Macrophages (a white blood cell) can activate Vitamin D without the kidneys– Sept 2021

Macrophages Control the Bioavailability of Vitamin D and Vitamin D-Regulated T Cell Responses

Front Immunol. 2021 Sep 21;12:722806. doi: 10.3389/fimmu.2021.722806. eCollection 2021.
Daniel Villalba Lopez 1, Fatima A H Al-Jaberi 1, Anders Woetmann 1, Niels Ødum 1, Charlotte Menné Bonefeld 1, Martin Kongsbak-Wismann 1, Carsten Geisler 1


Many portions of the body can activate vitamin D independent of the kidney
Many portions of the body can sem-activate vitamin D independent of the liver
   Fully-activated Vitamin D (Calcitriol) is produced inside and outside of the kidneys – July 2020

Lungs, Colon, Skin, Intestines, Bone, Brain, Eyes, Prostate, Mitocondria, etc.

Getting Vitamin D into your body has the following chart (updated due to this study)

 Download the PDF from VitaminDWiki

The active form of vitamin D3 (1,25(OH)2D3) has a great impact on T cell effector function. Thus, 1,25(OH)2D3 promotes T helper 2 (Th2) and regulatory T (Treg) cell function and concomitantly inhibits Th1 and Th17 cell function. Thus, it is believed that vitamin D exerts anti-inflammatory effects.
However, vitamin D binding protein (DBP) strongly binds both 1,25(OH)2D3 and the precursor 25(OH)D3, leaving only a minor fraction of vitamin D in the free, bioavailable form.
Accordingly, DBP in physiological concentrations would be expected to block the effect of vitamin D on T cells and dendritic cells. In the present study, we show that pro-inflammatory, monocyte-derived M1 macrophages express very high levels of the 25(OH)D-1α-hydroxylase CYP27B1 that enables them to convert 25(OH)D3 into 1,25(OH)2D3 even in the presence of physiological concentrations of DBP. Co-cultivation of M1 macrophages with T cells allows them to overcome the sequestering of 25(OH)D3 by DBP and to produce sufficient levels of 1,25(OH)2D3 to affect T cell effector function. This study suggests that in highly inflammatory conditions, M1 macrophages can produce sufficient levels of 1,25(OH)2D3 to modify T cell responses and thereby reduce T cell-mediated inflammation via a vitamin D-mediated negative feed-back loop.

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