Resumen
Cada vez son más los trabajos que analizan la relación de los niveles séricos de vitamina D y el desarrollo de sensibilizaciones y enfermedades alérgicas en los individuos con predisposición genética, así como el impacto de su suplementación. El presente artículo efectúa una revisión de la literatura acerca de este tema. Se incluyeron ensayos clínicos, metaanálisis y revisiones sistemáticas consultadas en PubMed, EMBASE, Scopus, Ovid, Wiley Online Library, Springer, Cochrane y recursos manuales, con las palabras clave: vitamina D, 25 hidroxivitamina D, colecalciferol, asma, rinitis, alergia, 25-OH-D, 1,25 hidroxivitamina D, suplementación. Los resultados muestran una tendencia lineal positiva; sin embargo, algunos difieren. Debemos tener en mente que en los estudios existe heterogeneidad de los grupos poblacionales y los factores asociados, lo que puede modificarlos. Es necesario incrementar las investigaciones para clarificar esta relación y tener intervenciones exitosas desde el abordaje del paciente hasta el fortalecimiento del tratamiento farmacológico e inmunológico de los pacientes alérgicos con estas enfermedades.
Referencias
Bousquet J, Schünemann HJ, Togias A, Bachert C, Erhola M, Hellings PW, et al. Next-generation allergic rhinitis and its impact on asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and real-world evidence. J Allergy Clin Immunol. 2020;145(1):70-80.e3. DOI: 10.1016/j.jaci.2019.06.049
Chang SW, Lee HC. Vitamin D and health - The missing vitamin in humans. Pediatr Neonatol. 2019;60(3):237-44. DOI: 10.1016/j.pedneo.2019.04.007
Charoenngam N, Shirvani A, Holick MF. Vitamin D for skeletal and non-skeletal health: what we should know. J Clin Orthop Trauma. 2019;10(6):1082-93. DOI: 10.1016/j.jcot.2019.07.004
Kim DH, Meza CA, Clarke H, Kim JS, Hickner RC. Vitamin D and endothelial function. Nutrients. 2020;12(2):575. DOI: 10.3390/nu12020575
Disphanurat W, Viarasilpa W, Chakkavittumrong P, Pongcharoen P. The clinical effect of oral vitamin D2 supplementation on psoriasis: a double-blind, randomized, placebo-controlled study. Dermatol Res Pract. 2019;2019:5237642. DOI: 10.1155/2019/5237642
Ludvigsson JF, Mahl M, Sachs MC, Björk J, Michaelsson K, Ekbom A, et al. Fracture risk in patients with inflammatory bowel disease: a nationwide population-based cohort Study From 1964 to 2014. Am J Gastroenterol. 2019;114(2):291-304. DOI: 10.14309/ajg.0000000000000062
Xu Y, Baylink DJ, Chen CS, Reeves ME, Xiao J, Lacy C, et al. The importance of vitamin d metabolism as a potential prophylactic, immunoregulatory and neuroprotective treatment for COVID-19. J Transl Med. 2020;18(1):322. DOI: 10.1186/s12967-020-02488-5
Grant WB, Lahore H, McDonnell SL, Baggerly CA, French CB, Aliano JL, et al. Evidence that vitamin D supplementation could reduce risk of influenza and COVID-19 Infections and Deaths. Nutrients. 2020;12(4):988. DOI: 10.3390/nu12040988
