ;
Dooley, James ;
Danso-Abeam, Dina ;
di Sapio, Alessia ;
Cavalla, Paola ;
Decallonne, Brigitte ;
Mathieu, Chantal ;
Liston, Adrian ;
Leone, Maurizio ;
Dubois, Benedicte ;
D'Alfonso, Sandra ;
Goris, An .
ANNALS OF NEUROLOGY, 2013, 73 (03) :433-437
[8]   Analysis of immune-related loci identifies 48 new susceptibility variants for multiple sclerosis [J].
Beecham, Ashley H. ;
Patsopoulos, Nikolaos A. ;
Xifara, Dionysia K. ;
Davis, Mary F. ;
Kemppinen, Anu ;
Cotsapas, Chris ;
Shah, Tejas S. ;
Spencer, Chris ;
Booth, David ;
Goris, An ;
Oturai, Annette ;
Saarela, Janna ;
Fontaine, Bertrand ;
Hemmer, Bernhard ;
Martin, Claes ;
Zipp, Frauke ;
D'Alfonso, Sandra ;
Martinelli-Boneschi, Filippo ;
Taylor, Bruce ;
Harbo, Hanne F. ;
Kockum, Ingrid ;
Hillert, Jan ;
Olsson, Tomas ;
Ban, Maria ;
Oksenberg, Jorge R. ;
Hintzen, Rogier ;
Barcellos, Lisa F. ;
Agliardi, Cristina ;
Alfredsson, Lars ;
Alizadeh, Mehdi ;
Anderson, Carl ;
Andrews, Robert ;
Sondergaard, Helle Bach ;
Baker, Amie ;
Band, Gavin ;
Baranzini, Sergio E. ;
Barizzone, Nadia ;
Barrett, Jeffrey ;
Bellenguez, Celine ;
Bergamaschi, Laura ;
Bernardinelli, Luisa ;
Berthele, Achim ;
Biberacher, Viola ;
Binder, Thomas M. C. ;
Blackburn, Hannah ;
Bomfim, Izaura L. ;
Brambilla, Paola ;
Broadley, Simon ;
Brochet, Bruno ;
Brundin, Lou .
NATURE GENETICS, 2013, 45 (11) :1353-+
[9]   Modelling and Prediction of 25-Hydroxyvitamin D Levels in Norwegian Relapsing-Remitting Multiple Sclerosis Patients [J].
Benth, J. Saltyte ;
Myhr, K-M. ;
Loken-Amsrud, K. I. ;
Beiske, A. G. ;
Bjerve, K. S. ;
Hovdal, H. ;
Midgard, R. ;
Holmoy, T. .
NEUROEPIDEMIOLOGY, 2012, 39 (02) :84-93
[10]   Overview of the conference "Vitamin D and Health in the 21st Century: an Update" [J].
Brannon, Patsy M. ;
Yetley, Elizabeth A. ;
Bailey, Regan L. ;
Picciano, Mary Frances .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2008, 88 (02) :483S-490S