血清25-氧维生素D水平和多发性硬化症的风险
Kassandra L Munger1, Lynn I Levin, Bruce W Hollis
1Department of Nutrition, Harvard School of Public Health, and Channing Laboratory, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass 02115, USA.
JAMA
|December 21, 2006
概括
高水平的维生素D与患多发性硬化症 (MS) 的风险降低有关. 这项前性研究发现,25-基维生素D度较高的个体患MS的可能性显著降低,特别是在白人群体中.
科学领域:
- 免疫学和神经学 免疫学和神经学
- 营养流行病学 营养流行病学
背景情况:
- 维生素D是一种关键的免疫调节剂,可以降低多发性硬化症 (MS) 风险.
- 现有的证据主要是流行病学和实验性的,缺乏前性研究.
研究的目的:
- 调查血清25-基维生素D水平与患MS的风险之间的关联.
- 为了确定更高的维生素D状况是否与MS发病率的降低相关.
主要方法:
- 一项前性,嵌套的病例控制研究,涉及700多万美国军人.
- 在257例多发性硬化病例和匹配对照中分析了血清样本的25-基维生素D水平.
- 维生素D的状态是从至少两个诊断前血清样本的平均值来确定的.
主要成果:
- 在白人参与者中,增加的25-基维生素D水平与较低的MS风险显著相关 (OR为50nmol/L增加:0.59).
- 维生素D水平最高的五分位数 (>99.1nmol/L) 显示了显著的风险降低 (OR:0.38).
- 在黑人和西班牙裔人口中没有观察到任何显著的关联,这些人基线维生素D水平较低.
结论:
- 循环中的25-基维生素D水平升高与多发性硬化症风险降低有关.
- 这些发现支持维生素D在多发性硬化症的发病过程中起着保护作用,特别是在某些人群中.
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