Vitamin D, immune regulation, the microbiota, and inflammatory bowel disease

被引:105
作者
Cantorna, Margherita T. [1 ,2 ]
McDaniel, Kaitlin [1 ]
Bora, Stephanie [1 ]
Chen, Jing [1 ]
James, Jamaal [1 ]
机构
[1] Penn State Univ, Dept Vet & Biomed Sci, University Pk, PA 16802 USA
[2] Penn State Univ, Ctr Mol Immunol & Infect Dis, University Pk, PA 16802 USA
基金
美国国家卫生研究院;
关键词
Vitamin D; inflammatory bowel disease; microbiota; SULFATE-INDUCED COLITIS; D-RECEPTOR; CROHNS-DISEASE; ULCERATIVE-COLITIS; T-CELLS; 1,25-DIHYDROXYVITAMIN D-3; ENTERIC MICROFLORA; MICE; PATHOGENESIS; GENE;
D O I
10.1177/1535370214523890
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
The inflammatory bowel diseases are complex diseases caused by environmental, immunological, and genetic factors. Vitamin D status is low in patients with inflammatory bowel diseases, and experimental inflammatory bowel diseases are more severe in vitamin D-deficient or vitamin D receptor knockout animals. Vitamin D is beneficial in inflammatory bowel diseases because it regulates multiple checkpoints and processes essential for homeostasis in the gut. Vitamin D inhibits IFN-gamma and IL-17 production while inducing regulatory T cells. In addition, vitamin D regulates epithelial cell integrity, innate immune responses, and the composition of the gut microbiota. Overall, vitamin D regulates multiple pathways that maintain gastrointestinal homeostasis. The data support improving vitamin D status in patients with inflammatory bowel diseases.
引用
收藏
页码:1524 / 1530
页数:7
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