1
Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2
Drug Applied Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Despite the classic role of Vitamin D in skeletal health, new aspects of Vitamin D have been discovered in tissues and organs other than bones. Epidemiological and observational studies demonstrate a link between Vitamin D deficiency and risk of developing respiratory diseases including asthma, chronic obstructive pulmonary disease(COPD), and tuberculosis (TB). To review the literature, we searched the terms “Vitamin D”(using the set operator) and “asthma,” “COPD” and “TB” in electronic databases, including PubMed/ MEDLINE, Scopus, and Google Scholar until July 2015. Non‑English articles or articles with unavailable full text were excluded. Both in vivo and in vitro studies were included. All the reviewed articles state that Vitamin D deficiency is very common among patients with respiratory diseases. The present data regarding Vitamin D and asthma is still controversial, but data about COPD and TB are more encouraging. The relevant studies have been conducted in different populations therefore it is not particularly possible to compare the data due to genetic variations. In order to point out a role for Vitamin D, large clinical trials with Vitamin D deficient subjects and sufficient Vitamin D supplementation are needed.
Hansdottir S, Monick MM, Hinde SL, Lovan N, Look DC, Hunninghake GW. Respiratory epithelial cells convert inactive Vitamin D to its active form: Potential effects on host defense. J Immunol 2008;181:7090‑9. 2. Roth DE, Jones AB, Prosser C, Robinson JL, Vohra S. Vitamin D receptor polymorphisms and the risk of acute lower respiratory tract infection in early childhood. J Infect Dis 2008;197:676‑80. 3. Herr C, Greulich T, Koczulla RA, Meyer S, Zakharkina T, BranscheidtM, et al. The role of Vitamin D in pulmonary disease: COPD, asthma, infection, and cancer. Respir Res 2011;12:31. 4. Cannell JJ, Vieth R, Umhau JC, Holick MF, Grant WB, Madronich S, et al. Epidemic influenza and Vitamin D. Epidemiol Infect 2006;134:1129‑40. 5. Abuzeid WM, Akbar NA, Zacharek MA. Vitamin D and chronic rhinitis. Curr Opin Allergy Clin Immunol 2012;12:13‑7. 6. Janssens W, Bouillon R, Claes B, Carremans C, Lehouck A, Buysschaert I, et al. Vitamin D deficiency is highly prevalent in COPD and correlates with variants in the Vitamin D‑binding gene. Thorax 2010;65:215‑20. 7. Litonjua AA, Weiss ST. Is Vitamin D deficiency to blame for the asthma epidemic? J Allergy Clin Immunol 2007;120:1031‑5. 8. Niruban SJ, Alagiakrishnan K, Beach J, Senthilselvan A. Association between Vitamin D and respiratory outcomes in Canadian adolescents and adults. J Asthma 2015;52:653-61. 9. Nnoaham KE, Clarke A. Low serum Vitamin D levels and tuberculosis: A systematic review and meta‑analysis. Int J Epidemiol 2008;37:113‑9. 10. Gibney KB, MacGregor L, Leder K, Torresi J, Marshall C, Ebeling PR, et al. Vitamin D deficiency is associated with tuberculosis and latent tuberculosis infection in immigrants from sub‑Saharan Africa. Clin Infect Dis 2008;46:443‑6. 