International Journal of Molecular Sciences (Mar 2022)

Impact of Vitamin D in Prophylaxis and Treatment in Tuberculosis Patients

  • Roberta Papagni,
  • Carmen Pellegrino,
  • Francesco Di Gennaro,
  • Giulia Patti,
  • Aurelia Ricciardi,
  • Roberta Novara,
  • Sergio Cotugno,
  • Maria Musso,
  • Giacomo Guido,
  • Luigi Ronga,
  • Stefania Stolfa,
  • Davide Fiore Bavaro,
  • Federica Romanelli,
  • Valentina Totaro,
  • Rossana Lattanzio,
  • Giuseppina De Iaco,
  • Fabrizio Palmieri,
  • Annalisa Saracino,
  • Gina Gualano

DOI
https://doi.org/10.3390/ijms23073860
Journal volume & issue
Vol. 23, no. 7
p. 3860

Abstract

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Vitamin D plays a crucial role in many infectious diseases, such as tuberculosis (TB), that remains one of the world’s top infectious killers with 1.5 million deaths from TB in 2021. Vitamin D suppresses the replication of Mycobacterium tuberculosis in vitro and showed a promising role in TB management as a result of its connection with oxidative balance. Our review encourages the possible in vivo benefit of a joint administration with other vitamins, such as vitamin A, which share a known antimycobacterial action with vitamin D. However, considering the low incidence of side effects even at high dosages and its low cost, it would be advisable to assess vitamin D level both in patients with active TB and high-risk groups and administer it, at least to reach sufficiency levels.

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