Vol 7, No 2 (2021)
Review paper
Published online: 2021-07-21

open access

Page views 6135
Article views/downloads 575
Get Citation

Connect on Social Media

Connect on Social Media

Znaczenie witaminy D w układowych chorobach tkanki łącznej

Bogna Grygiel-Górniak1, Adam Thiem12, Włodzimierz Samborski1
Forum Reumatol 2021;7(2):55-64.

Abstract

W ostatnich latach podkreśla się plejotropowe działanie witaminy D, zwłaszcza jej korzystny wpływ na układ kostny, układ immunologiczny oraz zmniejszenie ryzyka kancerogenezy. Jej powszechnie występujące niedobory wiążą się z częstszymi zakażeniami różnymi drobnoustrojami oraz zwiększoną śmiertelnością związaną z chorobami układu krążenia. Ze względu na regulację odpowiedzi immunologicznej zwraca się szczególną uwagę na rolę witaminy D w procesach autoimmunologicznych. W pracy omówiono wpływ witaminy D na układ immunologiczny oraz jej znaczenie w układowych chorobach tkanki łącznej (CTD, connective tissue diseases). Ze względu na korzystny wpływ witaminy D na redukcję zachorowalności i przebieg
chorób reumatycznych podkreślono konieczność jej suplementacji w przebiegu chorób reumatycznych.

