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Vitamin D and Its Relevance in the Etiopathogenesis of Oral Cavity Diseases

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Archivum Immunologiae et Therapiae Experimentalis Aims and scope

Abstract

Vitamin D belongs to a group of fat-soluble secosteroids which assume many roles in the human organism. In humans the most important forms are vitamin D3 and vitamin D2. Their primary function is the regulation of the calcium and phosphorus balance, which promote the growth of healthy bony tissue. Studies over the past few years have revealed a much wider role of vitamin D involving the aging processes, carcinogenesis, the carbohydrate balance as well as the effects on the course of various infections. In this paper we discuss the basic functions of vitamin D in the human body and the mechanisms of its activity and we summarize recent reports on the impact of vitamin D on the oral cavity with a special emphasis on autoimmunologic diseases, including: recurrent aphthous stomatitis, Behçet syndrome and Sjögren syndrome.

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References

  • Adams JS, Liu PT, Chun R et al (2007) Vitamin D in the human immune response. Ann NY Acad Sci 1117:94–105

    Article  CAS  PubMed  Google Scholar 

  • Alshouibi EN, Kaye EK, Cabral HJ et al (2013) Vitamin D and periodontal health in older men. J Dent Res 92:689–693

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Antonenko O, Bryk G, Brito G et al (2015) Oral health in young women having low calcium and vitamin D nutritional status. Clin Oral Investig 19:1199–1206

    Article  CAS  PubMed  Google Scholar 

  • Autier P, Gandini S (2007) Vitamin D supplementation and total mortality: a meta-analysis of randomized controlled trials. Arch Intern Med 167:1730–1737

    Article  CAS  PubMed  Google Scholar 

  • Baeke F, Takiishi T, Korf H et al (2010) Vitamin D: modulator of the immune system. Curr Opin Pharmacol 10:482–496

    Article  CAS  PubMed  Google Scholar 

  • Baldini C, Sedie AD, Luciano N et al (2014) Vitamin D in “early” primary Sjögren syndrome: Does it play a role in influencing disease phenotypes? Rheumatol Int 34:1159–1164

    Article  CAS  PubMed  Google Scholar 

  • Bang B, Asmussen K, Sorensen OH et al (1999) Reduced 25-hydroxy vitamin D levels in primary Sjogren’s syndrome. Correlation to disease manifestations. Scand J Rheumatol 28:180–183

    Article  CAS  PubMed  Google Scholar 

  • Bashutski JD, Eber RM, Kinney JS et al (2011) The impact of vitamin D status on periodontal surgery outcomes. J Dent Res 90:1007–1012

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Bazrafshani MR, Hajeer AH, Ollier WE et al (2002) Recurrent aphthous stomatitis and gene polymorphisms for the inflammatory markers TNF-α, TNF-β and the vitamin D receptor: no association detected. Oral Dis 8:303–307

    Article  CAS  PubMed  Google Scholar 

  • Bikle DD (2008) Vitamin D and the immune system: role in protection against bacterial infection. Curr Opin Nephrol Hypertens 17:348–352

    Article  CAS  PubMed  Google Scholar 

  • Brett PM, Zygogianni P, Griffiths GS et al (2005) Functional gene polymorphisms in aggressive and chronic periodontitis. J Dent Res 84:1149–1153

    Article  CAS  PubMed  Google Scholar 

  • Cantorna MT (2006) Vitamin D and its role in immunology: multiple sclerosis and inflammatory bowel disease. Prog Biophys Mol Biol 92:60–64

    Article  CAS  PubMed  Google Scholar 

  • Cantorna MT, Hullett DA, Redaelli C et al (1998) 1,25-Dihydroxy vitamin D3 prolongs graft survival without compromising host resistance to infection or bone mineral density. Transplantation 66:828–831

    Article  CAS  PubMed  Google Scholar 

  • Cantorna MT, Zhu Y, Froicu M et al (2004) Vitamin D status, 1,25-dihydoxyvitamin D3, and the immune system. Am J Clin Nutr 80(6 suppl):717S–1720S

    Google Scholar 

  • Dietrich T, Joshipura KJ, Dawson-Hughes B et al (2004) Association between serum concentrations of 25-hydroxy vitamin D3 and periodontal disease in the US population. Am J Clin Nutr 80:108–113

