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Experimental Biology and Medicine 229:1136-1142 (2004)
© 2004 Society for Experimental Biology and Medicine


MINIREVIEW

Mounting Evidence for Vitamin D as an Environmental Factor Affecting Autoimmune Disease Prevalence

Margherita T. Cantorna1 and Brett D. Mahon

Department of Nutritional Sciences, Pennsylvania State University, University Park, Pennsylvania 16802

To whom requests for reprints should be addressed at 1 Department of Nutritional Sciences, 126 S. Henderson Building, Pennsylvania State University, University Park, PA 16802. E-mail: mxc69{at}psu.edu

Low vitamin D status has been implicated in the etiology of autoimmune diseases such as multiple sclerosis, rheumatoid arthritis, insulin-dependent diabetes mellitus, and inflammatory bowel disease. The optimal level of vitamin D intake required to support optimal immune function is not known but is likely to be at least that required for healthy bones. Experimentally, vitamin D deficiency results in the increased incidence of autoimmune disease. Mechanistically, the data point to a role for vitamin D in the development of self-tolerance. The vitamin D hormone (1,25-dihydroxy vitamin D3) regulates T helper cell (Th1) and dendritic cell function while inducing regulatory T-cell function. The net result is a decrease in the Th1-driven autoimmune response and decreased severity of symptoms. This review discusses the accumulating evidence pointing to a link between vitamin D and autoimmunity. Increased vitamin D intakes might decrease the incidence and severity of autoimmune diseases and the rate of bone fracture.

Key Words: vitamin D • autoimmunity • multiple sclerosis • arthritis • inflammatory bowel disease • insulin-dependent diabetes mellitus




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