Article available in PDF format

View PDF (Polish) Download PDF file

References

  1. Wang Lu, Song Y, Manson JE, et al. Circulating 25-hydroxy-vitamin D and risk of cardiovascular disease: a meta-analysis of prospective studies. Circ Cardiovasc Qual Outcomes. 2012; 5(6): 819–829.
  2. Khan H, Kunutsor S, Franco OH, et al. Vitamin D, type 2 diabetes and other metabolic outcomes: a systematic review and meta-analysis of prospective studies. Proc Nutr Soc. 2013; 72(1): 89–97.
  3. Kmieć P, Żmijewski M, Waszak P, et al. Vitamin D deficiency during winter months among an adult, predominantly urban, population in Northern Poland. Endokrynol Pol. 2014; 65(2): 105–113.
  4. Hollis BW. Assessment and interpretation of circulating 25-hy-droxyvitamin D and 125-dihydroxyvitamin D in the clinical environ-ment. Endocrinol Metab Clin North Am. 2010; 39: 271–286.
  5. Kmieć P, Sworczak K. Vitamin D deficiency in early autumn among predominantly non-elderly, urban adults in Northern Poland (54°N). Postepy Hig Med Dosw (Online). 2015; 69: 918–924.
  6. Kmieć P, Żmijewski M, Lizakowska-Kmieć M, et al. Widespread vitamin D deficiency among adults from northern Po-land (54°N) after months of low and high natural UVB radiation. Endokrynol Pol. 2015; 66: 30–38.
  7. Kmieć P, Żmijewski M, Waszak P, et al. Vitamin D deficiency during winter months among an adult, predominantly urban, population in Northern Poland. Endokrynol Pol. 2014; 65(2): 105–113.
  8. European Food Safety Authority (EFSA) Panel on Dietetic Pro-ducts Nutrition and Allergies (NDA). Scientific opinion on the sub-stantiation of health claims related to vitamin D and normal func-tion of the immune system and inflammatory response (ID 154 159) maintenance of normal muscle function (ID 155) and maintenance of normal cardiovascular function (ID 159) pursuant to Article 13(1) of Regulation (EC) No 1924/2006”. EFSA J. 2010; 8: 1468–1485.
  9. European Food Safety Authority (EFSA) Panel on Dietetic Products Nutrition and Allergies (NDA). Scientific opinion on the substantiation of a health claim related to vitamin D and risk of falling pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA J. 2011; 9: 2382–2400.
  10. Lisowska KA, Bryl E. Rola witaminy D w rozwoju chorób autoimmunologicznych. Postępy Hig Med Dośw. 2017; 71: 797–810.
  11. Skversky AL, Kumar J, Abramowitz MK, et al. Association of glucocorticoid use and low 25-hydroxyvitamin D levels: results from the National Health and Nutrition Examination Survey (NHANES): 2001-2006. J Clin Endocrinol Metab. 2011; 96(12): 3838–3845.
  12. Hossein-Nezhad A, Spira A, Holick MF. Influence of vitamin D status and vitamin D3 supplementation on genome wide expres-sion of white blood cells: a randomized double-blind clinical trial. PLoS One. 2013; 8: e58725.
  13. Ouyang W, Kolls JK, Zheng Y. The biological functions of T helper 17 cell effector cytokines in inflammation. Immunity. 2008; 28(4): 454–467.
  14. Tang J, Zhou Ru, Luger D, et al. Calcitriol suppresses antiretinal autoimmunity through inhibitory effects on the Th17 effector response. J Immunol. 2009; 182(8): 4624–4632.
  15. Amital H, Szekanecz Z, Szücs G, et al. Serum concentrations of 25-OH vitamin D in patients with systemic lupus erythematosus (SLE) are inversely related to disease activity: is it time to routinely supplement patients with SLE with vitamin D? Ann Rheum Dis. 2010; 69(6): 1155–1157.
  16. Kamen DL, Cooper GS, Bouali H, et al. Vitamin D deficiency in systemic lupus erythematosus. Autoimmun Rev. 2006; 5(2): 114–117.
  17. Mok CC. Vitamin D and systemic lupus erythematosus: an update. Expert Rev Clin Immunol. 2013; 9(5): 453–463.
  18. O'Leary TJ, Jones G, Yip A, et al. The effects of chloroquine on serum 1,25-dihydroxyvitamin D and calcium metabolism in sarcoidosis. N Engl J Med. 1986; 315(12): 727–730.
  19. Souto M, Coelho A, Guo C, et al. Vitamin D insufficiency in Brazilian patients with SLE: prevalence, associated factors, and relationship with activity. Lupus. 2011; 20(10): 1019–1026.
