Vitamin D: The Unknown Cure for Autoimmune Diseases
Author: 1Cristiana Mihaela Iliescu
1
Affiliation: Carol Davila University of Medicine and Pharmacy
Introduction
The aim of this study is to determine and evaluate the plausible relationships of
vitamin D with autoimmune diseases in humans. Vitamin D helps cells maintain their energetic and
survival homeostasis through the modulation of the stress and damage response, which is primarily ruled
by the immune system. It also inhibits pro-inflammatory processes by suppressing the increased activity
of immune cells.
Materials and methods
More than 25 randomized, cohort and cross-sectional case-control studies which were conducted between
2003 and 2018 were selected. For instance, 22 studies for systemic lupus erythematous, 2 for thyroid
autoimmunity, 2 for multiple sclerosis, 1 for type 1 diabetes mellitus and cystic fibrosis were elected. The
patients were administered high levels of vitamin D (40000-50000 UI weekly), followed by a wash-out
period. Moreover, of the 8.6 million patients in a cohort study performed between 1999 and 2011, 13,260
had vitamin D deficiency (71% women) and showed a significantly-increased risk for a number of
autoimmune diseases.
Results
Vitamin D levels increase during intervention and decrease during wash-out period. It has multiple
positive outcomes: reduction of inflammation, improvement of fasting glucose and insulin resistance.
Vitamin D supplementation was associated with: decrease in inflammatory cytokines and markers, a
reduction in autoantibodies and elevation in complement level. Vitamin D also enhances T-regulatory
cells and production of T helper 2 cytokines. However, the association between disease activity and low
vitamin D is weak because a significant increment in vitamin D concentrations (20mg/ml) was only
associated with very small changes in disease activity. Such associations therefore may simply reflect
vitamin D’s role as a reverse acute-phase reactant.
Conclusion
In conclusion, the knowledge about vitamin D is rapidly increasing. Although the potential role of
vitamin D supplementation remains controversial, the wide variety of effects of this molecule on the
immune system might suggest a role of vitamin D in the future therapeutic studies (for evaluating the
relationship between vitamin D and the pathogenesis of several autoimmune diseases).
Key words: vitamin D, inflammation, autoimmune disease, cytokines