title: Vitamin D status is not associated with inflammatory cytokine levels during experimental human endotoxaemia.
abstract: Vitamin D has been shown to modulate innate immune responses in vitro and ex vivo; however, human in-vivo data are lacking. At high latitudes, seasonal vitamin D deficiency is common due to alternating ultraviolet (UV)-B radiation exposure. In the present study, we investigated whether levels of 25 hydroxyvitamin D(3) [25(OH)D(3) ] and its active metabolite 1,25 dihydroxyvitamin D(3) [1,25(OH)(2) D(3) ] are subject to seasonal variation and whether plasma levels of these vitamin D metabolites correlate with the in-vivo cytokine response during experimental human endotoxaemia [administration of lipopolysaccharide (LPS) in healthy volunteers]. Plasma levels of 25(OH)D(3) and 1,25(OH)(2) D(3) were determined in samples obtained just prior to administration of an intravenous bolus of 2 ng/kg LPS (derived from Escherichia coli O:113) in 112 healthy male volunteers. In the same subjects, plasma levels of the inflammatory cytokines tumour necrosis factor (TNF)-α, interleukin (IL)-6 and IL-10 were analysed serially after endotoxin administration. Plasma levels of 1,25(OH)(2) D(3) , but not 25(OH)D(3) , were subject to significant seasonal variation, with lower levels in autumn and winter. 25(OH)D(3) and 1,25(OH)(2) D(3) levels did not correlate with plasma cytokine responses. Furthermore, 25(OH)D(3) deficient subjects (< 50 nmol/l) displayed an identical cytokine response compared with sufficient subjects. In conclusion, plasma levels of vitamin D are not correlated with the LPS-induced TNF, IL-6 and IL-10 cytokine response in humans in vivo. These findings question the direct role of vitamin D in modulation of the innate immune response.
authors.affiliation: Department of Intensive Care Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. m.kox@anes.umcn.nl
authors.forename: M
authors.initials: M
authors.lastname: Kox
authors.forename: M J W
authors.initials: MJ
authors.lastname: van den Berg
authors.forename: J G
authors.initials: JG
authors.lastname: van der Hoeven
authors.forename: J P M
authors.initials: JP
authors.lastname: Wielders
authors.forename: A J
authors.initials: AJ
authors.lastname: van der Ven
authors.forename: P
authors.initials: P
authors.lastname: Pickkers
mesh_terms: D000328:Adult; D002112:Calcifediol / Q000276:immunology / Q000378:metabolism*; D002117:Calcitriol / Q000276:immunology / Q000378:metabolism*; D016207:Cytokines / Q000097:blood / Q000276:immunology*; D019446:Endotoxemia / Q000276:immunology*; D004926:Escherichia coli / Q000276:immunology*; D006801:Humans; D007113:Immunity, Innate; D018836:Inflammation Mediators / Q000378:metabolism; D008070:Lipopolysaccharides / Q000276:immunology; D008297:Male; D012621:Seasons; D014807:Vitamin D / Q000097:blood / Q000276:immunology*; D055815:Young Adult
chemical_list: D016207:Cytokines; D018836:Inflammation Mediators; D008070:Lipopolysaccharides; D014807:Vitamin D; D002117:Calcitriol; D002112:Calcifediol