Gois Pedro Henrique França, Ferreira Daniela, Olenski Simon, Seguro Antonio Carlos
Laboratory of Medical Research-LIM12, Nephrology Department, University of São Paulo School of Medicine, São Paulo CEP 01246-903, Brazil.
Nephrology Department, Royal Brisbane and Women's Hospital, Herston QLD 4029, Australia.
Nutrients. 2017 Jun 24;9(7):651. doi: 10.3390/nu9070651.
Vitamin D (VD) is a fat-soluble steroid essential for life in higher animals. It is technically a pro-hormone present in few food types and produced endogenously in the skin by a photochemical reaction. In recent decades, several studies have suggested that VD contributes to diverse processes extending far beyond mineral homeostasis. The machinery for VD production and its receptor have been reported in multiple tissues, where they have a pivotal role in modulating the immune system. Similarly, vitamin D deficiency (VDD) has been in the spotlight as a major global public healthcare burden. VDD is highly prevalent throughout different regions of the world, including tropical and subtropical countries. Moreover, VDD may affect host immunity leading to an increased incidence and severity of several infectious diseases. In this review, we discuss new insights on VD physiology as well as the relationship between VD status and various infectious diseases such as tuberculosis, respiratory tract infections, human immunodeficiency virus, fungal infections and sepsis. Finally, we critically review the latest evidence on VD monitoring and supplementation in the setting of infectious diseases.
维生素D(VD)是高等动物生命所必需的一种脂溶性类固醇。从技术上讲,它是一种前体激素,存在于少数食物类型中,并通过光化学反应在皮肤内源性产生。近几十年来,多项研究表明,VD参与的多种生理过程远远超出矿物质稳态范畴。在多个组织中都发现了VD的产生机制及其受体,它们在调节免疫系统方面发挥着关键作用。同样,维生素D缺乏症(VDD)作为全球主要的公共卫生负担已备受关注。VDD在世界不同地区,包括热带和亚热带国家都非常普遍。此外,VDD可能会影响宿主免疫力,导致多种传染病的发病率和严重程度增加。在这篇综述中,我们讨论了关于VD生理学的新见解,以及VD状态与各种传染病(如结核病、呼吸道感染、人类免疫缺陷病毒、真菌感染和败血症)之间的关系。最后,我们批判性地审视了传染病背景下VD监测和补充的最新证据。