    CAS  PubMed  Google Scholar 

  • Do JE, Kwon SY, Park S et al (2008) Effects of vitamin D on expression of Toll-like receptors of monocytes from patients with Behcet’s disease. Rheumatology 47:840–848

    Article  CAS  PubMed  Google Scholar 

  • Faezi ST, Ansari N, Paragomi P et al (2014) Vitamin D deficiency in patients with Behcet’s disease. J Diabetes Metab Disord 13:18

    Article  PubMed  PubMed Central  Google Scholar 

  • Fernandes de Abreu DA, Eyles D, Féron F (2009) Vitamin D, neuro-immunomodulator: implications for neurodegenerative and autoimmune diseases. Psychoneuroendocrinology 34(Suppl 1):S265–S277

    Article  CAS  PubMed  Google Scholar 

  • Fletcher JM, Basdeo SA, Allen AC et al (2012) Therapeutic use of vitamin D and its analogues in autoimmunity. Recent Pat Inflamm Allergy Drug Discov 6:22–34

    Article  CAS  PubMed  Google Scholar 

  • Garcia MN, Hildebolt CF, Miley DD et al (2011) One-year effects of vitamin D and calcium supplementation on chronic periodontitis. J Periodontol 82:25–32

    Article  CAS  PubMed  Google Scholar 

  • Giovannucci E, Liu Y, Rimm EB et al (2006) Prospective study of predictors of vitamin D status and cancer incidence and mortality in men. J Natl Cancer Inst 98:451–459

    Article  CAS  PubMed  Google Scholar 

  • Grant WB (2011) A review of the role of solar ultraviolet-B irradiance and vitamin D in reducing risk of dental caries. Dermatoendocrinol 3:193–198

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Grygiel-Górniak B, Puszczewicz M (2014) Vitamin D—a new look in medicine and rheumatology. Postepy Hig Med Dosw 68:359–368

    Article  Google Scholar 

  • Hewison M (2012a) An update of vitamin D and human immunity. Clin Endocrinol 76:315–325

    Article  CAS  Google Scholar 

  • Hewison M (2012b) Vitamin D and immune function: an overview. Proc Nutr Soc 71:50–61

    Article  CAS  PubMed  Google Scholar 

  • Holick MF, Binkley NC, Bischoff-Ferrari HA et al (2011) Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 96:1911–1930

    Article  CAS  PubMed  Google Scholar 

  • Hujoel PP (2013) Vitamin D and dental caries in controlled clinical trials: systemic review and meta-analysis. Nutr Rev 71:88–97

    Article  PubMed  Google Scholar 

  • Inagaki K, Krall EA, Fleet JC et al (2003) Vitamin D receptor alleles, periodontal disease progression, and tooth loss in the VA dental longitudinal study. J Periodontol 74:161–167

    Article  PubMed  Google Scholar 

  • Jimenez M, Giovannucci E, Krall Kaye E et al (2014) Predicted vitamin D status incidence of tooth loss and periodontitis. Public Health Nutr 17:844–852

    Article  PubMed  Google Scholar 

  • Jurutka PW, Bartik L, Whitfield GK et al (2007) Vitamin D receptor: key roles in bone mineral pathophysiology, molecular mechanism of action and novel nutritional ligands. J Bone Miner Res 22(Suppl 2):V2–V10

    Article  CAS  PubMed  Google Scholar 

  • Kamen DL, Cooper GS, Bouali H et al (2006) Vitamin D deficiency in systemic lupus erythematosus. Autoimmun Rev 5:114–117

    Article  CAS  PubMed  Google Scholar 

  • Karasneh JA, Ababneh KT, Taha AH et al (2013) Association of vitamin D receptor gene polymorphisms with chronic and aggressive periodontitis in Jordanian patients. Eur J Oral Sci 121:551–558

    Article  CAS  PubMed  Google Scholar 

  • Karatay S, Yildirim K, Karakuzu A et al (2011) Vitamin D status in patients with Behcet’s disease. Clinics (Sao Paulo) 66:721–723

    Google Scholar 

  • Khabbazi A, Rashtchizadeh N, Ghorbanihaghjo A et al (2014) The status of serum vitamin D in patients with active Behcet’s diseases compared with controls. Int J Rheum Dis 17:430–434

