Role of Vitamin D in Systemic Sclerosis: A Systematic Literature Review

Background. Systemic sclerosis (SSc) is a chronic multisystem autoimmune condition defined by a complex pathobiology, comprising excessive fibrosis of skin and internal organs, peripheral vasculopathy with endothelial cell dysfunction, inadequate vascular repair and neovascularization, and aberrant...

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Main Authors: Alexandra-Diana Diaconu, Iustina Ostafie, Alexandr Ceasovschih, Victorița Șorodoc, Cătălina Lionte, Codrina Ancuța, Laurențiu Șorodoc
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2021/9782994
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author Alexandra-Diana Diaconu
Iustina Ostafie
Alexandr Ceasovschih
Victorița Șorodoc
Cătălina Lionte
Codrina Ancuța
Laurențiu Șorodoc
author_facet Alexandra-Diana Diaconu
Iustina Ostafie
Alexandr Ceasovschih
Victorița Șorodoc
Cătălina Lionte
Codrina Ancuța
Laurențiu Șorodoc
author_sort Alexandra-Diana Diaconu
collection DOAJ
description Background. Systemic sclerosis (SSc) is a chronic multisystem autoimmune condition defined by a complex pathobiology, comprising excessive fibrosis of skin and internal organs, peripheral vasculopathy with endothelial cell dysfunction, inadequate vascular repair and neovascularization, and aberrant immunity. Vitamin D is a steroid hormone with pleiotropic effects beyond its traditional role in calcium and bone homeostasis. Since vitamin D has immunomodulatory, cardioprotective, and antifibrotic properties, it could potentially interfere with SSc pathogenesis. Suboptimal vitamin D levels are classically recognized in scleroderma, irrespective of clinical and serological phenotype. Aim. This systematic review is aimed at investigating and clarifying the role of vitamin D in SSc and emphasizing the association of vitamin D status with different clinical settings. Methods and Results. A systematic online search was performed, using PubMed databases to collect articles on the topic of vitamin D in SSc. The final analysis included 40 eligible articles. Conclusions. Hypovitaminosis D is common in SSc patients and could be associated with clinical and serologic patterns of the disease. Intervention for low serum vitamin D levels in SSc pathogenesis remains controversial, as well as the significance of vitamin D supplementation in such patients.
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spelling doaj-art-45f3b562f6214a6fb91dbf8a6d926f8a2025-08-20T02:37:49ZengWileyJournal of Immunology Research2314-71562021-01-01202110.1155/2021/9782994Role of Vitamin D in Systemic Sclerosis: A Systematic Literature ReviewAlexandra-Diana Diaconu0Iustina Ostafie1Alexandr Ceasovschih2Victorița Șorodoc3Cătălina Lionte4Codrina Ancuța5Laurențiu Șorodoc62nd Rheumatology Department2nd Rheumatology Department2nd Internal Medicine Department2nd Internal Medicine Department2nd Internal Medicine Department2nd Rheumatology Department2nd Internal Medicine DepartmentBackground. Systemic sclerosis (SSc) is a chronic multisystem autoimmune condition defined by a complex pathobiology, comprising excessive fibrosis of skin and internal organs, peripheral vasculopathy with endothelial cell dysfunction, inadequate vascular repair and neovascularization, and aberrant immunity. Vitamin D is a steroid hormone with pleiotropic effects beyond its traditional role in calcium and bone homeostasis. Since vitamin D has immunomodulatory, cardioprotective, and antifibrotic properties, it could potentially interfere with SSc pathogenesis. Suboptimal vitamin D levels are classically recognized in scleroderma, irrespective of clinical and serological phenotype. Aim. This systematic review is aimed at investigating and clarifying the role of vitamin D in SSc and emphasizing the association of vitamin D status with different clinical settings. Methods and Results. A systematic online search was performed, using PubMed databases to collect articles on the topic of vitamin D in SSc. The final analysis included 40 eligible articles. Conclusions. Hypovitaminosis D is common in SSc patients and could be associated with clinical and serologic patterns of the disease. Intervention for low serum vitamin D levels in SSc pathogenesis remains controversial, as well as the significance of vitamin D supplementation in such patients.http://dx.doi.org/10.1155/2021/9782994
spellingShingle Alexandra-Diana Diaconu
Iustina Ostafie
Alexandr Ceasovschih
Victorița Șorodoc
Cătălina Lionte
Codrina Ancuța
Laurențiu Șorodoc
Role of Vitamin D in Systemic Sclerosis: A Systematic Literature Review
Journal of Immunology Research
title Role of Vitamin D in Systemic Sclerosis: A Systematic Literature Review
title_full Role of Vitamin D in Systemic Sclerosis: A Systematic Literature Review
title_fullStr Role of Vitamin D in Systemic Sclerosis: A Systematic Literature Review
title_full_unstemmed Role of Vitamin D in Systemic Sclerosis: A Systematic Literature Review
title_short Role of Vitamin D in Systemic Sclerosis: A Systematic Literature Review
title_sort role of vitamin d in systemic sclerosis a systematic literature review
url http://dx.doi.org/10.1155/2021/9782994
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