Prevention and treatment of MS: studying the effects of vitamin D

被引:46
作者
Munger, Kassandra L. [1 ]
Ascherio, Alberto [1 ,2 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA
关键词
clinical trials; multiple sclerosis; prevention; treatment; vitamin D; MULTIPLE-SCLEROSIS EXACERBATIONS; RESONANCE-IMAGING LESIONS; 25-HYDROXYVITAMIN-D LEVELS; SEASONAL FLUCTUATIONS; D SUPPLEMENTATION; DISEASE-ACTIVITY; SUN EXPOSURE; RISK; CALCIUM; POPULATION;
D O I
10.1177/1352458511425366
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Observational studies suggest that adequate vitamin D nutrition may reduce the risk of MS and affect the course of the disease. Inherent limitations in these studies, however, preclude a causal interpretation. Randomized controlled clinical trials are the next step to addressing whether vitamin D prevents MS or can favorably affect the course and progression of MS. Here we briefly review the current literature on vitamin D and MS, both as a risk factor and potential treatment for MS with a focus on the issues and challenges in designing prevention and treatment clinical trials.
引用
收藏
页码:1405 / 1411
页数:7
相关论文
共 38 条
[31]   Efficacy of vitamin D3 as add-on therapy in patients with relapsing-remitting multiple sclerosis receiving subcutaneous interferon beta-1a: A Phase II, multicenter, double-blind, randomized, placebo-controlled trial [J].
Smolders, Joost ;
Hupperts, Raymond ;
Barkhof, Frederik ;
Grimaldi, Luigi M. E. ;
Holmoy, Trygve ;
Killestein, Joep ;
Rieckmann, Peter ;
Schluep, Myriam ;
Vieth, Reinhold ;
Hostalek, Ulrike ;
Ghazi-Visser, Lizette ;
Beelke, Manolo .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2011, 311 (1-2) :44-49
[32]   Safety and T Cell Modulating Effects of High Dose Vitamin D3 Supplementation in Multiple Sclerosis [J].
Smolders, Joost ;
Peelen, Evelyn ;
Thewissen, Marielle ;
Tervaert, Jan Willem Cohen ;
Menheere, Paul ;
Hupperts, Raymond ;
Damoiseaux, Jan .
PLOS ONE, 2010, 5 (12)
[33]   25-Hydroxyvitamin D levels in serum at the onset of multiple sclerosis [J].
Soilu-Hänninen, M ;
Airas, L ;
Mononen, I ;
Heikkilä, A ;
Viljanen, M ;
Hänninen, A .
MULTIPLE SCLEROSIS JOURNAL, 2005, 11 (03) :266-271
[34]   Monthly Ambient Sunlight, Infections and Relapse Rates in Multiple Sclerosis [J].
Tremlett, Helen ;
van der Mei, Ingrid A. F. ;
Pittas, Fotini ;
Blizzard, Leigh ;
Paley, Glenys ;
Mesaros, Desiree ;
Woodbaker, Richard ;
Nunez, Manuel ;
Dwyer, Terence ;
Taylor, Bruce V. ;
Ponsonby, Anne-Louise .
NEUROEPIDEMIOLOGY, 2008, 31 (04) :271-279
[35]   Vitamin D levels in people with multiple sclerosis and community controls in Tasmania, Australia [J].
van der Mei, I. A. F. ;
Ponsonby, A.-L. ;
Dwyer, T. ;
Blizzard, L. ;
Taylor, B. V. ;
Kilpatrick, T. ;
Butzkueven, H. ;
McMichael, A. J. .
JOURNAL OF NEUROLOGY, 2007, 254 (05) :581-590
[36]   Past exposure to sun, skin phenotype, and risk of multiple sclerosis: case-control study [J].
van der Mei, IAF ;
Ponsonby, AL ;
Dwyer, T ;
Blizzard, L ;
Simmons, R ;
Taylor, BV ;
Butzkueven, H ;
Kilpatrick, T .
BRITISH MEDICAL JOURNAL, 2003, 327 (7410) :316-320
[37]   Timing of birth and risk of multiple sclerosis: population based study. [J].
Willer, CJ ;
Dyment, DA ;
Sadovnick, AD ;
Rothwell, PM ;
Murray, TJ ;
Ebers, GC .
BMJ-BRITISH MEDICAL JOURNAL, 2005, 330 (7483) :120-123
[38]   A pilot study of oral calcitriol (1,25-dihydroxyvitamin D3) for relapsing-remitting multiple sclerosis [J].
Wingerchuk, DM ;
Lesaux, J ;
Rice, GPA ;
Kremenchutzky, M ;
Ebers, GC .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2005, 76 (09) :1294-1296