Related Experiment Video
Updated: May 10, 2026

14:39
Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Vitamin D deficiency and severe asthma.
Audrey H Poon1, Bassam Mahboub, Qutayba Hamid
1Meakins-Christie Laboratories, McGill University, Canada.
Pharmacology & Therapeutics
|June 25, 2013
Summary
Vitamin D deficiency is linked to severe asthma, including airway remodeling and exacerbations. Supplementation or increased sun exposure may offer a simple, effective protective strategy against severe asthma development.
Area of Science:
- Pulmonary Medicine
- Endocrinology
- Immunology
Background:
- Vitamin D deficiency is increasingly associated with various health conditions, including severe asthma.
- Severe asthma affects 5-15% of individuals, often exhibiting irreversible airway remodeling unresponsive to current therapies.
- Current asthma medications like corticosteroids do not significantly reverse airway remodeling.
Purpose of the Study:
- To summarize epidemiological evidence for vitamin D's protective role in severe asthma.
- To explore in vitro and in vivo data on vitamin D's mechanisms against severe asthma.
- To discuss how vitamin D deficiency may contribute to severe asthma pathogenesis.
Main Methods:
- Review of epidemiological studies on vitamin D and severe asthma.
- Analysis of in vitro and in vivo research investigating vitamin D's effects on asthma.
- Synthesis of evidence linking vitamin D deficiency to severe asthma features.
Main Results:
- Epidemiological data suggest vitamin D plays a role in protecting against airway remodeling and asthma exacerbations.
- In vitro and in vivo studies provide insights into potential mechanisms of vitamin D's protective effects.
- Vitamin D deficiency may be a contributing factor in the development of severe asthma.
Conclusions:
- Vitamin D may offer a protective role against the development of severe asthma.
- Addressing vitamin D deficiency through sun exposure or supplementation could be a key therapeutic strategy.
- Further research into vitamin D's role may lead to novel approaches for managing severe asthma.
Keywords:
1,25(OH)(2)D(3)1,25-dihydroxyvitamin D(3)25(OH)D(3)25-hydroxyvitamin D(3)ADAM metallopeptidase domain 33ADAM33ASMAirway remodelingCRTAMCXCL12CXCR4ECMExacerbationFOXP3I-kappa B alphaIFN-βILIkBαMMP9PBMCPDGFRSVRXRRelASNPSTRASevere asthmaSteroid resistanceTGF-β1TregVDRVDREVitamin Dairway smooth musclechemokine (C-X-C motif) ligand 12chemokine (C-X-C motif) receptor 4class I major histocompatibility complex-restricted T cell-associated moleculeextracellular matrixforkhead box P3interferon-βinterleukinmetalloproteinease 9peripheral blood mononuclear cellplatelet-derived growth factorregulatory T cellrespiratory syncytial virusretinoid-X-receptorsevere treatment-resistant asthmasingle nucleotide polymorphismtransforming growth factor β1v-rel avian reticuloendotheliosis viral oncogene homolog Avitamin D receptorvitamin D response elementRelated Concept Videos
Asthma I: Introduction
Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma-III: Symptoms and Complications
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
Asthma-I: Introduction
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma III: Clinical Manifestations
Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
Asthma: Pathogenesis and Management
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-II: Pathophysiology and Classification
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