Gil Á, Plaza-Diaz J, Mesa MD. Vitamin D: classic and novel actions. Ann Nutr Metab. 2018;72(2):87-95. DOI: 10.1159/000486536
Santos HLBS, Silva SSE, Paula E, Pereira-Ferrari L, Mikami L, Riedi CA, et al. Vitamin D receptor gene mutations and vitamin d serum levels in asthmatic children. Rev Paul Pediatr. 2018;36(3):269-74. DOI: 10.1590/1984-0462/;2018;36;3;00016
Bouillon R, Marcocci C, Carmeliet G, Bikle D, White JH, Dawson-Hughes B, et al. Skeletal and extraskeletal actions of vitamin D: current evidence and outstanding questions. Endocr Rev. 2019;40(4):1109-51. DOI: 10.1210/er.2018-00126
Carlberg C. Nutrigenomics of vitamin D. Nutrients. 2019;11(3):676. DOI: 10.3390/nu11030676
Charoenngam N, Holick MF. Immunologic effects of vitamin D on human health and disease. Nutrients. 2020;12(7):2097. DOI: 10.3390/nu12072097
Eckard AR, O’Riordan MA, Rosebush JC, Lee ST, Habib JG, Ruff JH, et al. Vitamin D supplementation decreases immune activation and exhaustion in HIV-1-infected youth. Antivir Ther. 2018;23(4):315-24. DOI: 10.3851/IMP3199
Yamamoto EA, Nguyen JK, Liu J, Keller E, Campbell N, Zhang CJ, et al. Low levels of vitamin D promote memory B cells in lupus. Nutrients. 2020;12(2):291. DOI: 10.3390/nu12020291
Cediel G, Pacheco-Acosta J, Castillo-Durán C. Vitamin D deficiency in pediatric clinical practice. Arch Argent Pediatr. 2018;116(1):e75-e81. DOI: 10.5546/aap.2018.eng.e75
Mancilla-Hernández E, Medina-Ávalos MA, Barnica-Alvarado RH, Soto-Candia D, Guerrero-Venegas R, Zecua-Nájera Y. Prevalencia de rinitis alérgica en poblaciones de varios estados de México [Prevalence of rhinitis allergic in populations of several states of Mexico]. Rev Alerg Mex. 2015;62(3):196-201.
Meng Y, Wang C, Zhang L. Recent developments and highlights in allergic rhinitis. Allergy. 2019;74(12):2320-8. DOI:10.1111/ all.14067 2
Urquiza-Ramírez CI, Fernández de Córdova-Aguirre JC, Velasco-Medina AA, Velázquez-Samano G. Prevalence of vitamin D deficiency and associated factors in Mexican patients with allergic rhinitis and asthma. Rev Med Hosp Gen Mex. 2020;83(3):113-9. DOI:10.24875/HGMX.20000083
Bukhari AF, Felemban MJ, Alem H. The association between serum 25-Hydroxyvitamin D levels and patients with allergic rhinitis. Cureus. 2020; 12(8): e9762. DOI: 10.7759/cureus.9762
Demir MG. Comparison of 1-25-dihydroxyvitamin D3 and IgE levels between allergic rhinitis patients and healthy people. Int Arch Otorhinolaryngol. 2018;22(4):428-31. DOI: 10.1055/s-0038-1649492
Çoban K, Öz I, Topçu Dİ, Aydın E. The impact of serum 25-Hydroxyvitamin D3 levels on allergic rhinitis. Ear Nose Throat J. 2021;100(5):236-41. DOI: 10.1177/0145561319874310
Saad K, Abdelmoghny A, Aboul-Khair MD, Abdel-Raheem YF, Gad EF, Hammour AE, et al. Vitamin D status in egyptian children with allergic rhinitis. Ear Nose Throat J. 2020;99(8):508-12. DOI: 10.1177/014556131985081
