Vitamin D Induces Differential Effects on Inflammatory Responses During Bacterial and/or Viral Stimulation of Human

Jeremy Anderson1, Lien Anh Ha Do1,2, Zheng Quan Toh1,2

  • 1Murdoch Children's Research Institute, Melbourne, VIC, Australia.

Insights

Vitamin D3 (VitD3) modulates inflammatory responses to pneumococcal infections in children, but has limited effects on respiratory syncytial virus (RSV) or co-infections. This research explores VitD3

Area of Science:

  • Immunology
  • Microbiology
  • Nutritional Science

Background:

  • Streptococcus pneumoniae (pneumococcus) and respiratory syncytial virus (RSV) are leading causes of respiratory infections in children under 5.
  • Co-infections are common and linked to increased disease severity.
  • Low Vitamin D3 (VitD3) levels are associated with higher susceptibility to respiratory pathogens, but its role in pneumococcal and RSV co-infection is unclear.

Purpose of the Study:

  • To investigate the effects of Vitamin D3 (VitD3) on immune responses to pneumococcal and RSV stimulation, both individually and in co-infection.
  • To understand VitD3's role in modulating inflammatory responses in the context of common childhood respiratory infections.

Main Methods:

  • Peripheral blood mononuclear cells (PBMCs) were stimulated with pneumococcal whole cell antigen (WCA) and/or RSV.
  • The effects of VitD3 on cytokine secretion (IL-17A, IL-22, IFN-γ, IL-10, IL-1β, IL-6, RANTES) and monocyte/NK cell populations (TLR expression) were analyzed.

Main Results:

  • VitD3 significantly reduced Th17 cell expression and IL-17A/IL-22 secretion in response to pneumococcal WCA.
  • VitD3 modulated innate responses to RSV, primarily by reducing IL-6, and altered monocyte and NK cell populations.
  • For pneumococcal-RSV co-stimulation, VitD3 had limited effects, mainly increasing IL-1β and RANTES and TLR4+CD56+ NK cells.

Conclusions:

  • Vitamin D3 can modulate inflammatory responses to pneumococcal infections.
  • VitD3 demonstrates limited efficacy in modulating immune responses during viral (RSV) or bacterial-viral co-exposure.
  • This study provides novel insights into the potential role of VitD3 in managing excessive inflammation during pneumococcal and RSV infections.

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