Global E-Services Bi-Weekly newsletter
May 30, 2021 | Issue 21
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How Vit D-Agonists (also cf. to as antagonists at their site of action) support health or even ameliorate disease involving the family of chronic inflammatory-related aetiologies beginning to be implicated with this condition.

Thus far, chronic inflammation has been implicated with asthma, cancers, diabetes, cardiovascular disease (CVD) and arthritis. And recently with mutliple sclerosis - and even Alzheimers and Parkinsons. We will only touch on a few of these for our story here, including vascular disease or atherosclerosis and Cancers.

Research by Elena Goleva and colleagues of National Jewish Health (NJH) have discovered molecular and signaling events by which inflammation is inhibited by VitD. Low levels of Vit D found in millions of people failed to inhibit the inflammatory cascade while adequate levels did. The study outlines a clear chain of cellular events, from the binding of DNA, through specific signaling, to a reduction of proteins known to trigger inflammation.

Incubated white blood cells (WBC) with varying levels of VitD, then exposed to lipopolysaccharide (LPS), a molecule associated with bacterial cell walls and are known to promote a strong inflamma- tory response, demonstrated that cells incubated with no VitD in solution containing 15 ng/ml produced high levels of cytokines IL-6 and TNF-alpha, major actors in the inflammatory response. Cells incubated at 30 ng/ml VitD and above showed significantly reduced response to LPS, the highest levels of inhibition occurring at 50 ng/ml (Cf. Y. Zhang et al., 2012, J. Immunol. 188(5): 2127-2135).

VitD protects against vascular disease via several mechanisms, including reducing the chronic inflammatory response that contributes to the pathology of the disease and it has been shown that low VitD levels are associated with increased cardiovascular mortality with recommended levels at 50-80 ng/ml. In the same study low serum levels of 25-hydroxy-Vit D are associated with high prevalence of cardiovascular risk factors and disease (Cf. H. Dobnig et al., 2008, Archives of Internal Medicine 168(12): 1340-1349).

With Cancers, VitD response elements in hundreds of genes serve to input cell processes of proliferation, differentiation and apoptosis. It has been suggested that the latitudinal exposure of UV-B radiation and VitD activation underneath the skin may account for the geographical pattern of cancer mortality. An increase of 25-hydroxy VitD in ng/ml was associated a risk reduction of 59% for rectal cancer and 22% for colon cancer. In the study stratification by anatomical site did not reach statistical significance. In a larger pooled study, higher 25-hydroxy-VitD were statistically significantly associated with decreased risks of colorectal cancer (CRC) without any predilection for proximal or distal location of tumour (Cf. M. Raman et al., 2011, Therapeutic Adv. in Gastroenterology 4(1): 49-62).