Ma Y, Liu Y, Li X, Qiu J, Fang P. Low serum 25-hydroxyvitamin D levels are associated with perennial allergic rhinitis but not disease severity. J Clin Lab Anal. 2020;34(12):e23516. DOI: 10.1002/jcla.23516
Dogru M, Suleyman A. Serum 25-hydroxyvitamin D3 levels in children with allergic or nonallergic rhinitis. Int J Pediatr Otorhinolaryngol. 2016;1(80):39-42. DOI: 10.1016/j.ijporl.2015.11.013
Feng Q, Bønnelykke K, Ek WE, Chawes BL, Yuan S, Cheung CL, et al. Null association between serum 25-hydroxyvitamin D levels with allergic rhinitis, allergic sensitization and non-allergic rhinitis: A Mendelian randomization study. Clin Exp Allergy. 2021;51(1):78-86. DOI: 10.1111/cea.13739
Shin YH, Ha EK, Kim JH, Yon DK, Lee SW, Sim HJ, et al. Serum vitamin D level is associated with smell dysfunction independently of aeroallergen sensitization, nasal obstruction, and the presence of allergic rhinitis in children. Pediatr Allergy Immunol. 2021;32(1):116-23. DOI: 10.1111/pai.13341
Lee E, Hong SJ. Phenotypes of allergic diseases in children and their application in clinical situations. Korean J Pediatr. 2019;62(9):325-33. DOI: 10.3345/kjp.2018.07395
Zhang W, Xu Y. Association between vitamin D receptor gene polymorphism rs2228570 and allergic rhinitis. Pharmgenomics Pers Med. 2020;13:327-35. DOI: 10.2147/PGPM.S262402
Bakhshaee M, Sharifian M, Esmatinia F, Rasoulian B, Mohebbi M. Therapeutic effect of vitamin D supplementation on allergic rhinitis. Eur Arch Otorhinolaryngol. 2019;276(10):2797-801. DOI: 10.1007/s00405-019-05546-x
Agarwal S, Singh SN, Kumar R, Sehra R. Vitamin D: a modulator of allergic rhinitis. Indian J Otolaryngol Head Neck Surg. 2019;71(3):2225-30. DOI: 10.1007/s12070-019-01697-9
Chandrika D. Allergic rhinitis in India: an overview. Int J Otorhinolaryngol Head Neck Surg. 2016;3(1):1-6. DOI: 10.18203/issn.2454-5929.ijohns20164801
Payan-Díaz JH. Efecto terapéutico de la suplementación de vitamina D en pacientes con rinitis alérgica: ensayo clínico aleatorizado frente a placebo [Tesis de especialista en Alergia e Inmunología Clínica]. Puebla, Mx: Benemérita Universidad Autónoma de Puebla; 2020. 31 p.
Joudi M, Farid Hosseini R, Khoshkhui M, Salehi M, Kouzegaran S, Ahoon M, et al. Effects of serum vitamin D and efficacy of subcutaneous immunotherapy in adult patients with allergic rhinitis. Allergy Asthma Immunol Res. 2019;11(6):885-93. DOI: 10.4168/aair.2019.11.6.885
Shokouhi Shoormasti R, Pourpak Z, Fazlollahi MR, Kazemnejad A, Nadali F, Ebadi Z, et al. The prevalence of allergic rhinitis, allergic conjunctivitis, atopic dermatitis and asthma among adults of Tehran. Iran J Public Health. 2018;47:1749-55. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6294865/
El-Maghraby HM, Rabie RA. Serum level of IL 10 is significantly increased in allergic rhinitis patients on subcutaneous immunotherapy and vitamin D supplementation. Egypt J Immunol. 2019;26(2):87-93.
