4.4 Review

Immunomodulatory effect of vitamin D and its potential role in the prevention and treatment of thyroid autoimmunity: a narrative review

Journal

JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION
Volume 43, Issue 4, Pages 413-429

Publisher

SPRINGER
DOI: 10.1007/s40618-019-01123-5

Keywords

Vitamin D; Autoimmunity; Graves' diseases; Hashimoto's thyroiditis

Funding

  1. Ministry of Education, University and Research (MIUR, Roma)
  2. University of Insubria

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The main role of vitamin D is to control mineral homeostasis. However, recent studies suggested the existence of a number of extraskeletal effects. Among the latter, preclinical studies provided consistent data on the involvement of vitamin D in innate and adaptive immunity and autoimmunity. Molecular biology studies showed that both vitamin D receptor and vitamin D enzymatic complexes are expressed in a large number of cells and tissues unrelated to mineral homeostasis. In contrast, only a few randomized clinical trials in humans investigated the possible role of vitamin D in the prevention or treatment of immunological disorders. In this regard, low serum vitamin D levels have been reported in observational trials in human autoimmune disorders. The aim of the present paper was to review the potential implications of vitamin D in immune modulation, with special focus on thyroid autoimmune disorders.

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