11. Masoli M, Fabian D, Holt S, Beasley R; Global Initiative for Asthma (GINA) Program. The global burden of asthma: Executive summary of the GINA Dissemination Committee report. Allergy 2004;59:469‑78. 12. Dixon AE, Holguin F, Sood A, Salome CM, Pratley RE, Beuther DA, et al. An official American Thoracic Society Workshop report: Obesity and asthma. Proc Am Thorac Soc 2010;7:325‑35. 13. Wortsman J, Matsuoka LY, Chen TC, Lu Z, Holick MF. Decreased bioavailability of Vitamin D in obesity. Am J Clin Nutr 2000;72:690‑3. 14. Celedón JC, Sredl D, Weiss ST, Pisarski M, Wakefield D, Cloutier M. Ethnicity and skin test reactivity to aeroallergens among asthmatic children in Connecticut. Chest 2004;125:85‑92. 15. Rajakumar K, Fernstrom JD, Janosky JE, Greenspan SL. Vitamin D insufficiency in preadolescent African‑American children. Clin Pediatr (Phila) 2005;44:683‑92. 16. Keating P, M u n i m A , H a r t m a n n J X . E f f e c t o f Vitamin D on T‑helper type 9 polarized human memory cells in chronic persistent asthma. Ann Allergy Asthma Immunol 2014;112:154‑62. 17. Xystrakis E, Kusumakar S, Boswell S, Peek E, Urry Z, Richards DF, et al. Reversing the defective induction of IL‑10‑secreting regulatory T cells in glucocorticoid‑resistant asthma patients. J Clin Invest 2006;116:146‑55. 18. Banerjee A, Damera G, Bhandare R, Gu S, Lopez‑Boado Y, Panettieri R Jr, et al. Vitamin D and glucocorticoids differentially modulate chemokine expression in human airway smooth muscle cells. Br J Pharmacol 2008;155:84‑92. 19. Chambers ES, Nanzer AM, Pfeffer PE, Richards DF, Timms PM, Martineau AR, et al. Distinct endotypes of steroid‑resistant asthma characterized by IL‑17Ahigh and IFN‑γhigh immunophenotypes: Potential benefits of calcitriol. J Allergy Clin Immunol 2015. pii: S0091‑674900165‑7. 20. Liu PT, Stenger S, Tang DH, Modlin RL. Cutting edge: Vitamin D‑mediated human antimicrobial activity against Mycobacterium tuberculosis is dependent on the induction of cathelicidin. J Immunol 2007;179:2060‑3. 21. Bossé Y, MaghniK, HudsonTJ. 1alpha, 25‑dihydroxy‑Vitamin D3 stimulation of bronchial smooth muscle cells induces autocrine, contractility, and remodeling processes. Physiol Genomics 2007;29:161‑8.
22. Song Y, Qi H, Wu C. Effect of 1,25‑(OH) 2D3 (a vitamin D analogue) on passively sensitized human airway smooth muscle cells. Respirology 2007;12:486‑94. 23. Kho AT, Sharma S, Qiu W, Gaedigk R, Klanderman B, Niu S, et al. Vitamin D related genes in lung development and asthma pathogenesis. BMC Med Genomics 2013;6:47. 24. Sundar IK, Hwang JW, Wu S, Sun J, Rahman I. Deletion of Vitamin D receptor leads to premature emphysema/COPD by increased matrix metalloproteinases and lymphoid aggregates formation. Biochem Biophys Res Commun 2011;406:127‑33. 25. de Groot JC, van Roon EN, Storm H, Veeger NJ, Zwinderman AH, Hiemstra PS, et al. Vitamin D reduces eosinophilic airway inflammation in nonatopic asthma. J Allergy Clin Immunol 2015;135:670‑5.e3. 26. Gern JE, Lemanske RF Jr, Busse WW. Early life origins of asthma. J Clin Invest 1999;104:837‑43. 27. Warner JA, Jones CA, Jones AC, Warner JO. Prenatal origins of allergic disease. J Allergy Clin Immunol 2000;105:S493‑8. 