THE IMMUNOMODULATORY ROLE OF VITAMIN D IN SYSTEMIC LUPUS ERYTHEMATOSUS: AN INTEGRATING LITERATURE REVIEW

Lucas Tavares Cruz de Albuquerque, C. Modesto, Pedro de Sousa Leite, Ana Cruz, Djailson Ricardo Malheiro
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Abstract

Vitamin D, conceptually, is a pre-hormone. Many studies have shown that the vitamin D deficiency may be associated to a higher incidence of autoimmune diseases, including Systemic Lupus Erythematosus. So, this work’s purpose is identify what the scientific literature approaches about the vitamin D, highlighting its immunomodulatory role with the Systemic Lupus Erythematosus. We used the article survey that ran upon the subject in the Medline, Scielo and Lilacs databases with the descriptors: vitamin D, Systemic Lupus Erythematosus and autoimmune disease. The selected articles pointed out higher prevalence in the vitamin D deficiency and insufficiency in Lupus patients. In these, the supplementation appeared to improve the disease activity and inflammatory markers and shows a tendency for subsequent clinical improvement. However, there is a lack of adequate intake guidelines. In this way, researches about the best dosage of vitamin D are needed for these patients in order to improve their condition.
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维生素d在系统性红斑狼疮中的免疫调节作用:综合文献综述
从概念上讲,维生素D是一种前激素。许多研究表明,维生素D缺乏可能与自身免疫性疾病的高发病率有关,包括系统性红斑狼疮。因此,这项工作的目的是确定科学文献中关于维生素D的方法,强调其对系统性红斑狼疮的免疫调节作用。我们使用了Medline, Scielo和Lilacs数据库中关于该主题的文章调查,描述词为:维生素D,系统性红斑狼疮和自身免疫性疾病。所选文章指出狼疮患者维生素D缺乏和不足的患病率较高。在这些患者中,补充剂似乎改善了疾病活动性和炎症标志物,并显示出随后临床改善的趋势。然而,缺乏足够的摄入指南。因此,为了改善这些患者的病情,需要研究维生素D的最佳剂量。
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