Fenercioglu Aysen Kutan
Department of Family Medicine, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul 34098, Turkey.
Curr Issues Mol Biol. 2024 Nov 26;46(12):13514-13525. doi: 10.3390/cimb46120807.
Vitamin D receptors (VDRs) are present in almost all cells of the immune system, including B cells, T cells, NK (Natural Killer) cells, dendritic cells, and monocytes, as well as the epithelial cells of many organs such as the intestine, pancreas, prostate, lungs, and cardiomyocytes. In addition, some immune cells, including dendritic cells, macrophages, and B and T cells, can synthesize calcitriol by expressing 1α-hydroxylase. Upon binding to VDRs, vitamin D (Vit D) regulates the expression of genes involved in immune responses, including those encoding for cytokines. It modulates the production of pro-inflammatory cytokines while promoting the synthesis of anti-inflammatory cytokines. Vit D also affects the differentiation and maturation of cells of the immune system. By inhibiting the nuclear factor kappa B (NF-κB) and mitogen-activated protein kinase (MAPK) pathways, Vit D reduces the expression of pro-inflammatory genes. These effects highlight the potential of Vit D as a therapeutic agent in the management of inflammatory diseases, including autoimmune disorders, cardiovascular diseases, diabetes, metabolic syndrome, cancer, neurological diseases, depression, and inflammatory bowel disease.
维生素D受体(VDRs)存在于免疫系统的几乎所有细胞中,包括B细胞、T细胞、自然杀伤(NK)细胞、树突状细胞和单核细胞,以及许多器官的上皮细胞,如肠道、胰腺、前列腺、肺和心肌细胞。此外,一些免疫细胞,包括树突状细胞、巨噬细胞以及B细胞和T细胞,能够通过表达1α-羟化酶来合成骨化三醇。维生素D(Vit D)与VDRs结合后,可调节参与免疫反应的基因表达,包括那些编码细胞因子的基因。它在促进抗炎细胞因子合成的同时,调节促炎细胞因子的产生。Vit D还会影响免疫系统细胞的分化和成熟。通过抑制核因子κB(NF-κB)和丝裂原活化蛋白激酶(MAPK)信号通路,Vit D可降低促炎基因的表达。这些作用凸显了Vit D作为治疗剂在管理炎症性疾病(包括自身免疫性疾病、心血管疾病、糖尿病、代谢综合征、癌症、神经疾病、抑郁症和炎症性肠病)方面的潜力。