28. Martindale S, McNeill G, Devereux G, Campbell D, Russell G, Seaton A. Antioxidant intake in pregnancy in relation to wheeze and eczema in the first two years of life. Am J Respir Crit Care Med 2005;171:121‑8. 29. Litonjua AA, Rifas‑Shiman SL, Ly NP, Tantisira KG, Rich‑Edwards JW, Camargo CA Jr, et al. Maternal antioxidant intake in pregnancy and wheezing illnesses in children at 2 y of age. Am J Clin Nutr 2006;84:903‑11. 30. Erkkola M, Kaila M, Nwaru BI, Kronberg‑Kippilä C, Ahonen S, Nevalainen J, et al. Maternal Vitamin D intake during pregnancy is inversely associated with asthma and allergic rhinitis in 5‑year‑old children. Clin Exp Allergy 2009;39:875‑82. 31. Devereux G, Turner SW, Craig LC, McNeill G, Martindale S, Harbour PJ, et al. Low maternal Vitamin E intake during pregnancy is associated with asthma in 5‑year‑old children. Am J Respir Crit Care Med 2006;174:499‑507. 32. Devereux G, Litonjua AA, Turner SW, Craig LC, McNeill G, Martindale S, et al. Maternal Vitamin D intake during pregnancy and early childhood wheezing. Am J Clin Nutr 2007;85:853‑9. 33. Willers SM, Devereux G, Craig LC, McNeill G, Wijga AH, Abou El‑Magd W, et al. Maternal food consumption during pregnancy and asthma, respiratory and atopic symptoms in 5‑year‑old children. Thorax 2007;62:773‑9. 34. Miller DR, Turner SW, Spiteri‑Cornish D, Scaife AR, Danielian PJ, Devereux GS, et al. Maternal Vitamin D and E intakes during early pregnancy are associated with airway epithelial cell responses in neonates. Clin Exp Allergy 2015;45:920‑7. 35. Grubczak K, Lipinska D, Eljaszewicz A, Singh P, Radzikowska U, Miklasz P, et al. Vitamin D3 treatment decreases frequencies of CD16‑positive and TNF‑a‑secreting monocytes in asthmatic patients. Int Arch Allergy Immunol 2015;166:170‑6. 36. Drozdenko G, Heine G, Worm M. Oral Vitamin D increases the frequencies of CD38+ human B cells and ameliorates IL‑17‑producing T cells. Exp Dermatol 2014;23:107‑12. 37. Hansen S, Maslova E, Strøm M, Linneberg A, Halldorsson TI, Granström C, et al. The long‑term programming effect of maternal 25‑hydroxyvitamin D in pregnancy on allergic airway disease and lung function in offspring after 20 to 25 years of follow‑up. J Allergy Clin Immunol 2015;136:169‑76.e2. 38. Chiu CY, Huang SY, Peng YC, Tsai MH, Hua MC, Yao TC, et al. Maternal Vitamin D levels are inversely related to allergic sensitization and atopic diseases in early childhood. Pediatr Allergy Immunol 2015;26:337‑43. 39. Leung TF, Wang SS, Tang MF, Kong AP, Sy HY, Hon KL, et al. Childhood asthma and spirometric indices are associated with polymorphic markers of two Vitamin D 25‑hydroxylase genes. Pediatr Allergy Immunol 2015;26:375‑82. 40. Maguire JL, Birken CS, Loeb MB, Mamdani M, Thorpe K, Hoch JS, et al. DO IT Trial: Vitamin D outcomes and interventions in toddlers – A TARGet Kids! randomized controlled trial. BMC Pediatr 2014;14:37. 41. Bose S, Breysse PN, McCormack MC, Hansel NN, Rusher RR, Matsui E, et al. Outdoor exposure and Vitamin D levels in urban children with asthma. Nutr J 2013;12:81. 42. Bener A, Ehlayel MS, Tulic MK, Hamid Q. Vitamin D deficiency as a strong predictor of asthma in children. Int Arch Allergy Immunol 2012;157:168‑75. 