    Article  CAS  PubMed  Google Scholar 

  • Kuryłowicz A, Bednarczuk T, Nauman J (2007) The influence of vitamin D deficiency on cancers and autoimmune diseases development (Article in Polish). Endokrynol Pol 58:140–152

    PubMed  Google Scholar 

  • Li H, Xie M, Li W et al (2013) 25-Hydroxy vitamin D3 ameliorates periodontitis by modulating the expression of inflammation-associated factors in diabetic mice. Steroids 78:115–120

    Article  CAS  PubMed  Google Scholar 

  • Lips P (2006) Vitamin D physiology. Prog Biophys Mol Biol 92:4–8

    Article  CAS  PubMed  Google Scholar 

  • Liu PT, Stenger S, Li H et al (2006) Toll-like receptor triggering of a vitamin D-mediated human antimicrobial response. Science 311:1770–1773

    Article  CAS  PubMed  Google Scholar 

  • Liu W, Zhang S, Zhao D et al (2014) Vitamin D supplementation enhances the fixation of titanium implants in chronic kidney disease mice. PLoS One 9:e95689

    Article  PubMed  PubMed Central  Google Scholar 

  • Mark BL, Carson JAS (2006) Vitamin D and autoimmune disease-implications for practice from the multiple sclerosis literature. J Am Diet Assoc 106:418–423

    Article  CAS  PubMed  Google Scholar 

  • Martelli FS, Mengoni A, Martelli M et al (2011) VDR TagI polymorphism is associated with chronic periodontitis in Italian population. Arch Oral Biol 56:1494–1498

    Article  CAS  PubMed  Google Scholar 

  • Martelli FS, Martelli M, Rosati C et al (2014) Vitamin D: relevance in dental practice. Clin Cases Miner Bone Metabol 11:15–19

    Google Scholar 

  • Miley DD, Garcia MN, Hildebolt CF et al (2009) Cross-sectional study of vitamin D and calcium supplementation effects in chronic periodontitis. J Periodontol 80:1433–1439

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Millen AE, Hovey KM, LaMonte MJ et al (2013) Plasma 25-hydroxy vitamin D concentrations and periodontal disease in postmenopausal women. J Periodontol 84:1243–1256

    Article  CAS  PubMed  Google Scholar 

  • Miller WL, Portale AA (2001) Genetics of vitamin D biosynthesis and its disorders. Best Pract Res Clin Endocrinol Metab 15:95–109

    Article  CAS  PubMed  Google Scholar 

  • Mok CC, Birmingham DJ, Leung HW et al (2012) Vitamin D levels in Chinese patients with systemic lupus erythematosus: relationship with diseases activity, vascular risk factors and atherosclerosis. Rheumatology 51:644–652

    Article  CAS  PubMed  Google Scholar 

  • Mostowska A, Lianeri M, Wudarski M et al (2013) Vitamin D receptor gene BsmI, FokI, ApaI and TaqI polymorphisms and the risk of systemic lupus erythematosus. Mol Biol Rep 40:803–810

    Article  CAS  PubMed  Google Scholar 

  • Muller K, Oxholm P, Sorensen OH et al (1990) Abnormal vitamin D3 metabolism in patients with primary Sjogren’s syndrome. Ann Rheum Dis 49:682–684

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Myszka M, Klinger M (2014) The immunomodulatory role of vitamin D (Article in Polish). Postepy Hig Med Dosw 68:865–878

    Article  Google Scholar 

  • Naito M, Miyaki K, Naito T et al (2007) Association between vitamin D receptor gene haplotypes and chronic periodontitis among Japanese men. Int J Med Sci 4:216–222

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Natah SS, Konttinen YT, Enattah NS et al (2004) Recurrent aphthous ulcers today: a review of growing knowledge. Int J Oral Maxillofac Surg 33:221–234

    Article  CAS  PubMed  Google Scholar 

  • Nibali L, Parkar M, D’Aiuto F et al (2008) Vitamin D receptor polymorphism (–1056 Taq-I) interacts with smoking for the presence and the progression of periodontitis. J Clin Periodontol 35:561–567

    Article  PubMed  Google Scholar 

  • Pawlak J, Doboszyńska A (2014) Vitamin D in allergic disorders (Article in Polish). Postepy Hig Med Dosw 68:1152–1170

