期刊
STEROIDS IN NEUROENDOCRINE IMMUNOLOGY AND THERAPY OF RHEUMATIC DISEASES I
卷 1317, 期 -, 页码 57-69出版社
BLACKWELL SCIENCE PUBL
DOI: 10.1111/nyas.12410
关键词
vitamin D; asthma; immunoregulatory; therapeutic
资金
- Medical Research Council (MRC)
- Asthma U.K. Center in Allergic Mechanisms of Asthma
- MRC Centenary Fellowship
- Wellcome Trust Clinical Research Training Fellowship
- Medical Research Council [G1000758] Funding Source: researchfish
- Asthma UK [AUK-IG-2014-296, 11/040, MRC-AsthmaUKCentre, 08/019] Funding Source: researchfish
Vitamin D deficiency is prevalent among people with various immune-mediated conditions, including autoimmune diseases and asthma. Serum 25(OH) D levels inversely correlate with asthma severity, glucocorticoid responsiveness/dosage, and markers of pathogenesis, such as airway remodeling, IgE, and eosinophilia. Trials involving supplementation with active vitamin D or a precursor are beginning to emerge with variable results that, in part, reflect differences in study design. This review looks at the mechanisms by which vitamin D may protect against asthma, including increasing glucocorticoid responsiveness, skewing immune cells towards a regulatory phenotype, reducing the incidence of infections, airway remodeling, eosinophilia, and lowering the levels of IgE. Also discussed is the therapeutic potential for vitamin D, which is likely to be applicable to immune-mediated conditions beyond simply asthma.
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