Mounting evidence for vitamin D as an environmental factor affecting autoimmune disease prevalence

被引:426
作者
Cantorna, MT [1 ]
Mahon, BD [1 ]
机构
[1] Penn State Univ, Dept Nutr Sci, University Pk, PA 16802 USA
关键词
vitamin D; autoimmunity; multiple sclerosis; arthritis; inflammatory bowel disease; insulin-dependent diabetes mellitus;
D O I
10.1177/153537020422901108
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
Low vitamin D status has been implicated in the etiology of autoimmune diseases such as multiple sclerosis, rheumatoid arthritis, insulin-dependent diabetes mellitus, and inflammatory bowel disease. The optimal level of vitamin D intake required to support optimal immune function is not known but is likely to be at least that required for healthy bones. Experimentally, vitamin D deficiency results in the increased incidence of autoimmune disease. Mechanistically, the data point to a role for vitamin D in the development of self-tolerance. The vitamin D hormone (1,25-dihydroxy vitamin D-3) regulates T helper cell (Th1) and dendritic cell function while inducing regulatory T-cell function. The net result is a decrease in the Th1-driven autoimmune response and decreased severity of symptoms. This review discusses the accumulating evidence pointing to a link between vitamin D and autoimmunity. Increased vitamin D intakes might decrease the incidence and severity of autoimmune diseases and the rate of bone fracture.
引用
收藏
页码:1136 / 1142
页数:7
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