43. Brehm JM, Schuemann B, Fuhlbrigge AL, Hollis BW, Strunk RC, Zeiger RS, et al. Serum Vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study. J Allergy Clin Immunol 2010;126:52‑8.e5. 44. Brehm JM, Celedón JC, Soto‑Quiros ME, Avila L, Hunninghake GM, Forno E, et al. Serum Vitamin D levels and markers of severity of childhood asthma in Costa Rica. Am J Respir Crit Care Med 2009;179:765‑71. 45. Yadav M, Mittal K. Effect of Vitamin D supplementation on moderate to severe bronchial asthma. Indian J Pediatr 2014;81:650‑4. 46. Sutherland ER, Goleva E, Jackson LP, Stevens AD, Leung DY. Vitamin D levels, lung function, and steroid response in adult asthma. Am J Respir Crit Care Med 2010;181:699‑704. 47. Castro M, King TS, Kunselman SJ, Cabana MD, Denlinger L, Holguin F, et al. Effect of Vitamin D3 on asthma treatment failures in adults with symptomatic asthma and lower Vitamin D levels: The VIDA randomized clinical trial. JAMA 2014;311:2083‑91. 48. Black PN, Scragg R. Relationship between serum 25‑hydroxyvitamin d and pulmonary function in the third national health and nutrition examination survey. Chest 2005;128:3792‑8. 49. Arshi S, Fallahpour M, Nabavi M, Bemanian MH, Javad‑Mousavi SA, Nojomi M, et al. The effects of Vitamin D supplementation on airway functions in mild to moderate persistent asthma. Ann Allergy Asthma Immunol 2014;113:404‑9. 50. Varney VA, Evans J, BansalAS. Successful treatment of reactive airways dysfunction syndrome by high‑dose Vitamin D. J Asthma Allergy 2011;4:87‑91. 51. Cheng HM, Kim S, Park GH, Chang SE, Bang S, Won CH, et al. Low Vitamin D levels are associated with atopic dermatitis, but not allergic rhinitis, asthma, or IgE sensitization, in the adult Korean population. JAllergy Clin Immunol 2014;133:1048‑55. 52. Martineau AR, MacLaughlin BD, Hooper RL, Barnes NC, Jolliffe DA, Greiller CL, et al. Double‑blind randomised placebo‑controlled trial of bolus‑dose Vitamin D3 supplementation in adults with asthma (ViDiAs). Thorax 2015;70:451‑7. 53. Brody H. Chronic obstructive pulmonary disease. Nature 2012;489:S1. 54. Vogelmeier C, Koczulla R, Fehrenbach H, Bals R. Pathogenesis of chronic obstructive pulmonary disease. Internist (Berl) 2006;47:885‑6, 888‑90, 892‑4. 55. Persson LJ, Aanerud M, Hiemstra PS, Hardie JA, Bakke PS, Eagan TM. Chronic obstructive pulmonary disease is associated with low levels of Vitamin D. PLoS One 2012;7:e38934. 56. Crane‑Godreau MA, Black CC, Giustini AJ, Dechen T, Ryu J, Jukosky JA, et al. Modeling the influence of Vitamin D deficiency on cigarette smoke‑induced emphysema. Front Physiol 2013;4:132. 57. Fischer BM, Pavlisko E, Voynow JA. Pathogenic triad in COPD: Oxidative stress, protease‑antiprotease imbalance, and inflammation. Int J Chron Obstruct Pulmon Dis 2011;6:413‑21. 58. Stocks J, Sonnappa S. Early life influences on the development of chronic obstructive pulmonary disease. Ther Adv Respir Dis 2013;7:161‑73. 59. Svanes C, SunyerJ, Plana E, Dharmage S, Heinrich J, Jarvis D, et al. Early life origins of chronic obstructive pulmonary disease. Thorax 2010;65:14‑20. 60. Nguyen M, Trubert CL, Rizk‑Rabin M, Rehan VK, Besançon F, Cayre YE, et al. 1,25‑Dihydroxyvitamin D3 and fetal lung maturation: Immunogold detection of VDR expression in pneumocytes type II cells and effect on fructose 1,6 bisphosphatase. J Steroid Biochem Mol Biol 2004;89‑90:93‑7. 