Hawrylowicz CM, Santos AF. Vitamin D: can the sun stop the atopic epidemic?. Curr Opin Allergy Clin Immunol. 2020;20(2):181-7. DOI: 10.1097/ACI.0000000000000613
Thorisdottir B, Gunnarsdottir I, Vidarsdottir AG, Sigurdardottir S, Birgisdottir BE, Thorsdottir I. Infant feeding, vitamin D and IgE sensitization to food allergens at 6 years in a longitudinal Icelandic cohort. Nutrients 2019;11(7):1690. DOI: 10.3390/nu11071690
Cyprian F, Lefkou E, Varoudi K, Girardi G. Immunomodulatory effects of vitamin D in pregnancy and beyond. Front Immunol. 2019;10:2739. DOI: 10.3389/fimmu.2019.02739
Chen YS, Mirzakhani H, Lu M, Zeiger RS, O‘Connor GT, Sandel MT, et al. The association of prenatal vitamin D sufficiency with aeroallergen sensitization and allergic rhinitis in early childhood. J Allergy Clin Immunol Pract. 2021;9(10):3788-96. DOI: 10.1016/j.jaip.2021.06.009
Yepes-Nuñez JJ, Brożek JL, Fiocchi A, Pawankar R, Cuello-García C, Zhang Y, et al. Vitamin D supplementation in primary allergy prevention: systematic review of randomized and non-randomized studies. Allergy. 2018;73(1):37-49. DOI: 10.1111/all.13241
Feketea G, Bocsan CI, Stanciu LA, Buzoianu AD, Zdrenghea MT. The Role of vitamin D deficiency in children with recurrent wheezing-clinical significance. Front. Pediatr. 2020;8(1):344-8. DOI: 10.3389/fped.2020.00344
El-Zayat SR, Sibaii H, Mannaa FA. Micronutrients and many important factors that affect the physiological functions of toll-like receptors. Bull Natl Res Cent. 2019;43(123):1-15. DOI:10.1186/s42269-019-0165-z
Gaede G, Kummarganti S, Hattiholi J. Clinical effects of vitamin D on the control of bronchial asthma-is it relevant? J Clin of Diagn Res. 2020;14(7):1-4. DOI: 10.7860/JCDR/2020/42250.13823
Ahmed AE, Hassan MH, Toghan R, Rashwan NI. Analysis of 25-hydroxy cholecalciferol, immunoglobulin E, and vitamin D receptor single nucleotide polymorphisms (Apa1, Taq1, and Bsm1), among sample of egyptian children with bronchial asthma: a case-control study. Pediatr Pulmonol. 2020;55(6):1349-58. DOI: 10.1002/ppul.24785
Stefanidis C, Martineau AR, Nwokoro C, Griffiths CJ, Bush A. Vitamin D for secondary prevention of acute wheeze attacks in preschool and school-age children. Thorax. 2019;74(1):977-85. DOI: 10.1136/thoraxjnl-2019-213278
Özdemir Ö, Karavaizoğlu Ç. Role and importance of vitamin D in asthma and other allergic diseases. JAREM. 2018;8(1):1-8. DOI: 10.5152/jarem.2017.1264
Plesa M, Gaudet M, Mogas A, Jalaleddine N, Halayko A, Al Heialy S, et al. Vitamin D3 attenuates viral-induced inflammation and fibrotic responses in bronchial smooth muscle cells. Front. Immunol. 2021;12(1):1-12. DOI: 10.3389/fimmu.2021.715848
Amorim CLCG, Oliveira JM, Rodrigues A, Furlanetto KC, Pitta F. Vitamin D: association with eosinophil counts and IgE levels in children with asthma. J Bras Pneumol. 2020;47(1):1-4. DOI: 10.36416/1806-3756/e20200279
Alkhatatbeh MJ, Almomani HS, Abdul-Razzak KK, Samrah S. Association of asthma with low serum vitamin D and its related musculoskeletal and psychological symptoms in adults: a case-control study. Prim. Care Respir. Med. 2021;31(1):1-8. DOI: 10.1038/s41533-021-00239-7
