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Rev Neurol (Paris). 2016 Feb;172(2):109-22. doi: 10.1016/j.neurol.2015.11.005. Epub 2016 Feb 8.

Vitamin D deficiency and its role in neurological conditions: A review.

Author information

1
Service de neurologie B et de neurogénétique, hôpital des spécialités, centre hospitalier Ibn Sina, rue Lamfadel Cherkaoui Rabat Institut, BP 6527, Rabat, Morocco; Équipe de recherche en neurologie (ERN), faculté de médecine et de pharmacie, université Mohammed V - Souissi, Rabat institut, avenue Med Belarbi El Alaoui, BP 6203, Rabat, Morocco. Electronic address: mgaetimm@yahoo.fr.
2
Service de neurologie B et de neurogénétique, hôpital des spécialités, centre hospitalier Ibn Sina, rue Lamfadel Cherkaoui Rabat Institut, BP 6527, Rabat, Morocco; Équipe de recherche en neurologie (ERN), faculté de médecine et de pharmacie, université Mohammed V - Souissi, Rabat institut, avenue Med Belarbi El Alaoui, BP 6203, Rabat, Morocco.
3
Service de neurologie B et de neurogénétique, hôpital des spécialités, centre hospitalier Ibn Sina, rue Lamfadel Cherkaoui Rabat Institut, BP 6527, Rabat, Morocco; Équipe de recherche en neurologie (ERN), faculté de médecine et de pharmacie, université Mohammed V - Souissi, Rabat institut, avenue Med Belarbi El Alaoui, BP 6203, Rabat, Morocco; Faculté de médecine Abulcasis (FMA), université internationale Abulcasis des sciences de la santé, avenue Allal El Fassi, Madinat Al Irfane, BP 6527, Rabat, Morocco.

Abstract

This review exposes recent advances on the role of vitamin D, cholecalciferol, a secosteroid, in the central nervous system. In humans, vitamin D arises from cutaneous transformation of 7-dehydrocholesterol under the effect of UVB exposure or from food intake. Vitamin D has an immunomodulatory role through its anti-inflammatory and anti-autoimmune actions. In the nervous system, vitamin D is involved in the regulation of calcium-mediated neuronal excitotoxicity, in the reduction of oxidative stress, and in the induction of synaptic structural proteins, neurotrophic factors and deficient neurotransmitters. Reduced exposure to sunlight and low food intake can lead to vitamin D deficiency. Increasing evidence highlights the impact of vitamin D deficiency as a favoring factor in various central or peripheral neurological diseases, especially multiple sclerosis and several neurodegenerative diseases, such as amyotrophic lateral sclerosis, Parkinson's disease and Alzheimer's disease. Recently, several clinical trials on vitamin D supplementation stressed the role of vitamin D as a protective and/or prognostic factor in the onset and progress of such neurological conditions.

KEYWORDS:

Neurological conditions; Pathogenesis; Supplementation; Vitamin D

PMID:
26867662
DOI:
10.1016/j.neurol.2015.11.005
[Indexed for MEDLINE]

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