61. Nguyen TM, Guillozo H, Marin L, Tordet C, Koite S, Garabedian M. Evidence for a Vitamin D paracrine system regulating maturation of developing rat lung epithelium. Am J Physiol 1996;271:L392‑9. 62. Uh ST, Koo SM, Kim YK, Kim KU, Park SW, Jang AS, et al. Inhibition of vitamin d receptor translocation by cigarette smoking extracts. Tuberc Respir Dis (Seoul) 2012;73:258‑65. 63. Hopkinson NS, Li KW, KehoeA, Humphries SE, Roughton M, Moxham J, et al. Vitamin D receptor genotypes influence quadriceps strength in chronic obstructive pulmonary disease. Am J Clin Nutr 2008;87:385‑90. 64. Janssens W, Decramer M, Mathieu C, Korf H. Vitamin D and chronic obstructive pulmonary disease: Hype or reality? Lancet Respir Med 2013;1:804‑12. 65. Førli L, Halse J, Haug E, Bjørtuft Ø, Vatn M, Kofstad J, et al. Vitamin D deficiency, bone mineral density and weight in patients with advanced pulmonary disease. J Intern Med 2004;256:56‑62. 66. Janssens W, Mathieu C, Boonen S, Decramer M. Vitamin D deficiency and chronic obstructive pulmonary disease: A vicious circle. Vitam Horm 2011;86:379‑99. 67. Monadi M, Heidari B, Asgharpour M, Firouzjahi A, Monadi M, Ghazi Mirsaied MA. Relationship between serum Vitamin D and forced expiratory volume in patients with chronic obstructive pulmonary disease (COPD). Caspian J Intern Med 2012;3:451‑5. 68. Zendedel A, Gholami M, Anbari K, Ghanadi K, Bachari EC, Azargon A. Effects of Vitamin D intake on FEV1 and COPD exacerbation: Arandomized clinical trial study. Glob J Health Sci 2015;7:243‑8. 69. Afzal S, Lange P, Bojesen SE, Freiberg JJ, Nordestgaard BG. Plasma 25‑hydroxyvitamin D, lung function and risk of chronic obstructive pulmonary disease. Thorax 2014;69:24‑31. 70. MartineauAR, James WY, Hooper RL, Barnes NC, Jolliffe DA, Greiller CL, et al. Vitamin D3 supplementation in patients with chronic obstructive pulmonary disease (ViDiCO): A multicentre, double‑blind, randomised controlled trial. Lancet Respir Med 2015;3:120‑30. 71. Holmgaard DB, Mygind LH, Titlestad IL, Madsen H, Fruekilde PB, Pedersen SS, et al. Serum Vitamin D in patients with chronic obstructive lung disease does not correlate with mortality‑results from a 10‑year prospective cohort study. PLoS One 2013;8:e53670. 72. Kunisaki KM, Niewoehner DE, Connett JE. Severe Vitamin D deficiency: A biomarker of exacerbation risk?: A reply to Heulens. Am J Respir Crit Care Med 2013;187:215‑6. 73. Lehouck A, Mathieu C, Carremans C, Baeke F, Verhaegen J, Van Eldere J, et al. High doses of Vitamin D to reduce exacerbations in chronic obstructive pulmonary disease: A randomized trial. Ann Intern Med 2012;156:105‑14. 74. Bjerk SM, Edgington BD, Rector TS, Kunisaki KM. Supplemental Vitamin D and physical performance in COPD: A pilot randomized trial. Int J Chron Obstruct Pulmon Dis 2013;8:97‑104. 75. Ferrari M, Schenk K, Papadopoulou C, Ferrari P, Dalle Carbonare L, Bertoldo F. Serum 25‑hydroxy Vitamin D and exercise capacity in COPD. Thorax 2011;66:544‑5. 