Antibiotics (Nov 2022)

Effects of Vitamin D on the Renin–Angiotensin System and Acute Childhood Pneumonia

  • Andrea Zovi,
  • Francesco Ferrara,
  • Roberta Pasquinucci,
  • Livia Nava,
  • Antonio Vitiello,
  • Roberto Arrigoni,
  • Andrea Ballini,
  • Stefania Cantore,
  • Raffele Palmirotta,
  • Marina Di Domenico,
  • Luigi Santacroce,
  • Mariarosaria Boccellino

DOI
https://doi.org/10.3390/antibiotics11111545
Journal volume & issue
Vol. 11, no. 11
p. 1545

Abstract

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Vitamin D promotes kidney calcium reabsorption and regulates calcium and phosphate metabolism, as well as the intestinal absorption of calcium and phosphorus and bone mineralization events. Vitamin D is also known for its immunomodulatory properties. It has been shown in the literature that the active form of vitamin D, 1,25-dihydroxyvitamin D, performs multiple functions in the adaptive and innate immune system, as well as acting on the endothelial membrane. Recent evidence shows that vitamin D is a negative endocrine modulator of the renin–angiotensin system (RAS), with protection from diseases leading to lung damage, such as pneumonia caused by various pathogens. Vitamin D support associated with the use of antibiotics could be crucial to counteract these infectious diseases.

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