    Article  Google Scholar 

  • Pelajo C, Lopez-Benitez JM, Miller LC (2010) Vitamin D and autoimmune rheumatologic disorders. Autoimmun Rev 9:507–510

    Article  CAS  PubMed  Google Scholar 

  • Petri M, Bello KJ, Fang H et al (2013) Vitamin D in system, ic lupus erythematosus. Arthritis Rheum 65:1865–1871

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pludowski P, Holick MF, Pilz S et al (2013a) Vitamin D effects on musculoskeletal health, immunity, autoimmunity, cardiovascular disease, cancer, fertility, pregnancy, dementia and mortality—a review of recent evidence. Autoimmun Rev 12:976–989

    Article  CAS  PubMed  Google Scholar 

  • Pludowski P, Karczmarewicz E, Bayer M et al (2013b) Practical guidelines for the supplementation of vitamin D and the treatment of deficits in Central Europe-recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency. Endokrynol Pol 64:319–327

    Article  CAS  PubMed  Google Scholar 

  • Ponsonby AL, Lucas RM, van der Mel AF (2005) UVR, vitamin D and three autoimmune diseases—multiple sclerosis, type 1 diabetes, rheumatoid arthritis. Photochem Photobiol 81:1267–1275

    Article  CAS  PubMed  Google Scholar 

  • Prietl B, Treiber G, Pieber TR et al (2013) Vitamin D and immune function. Nutrients 5:2502–2521

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Roider E, Ruzicka T, Schauber J (2013) Vitamin D, the cutaneous barrier, antimicrobial peptides and allergies: Is there a link? Allergy Asthma Immunol Res 5:119–128

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ryan JW, Anderson PH, Morris HA (2015) Pleiotropic activities of vitamin D receptors—adequate activation for multiple health outcomes. Clin Biochem Rev 36:53–61

    PubMed  PubMed Central  Google Scholar 

  • Schnatz PF, Manson JE (2014) Vitamin D and cardiovascular disease: an appraisal of the evidence. Clin Chem 60:600–609

    Article  CAS  PubMed  Google Scholar 

  • Schroth RJ, Levi JA, Sellers EA et al (2013) Vitamin D status of children with severe early childhood caries: a case–control study. BMC Pediatr 13:174

    Article  PubMed  PubMed Central  Google Scholar 

  • Scully C, Gorsky M, Lozada-Nur F (2003) The diagnosis and management of recurrent aphthous stomatitis: a consensus approach. J Am Dent Assoc 134:200–207

    Article  PubMed  Google Scholar 

  • Sroussi HY, Burke-Miller J, French AL et al (2012) Association among vitamin D, oral candidiasis, and calprotectinemia in HIV. J Dent Res 91:666–670

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Stagi S, Bertini F, Rigante D et al (2014) Vitamin D levels and effects of vitamin D replacement in children with periodic fever, aphthous stomatits, pharyngitis, and cervical adenitis (PFAPA) syndrome. Int J Pediatr Otorhinolaryngol 78:964–968

    Article  PubMed  Google Scholar 

  • St-Arnaud R (2008) The direct role of vitamin D on bone homeostasis. Arch Biochem Biophys 473:225–230

    Article  CAS  PubMed  Google Scholar 

  • Stein SH, Livada R, Tipton DA (2014) Re-evaluating the role of vitamin D in the periodontium. J Periodont Res 49:545–553

    Article  CAS  PubMed  Google Scholar 

  • Stumpf WE, Sar M, Reid FA et al (1979) Target cells for 1,25-dihydroxy vitamin D3 in intestinal tract, stomach, kidney, skin, pituary, and parathyroid. Science 206:1188–1190

    Article  CAS  PubMed  Google Scholar 

  • Sun LJ, Meng HX, Cao CF et al (2002) Relationship between vitamin D receptor gene polymorphisms and periodontitis. J Periodont Res 37:263–267

    Article  CAS  PubMed  Google Scholar 

  • Sundaram K, Sambandam Y, Tsuruga E et al (2014) 1α,25-dihydroxy vitamin D3 modulates CYP2R1 gene expression in human oral squamous cell carcinoma tumor cells. Horm Cancer 5:90–97