  20. Ruiz-Irastorza G, Egurbide MV, Olivares N, et al. Vitamin D deficiency in systemic lupus erythematosus: prevalence, predictors and clinical consequences. Rheumatology (Oxford). 2008; 47(6): 920–923.
  21. Ruiz-Irastorza G, Gordo S, Olivares N, et al. Changes in vitamin D levels in patients with systemic lupus erythematosus: Effects on fatigue, disease activity, and damage. Arthritis Care Res (Hoboken). 2010; 62(8): 1160–1165.
  22. Dutta C, Kakati S, Barman B, et al. Vitamin D status and its relationship with systemic lupus erythematosus as a determinant and outcome of disease activity. Horm Mol Biol Clin Investig. 2019; 38(3).
  23. Reynolds JA, Haque S, Williamson K, et al. Vitamin D improves endothelial dysfunction and restores myeloid angiogenic cell function via reduced CXCL-10 expression in systemic lupus erythematosus. Sci Rep. 2016; 6: 22341.
  24. Kamen DL. Vitamin D in lupus - new kid on the block? Bull NYU Hosp Jt Dis. 2010; 68(3): 218–222.
  25. Birmingham DJ, Hebert LA, Song H, et al. Evidence that abnormally large seasonal declines in vitamin D status may trigger SLE flare in non-African Americans. Lupus. 2012; 21(8): 855–864.
  26. Huang CM, Wu MC, Wu JY, et al. Association of vitamin D receptor gene BsmI polymorphisms in Chinese patients with systemic lupus erythematosus. Lupus. 2002; 11(1): 31–34.
  27. Ozaki Y, Nomura S, Nagahama M, et al. Vitamin-D receptor genotype and renal disorder in Japanese patients with systemic lupus erythematosus. Nephron. 2000; 85(1): 86–91.
  28. Sakulpipatsin W, Verasertniyom O, Nantiruj K, et al. Vitamin D receptor gene BsmI polymorphisms in Thai patients with systemic lupus erythematosus. Arthritis Res Ther. 2006; 8(2): R48.
  29. Luo XY, Yang MH, Wu FX, et al. Vitamin D receptor gene BsmI polymorphism B allele, but not BB genotype, is associated with systemic lupus erythematosus in a Han Chinese population. Lupus. 2012; 21(1): 53–59.
  30. Meng D, Ding X, Lan J, et al. Association of vitamin D receptor ApaI gene polymorphism with osteoporosis susceptibility in postmenopausal Han Chinese women in Xinjiang. Biomed Rep. 2018; 9(6): 483–490.
  31. Klaska I, Nowak JZ. The role of complement in physiology and pathology. Postepy Hig Med Dosw (Online). 2007; 61: 167–177.
  32. Merlino LA, Curtis J, Mikuls TR, et al. Iowa Women's Health Study. Vitamin D intake is inversely associated with rheumatoid arthritis: results from the Iowa Women's Health Study. Arthritis Rheum. 2004; 50(1): 72–77.
  33. Costenbader KH, Feskanich D, Holmes M, et al. Vitamin D intake and risks of systemic lupus erythematosus and rheumatoid arthritis in women. Ann Rheum Dis. 2008; 67(4): 530–535.
  34. Song GG, Bae SC, Lee YHo. Association between vitamin D intake and the risk of rheumatoid arthritis: a meta-analysis. Clin Rheumatol. 2012; 31(12): 1733–1739.
  35. Brohult, J & Jonson, B Effects of large doses of calciferol on patients with rheumatoid arthritis. Scandinavian Journal of Rheumatology. 1973; 2: 173–176.
  36. Andjelkovic Z, Vojinnovic J, Pejnovic N, et al. Disease modifying and immunmodulatory effects of high dose 1α(OH) D3 in rheumatoid arthritis patients. Clin Exp Rheumatol. 1999; 17(4): 453–456.
  37. Braun-Moscovici Y, Toledano K, Markovits D, et al. Vitamin D level: is it related to disease activity in inflammatory joint disease? Rheumatol Int. 2011; 31(4): 493–499.
  38. Maalej A, Petit-Teixeira E, Michou L, et al. Association study of VDR gene with rheumatoid arthritis in the French population. Genes Immun. 2005; 6(8): 707–711.
  39. Tizaoui K, Hamzaoui K. Association between VDR polymorphisms and rheumatoid arthritis disease: Systematic review and updated meta-analysis of case-control studies. Immunobiology. 2015; 220(6): 807–816.
  40. Fox PC. Autoimmune diseases and Sjogren’s syndrome: an autoimmune exocrinopathy. Ann N Y Acad Sci. 2007; 1098: 15–21.
