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It suppresses IL-6 and TNF- production while enhancing IL-10 production in macrophages, and inhibits the mTOR/STAT3 pathway in T cells, thereby reducing proinflammatory Th17 cells and cytokines such as IL-17 and IL-22, while promoting regulatory T-cell (Treg) differentiation ( ( Clinically, paricalcitol supplementation has been shown to decrease serum IL-6 and TNF- levels and reduce proteinuria in nondialysis CKD patients ( Together, these findings support the role of vitamin D in modulating immune and inflammatory responses in CKD through multiple pathways and highlight its close connection to oxidative stress, which will be discussed in the next section
doi: 10.1038/s41413-024-00365-1 214 ZhangZJiCWangYNLiuSWangMXuXet al
Abstract Maintaining the balance of a cells redox function is key to determining cell fate
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