Ogeyingbo OD, Ahmed R, Gyawali M, Venkatesan N, Bhandari R, Botleroo RA, et al. The relationship between vitamin D and asthma exacerbation. Cureus. 2021;13(8):e17279. DOI: 10.7759/cureus.17279
Al-Thagfan SS, Alolayan SO, Ahmed S, Emara MM, Awadallah MF. Impacts of deficiency in vitamin D derivatives on disease severity in adult bronchial asthma patients. Pulm Pharmacol Ther. 2021;70:102073. DOI: 10.1016/j.pupt.2021.102073
Al-Dahr MHS. Vitamin D, ventilatory function and asthma control among bronchial asthma patients. J Lung Pulm Respir Res. 2020;7(3):74-7. DOI: 10.15406/jlprr.2020.07.00233
Beyhan-Sagmen S, Baykan O, Balcan B, Ceyhan B. Association between severe vitamin D deficiency, lung function and asthma control. Arch Bronconeumol. 2017;53(4):186-91. DOI:10.1016/j.arbres.2016.09.010
Jolliffe DA, Greenberg L, Hooper RL, Griffiths CJ, Camargo CA Jr, Kerley CP, et al. Vitamin D supplementation to prevent asthma exacerbations: a systematic review and meta-analysis of individual participant data. Lancet Respir Med. 2017;5(11):881-90. DOI: 10.1016/S2213-2600(17)30306-5
Liu J, Dong YQ, Yin J, Yao J, Shen J, Sheng GJ, et al. Meta-analysis of vitamin D and lung function in patients with asthma. Respir Res. 2019;20(1):1-11. DOI: 10.1186/s12931-019-1072-4
Schrumpf JA, van der Does AM, Hiemstra PS. Impact of the local inflammatory environment on mucosal vitamin D metabolism and signaling in chronic inflammatory lung diseases. Front Immunol. 2020;11:1433. DOI: 10.3389/fimmu.2020.01433
Hall SC, Agrawal DK. Vitamin D and bronchial asthma: an overview of data from the past 5 years. Clin Ther. 2017;39(5):917-29. DOI: 10.1016/j.clinthera.2017.04.002
Huang Y, Wang L, Jia XX, Lin XX, Zhang WX. Vitamin D alleviates airway remodeling in asthma by down-regulating the activity of Wnt/-catenin signaling pathway. Int Immunopharmacol. 2019;68(1):88-94. DOI: 10.1016/j.intimp.2018.12.061
Feng L, Meng T, Qi Y, Athari SS, Chen X. Study effect of vitamin D on the immunopathology responses of the bronchi in murine model of asthma. Iran J Allergy Asthma Immunol. 2021;20(5):509-19. DOI: 10.18502/ijaai.v20i5.7399
Forno E, Bacharier LB, Phipatanakul W, Guilbert TW, Cabana MD, Ross K, et al. Effect of Vitamin D3 supplementation on severe asthma exacerbations in children with asthma and low vitamin D levels: the VDKA randomized clinical trial. JAMA. 2020; 324(8): 752-60. DOI: 10.1001/jama.2020.12384
Wang M, Liu M, Wang C, Xiao Y, An T, Zou M, et al. Association between vitamin D status and asthma control: a meta-analysis of randomized trials. Respir Med. 2019;150:85-94. DOI: 10.1016/j.rmed.2019.02.016
Jaura J, Kelsberg G, Safranek S. Does vitamin D supplementation reduce asthma exacerbations?. J Fam Pract. 2020;69(4):4-6. Disponible en: https://www.mdedge.com/familymedicine/article/222051/asthma/does-vitamin-d-supplementation-reduce-asthma-exacerbations
Funez, S, Volk B. Does vitamin D supplementation reduce the rate of asthma exacerbations requiring systemic steroids?. Evidence-Based Practice. 2019;22(9):9-10. DOI: 10.1097/EBP.0000000000000369
Chiewchalermsri C, Sangkanjanavanich S, Pradubpongsa P, Mitthamsiri W, Jaisupa N, Sangasapaviliya A, et al. Adjunctive vitamin D2 supplement in patient with allergen-specific immunotherapy randomized, double blind, placebo-controlled trial. J Allergy Clin Immunol. 2020;145(2):1. DOI: 10.1016/j.jaci.2019.12.712
