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Impact of Vitamin D in Prophylaxis and Treatment in Tuberculosis Patients.

Roberta PapagniCarmen PellegrinoFrancesco Di GennaroGiulia PattiAurelia RicciardiRoberta NovaraSergio CotugnoMaria MussoGiacomo GuidoLuigi RongaStefania StolfaDavide Fiore BavaroFederica RomanelliValentina TotaroRossana LattanzioGiuseppina De IacoFabrizio PalmieriAnnalisa SaracinoGina Gualano
Published in: International journal of molecular sciences (2022)
Vitamin D plays a crucial role in many infectious diseases, such as tuberculosis (TB), that remains one of the world's top infectious killers with 1.5 million deaths from TB in 2021. Vitamin D suppresses the replication of Mycobacterium tuberculosis in vitro and showed a promising role in TB management as a result of its connection with oxidative balance. Our review encourages the possible in vivo benefit of a joint administration with other vitamins, such as vitamin A, which share a known antimycobacterial action with vitamin D. However, considering the low incidence of side effects even at high dosages and its low cost, it would be advisable to assess vitamin D level both in patients with active TB and high-risk groups and administer it, at least to reach sufficiency levels.
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