Galdo-Torres Daniel, Andreu Sabina, Caballero Oliver, Hernández-Ruiz Israel, Ripa Inés, Bello-Morales Raquel, López-Guerrero José Antonio
Departamento de Biología Molecular, Universidad Autónoma de Madrid, 28049 Madrid, Spain.
Int J Mol Sci. 2025 Feb 19;26(4):1767. doi: 10.3390/ijms26041767.
In addition to its classical role in calcium and phosphate metabolism regulation, vitamin D also has an important impact on immunity modulation. Vitamin D regulates the immune response, shifting from a proinflammatory state to a more tolerogenic one by increasing the release of anti-inflammatory cytokines while downregulating proinflammatory cytokines. Thus, low levels of vitamin D have been associated with an increased risk of developing autoimmune diseases like multiple sclerosis and type 1 diabetes. Furthermore, this prohormone also enhances the release of well-known antimicrobial peptides, like cathelicidin LL-37 and β-defensins; therefore, it has been proposed that vitamin D serum levels might be related to the risk of well-known pathogen infections, including herpesviruses. These are a group of widely spread viral pathogens that can cause severe encephalitis or tumors like Kaposi's sarcoma and Burkitt lymphoma. However, there is no consensus on the minimum levels of vitamin D or the recommended daily dose, making it difficult to establish a possible association between these two factors. This narrative non-systematic review will analyze the mechanisms by which vitamin D regulates the immune system and recent studies about whether there is an association between vitamin D serum levels and herpesvirus infections.
除了在钙和磷代谢调节中的经典作用外,维生素D对免疫调节也有重要影响。维生素D调节免疫反应,通过增加抗炎细胞因子的释放,同时下调促炎细胞因子,使免疫反应从促炎状态转变为更具耐受性的状态。因此,维生素D水平低与患自身免疫性疾病如多发性硬化症和1型糖尿病的风险增加有关。此外,这种激素原还能增强著名的抗菌肽如cathelicidin LL-37和β-防御素的释放;因此,有人提出维生素D血清水平可能与包括疱疹病毒在内的著名病原体感染风险有关。这些是一组广泛传播的病毒病原体,可引起严重的脑炎或肿瘤,如卡波西肉瘤和伯基特淋巴瘤。然而,关于维生素D的最低水平或推荐日剂量尚无共识,这使得难以确定这两个因素之间可能存在的关联。本叙述性非系统性综述将分析维生素D调节免疫系统的机制,以及关于维生素D血清水平与疱疹病毒感染之间是否存在关联的最新研究。