Thakur C, Kumar J, Kumar P, Goyal JP, Singh K, Gupta A. Vitamin-D supplementation as an adjunct to standard treatment of asthma in children: A randomized controlled trial (ViDASTA Trial). Pediatr Pulmonol. 2021;56(6):1427-33. DOI: 10.1002/ppul.25287
González-Díaz SN, Arias-Cruz A, Villarreal-Pérez JZ, Sánchez-Guerra D, Monge-Ortega OP. Evaluación de los niveles séricos de vitamina D en adultos asmáticos y su relación con el control de asma. Rev Alerg Mex. 2018;65(4):362-71. DOI: 10.29262/ram.v65i4.386
Brumpton BM, Langhammer A, Henriksen AH, Romundstad PR, Chen Y, Camargo CA Jr, et al. Serum 25-hydroxyvitamin D, vitamin D supplement and asthma control: The HUNT study. Respir Med. 2018;136:65-70. DOI: 10.1016/j.rmed.2018.01.017
Rosser FJ, Han YY, Forno E, Bacharier LB, Phipatanakul W, Guilbert TW, et al. Effect of vitamin D supplementation on total and allergen-specific IgE in children with asthma and low vitamin D levels. J Allergy Clin Immunol. 2021:S0091-6749(21)00902-7. DOI: 10.1016/j.jaci.2021.05.037
Jat KR, Goel N, Gupta N, Gupta CP, Datta S, Lodha R, et al. Efficacy of vitamin D supplementation in asthmatic children with vitamin D deficiency: A randomized controlled trial (ESDAC trial). Pediatr Allergy Immunol. 202;32(3):479-88. DOI: 10.1111/pai.13415
Canguven O, El Ansari W, Yassin A. Vitamin D supplementation as a potential therapeutic mediator in asthma: does dose really matter? a critical review of the literature. Aging Male. 2020;23(4):300-7. DOI: 10.1080/13685538.2018.1506433
Brustad N, Eliasen AU, Stokholm J, Bønnelykke K, Bisgaard H, Chawes BL. High-dose vitamin D supplementation during pregnancy and asthma in offspring at the age of 6 years. JAMA. 2019;321(10):1003-5. DOI: 10.1001/jama.2019.0052.
Mensink-Bout SM, van Meel ER, de Jongste JC, Voortman T, Reiss IK, De Jong NW, et al. Maternal and neonatal 25-hydroxyvitamin D concentrations and school-age lung function, asthma and allergy. The Generation R Study. Clin Exp Allergy. 2019;49(6):900-10. DOI: 10.1111/cea.13384
Litonjua AA. Vitamin D and childhood asthma: causation and contribution to disease activity. Curr Opin Allergy Clin Immunol. 2019;19(2):126-31. DOI: 10.1097/ACI.0000000000000509
von Mutius E, Martinez FD. Vitamin D supplementation during pregnancy and the prevention of childhood asthma. N Engl J Med. 2020;6(1):574-5. DOI: 10.1056/NEJMe1915082
Litonjua AA, Carey VJ, Laranjo N, Stubbs BJ, Mirzakhani H, O’Connor GT, et al. Six-year follow-up of a trial of antenatal vitamin D for asthma reduction. N Engl J Med. 2020;6(1):525-33. DOI: 10.1056/NEJMoa1906137
Pacheco-González RM, García-Marcos L, Morales E. Prenatal vitamin D status and respiratory and allergic outcomes in childhood: a meta-analysis of observational studies. Pediatr Allergy Immunol. 2018;29(3):243-53. DOI: 10.1111/pai.12876
Shi D, Wang D, Meng Y, Chen J, Mu G, Chen W. Maternal vitamin D intake during pregnancy and risk of asthma and wheeze in children: a systematic review and meta-analysis of observational studies. J Matern Fetal Neonatal Med. 2021;34(4):653-9. DOI: 10.1080/14767058.2019.1611771

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
Derechos de autor 2022 Revista Alergia México