Vitamin D and juvenile systemic lupus erythematosus: Lights, shadows and still unresolved issues.

Abstract:

:Systemic lupus erythematosus (SLE) and juvenile SLE (jSLE) are autoimmune disorders naturally associated with several genetic, environmental, hormonal, and immunological contributing factors. It has been assumed that vitamin D deficiency may have a role in the immune activation of patients with SLE and play an active part in many comorbidities and even complications. A host of clinical studies suggested that vitamin D exerts inhibitory effects on many immunological abnormalities associated with SLE, also in children and adolescents, while different reports have hypothesized that vitamin D may be associated with accelerated cardiovascular disease in SLE. This review updates and summarizes the information related to the immunoregulatory effects of vitamin D and its importance in jSLE, discusses the innumerable correlations between vitamin D and disease activity, including clinical expression and gene polymorphisms of vitamin D receptor as well as the recommendations for vitamin D supplementation in these patients. Despite the excitement raised by many data obtained about vitamin D and its influence on several aspects of the disease, further well-designed perspective trials are required to define the exact role that vitamin D may have in the management of both SLE and jSLE.

journal_name

Autoimmun Rev

journal_title

Autoimmunity reviews

authors

Stagi S,Rigante D

doi

10.1016/j.autrev.2018.01.004

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

290-300

issue

3

eissn

1568-9972

issn

1873-0183

pii

S1568-9972(18)30011-9

journal_volume

17

pub_type

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