维生素D在儿童抽动障碍中的神经生化与免疫机制研究进展

杨晓燕, 侯成, 衣明纪

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (8) : 857-860.

PDF(471 KB)
PDF(471 KB)
中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (8) : 857-860. DOI: 10.11852/zgetbjzz2020-0353
综述

维生素D在儿童抽动障碍中的神经生化与免疫机制研究进展

  • 杨晓燕, 侯成, 衣明纪
作者信息 +

Research progress on the neurobiochemical and immunological mechanism of vitamin D in tic disorders of children

  • YANG Xiao-yan, HOU Cheng, YI Ming-ji
Author information +
文章历史 +

摘要

维生素D(VD)是一种营养素,也是一种激素,还是一类神经活性甾体,除调节钙磷代谢、维持牙齿和骨骼健康外,还对骨骼外系统发挥重要作用,如影响脑部正常发育和功能、调节免疫和影响代谢等。近年来的研究表明抽动障碍(TDs)患儿血液中VD水平低于健康儿童;VD缺乏通过影响神经系统皮质-基底神经节-丘脑-皮质(CBGTC)通路中神经递质的含量、各种神经递质的平衡性以及机体免疫功能等途径在儿童TDs中发挥作用,本文对TDs儿童的VD营养状况以及VD在儿童TDs中的神经生化和免疫机制进行总结。

Abstract

Besides being a nutrient and a hormone,vitamin D is a neuroactive steroid.In addition to regulating calcium and phosphorus metabolism,as well as maintaining the health of teeth and bones,vitamin D has been shown to play several important roles in extra-skeletal system,such as affecting the normal development and function of the brain,regulating immunity and affecting metabolism.In recent years,some researches have shown that serum vitamin D level in children with tic disorders (TDs) was lower than that of the healthy controls.The mechanism of vitamin D deficiency on TDs in children may involve the following aspects,changing neurotransmitter concentration and disrupting the balance between various neurotransmitters in the CBGTC pathway and effecting body's immune function.This review aims to summarize the nutritional status of vitamin D in children with TDs and the neurobiochemical and immunological mechanisms of vitamin D in TDs.

关键词

维生素D / 抽动障碍 / 神经发育 / 免疫功能

Key words

vitamin D / tic disorders / neurodevelopment / immune function

引用本文

导出引用
杨晓燕, 侯成, 衣明纪. 维生素D在儿童抽动障碍中的神经生化与免疫机制研究进展[J]. 中国儿童保健杂志. 2021, 29(8): 857-860 https://doi.org/10.11852/zgetbjzz2020-0353
YANG Xiao-yan, HOU Cheng, YI Ming-ji. Research progress on the neurobiochemical and immunological mechanism of vitamin D in tic disorders of children[J]. Chinese Journal of Child Health Care. 2021, 29(8): 857-860 https://doi.org/10.11852/zgetbjzz2020-0353
中图分类号: R749.94   