76. Hornikx M, Van Remoortel H, LehouckA, Mathieu C, Maes K, Gayan‑Ramirez G, et al. Vitamin D supplementation during rehabilitation in COPD: A secondary analysis of a randomized trial. Respir Res 2012;13:84. 77. Banerjee A, Panettieri R Jr. Vitamin D modulates airway smooth muscle function in COPD. Curr Opin Pharmacol 2012;12:266‑74. 78. Romme EA, Smeenk FW, Rutten EP, Wouters EF. Osteoporosis in chronic obstructive pulmonary disease. Expert Rev Respir Med 2013;7:397‑410. 79. Duckers JM, Evans BA, Fraser WD, Stone MD, Bolton CE, Shale DJ. Low bone mineral density in men with chronic obstructive pulmonary disease. Respir Res 2011;12:101. 80. Franco CB, Paz‑Filho G, Gomes PE, Nascimento VB, Kulak CA, Boguszewski CL, et al. Chronic obstructive pulmonary disease is associated with osteoporosis and low levels of Vitamin D. Osteoporos Int 2009;20:1881‑7. 81. Romme EA, Rutten EP, Smeenk FW, Spruit MA, Menheere PP, Wouters EF. Vitamin D status is associated with bone mineral density and functional exercise capacity in patients with chronic obstructive pulmonary disease. Ann Med 2013;45:91‑6. 82. Skaaby T, Husemoen LL, Thuesen BH, Pisinger C, Jørgensen T, Fenger RV, et al. Vitamin D status and chronic obstructive pulmonary disease: A prospective general population study. PLoS One 2014;9:e90654. 83. Chishimba L, Thickett DR, Stockley RA, Wood AM. The vitamin D axis in the lung: A key role for Vitamin D‑binding protein. Thorax 2010;65:456‑62. 84. Metcalf JP, ThompsonAB, Gossman GL, Nelson KJ, Koyama S, Rennard SI, et al. Gcglobulin functions as a cochemotaxin in the lower respiratory tract. A potential mechanism for lung neutrophil recruitment in cigarette smokers. Am Rev Respir Dis 1991;143:844‑9. 85. DiMartino SJ, Shah AB, Trujillo G, Kew RR. Elastase controls the binding of the Vitamin D‑binding protein (Gc‑globulin) to neutrophils: A potential role in the regulation of C5a co‑chemotactic activity. J Immunol 2001;166:2688‑94. 86. SalamonH, BruinersN, LakehalK, ShiL, RaviJ, YamaguchiKD, et al. Cutting edge: Vitamin D regulates lipid metabolism in Mycobacterium tuberculosis infection. J Immunol 2014;193:30‑4. 87. Lalvani A, Connell DW. Dissecting the immunological, antimicrobial and clinical effects of Vitamin D therapy in tuberculosis. Pathog Glob Health 2012;106:378‑9. 88. Desai NS, Tukvadze N, Frediani JK, Kipiani M, Sanikidze E, Nichols MM, et al. Effects of sunlight and diet on Vitamin D status of pulmonary tuberculosis patients in Tbilisi, Georgia. Nutrition 2012;28:362‑6. 89. Selvaraj P. Vitamin D, Vitamin D receptor, and cathelicidin in the treatment of tuberculosis. Vitam Horm 2011;86:307‑25. 90. Dini C, Bianchi A. The potential role of Vitamin D for prevention and treatment of tuberculosis and infectious diseases. Ann Ist Super Sanita 2012;48:319‑27. 91. Adams JS, Ren S, Liu PT, Chun RF, Lagishetty V, GombartAF, et al. Vitamin D‑directed rheostatic regulation of monocyte antibacterial responses. J Immunol 2009;182:4289‑95. 92. Chocano‑Bedoya P, Ronnenberg AG. Vitamin D and tuberculosis. Nutr Rev 2009;67:289‑93. 93. Fabri M, Stenger S, Shin DM, Yuk JM, Liu PT, Realegeno S, et al. Vitamin D is required for IFN-gamma-mediated antimicrobial activity of human macrophages. Sci Transl Med 2011;3:104ra102. 