  41. Erten Ş, Şahin A, Altunoğlu A, et al. Comparison of plasma vitamin D levels in patients with Sjögren's syndrome and healthy subjects. Int J Rheum Dis. 2015; 18(1): 70–75.
  42. Agmon-Levin N, Kivity S, Tzioufas AG, et al. Low levels of vitamin-D are associated with neuropathy and lymphoma among patients with Sjögren's syndrome. J Autoimmun. 2012; 39(3): 234–239.
  43. Sandhya P, Mahasampath G, Mashru P, et al. Vitamin D Levels and Associations in Indian Patients with Primary Sjögren's Syndrome. J Clin Diagn Res. 2017; 11(9): OC33–OC36.
  44. Li L, Chen J, Jiang Y. The association between vitamin D level and Sjögren's syndrome: A meta-analysis. Int J Rheum Dis. 2019; 22(3): 532–533.
  45. Cutolo M, Soldano S, Smith V. Pathophysiology of systemic sclerosis: current understanding and new insights. Expert Rev Clin Immunol. 2019; 15(7): 753–764.
  46. Atteritano M, Sorbara S, Bagnato G, et al. Bone mineral density, bone turnover markers and fractures in patients with systemic sclerosis: a case control study. PLoS One. 2013; 8(6): e66991.
  47. Calzolari G, Data V, Carignola R, et al. Hypovitaminosis D in systemic sclerosis. J Rheumatol. 2009; 36(12): 2844; author reply 2845.
  48. Arnson Y, Amital H, Agmon-Levin N, et al. Serum 25-OH vitamin D concentrations are linked with various clinical aspects in patients with systemic sclerosis: a retrospective cohort study and review of the literature. Autoimmun Rev. 2011; 10(8): 490–494.
  49. Carmel NN, Rotman-Pikielny P, Lavrov A, et al. Vitamin D Antibodies in Systemic Sclerosis Patients: Findings and Clinical Correlations. Isr Med Assoc J. 2015; 17(2): 80–84.
  50. Caramaschi P, Dalla Gassa A, Ruzzenente O, et al. Very low levels of vitamin D in systemic sclerosis patients. Clin Rheumatol. 2010; 29(12): 1419–1425.
  51. Gupta S, Mahajan VK, Yadav RS, et al. Evaluation of Serum Vitamin D Levels in Patients with Systemic Sclerosis and Healthy Controls: Results of a Pilot Study. Indian Dermatol Online J. 2018; 9(4): 250–255.
  52. Cooper GS, Stroehla BC. The epidemiology of autoimmune diseases. Autoimmun Rev. 2003; 2(3): 119–125.
  53. Azali P, Barbasso Helmers S, Kockum I, et al. Low serum levels of vitamin D in idiopathic inflammatory myopathies. Ann Rheum Dis. 2013; 72(4): 512–516.
  54. Meyer A, Laverny G, Javier R, et al. AB0671 Vitamine D Serum Level Correlates with Quadriceps Muscle Strength in Inflammatory Myositis. Annals of the Rheumatic Diseases. 2015; 74: 1122–1123.
  55. Khayznikov M, Hemachrandra K, Pandit R, et al. Statin Intolerance Because of Myalgia, Myositis, Myopathy, or Myonecrosis Can in Most Cases be Safely Resolved by Vitamin D Supplementation. N Am J Med Sci. 2015; 7(3): 86–93.
  56. Gao Y, Zhao Q, Qiu X, et al. Vitamin D levels are prognostic factors for connective tissue disease associated interstitial lung disease (CTD-ILD). Aging (Albany NY). 2020; 12(5): 4371–4378.
  57. Zeller CB, Appenzeller S. Cardiovascular disease in systemic lupus erythematosus: the role of traditional and lupus related risk factors. Curr Cardiol Rev. 2008; 4(2): 116–122.
  58. Kunadian V, Ford GA, Bawamia B, et al. Vitamin D deficiency and coronary artery disease: a review of the evidence. Am Heart J. 2014; 167(3): 283–291.
  59. Cumhur Cure M, Cure E, Yuce S, et al. Mean platelet volume and vitamin D level. Ann Lab Med. 2014; 34(2): 98–103.
  60. Lugg ST, Howells PA, Thickett DR. Optimal Vitamin D Supplementation Levels for Cardiovascular Disease Protection. Dis Markers. 2015; 2015: 864370.
  61. Baca KM, Simhan HN, Platt RW, et al. Maternal vitamin D deficiency increases the risk of preeclampsia. J Clin Endocrinol Metab. 2007; 92(9): 3517–3522.
  62. Nitahpapand R, Bhatti P, et al. Vitamin D deficiency and atrial fibrillation. Int J Cardiol. 2015; 184: 159–162.
  63. Frost L, Johnsen SP, Pedersen L, et al. Seasonal variation in hospital discharge diagnosis of atrial fibrillation: a population-based study. Epidemiology. 2002; 13(2): 211–215.