Immunomodulatory effect of vitamin D and its potential role in the prevention and treatment of thyroid autoimmunity: a narrative review

被引:31
作者
Gallo, D. [1 ]
Mortara, L. [2 ]
Gariboldi, M. B. [3 ]
Cattaneo, S. A. M. [4 ]
Rosetti, S. [1 ]
Gentile, L. [1 ]
Noonan, D. M. [2 ,5 ]
Premoli, P. [1 ]
Cusini, C. [1 ]
Tanda, M. L. [1 ]
Bartalena, L. [1 ]
Piantanida, E. [1 ]
机构
[1] Univ Insubria, Dept Med & Surg, Endocrine Unit, ASST Sette Laghi, Viale L Borri 57, Varese 21100, Italy
[2] Univ Insubria, Dept Biotechnol & Life Sci, Immunol & Gen Pathol Lab, Varese, Italy
[3] Univ Insubria, Dept Biotechnol & Life Sci, Busto Arsizio, Italy
[4] ASST Sette Laghi, Immunohematol & Transfus Med Unit, Varese, Italy
[5] IRCCS Multimed, Vasc Biol & Angiogenesis Lab, Sci & Technol Pole PST, Milan, Italy
关键词
Vitamin D; Autoimmunity; Graves' diseases; Hashimoto's thyroiditis; D-RECEPTOR GENE; D-BINDING PROTEIN; HASHIMOTOS-THYROIDITIS; D DEFICIENCY; 1,25-DIHYDROXYVITAMIN D-3; 25-HYDROXYVITAMIN D; DOUBLE-BLIND; ENVIRONMENTAL-FACTORS; DENDRITIC CELLS; D INSUFFICIENCY;
D O I
10.1007/s40618-019-01123-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The main role of vitamin D is to control mineral homeostasis. However, recent studies suggested the existence of a number of extraskeletal effects. Among the latter, preclinical studies provided consistent data on the involvement of vitamin D in innate and adaptive immunity and autoimmunity. Molecular biology studies showed that both vitamin D receptor and vitamin D enzymatic complexes are expressed in a large number of cells and tissues unrelated to mineral homeostasis. In contrast, only a few randomized clinical trials in humans investigated the possible role of vitamin D in the prevention or treatment of immunological disorders. In this regard, low serum vitamin D levels have been reported in observational trials in human autoimmune disorders. The aim of the present paper was to review the potential implications of vitamin D in immune modulation, with special focus on thyroid autoimmune disorders.
引用
收藏
页码:413 / 429
页数:17
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