The molecular and clinical evidence of vitamin D signaling as a modulator of the immune system: Role in Behçet's disease

Immunol Lett. 2019 Jun:210:10-19. doi: 10.1016/j.imlet.2019.03.017. Epub 2019 Mar 29.

Abstract

Various tissues and cell types are the targets of vitamin D. However, the major targets of vitamin D in the immune system are monocytes/macrophages, dendritic cells (DCs), as well as B and T cells. Vitamin D plays an important role in the immune system modulation via regulating the expression of genes that generate pro-inflammatory mediators and inhibiting the proliferation of pro-inflammatory cells, both of which have been implicated in the pathophysiology of the inflammatory diseases. Recent studies have revealed the important relations between vitamin D and Behçet's disease (BD). Vitamin D function and its deficiency have been linked to a wide range of metabolic disorders including malignant, cardiovascular, infectious, neuromuscular, and autoimmune diseases. Here, we provide a brief analysis of the recent literature regarding immune-regulatory effects as well as clinical evidence of vitamin D influence on the molecular level in BD.

Keywords: Autoimmune diseases; Behçet’s disease; Immune system; Vitamin D.

MeSH terms

  • Autoimmune Diseases / etiology
  • Autoimmune Diseases / metabolism
  • Behcet Syndrome / diagnosis
  • Behcet Syndrome / etiology*
  • Behcet Syndrome / metabolism*
  • Behcet Syndrome / therapy
  • Biomarkers
  • Disease Susceptibility
  • Gene Expression Regulation
  • Genetic Predisposition to Disease
  • Humans
  • Immune System / immunology*
  • Immune System / metabolism*
  • Immunomodulation*
  • Killer Cells, Natural / immunology
  • Killer Cells, Natural / metabolism
  • Receptors, Antigen, T-Cell, gamma-delta / metabolism
  • Receptors, Calcitriol / genetics
  • Receptors, Calcitriol / metabolism
  • Signal Transduction*
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism
  • Vitamin D / metabolism*

Substances

  • Biomarkers
  • Receptors, Antigen, T-Cell, gamma-delta
  • Receptors, Calcitriol
  • VDR protein, human
  • Vitamin D