EC Microbiology

Review Article Volume 18 Issue 12 - 2022

Overview of Extra-Musculoskeletal Roles of Vitamin D

Hanan Ahmad AbuAhmad1*, Wafaa Abdulkaliq Almehmadi2, Faez Mohammadhasan A Zagzoug3, Faten Saud Aljehani4, Saeed Mohammed Alqahtani5, Mohammad Zain Raddadi6, Hajer Marei Mohammed Rabaiy7, Murtadha Hussain Buquryan8, Ruba Mohammed Amin Khan9, Reem Emad Gommosani10, Maria Mohanmed Al-Shehab11, Shahad Ahmad Bamani12, Ali Mohammed F Alshehri13 and Fatimah Yahya Alshabbi13

1East Jeddah Hospital, Almatar Alqadeem Primary Healthcare, Jeddah, Saudi Arabia

2Alnawaryiah Primary Health Care Center, Makkah, Saudi Arabia

3Medical Service Center University, Jeddah, Saudi Arabia

‎‏4Althaghr Hospital, Jeddah, Saudi Arabia

5Aseer Central Hospital (Ach), Aseer, Saudi Arabia

6Al-Fath Primary Health Care, Medina, Saudi Arabia

7Obhur Primary Health Care, Jeddah, Saudi Arabia

8Jordan University of Science and Technology, Jordan

9King Abdulaziz University, Jeddah, Saudi Arabia

10Alshera Primary Health Care, Jeddah, Saudi Arabia

11Primary Healthcare, Saihat, Saudi Arabia

12King Abdulaziz Hospital, Jeddah, Saudi Arabia

13Ahad Rofidah General Hospital, Asir, Saudi Arabia

*Corresponding Author: Dr. Hanan Ahmad AbuAhmad, Family Medicine Consultant, East Jeddah Hospital, Almatar Alqadeem Primary Healthcare, Jeddah, Saudi Arabia.
Received: November 19, 2022;Published: November 22, 2022



Introduction: Vitamin D is critical in the musculoskeletal system because it maintains calcium and phosphate balance and dynamics. Vitamin D deficiency has been well-known for decades, and it causes various musculoskeletal diseases such as rickets, osteoporosis, etc. However, in the past two decades, vitamin D was found to strongly influence multiple other systems, such as the immune system, respiratory system, cardiovascular system, and cancer. Vitamin D plays a specific role in immune activation for combating various infections and pathologically undoing some autoimmune conditions. Vitamin D acts on immunocytes unidirectionally to modulate the immune system via stimulatory or suppressive actions and offers better immunological outcomes. Apart from calcium metabolism disorders, vitamin D deficiency may also lead to various acute and chronic diseases such as type 2 diabetes mellitus, cancers, and cardiovascular diseases. Therefore, it is essential to understand the role of vitamin D in the extra-musculoskeletal field.

Aim of the Study: The aim of the present review is to understand the various extra-skeletal role of vitamin D.

Methodology: The review is the comprehensive research of PUBMED since the year 1989 to 2021.

Conclusion: Deficiency and insufficiency of Vitamin D is now a well-recognized global health problem. A multitude of studies suggests that deficiency of Vitamin D not only affects bone health but also has negative effects on the endocrine system, cardiovascular system, and respiratory systems leading to acute and chronic illnesses in the long term, such as cancer, type 2 diabetes mellitus, mental illness, neuropsychiatric disorders, neurocognitive dysfunction, infertility, an adverse outcome in pregnancy and childbirth. This suggests and justify the enhanced recommendation to children and adult in their diet and increasing the level of vitamin D via supplements and appropriate sun exposure.

 

Keywords: Vitamin D Deficiency; Osteoporosis; Vitamin D; 25-Hydroxyvitamin D; Fractures; Cancer; Type 2 Diabetes Mellitus; Autoimmune Diseases; Cardiovascular Diseases; Infectious Diseases

  1. Holick MF., et al. “Phylogenetic and evolutionary aspects of vitamin D from phytoplankton to humans”. Vertebrate Endocrinology: Fundamentals and Biomedical Implications 3 (1989): 7-43.
  2. Yoshida T and Stern PH. “How vitamin D works on bone”. Endocrinology and Metabolism Clinics3 (2012): 557-569.
  3. Jablonski NG and Chaplin G. “The evolution of human skin coloration”. Journal of Human Evolution1 (2000): 57-106.
  4. Holick MF. “Vitamin D deficiency”. New England Journal of Medicine3 (2007): 266-281.
  5. Wacker M and Holick MF. “Vitamin D-effects on skeletal and extraskeletal health and the need for supplementation”. Nutrients1 (2013): 111-148.
  6. Wintermeyer E., et al. “Crucial role of vitamin D in the musculoskeletal system”. Nutrients6 (2016): 319.
  7. Grant WB. “Ecological studies of the UVB–vitamin D–cancer hypothesis”. Anticancer Research1 (2012): 223-236.
  8. Varghese JE., et al. “Therapeutic effects of vitamin D and cancer: An overview”. Food Frontiers4 (2021): 417-425.
  9. Garland CF., et al. “The role of vitamin D in cancer prevention”. American Journal of Public Health2 (2006): 252-261.
  10. Anderson J L., et al. “Relation of vitamin D deficiency to cardiovascular risk factors, disease status, and incident events in a general healthcare population”. The American Journal of Cardiology7 (2010): 963-968.
  11. Al Mheid I and Quyyumi AA. “Vitamin D and cardiovascular disease: controversy unresolved”. Journal of the American College of Cardiology1 (2017): 89-100.
  12. Antico A., et al. “Can supplementation with vitamin D reduce the risk or modify the course of autoimmune diseases? A systematic review of the literature”. Autoimmunity Reviews2 (2012): 127-136.
  13. Vogel A., et al. “Genetic association of vitamin D receptor polymorphisms with primary biliary cirrhosis and autoimmune hepatitis”. Hepatology 1 (2002): 126-131.
  14. Vazirnia A and Liu PT. “Vitamin D and the innate immune response”. In Vitamin D and the Lung Humana Press, Totowa, NJ (2012): 59-84.
  15. Yamshchikov AV., et al. “Vitamin D for Treatment and Prevention of Infectious Diseases; A Systematic Review of Randomized Controlled Trials”. Endocrine Practice5 (2009): 438-449.
  16. Martineau AR. “Old wine in new bottles: vitamin D in the treatment and prevention of tuberculosis”. Proceedings of the Nutrition Society1 (2012): 84-89.
  17. Battersby AJ., et al. “Vitamin D in early childhood and the effect on immunity to Mycobacterium tuberculosis”. Clinical and Developmental Immunology (2012).
  18. Hewison M. “An update on vitamin D and human immunity”. Clinical Endocrinology3 (2012): 315-325.

Hanan Ahmad AbuAhmad., et al. “Overview of Extra-Musculoskeletal Roles of Vitamin D”. EC Microbiology  18.12 (2022): 34-42.