关键词:
1,25D
1,25-dihydroxyvitamin D
1
a
D
1
a
-hydroxyvitamin D (alfacalcidol)
25D
25-hydroxyvitamin D
AIRE
autoimmune regulator
AMP
antimicrobial peptide
APC
antigen-presenting cell
ARI
acute respiratory tract infection
ASL
airway surface liquid
CAMP/LL3
7 cathelicidin antimicrobial peptide
CD
Crohn’s disease
CKD
chronic kidney disease
DBP
vitamin D binding protein
DC
dendritic cell
EAE
experimental autoimmune encephalomyelitis
EB1089
eocalcitol
E.coli
Escherichia coli
HBD2
human
β
-defensin 2
HDACi
histone deacetylase inhibitor
IBD
inflammatory bowel disease
ICI
immune checkpoint inhibitor
IFN
g
interferon-gamma
Ig
immunoglobulin
IIH
infantile idiopathic hypercalcemia
IL
interleukin
iNKT
invariant natural killer T cell
irAE
immune-related adverse effect
KO
knockout
LIC
innate lymphoid cell
LPS
lipopolysaccharide
LXR
liver X receptor
MHC
major histocompatibility complex
MS
multiple sclerosis
mTEC
medullary thymic epithelial cell
NF
κ
B
nuclear factor kappa B
NK
natural killer cell
NOD
nonobese diabetic
OCT
22-oxacalcitriol (maxacalcito)
PBMC
peripheral blood mononuclear cell
PD-1
programmed-death protein 1
PPAR
peroxisomal proliferator-activated receptor
PTH
parathyroid hormone
PRR
pattern recognition receptor
RAG
recombinase activating gene
RAR
retinoic acid receptor
RCT
randomized, double-blind, placebo-controlled trial
RXR
retinoid X receptor
T1D
type 1 diabetes
TB
tuberculosis
TCR
T cell receptor
TEC
thymic epithelial cell
TGF
b
transforming growth factor beta
Tfh
follicular helper T cell
TLR
toll-like receptor
TR
thyroid hormone receptor
Treg
regulatory T cell
UTI
urinary tract infections
UVB
ultraviolet B
VDR
vitamin D receptor
VDRE
vitamin D response element
WT
wild-type
摘要:
Vitamin D was discovered as the cure for nutritional rickets, a disease of bone growth arising from inadequate intestinal calcium absorption, and for much of the 20th century, it was studied for its critical role in calcium homeostasis. However, we now recognize that the vitamin D receptor and vitamin D metabolic enzymes are expressed in numerous tissues unrelated to calcium homeostasis. Notably, vitamin D signaling can induce cellular differentiation and cell cycle arrest. Moreover, the vitamin D receptor and the enzyme CYP27B1, which produces the hormonal form of vitamin D, 1,25dihydroxyvitamin D (1,25D), are expressed throughout the immune system. In addition, CYP27B1 expression in immune cells is regulated by physiological inputs independent of those controlling its expression in calcium homeostatic tissues. These observations have driven the development of 1,25D- like secosteroidal analogs and nonsecosteroidal analogs to separate the effects of vitamin D on cell differentiation and function from its calcemic activities. Notably, some of these analogs have had considerable success in the clinic in the treatment of inflammatory and immune-related disorders. In this review, we described in detail the mechanisms of vitamin D signaling and the physiological signals controlling 1,25D synthesis and catabolism, with a focus on the immune system. We also surveyed the effects of 1,25D and its analogs on the regulation of immune system function and their implications for human immune-related disorders. Finally, we described the potential of vitamin D analogs as anticancer therapeutics, in particular, their use as adjuncts to cancer immunotherapy. Significance Statement: Vitamin D signaling is active in both the innate and adaptive arms of the immune system. Numerous vitamin D analogs, developed primarily to minimize the dose-limiting hypercalcemia of the active form of vitamin D, have been used widely in preclinical and clinical studies of immune system regulation. This r