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Controversial Effects of Vitamin D and Related Genes on Viral Infections, Pathogenesis, and Treatment Outcomes
1College of Pharmacy, Dongguk University, Goyang 10326, Korea.
Abstract:
Vitamin D (VD) plays an essential role in mineral homeostasis and bone remodeling. A number of different VD-related genes (VDRG) are required for the metabolic activation of VD and the subsequent induction of its target genes. They include a set of genes that encode for VD-binding protein, metabolic enzymes, and the VD receptor. In addition to its well-characterized skeletal function, the immunoregulatory activities of VD and the related polymorphisms of VDRG have been reported and linked to its therapeutic and preventive actions for the control of several viral diseases. However, in regards to their roles in the progression of viral diseases, inconsistent and, in some cases, contradictory results also exist. To resolve this discrepancy, I conducted an extensive literature search by using relevant keywords on the PubMed website. Based on the volume of hit papers related to a certain viral infection, I summarized and compared the effects of VD and VDRG polymorphism on the infection, pathogenesis, and treatment outcomes of clinically important viral diseases. They include viral hepatitis, respiratory viral infections, acquired immunodeficiency syndrome (AIDS), and other viral diseases, which are caused by herpesviruses, dengue virus, rotavirus, and human papillomavirus. This review will provide the most current information on the nutritional and clinical utilization of VD and VDRG in the management of the key viral diseases. This information should be valuable not only to nutritionists but also to clinicians who wish to provide evidence-based recommendations on the use of VD to virally infected patients.
Insights
Vitamin D (VD) and its related genes (VDRG) influence viral infections. This review clarifies their complex roles in viral disease progression and treatment, aiding evidence-based recommendations for patients.
Area of Science:
- Nutritional Immunology
- Molecular Virology
- Genetics
Background:
- Vitamin D (VD) is crucial for bone health and mineral homeostasis.
- VD-related genes (VDRG) are vital for VD metabolism and function.
- Emerging evidence links VD and VDRG to immune regulation and viral disease control.
Purpose of the Study:
- To systematically review and compare the impact of VD and VDRG polymorphisms on viral infections.
- To resolve inconsistencies in existing research regarding VD's role in viral pathogenesis.
- To provide current information on VD and VDRG in managing viral diseases.
Main Methods:
- Extensive literature search on PubMed using relevant keywords.
- Analysis of research papers focusing on viral infections and VD/VDRG.
- Comparative summary of VD and VDRG effects across various viral diseases.
Main Results:
- VD and VDRG polymorphisms show varied effects on viral infection, pathogenesis, and treatment outcomes.
- Specific viral diseases examined include hepatitis, respiratory infections, AIDS, herpesviruses, dengue, rotavirus, and HPV.
- Inconsistencies in research findings highlight the complexity of VD's role.
Conclusions:
- VD and VDRG play significant, albeit complex, roles in managing viral infections.
- Evidence-based recommendations for VD use in virally infected patients are needed.
- Further research is warranted to fully elucidate the therapeutic potential of VD and VDRG.
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