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Published on: August 7, 2017
Vitamin D and Allergy Susceptibility during Gestation and Early Life
Daniela Briceno Noriega1, Huub F J Savelkoul1
1Cell Biology and Immunology Group, Wageningen University & Research, 6708 WD Wageningen, The Netherlands.
Insights
Sufficient vitamin D during pregnancy and early life may reduce infant allergy risk. Vitamin D supports immune tolerance and strengthens the epithelial barrier, potentially mitigating allergies and asthma.
Area of Science:
- Immunology
- Pediatrics
- Nutritional Science
Background:
- Rising prevalence of childhood allergies and vitamin D deficiency globally.
- Vitamin D's crucial role in immune system development and regulation.
- Potential link between maternal and infant vitamin D status and allergy susceptibility.
Purpose of the Study:
- To review the impact of vitamin D during gestation and early life on infant allergy risk.
- To explore the immunological mechanisms by which vitamin D influences allergy development.
- To assess the potential of vitamin D supplementation as an allergy prevention strategy.
Main Methods:
- Literature review of studies on vitamin D, immune development, and allergy in infants.
- Analysis of the effects of the bioactive form of vitamin D (1,25(OH)2D) on immune cells and epithelial function.
- Examination of evidence for vitamin D's role in immune tolerance and barrier integrity.
Main Results:
- Vitamin D promotes a tolerogenic immune response by fostering regulatory T cells and IL-10 production.
- It enhances epithelial barrier function through increased tight junction protein expression.
- Vitamin D boosts antimicrobial peptide production, strengthening pathogen defense.
- Evidence suggests vitamin D supplementation may reduce asthma and allergy burden.
Conclusions:
- Adequate vitamin D status during pregnancy and infancy is associated with lower allergy susceptibility.
- Vitamin D influences immune tolerance and epithelial barrier function, key factors in allergy prevention.
- Further research is needed to establish definitive causal evidence for vitamin D's protective effects against infant allergies.
Abstract:
Worldwide, the prevalence of allergies in young children, but also vitamin D deficiency during pregnancy and in newborns is rising. Vitamin D modulates the development and activity of the immune system and a low vitamin D status during pregnancy and in early life might be associated with an increased risk to develop an allergy during early childhood. This review studies the effects of vitamin D during gestation and early life, on allergy susceptibility in infants. The bioactive form of vitamin D, 1,25(OH)2D, inhibits maturation and results in immature dendritic cells that cause a decreased differentiation of naive T cells into effector T cells. Nevertheless, the development of regulatory T cells and the production of interleukin-10 was increased. Consequently, a more tolerogenic immune response developed against antigens. Secondly, binding of 1,25(OH)2D to epithelial cells induces the expression of tight junction proteins resulting in enhanced epithelial barrier function. Thirdly, 1,25(OH)2D increased the expression of anti-microbial peptides by epithelial cells that also promoted the defense mechanism against pathogens, by preventing an invasive penetration of pathogens. Immune intervention by vitamin D supplementation can mitigate the disease burden from asthma and allergy. In conclusion, our review indicates that a sufficient vitamin D status during gestation and early life can lower the susceptibility to develop an allergy in infants although there remains a need for more causal evidence.
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