94. Overbergh L, Decallonne B, Waer M, Rutgeerts O, Valckx D, Casteels KM, et al. 1alpha, 25‑dihydroxyvitamin D3 induces an autoantigen‑specific T‑helper 1/T‑helper 2 immune shift in NOD mice immunized with GAD65 (p524‑543). Diabetes 2000;49:1301‑7. 95. Boonstra A, Barrat FJ, Crain C, Heath VL, Savelkoul HF, O’Garra A. 1alpha, 25‑Dihydroxyvitamin d3 has a direct effect on naive CD4(+) T cells to enhance the development of Th2 cells. J Immunol 2001;167:4974‑80. 96. Lin PL, Flynn JL. Understanding latent tuberculosis: A moving target. J Immunol 2010;185:15‑22. 97. Nnoaham KE, Clarke A. Low serum Vitamin D levels and tuberculosis: A systematic review and meta‑analysis. Int J Epidemiol 2008;37:113‑9. 98. Nursyam EW, Amin Z, Rumende CM. The effect of Vitamin D as supplementary treatment in patients with moderately advanced pulmonary tuberculous lesion. Acta Med Indones 2006;38:3‑5. 99. Wejse C, Gomes VF, Rabna P, Gustafson P, Aaby P, Lisse IM, et al. Vitamin D as supplementary treatment for tuberculosis: A double‑blind, randomized, placebo‑controlled trial. Am J Respir Crit Care Med 2009;179:843‑50. 100. Martineau AR, Timms PM, Bothamley GH, Hanifa Y, Islam K, Claxton AP, et al. High‑dose Vitamin D (3) during intensive‑phase antimicrobial treatment of pulmonary tuberculosis: A double‑blind randomised controlled trial. Lancet 2011;377:242‑50. 101. Salahuddin N, Ali F, Hasan Z, Rao N, Aqeel M, Mahmood F. Vitamin D accelerates clinical recovery from tuberculosis: Results of the SUCCINCT Study [Supplementary Cholecalciferol in recovery from tuberculosis]. Arandomized, placebo‑controlled, clinical trial of Vitamin D supplementation in patients with pulmonary tuberculosis’. BMC Infect Dis 2013;13:22. 102. Daley P, Jagannathan V, John KR, Sarojini J, Latha A, Vieth R, et al. Adjunctive Vitamin D for treatment of active tuberculosis in India: A randomised, double‑blind, placebo‑controlled trial. Lancet Infect Dis 2015;15:528‑34. 103. Martineau AR, Wilkinson RJ, Wilkinson KA, Newton SM, Kampmann B, Hall BM, et al. A single dose of Vitamin D enhances immunity to mycobacteria. Am J Respir Crit Care Med 2007;176:208‑13. 104. Holick MF. Vitamin D status: Measurement, interpretation, and clinical application. Ann Epidemiol 2009;19:73‑8. 105. Holick MF, Binkley NC, Bischoff‑Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of Vitamin D deficiency: An endocrine society clinical practice guideline. J Clin Endocrinol Metab 2011;96:1911‑30. 106. Vieth R. Vitamin D nutrient to treat TB begs the prevention question. Lancet 2011;377:189‑90. 107. Douglas AS, Strachan DP, Maxwell JD. Seasonality of tuberculosis: The reverse of other respiratory diseases in the UK. Thorax 1996;51:944‑6. 108. Martineau AR, Nhamoyebonde S, Oni T, Rangaka MX, Marais S, Bangani N, et al. Reciprocal seasonal variation in Vitamin D status and tuberculosis notifications in Cape Town, South Africa. Proc Natl Acad Sci U S A 2011;108:19013‑7. 109. Schaaf HS, Nel ED, Beyers N, Gie RP, Scott F, Donald PR. Adecade of experience with Mycobacterium tuberculosis culture from children: A seasonal influence on incidence of childhood tuberculosis. Tuber Lung Dis 1996;77:43‑6. 