Vitamin D and chronic lung disease: a review of molecular mechanisms and clinical studies

Adv Nutr. 2011 May;2(3):244-53. doi: 10.3945/an.111.000398. Epub 2011 Apr 30.

Abstract

Vitamin D is classically recognized for its role in calcium homeostasis and skeletal metabolism. Over the last few decades, vitamin D deficiency has increased in prevalence in adults and children. Potential extraskeletal effects of vitamin D have been under investigation for several diseases. Several cross-sectional studies have associated lower vitamin D status with decreased lung function. This finding has prompted investigators to examine the association of vitamin D deficiency with several chronic lung diseases. One major focus has been the link between maternal vitamin D status and childhood asthma. Vitamin D deficiency has also been associated with increased risk of respiratory infection from influenza A and Mycobacterium tuberculosis. Other chronic respiratory diseases associated with vitamin D deficiency include cystic fibrosis, interstitial lung disease, and chronic obstructive pulmonary disease. This review will examine the current clinical literature and potential mechanisms of vitamin D in various pulmonary diseases.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Asthma / physiopathology*
  • Chronic Disease
  • Cystic Fibrosis / physiopathology*
  • Humans
  • Influenza A virus
  • Lung / physiopathology*
  • Lung Diseases, Interstitial / physiopathology*
  • Mycobacterium tuberculosis
  • Respiratory Tract Infections / microbiology
  • Respiratory Tract Infections / physiopathology*
  • Severity of Illness Index
  • Vitamin D Deficiency / complications*
  • Vitamin D Deficiency / physiopathology