    Article  CAS  PubMed  Google Scholar 

  • Szodoray P, Nakken B, Gaal J et al (2008) The complex role of vitamin D in autoimmune diseases. Scand J Immunol 68:261–269

    Article  CAS  PubMed  Google Scholar 

  • Szodoray P, Horvath IF, Papp G et al (2010) The immunoregulatory role of vitamins A, D and E in patients with primary Sjögren’s syndrome. Rheumatology 49:211–217

    Article  CAS  PubMed  Google Scholar 

  • Tachi Y, Simpuku H, Nosaka Y et al (2003) Vitamin D receptor gene polymporphism is associated with chronic periodontitis. Life Sci 73:3313–3321

    Article  CAS  PubMed  Google Scholar 

  • Tang X, Pan Y, Zhao Y (2013) Vitamin D inhibits the expression of interleukin-8 in human periodontal ligament cells stimulated with Porphyromonas gingivalis. Arch Oral Biol 58:397–407

    Article  CAS  PubMed  Google Scholar 

  • Toniato Borges MA, de Figuereiredo LC et al (2009) Microbiological composition associated with vitamin D receptor gene polymorphism in chronic periodontitis. Braz Oral Res 23:203–208

    Article  Google Scholar 

  • Tuohimaa P (2009) Vitamin D and aging. J Steroid Biochem Mol Biol 114:78–84

    Article  CAS  PubMed  Google Scholar 

  • Tuohimaa P, Keisala T, Minasyan A et al (2009) Vitamin D nervous system and aging. Psychoneuroendocrinology 34(Suppl 1):S278–S286

    Article  CAS  PubMed  Google Scholar 

  • Valdivielso JM, Fernandez E (2006) Vitamin D receptor polymorphisms and diseases. Clin Chim Acta 371:1–12

    Article  CAS  PubMed  Google Scholar 

  • Wang C, Zhao H, Xiao L (2009) Association between vitamin D receptor gene polymorphisms and severe chronic periodontitis in a Chinese population. J Periodontol 80:603–608

    Article  CAS  PubMed  Google Scholar 

  • Wang Q, Li H, Xie H et al (2013a) 25-hydroxy vitamin D3 attenuates experimental periodontitis through downregulation of TLR4 and JAK1/STAT3 signaling in diabetic mice. J Steroid Biochem Mol Biol 135:43–50

    Article  CAS  PubMed  Google Scholar 

  • Wang Q, Zhang W, Li H et al (2013b) Effects of 25-hydroxy vitamin D3 on cathelicidin production and antibacterial function of human oral keratinocytes. Cell Immunol 283:45–50

    Article  CAS  PubMed  Google Scholar 

  • Weyland PG, Grant BD, Howie-Esquivel (2014) Does sufficient evidence exist to support a casual association between vitamin D status and cardiovascular disease risk? An assessment using Hill’s criteria for casuality. Nutrients 6:3403–3430

    Article  PubMed  PubMed Central  Google Scholar 

  • Yin K, Agrawal DK (2014) Vitamin D and inflammatory diseases. J Inflamm Res 7:69–87

    CAS  PubMed  PubMed Central  Google Scholar 

  • Youssef DA, Miller CW, El-Abbassi AM et al (2011) Antimicrobial implications of vitamin D. Dermatoendocrinol 3:220–229

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zeljic K, Supic G, Stamenkovic Radak M et al (2012) Vitamin D receptor, CYP27B1and CYP24A1gene polymorphism association with oral cancer risk and survival. J Oral Pathol Med 41:779–787

    Article  CAS  PubMed  Google Scholar 

  • Zhang X, Rahemtulla FG, MacDougall MJ et al (2007) Vitamin D receptor deficiency affects dentin maturation in mice. Arch Oral Biol 52:1172–1179

    Article  CAS  PubMed  Google Scholar 

  • Żukowska-Szczechowska E, Kiszka B (2011) Vitamin D deficiency—diagnosis and management in order to reduce cardiovascular risk in patients with diabetes. Forum Zab Metabol 2:151–157

    Google Scholar 

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Ślebioda, Z., Szponar, E. & Dorocka-Bobkowska, B. Vitamin D and Its Relevance in the Etiopathogenesis of Oral Cavity Diseases. Arch. Immunol. Ther. Exp. 64, 385–397 (2016). https://doi.org/10.1007/s00005-016-0384-z

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