The role of vitamins D, B12, C, and K in modulating inflammation and disease management in rheumatoid arthritis: a comprehensive review.

IF 2.9 3区 医学 Q2 RHEUMATOLOGY Clinical Rheumatology Pub Date : 2024-12-26 DOI:10.1007/s10067-024-07285-9
Nawal Hijjawi, Faten S Tout, Baraah Azaizeh, Baraah Aljaafreh
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Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disorder marked by joint inflammation and destruction. Recent studies emphasize the importance of vitamins D, B12, C, and K in managing RA and enhancing patient health. Vitamin D deficiency is common in RA patients and correlates with increased disease severity, indicating its potential to modulate immune responses and reduce inflammation. Supplementation has shown promise in improving disease activity scores and lowering inflammatory markers. Vitamin B12 is vital for energy and neurological function; its deficiency can worsen fatigue in RA sufferers. Vitamin C, with its antioxidant properties, aids collagen synthesis and may reduce joint inflammation. Vitamin K, particularly through Matrix Gla-Protein (MGP), is essential for bone health and may help prevent joint calcification and osteoporosis. Collectively, these vitamins play critical roles in immune modulation, inflammation reduction, and bone health in RA management, warranting further research on optimal dosages and combinations for effective treatment strategies.

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维生素D、B12、C和K在类风湿关节炎中调节炎症和疾病管理中的作用:一项全面的综述
类风湿性关节炎(RA)是一种以关节炎症和破坏为特征的慢性自身免疫性疾病。最近的研究强调了维生素D、B12、C和K在治疗类风湿性关节炎和增强患者健康方面的重要性。维生素D缺乏在类风湿性关节炎患者中很常见,并且与疾病严重程度的增加有关,这表明维生素D具有调节免疫反应和减少炎症的潜力。补充剂已显示出改善疾病活动评分和降低炎症标志物的希望。维生素B12对能量和神经功能至关重要;它的缺乏会加重类风湿性关节炎患者的疲劳。维生素C具有抗氧化特性,有助于胶原蛋白的合成,并可能减轻关节炎症。维生素K,特别是通过基质玻璃蛋白(MGP),对骨骼健康至关重要,可能有助于预防关节钙化和骨质疏松症。总的来说,这些维生素在类风湿关节炎治疗中的免疫调节、炎症减少和骨骼健康方面发挥着关键作用,需要进一步研究最佳剂量和有效治疗策略的组合。
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来源期刊
Clinical Rheumatology
Clinical Rheumatology 医学-风湿病学
CiteScore
6.90
自引率
2.90%
发文量
441
审稿时长
3 months
期刊介绍: Clinical Rheumatology is an international English-language journal devoted to publishing original clinical investigation and research in the general field of rheumatology with accent on clinical aspects at postgraduate level. The journal succeeds Acta Rheumatologica Belgica, originally founded in 1945 as the official journal of the Belgian Rheumatology Society. Clinical Rheumatology aims to cover all modern trends in clinical and experimental research as well as the management and evaluation of diagnostic and treatment procedures connected with the inflammatory, immunologic, metabolic, genetic and degenerative soft and hard connective tissue diseases.
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