2010
DOI: 10.1136/ard.2010.134817
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Vitamin D: an instrumental factor in the anti-phospholipid syndrome by inhibition of tissue factor expression

Abstract: Vitamin D deficiency is common among APS patients and is associated with clinically defined thrombotic events. Vitamin D inhibits anti-β2GPI-mediated TF expression in vitro. Thus, vitamin D deficiency might be associated with decreased inhibition of TF expression and increased coagulation in APS. Evaluation of vitamin D status and vitamin D supplementation in APS patients should be considered.

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Cited by 139 publications
(110 citation statements)
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References 45 publications
(45 reference statements)
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“…Additionally, experimental models suggest significant role of complement system and inflammation in APS pathogenesis, which is similar to SLE pathogenesis [49][50][51]. New data indicate role of vitamin D in SLE pathogenesis and also very current are researches of vitamin D role in APS [52]. Based on many similarities with SLE, some authors indicate possible systemic character of APS and raise an intriguing question: are http://www.mjms.mk/ http://www.id-press.eu/mjms/ APS and SLE two separate autoimmune disorders or represent one same autoimmune phenomenon?…”
Section: Is Antiphospholipid Syndrome a Systemic Autoimmune Disorder?mentioning
confidence: 89%
“…Additionally, experimental models suggest significant role of complement system and inflammation in APS pathogenesis, which is similar to SLE pathogenesis [49][50][51]. New data indicate role of vitamin D in SLE pathogenesis and also very current are researches of vitamin D role in APS [52]. Based on many similarities with SLE, some authors indicate possible systemic character of APS and raise an intriguing question: are http://www.mjms.mk/ http://www.id-press.eu/mjms/ APS and SLE two separate autoimmune disorders or represent one same autoimmune phenomenon?…”
Section: Is Antiphospholipid Syndrome a Systemic Autoimmune Disorder?mentioning
confidence: 89%
“…It was shown that ~ 50% of patients had vitamin D deficiency (<15ng/ml) which correlates with thrombotic complications and other clinical manifestations of the syndrome (neurological, ocular, livedo reticularis and skin ulcers). In vitro, vitamin D seems to suspend the anti-2GPI-induced expression of TF [ 67 ]. The role of anti-endothelial antibodies, especially of anti-HSP60, in the mechanism of thrombosis was studied in LA positive patients with secondary APS [ 68 ].…”
Section: Clinical and Laboratory Characteristicsmentioning
confidence: 99%
“…Numerous infectious agents have been related to autoimmunity and production of autoantibodies [20][21][22] as well as with evident diseases such as SLE and APS [23][24][25][26][27]. Additional factors such as hormones [28,29], vitamins such as vitamin D [30][31][32], sun exposure, etc. were also allied the pathogenesis of both SLE and APS [33].…”
mentioning
confidence: 99%