Vitamin D supplements could fight Crohn's disease
Canadian research team publishes findings in Journal of
Biological Chemistry
Montreal, January 27, 2010 鈥 A new study has found
that Vitamin D, readily available in supplements or cod liver oil,
can counter the effects of Crohn鈥檚 disease. John White, an
endocrinologist at the Research Institute of the 平特五不中
Health Centre, led a team of scientists from 平特五不中 and
the Universit茅 de Montr茅al who present their findings about the
inflammatory bowel disease in the latest Journal of Biological
Chemistry.
鈥淥ur data suggests, for the first time, that Vitamin D deficiency
can contribute to Crohn鈥檚 disease,鈥 says Dr. White, a professor in
平特五不中鈥檚 Department of Physiology, noting that people from northern
countries, which receive less sunlight that is necessary for the
fabrication of Vitamin D by the human body, are particularly
vulnerable to Crohn鈥檚 disease.
Vitamin D, in its active form (1,25-dihydroxyvitamin D), is a
hormone that binds to receptors in the body鈥檚 cells. Dr. White鈥檚
interest in Vitamin D was originally in its effects in mitigating
cancer. Because his results kept pointing to Vitamin D鈥檚 effects on
the immune system, specifically the innate immune system that acts
as the body鈥檚 first defense against microbial invaders, he
investigated Crohn鈥檚 disease. 鈥淚t鈥檚 a defect in innate immune
handling of intestinal bacteria that leads to an inflammatory
response that may lead to an autoimmune condition,鈥 stresses Dr.
White.
What Vitamin D does
Dr. White and his team found that Vitamin D acts directly on the
beta defensin 2 gene, which encodes an antimicrobial peptide, and
the NOD2 gene that alerts cells to the presence of invading
microbes. Both Beta-defensin and NOD2 have been linked to Crohn鈥檚
disease. If NOD2 is deficient or defective, it cannot combat
invaders in the intestinal tract.
What鈥檚 most promising about this genetic discovery, says Dr. White,
is how it can be quickly put to the test. 鈥淪iblings of patients
with Crohn鈥檚 disease that haven鈥檛 yet developed the disease might
be well advised to make sure they鈥檙e vitamin D sufficient. It鈥檚
something that鈥檚 easy to do, because they can simply go to a
pharmacy and buy Vitamin D supplements. The vast majority of people
would be candidates for Vitamin D treatment.鈥
鈥淭his discovery is exciting, since it shows how an over-the-counter
supplement such as Vitamin D could help people defend themselves
against Crohn鈥檚 disease,鈥 says Marc J. Servant, a professor at the
Universit茅 de Montr茅al鈥檚 Faculty of Pharmacy and study
collaborator. 鈥淲e have identified a new treatment avenue for people
with Crohn鈥檚 disease or other inflammatory bowel diseases.鈥
Funding
This study was funded by a grant from 平特五不中.
About the Study
The article 鈥淒irect and indirect induction by 1,25-dihydroxyvitamin
D3 of theNOD2/CARD15-beta defensin 2 innate immune pathway
defective in Crohn鈥檚 disease,鈥 published in The Journal of
Biological Chemistry, was authored by Tian-Tian Wang, Basel Dabbas,
Ari J. Bitton, Hafid Soualhine, Luz E. Tavera-Mendoza, Serge
Dionne, Alain Bitton, Ernest G. Seidman, Marcel A. Behr and John H.
White of 平特五不中 and the 平特五不中 Health Centre
in collaboration with Marc J. Servant, David Laperriere, Sylvie
Mader of the Universit茅 de Montr茅al.
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