PMID- 16046118 OWN - NLM STAT- MEDLINE DCOM- 20060110 LR - 20220331 IS - 0960-0760 (Print) IS - 0960-0760 (Linking) VI - 97 IP - 1-2 DP - 2005 Oct TI - Immunoregulation by 1,25-dihydroxyvitamin D3: basic concepts. PG - 93-101 AB - 1,25-Dihydroxyvitamin D(3) (1,25(OH)(2)D(3)), the biologically active metabolite of Vitamin D(3), not only regulates bone and calcium metabolism but also exerts other biological activities, including immunomodulation via the nuclear Vitamin D receptor expressed in antigen-presenting cells and activated T cells. This regulation is mediated through interference with nuclear transcription factors such as NF-AT and NF-kappaB or by direct interaction with Vitamin D responsive elements in the promoter regions of cytokine genes. Dendritic cells (DCs) are primary targets for the immunomodulatory activity of 1,25(OH)(2)D(3), as indicated by inhibited DC differentiation and maturation, leading to down-regulated expression of MHC-II, costimulatory molecules and IL-12. Moreover, 1,25(OH)(2)D(3) enhances IL-10 production and promotes DC apoptosis. Together, these effects of 1,25(OH)(2)D(3) inhibit DC-dependent T cell activation. Immunomodulation by 1,25(OH)(2)D(3) and its analogs in vivo has been demonstrated in different models of autoimmune diseases and transplantation. Moreover, combining analogs with other immunosuppressants leads to synergism in models of autoimmunity and transplantation. The availability of 1,25(OH)(2)D(3) analogs with immunomodulatory activity at non-hypercalcemic doses may allow exploitation of their immunomodulatory effects in a clinical setting of treatment of autoimmune diseases and prevention of allograft rejection. FAU - van Etten, Evelyne AU - van Etten E AD - Laboratory of Experimental Medicine and Endocrinology (LEGENDO), Katholieke Universiteit Leuven, Herestraat 49, 3000 Leuven, Belgium. FAU - Mathieu, Chantal AU - Mathieu C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20050719 PL - England TA - J Steroid Biochem Mol Biol JT - The Journal of steroid biochemistry and molecular biology JID - 9015483 RN - 0 (Receptors, Calcitriol) RN - FXC9231JVH (Calcitriol) SB - IM MH - Animals MH - Calcitriol/analogs & derivatives/deficiency/*immunology MH - Humans MH - Immune System/*immunology/metabolism MH - Receptors, Calcitriol/immunology RF - 64 EDAT- 2005/07/28 09:00 MHDA- 2006/01/13 09:00 CRDT- 2005/07/28 09:00 PHST- 2005/07/28 09:00 [pubmed] PHST- 2006/01/13 09:00 [medline] PHST- 2005/07/28 09:00 [entrez] AID - S0960-0760(05)00226-8 [pii] AID - 10.1016/j.jsbmb.2005.06.002 [doi] PST - ppublish SO - J Steroid Biochem Mol Biol. 2005 Oct;97(1-2):93-101. doi: 10.1016/j.jsbmb.2005.06.002. Epub 2005 Jul 19.