Vitamin D, Autoimmune Disease and Rheumatoid Arthritis
Identifieur interne : 000282 ( Main/Exploration ); précédent : 000281; suivant : 000283Vitamin D, Autoimmune Disease and Rheumatoid Arthritis
Auteurs : Stephanie R. Harrison ; Danyang Li ; Louisa E. Jeffery ; Karim Raza ; Martin HewisonSource :
- Calcified Tissue International [ 0171-967X ] ; 2019.
Abstract
Vitamin D has been reported to influence physiological systems that extend far beyond its established functions in calcium and bone homeostasis. Prominent amongst these are the potent immunomodulatory effects of the active form of vitamin D, 1,25-dihydroxyvitamin D3 (1,25-(OH)2D3). The nuclear vitamin D receptor (VDR) for 1,25-(OH)2D3 is expressed by many cells within the immune system and resulting effects include modulation of T cell phenotype to suppress pro-inflammatory Th1 and Th17 CD4+ T cells and promote tolerogenic regulatory T cells. In addition, antigen-presenting cells have been shown to express the enzyme 1α-hydroxylase that converts precursor 25-hydroxyvitamin D3 (25-OHD3) to 1,25-(OH)2D3, so that immune microenvironments are able to both activate and respond to vitamin D. As a consequence of this local, intracrine, system, immune responses may vary according to the availability of 25-OHD3, and vitamin D deficiency has been linked to various autoimmune disorders including rheumatoid arthritis (RA). The aim of this review is to explore the immune activities of vitamin D that impact autoimmune disease, with specific reference to RA. As well as outlining the mechanisms linking vitamin D with autoimmune disease, the review will also describe the different studies that have linked vitamin D status to RA, and the current supplementation studies that have explored the potential benefits of vitamin D for prevention or treatment of RA. The overall aim of the review is to provide a fresh perspective on the potential role of vitamin D in RA pathogenesis and treatment.
The online version of this article (10.1007/s00223-019-00577-2) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s00223-019-00577-2
PubMed: 31286174
PubMed Central: 6960236
Affiliations:
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Harrison</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.6572.6</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 7486</institution-id><institution>Institute of Metabolism and Systems Research,</institution><institution>The University of Birmingham,</institution></institution-wrap>Birmingham, B15 2TT UK</nlm:aff><wicri:noCountry code="subfield">B15 2TT UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.412919.6</institution-id><institution>Department of Rheumatology, Sandwell and West,</institution><institution>Birmingham Hospitals NHS Trust,</institution></institution-wrap>Birmingham, B18 7QH UK</nlm:aff><wicri:noCountry code="subfield">B18 7QH UK</wicri:noCountry></affiliation></author><author><name sortKey="Li, Danyang" sort="Li, Danyang" uniqKey="Li D" first="Danyang" last="Li">Danyang Li</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.6572.6</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 7486</institution-id><institution>Institute of Metabolism and Systems Research,</institution><institution>The University of Birmingham,</institution></institution-wrap>Birmingham, B15 2TT UK</nlm:aff><wicri:noCountry code="subfield">B15 2TT UK</wicri:noCountry></affiliation></author><author><name sortKey="Jeffery, Louisa E" sort="Jeffery, Louisa E" uniqKey="Jeffery L" first="Louisa E." last="Jeffery">Louisa E. 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Prominent amongst these are the potent immunomodulatory effects of the active form of vitamin D, 1,25-dihydroxyvitamin D3 (1,25-(OH)<sub>2</sub>D3). The nuclear vitamin D receptor (VDR) for 1,25-(OH)<sub>2</sub>D3 is expressed by many cells within the immune system and resulting effects include modulation of T cell phenotype to suppress pro-inflammatory Th1 and Th17 CD4+ T cells and promote tolerogenic regulatory T cells. In addition, antigen-presenting cells have been shown to express the enzyme 1α-hydroxylase that converts precursor 25-hydroxyvitamin D3 (25-OHD3) to 1,25-(OH)<sub>2</sub>D3, so that immune microenvironments are able to both activate and respond to vitamin D. As a consequence of this local, intracrine, system, immune responses may vary according to the availability of 25-OHD3, and vitamin D deficiency has been linked to various autoimmune disorders including rheumatoid arthritis (RA). The aim of this review is to explore the immune activities of vitamin D that impact autoimmune disease, with specific reference to RA. As well as outlining the mechanisms linking vitamin D with autoimmune disease, the review will also describe the different studies that have linked vitamin D status to RA, and the current supplementation studies that have explored the potential benefits of vitamin D for prevention or treatment of RA. The overall aim of the review is to provide a fresh perspective on the potential role of vitamin D in RA pathogenesis and treatment.</p><sec><title>Electronic supplementary material</title><p>The online version of this article (10.1007/s00223-019-00577-2) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Christakos, S" uniqKey="Christakos S">S Christakos</name></author><author><name sortKey="Ajibade, D" uniqKey="Ajibade D">D Ajibade</name></author><author><name sortKey="Dhawan, P" uniqKey="Dhawan P">P Dhawan</name></author><author><name sortKey="Fechner, A" uniqKey="Fechner A">A Fechner</name></author><author><name sortKey="Mady, L" uniqKey="Mady L">L Mady</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deluca, Hf" uniqKey="Deluca H">HF DeLuca</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Camargo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanders, Km" uniqKey="Sanders K">KM Sanders</name></author><author><name sortKey="Stuart, Al" uniqKey="Stuart A">AL Stuart</name></author><author><name sortKey="Williamson, Ej" uniqKey="Williamson E">EJ Williamson</name></author><author><name sortKey="Simpson, Ja" uniqKey="Simpson J">JA Simpson</name></author><author><name sortKey="Kotowicz, Ma" uniqKey="Kotowicz M">MA Kotowicz</name></author><author><name sortKey="Young, D" uniqKey="Young D">D Young</name></author><author><name sortKey="Nicholson, Gc" uniqKey="Nicholson G">GC Nicholson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Harrison, Stephanie R" sort="Harrison, Stephanie R" uniqKey="Harrison S" first="Stephanie R." last="Harrison">Stephanie R. Harrison</name><name sortKey="Hewison, Martin" sort="Hewison, Martin" uniqKey="Hewison M" first="Martin" last="Hewison">Martin Hewison</name><name sortKey="Jeffery, Louisa E" sort="Jeffery, Louisa E" uniqKey="Jeffery L" first="Louisa E." last="Jeffery">Louisa E. Jeffery</name><name sortKey="Li, Danyang" sort="Li, Danyang" uniqKey="Li D" first="Danyang" last="Li">Danyang Li</name><name sortKey="Raza, Karim" sort="Raza, Karim" uniqKey="Raza K" first="Karim" last="Raza">Karim Raza</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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