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Updated: Feb 6, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Vitamin D in Cardiovascular Disease
Alkippi Nitsa1,2, Marina Toutouza2, Nikolaos Machairas1
1Department of Physiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Insights
Vitamin D deficiency is linked to inflammation and atherosclerosis, the root cause of cardiovascular disease. Research reviews studies on vitamin D
Area of Science:
- Cardiovascular Medicine
- Endocrinology
- Immunology
Background:
- Cardiovascular disease (CVD) is a leading global cause of death.
- Atherosclerosis, a chronic inflammatory process, underlies most CVD.
- Vitamin D plays a role in calcium homeostasis and bone remodeling.
Purpose of the Study:
- To review studies investigating the causative role of vitamin D in cardiovascular disease.
- To explore the association between vitamin D deficiency and pro-inflammatory mechanisms in atherogenesis.
Main Methods:
- Review of large-scale clinical studies and meta-analyses.
- Examination of research on vitamin D metabolites and their actions.
- Analysis of the link between vitamin D deficiency and inflammatory pathways.
Main Results:
- Vitamin D deficiency is associated with increased pro-inflammatory activity, promoting atherogenesis.
- Evidence suggests a connection between vitamin D status and cardiovascular risk.
- The utility of plasma 25-hydroxyvitamin D as a predictive biomarker for CVD requires further investigation.
Conclusions:
- Vitamin D deficiency may contribute to cardiovascular disease development through inflammatory pathways.
- Further research is needed to clarify the precise role of vitamin D and its potential as a therapeutic target for CVD.
Abstract:
Cardiovascular disease is the prevalent cause of morbidity and mortality in the world, affecting many millions of individuals every year. Atherosclerosis, a chronic inflammatory condition that involves different cell types, several cytokines and adhesion molecules, is the underlying cause of cardiovascular disease. Vitamin D is known to control skeletal patho/physiology, regulating calcium and phosphorus and bone remodeling along with other calcium-regulating hormones. However, several active metabolites of vitamin D can exert both direct action, mainly via vitamin D3 receptor trans-activation and indirect actions on several other tissues by an endocrine, autocrine and paracrine manners. With regard to cardiovascular disease, vitamin D deficiency has been associated with activation of the pro-inflammatory mechanism, promoting atherogenesis. There are several large-scale clinical studies, as well as meta-analyses that support this finding. However, it is still unclear whether the plasma 25-hydroxyvitamin D level can be used as a biomarker for future cardiovascular disease. Herein we review the studies reporting a causative role for vitamin D in cardiovascular disease.
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