参考文献

[1] Gloor FT,Walitza S.Tic disorders and Tourette syndrome:Current concepts of etiology and treatment in children and adolescents[J].Neuropediatrics,2016,47(2):84-96.
[2] Dhamayanti M,Noviandhari A,Supriadi S,et al.Association of maternal vitamin D deficiency and infants' neurodevelopmental status:A cohort study on vitamin D and its impact during pregnancy and childhood in Indonesia[J].J Paediatr Child Health,2020,56(1):16-21.
[3] Schmidt RJ,Niu Q,Eyles DW,et al.Neonatal vitamin D status in relation to autism spectrum disorder and developmental delay in the CHARGE case-control study[J].Autism Res,2019,12(6):976-988.
[4] Bscheider M,Butcher EC.Vitamin D immunoregulation through dendritic cells[J].Immunology,2016,148(3):227-236.
[5] Feng J,Shan L,Du L,et al.Clinical improvement following vitamin D3 supplementation in autism spectrum disorder[J].Nutr Neurosci,2017,20(5):284-290.
[6] Dehbokri N,Noorazar G,Ghaffari A,et al.Effect of vitamin D treatment in children with attention-deficit hyperactivity disorder[J].World J Pediatr,2019,15(1):78-84.
[7] 李洪华,王冰,单玲,等.抽动障碍患儿血清25羟基维生素D水平的检测[J].中国当代儿科杂志,2017,19(11):1165-1168.
[8] 陈先睿,黄建琪,陈玲,等.血清25羟维生素D水平在抽动障碍儿童中的临床研究[J].中国妇幼保健,2019,34(18):4228-4231.
[9] Li HH,Shan L,Wang B,et al.Serum 25-hyroxyvitamin D levels and tic severity in Chinese children with tic disorders[J].Psychiatry Res,2018,267:80-84.
[10] Mossin MH,Aaby JB,Dalgård C,et al.Inverse associations between cord vitamin D and attention deficit hyperactivity disorder symptoms:A child cohort study[J].Aust NZJ Psychiatry,2017,51(7):703-710.
[11] Windham GC,Pearl M,Anderson MC,et al.Newborn vitamin D levels in relation to autism spectrum disorders and intellectual disability:A case-control study in california[J].Autism Res,2019,12(6):989-998.
[12] Li HH,Xu ZD,Wang B,et al.Clinical improvement following vitamin D3 supplementation in children with chronic tic disorders[J].Neuropsychiatr Dis Treat,2019,15:2443-2450.
[13] 崔圣涛.小儿抽动症与微量元素及维生素A/D/E的相关性研究[D].吉林:长春中医药大学,2017.
[14] Hienert M,Gryglewski G,Stamenkovic M,et al.Striatal dopaminergic alterations in Tourette's syndrome:a meta-analysis based on 16 PET and SPECT neuroimaging studies[J].Transl Psychiatry,2018,8(1):143.
[15] Augustine F,Singer HS.Merging the pathophysiology and pharmacotherapy of Tics[J].Tremor Other Hyperkinet Mov (NY),2018,8:595.
[16] Nespoli E,Rizzo F,Boeckers T,et al.Altered dopaminergic regulation of the dorsal striatum is able to induce tic-like movements in juvenile rats[J].PLoS One,2018,13(4):e0196515.
[17] Luan W,Hammond LA,Cotter E,et al.Developmental vitamin D (DVD) deficiency reduces nurr1 and TH expression in post-mitotic dopamine neurons in rat mesencephalon[J].Mol Neurobiol,2018,55(3):2443-2453.
[18] Pertile R,Cui X,Hammond L,et al.Vitamin D regulation of GDNF/Ret signaling in dopaminergic neurons[J].FASEB J,2018,32(2):819-828.
[19] McCairn KW,Nagai Y,Hori Y,et al.A primary role for nucleus accumbens and related limbic network in vocal Tics[J].Neuron,2016,89(2):300-307.
[20] Sikoglu EM,Navarro AA,Starr D,et al.Vitamin D3 supplemental treatment for mania in youth with bipolar spectrum disorders[J].J Child Adolesc Psychopharmacol,2015,25(5):415-424.
[21] Kasatkina LA,Tarasenko AS,Krupko OO,et al.Vitamin D deficiency induces the excitation/inhibition brain imbalance and the proinflammatory shift[J].Int J Biochem Cell Biol,2020,119:105665.
[22] Jiang P,Zhang LH,Cai HL,et al.Neurochemical effects of chronic administration of calcitriol in rats[J].Nutrients,2014,6(12):6048-6059.
[23] Krisanova N,Pozdnyakova N,Pastukhov A,et al.Vitamin D3 deficiency in puberty rats causes presynaptic malfunctioning through alterations in exocytotic release and uptake of glutamate/GABA and expression of EAAC-1/GAT-3 transporters[J].Food Chem Toxicol,2019,123:142-150.
[24] Müller-Vahl KR,Szejko N,Wilke F,et al.Serotonin transporter binding is increased in Tourette syndrome with obsessive compulsive disorder[J].Sci Rep,2019,9(1):972.
[25] Xu M,Kobets A,Du JC,et al.Targeted ablation of cholinergic interneurons in the dorsolateral striatum produces behavioral manifestations of Tourette syndrome[J].Proc Natl Acad Sci USA,2015,112(3):893-898.
[26] Pichler EM,Kawohl W,Seifritz E,et al.Pure delta-9-tetrahydrocannabinol and its combination with cannabidiol in treatment-resistant Tourette syndrome:A case report[J].Int J Psychiatry Med,2019,54(2):150-156.
[27] Andrews PW,Bharwani A,Lee KR,et al.Is serotonin an upper or a downer? The evolution of the serotonergic system and its role in depression and the antidepressant response[J].Neurosci Biobehav Rev,2015,51:164-188.
[28] Medhat E,Rashed L,Abdelgwad M,et al.Exercise enhances the effectiveness of vitamin D therapy in rats with Alzheimer's disease:emphasis on oxidative stress and inflammation[J].Metab Brain Dis,2020,35(1):111-120.
[29] Di Marzo V,Silvestri C.Lifestyle and metabolic syndrome:contribution of the endocannabinoidome[J].Nutrients,2019,11(8).pii:E1956.
[30] Spinello C,Laviola G,Macrì S.Pediatric autoimmune disorders associated with streptococcal infections and Tourette's syndrome in preclinical studies[J].Front Neurosci,2016,10:310.
[31] 侯晓君,林珊,林祥泉,等.抽动障碍儿童Th淋巴细胞及其亚群的变化[J].中国当代儿科杂志,2018,20(7):519-523.
[32] Dileepan T,Smith ED,Knowland D,et al.Group A Streptococcus intranasal infection promotes CNS infiltration by streptococcal-specific Th17 cells[J].J Clin Invest,2016,126(1):303-317.
[33] Frick L,Pittenger C.Microglial Dysregulation in OCD,Tourette syndrome,and PANDAS[J].J Immunol Res,2016,2:1-8.
[34] Lennington JB,Coppola G,Kataoka-Sasaki Y,et al.Transcriptome analysis of the human striatum in Tourette syndrome[J].Biol Psychiatry,2016,79(5):372-382.
[35] Szymczak I,Pawliczak R.The active metabolite of vitamin D3 as a potential immunomodulator[J].Scand J Immunol,2016,83(2):83-91.
[36] Verma R,Kim JY.1,25-Dihydroxyvitamin D3 facilitates M2 polarization and upregulates TLR10 expression on human microglial cells[J].Neuroimmunomodulation,2016,23(2):75-80.

基金

国家自然科学基金面上项目(81371499,81871076)

PDF(471 KB)

Accesses

Citation

Detail

段落导航
相关文章

/