Date
Wednesday, June 26, 2024
Time
2:15 PM - 2:40 PM (EDT)
Track
Session 3: Respiratory Illness including COVID
Session Type
Invited Talk
Name
LESSONS FROM THE BENCH: COVID-19 AND OUR UNDERSTANDING OF VITAMIN D AND IMMUNE FUNCTION
Description

The interaction between vitamin D and the immune system is perhaps the most well recognised extraskeletal facet of vitamin D, encompassing early studies of therapy for TB and leprosy through to more recent links with autoimmune disease. However, the spotlight on vitamin D and immune function has been particularly intense in the last four years during the Covid-19 pandemic. This was due, in part, to the many association studies of vitamin D status and Covid-19 infection and disease prognosis, as well as the smaller number of clinical trials of vitamin D supplementation. However, a potential role for vitamin D in Covid-19 also stemmed from the basic biology of vitamin D that provides a plausible mechanistic rationale for beneficial effects of vitamin D for improved immune health in the setting of respiratory infection. The aim of this presentation will be to summarise the different strands of mechanistic evidence that supported a beneficial effect of vitamin D in Covid-19, how this was modified during the pandemic itself, and the potential new aspects of vitamin D and immune function that are likely to arise in the near future. Key topics that will feature in this discussion will be the role of vitamin D binding protein (DBP) in 25-hydroxyvitamin D target cell access, the function of immune 1α-hydroxylase (CYP27B1) activity beyond antigen-presenting cells, and recent advances in immune cell target gene responses to 1,25-dihydroxyvitamin D (notably changes in metabolic profile). Whilst much of the interest during the Covid-19 era has focused on vitamin D and public health, the continued evolution of our understanding of how vitamin D interacts with different components of the immune system continues to support a beneficial role for vitamin D in immune health.