Background: Clear associations have been found between vitamin D deficiency and several autoimmune diseases including multiple sclerosis (MS). However, the benefits of vitamin D supplementation on disease management remain a matter of debate.

Objective And Methods: Patients with MS (=12) and neuromyelitis optica spectrum disorder (NMOSD; =12) were enrolled along with 15 healthy controls. Changes in lymphocyte subset proportions during stimulation of their peripheral blood mononuclear cells (PBMCs) with the active form of vitamin D, 1,25-dihydroxyvitamin D (1,25(OH)D), and correlations with serum concentrations of the vitamin D precursor 25-hydroxyvitamin D (serum 25(OH)D) were explored. The impact of 1,25(OH)D stimulation on the expression of vitamin-D-responsive genes in immune cells was also investigated.

Results: In both MS and NMOSD, stimulation of PBMCs with 1,25(OH)D followed by steroid suppressed the proliferation of total lymphocytes and T cells. The ratio of CD19CD27 memory B cells (Bmem) to all B cells after stimulation with 1,25(OH)D was negatively correlated with serum 25(OH)D in MS (Spearman's =-0.594, =0.042), but positively correlated in NMOSD (Pearson's = 0.739, =0.006). However, there was no relationship between the ratio of Bmem to CD19CD24CD38 regulatory B cells and serum 25(OH)D in either MS or NMOSD. In addition, the level of 1,25(OH)D-induced mRNA expression in PBMCs was significantly and negatively correlated with serum 25(OH)D (for ΔC, =0.744, =0.014) in MS.

Conclusion: These findings suggest a beneficial impact of stimulation of PBMCs with vitamin D followed by steroid on the T-cell population. The association between patient serum 25(OH)D and the proportion of Bmem under immune-cell stimulation differed between MS and NMOSD. Further investigations are warranted with larger patient populations.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8358328PMC
http://dx.doi.org/10.3389/fimmu.2021.677041DOI Listing

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