110. Thorpe LE, Laserson K, Cookson S, Mills W, Field K, Koppaka VR, et al. Infectious tuberculosis among newly arrived refugees in the United States. N Engl J Med 2004;350:2105‑6. 111. Strachan DP, Powell KJ, Thaker A, Millard FJ, Maxwell JD. Vegetarian diet as a risk factor for tuberculosis in immigrant South London Asians. Thorax 1995;50:175‑80. 112. Williams B, Williams AJ, Anderson ST. Vitamin D deficiency and insufficiency in children with tuberculosis. Pediatr Infect Dis J 2008;27:941‑2. 113. WilkinsonRJ, LlewelynM, ToossiZ, PatelP, PasvolG, LalvaniA, et al. Influence of Vitamin D deficiency and Vitamin D receptor polymorphisms on tuberculosis among Gujarati Asians in West London: A case‑control study. Lancet 2000;355:618‑21. 114. Bellamy R, Ruwende C, Corrah T, McAdam KP, Thursz M, Whittle HC, et al. Tuberculosis and chronic hepatitis B virus infection in Africans and variation in the Vitamin D receptor gene. J Infect Dis 1999;179:721‑4. 115. Coussens AK, Wilkinson RJ, Hanifa Y, Nikolayevskyy V, Elkington PT, Islam K, et al. Vitamin D accelerates resolution of inflammatory responses during tuberculosis treatment. Proc Natl Acad Sci U S A 2012;109:15449‑54. 116. Alyasin S, Momen T, Kashef S, Alipour A, Amin R. The relationship between serum 25 hydroxy Vitamin D levels and asthma in children. Allergy Asthma Immunol Res 2011;3:251‑5. 117. Quint JK, Wedzicha JA. Is Vitamin D deficiency important in the natural history of COPD? Thorax 2010;65:192‑4. 118. Uitterlinden AG, Fang Y, Van Meurs JB, Pols HA, Van Leeuwen JP. Genetics and biology of Vitamin D receptor polymorphisms. Gene 2004;338:143‑56. 119. Gibney KB, MacGregor L, Leder K, Torresi J, Marshall C, Ebeling PR, et al. Vitamin D deficiency is associated with tuberculosis and latent tuberculosis infection in immigra
Mohammad Esmaeil Hejazi,.. , Faezeh Modarresi-Ghazani,.. and Taher Entezari-Maleki,.. (2016). A review of Vitamin D effects on common respiratory diseases: Asthma, chronic obstructive pulmonary disease, and tuberculosis. Journal of Research in Pharmacy Practice, 5(1), 7-15.
MLA
Mohammad Esmaeil Hejazi,.. , , Faezeh Modarresi-Ghazani,.. , and Taher Entezari-Maleki,.. . "A review of Vitamin D effects on common respiratory diseases: Asthma, chronic obstructive pulmonary disease, and tuberculosis", Journal of Research in Pharmacy Practice, 5, 1, 2016, 7-15.
HARVARD
Mohammad Esmaeil Hejazi .., Faezeh Modarresi-Ghazani .., Taher Entezari-Maleki .. (2016). 'A review of Vitamin D effects on common respiratory diseases: Asthma, chronic obstructive pulmonary disease, and tuberculosis', Journal of Research in Pharmacy Practice, 5(1), pp. 7-15.
CHICAGO
.. Mohammad Esmaeil Hejazi, .. Faezeh Modarresi-Ghazani and .. Taher Entezari-Maleki, "A review of Vitamin D effects on common respiratory diseases: Asthma, chronic obstructive pulmonary disease, and tuberculosis," Journal of Research in Pharmacy Practice, 5 1 (2016): 7-15,
VANCOUVER
Mohammad Esmaeil Hejazi .., Faezeh Modarresi-Ghazani .., Taher Entezari-Maleki .. A review of Vitamin D effects on common respiratory diseases: Asthma, chronic obstructive pulmonary disease, and tuberculosis. Journal of Research in Pharmacy Practice, 2016; 5(1): 7-15.