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Role of Vitamins in Immune Response: P. Kavitha, J.V Ramana and J. Rama Prasad
Role of Vitamins in Immune Response: P. Kavitha, J.V Ramana and J. Rama Prasad
I : 11-19
Review Article
specific host defence mechanisms. It enhances body produces large number of activated
the lymphocyte proliferation, delayed type of hyper lymphocytes that are specially designed to destroy
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sensitivity& natural killer cell activity. It stimulates the foreign organism, hence it is called the cellular
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the production of IL-1 & IL-2. Vitamin A increases immunity (or) cell mediated immunity. This
serum antibody levels and enhances immune response is affected by many factors.
phagocytosis & intracellular kill by
The new frontiers of nutrition research lies in the
polymorphonuclear cells & macrophages. The
application of micronutrients-vitamins, minerals
defence mechanism of vitamin E is mainly
and related cofactors to immune response.
dependent on its antioxidant activity. It enhances
antibody production, cell proliferation, cytokine A good deal of interest has been centered on the
production & neutrophil function. Vitamin D possible influence of vitamins on susceptibility to
enhances the phagocytic activity of macrophages, infectious disease. In general, vitamin deficiency
T- cell differentiation & slows down the causes specific pathologic changes, the tissues
spontaneous thymic involution. Vitamin C affected become liable to secondary infection.
stimulates the phagocytic activity of leukocytes, This is probably a non specific consequence of
function of reticulo endothelial system and the cellular damage, and occurs in several
formation of antibodies and has antiviral & deficiencies. There is some evidence that the
anticancer properties. Vitamin K influence the lack of certain vitamins may lower resistance in
level of serum complement. The B-complex specific ways, by interfering with known
vitamins are associated with antibody production mechanisms of defense, such as the phagocytic
& their deficiency causes decrease in complement cells, bactericidal enzymes, or the antibody
and reduction of leukocytes in peritoneal-induced producing cells.
exudates & reduced cellular migration to areas of
inflammation. Thus the vitamins can reduce the Although refinement in nutritional and
use of antibodies as feed additives. immunological techniques has allowed the
Key words: Vitamins, Immune response influence of vitamins on the immunological
response to be examined in greater depth, the
Introduction order of immunological impairment brought about
Any foreign substance enters the body of an by most deficiencies had been recognized as
organism, the organism reacts/responds to it and early as 1951. Since that time, attention has been
this response is known as immune response. The paid to those deficiencies most actively affecting
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Kavitha and others
the response, whereas others such as vitamin D 2. Cell mediated immunity:
and K deficiencies have been relatively ¾ Vitamin A & E carotene are immuno
neglected. stimulatory. They enhance the lymphocyte
Role of Vitamin A in Immune response proliferation (or) mitogen induced lymphocyte
The fat soluble vitamin retinol is crucial for immune transformation. They enhance the delayed
defense. Vitamin A has been called the anti type of hyper sensitivity reactions (DHS),
infective vitamin. Impairment of animals immune transplant rejection, cell mediated cytotoxicity
system resulting from the vitamin deficiency may & natural killer (NK) cell activity.
account for increased susceptibility to infection. ¾ Vitamin A stimulates the production of
Interlukin-2 (IL-2) by lymphocytes and IL-1
Vitamin A & E carotene afford the protection
by macrophages. But suppresses the
against infections by influencing both specific and
production of IFN (interferon) by lymphocytes.
nonspecific host defense mechanisms. Specific
Interferon is an induced glycoprotein that
host defence includes cell-mediated and
limits the replication of viruses within the host.
antibody-mediated (humoral) immunity &
Vitamin A inhibits the antiviral activity of IFN
nonspecific host defence includes phagocytic
& potentiates the cytostatic action of IFN on
functions.
lymphoblastoid cells.
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The effects of vit A & E carotene on host defence ¾ E-Carotene behaves in opposition to vitamin
will be divided into 4 categories. A in its effect on IFN action. It potentiates the
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Kavitha and others
4. Non specific host defence: E-carotene functions as an antioxidant (Bendich
The non specific cellular defence of the host and Olson, 1989) and it is an efficient quencher of
animal comprises phagocytic cells, which belong singlet oxygen. Vitamin A cannot quench singlet
to two complementary systems. oxygen and has less antioxidant activity than other
antioxidant nutrients.
1. Myeloid system which is made up of rapidly
Exposure to UV light directly increases the free
acting cells extremely efficient at
radical burden imposed on the body, decreases
phagocytosis but incapable of sustained
immune responses especially cell mediated
effort, the predominant phagocytic cells in the
responses and significantly increases the risk of
system includes polymorpho nuclear
skin cancer (Donawho & Kripke, 1991). E-carotene
leukocytes (PMN) that is neutrophils.
& certain other carotenoids can block the formation
of UV-induced singlet oxygen. Singlet oxygen
2. Mononuclear phagocytic system which can initiate the generation of immuno suppressive
consists of phagocytic cells capable of reactive free radical species containing oxygen.
repeated phagocytosis and can process the
antigens in order to initiate an immune Role of vitamin E & Selenium in host defence
response. Vitamin E & Se defence mechanism is related to
their antioxidant property. Antioxidants stabilize
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Kavitha and others
antigens are diminished. Deficiency in adults concentration in dairy cow rations is 0.3 ppm
results in anergy; a complete loss of skin test (NRC, 1988). Whole blood concentrations of
responses. Vitamin E supplementation (800 IU/ selenium should be at least 0.2 mg/ml but not
day) for 1 month significantly increased delayed exceeding mg/ml. Requirement for dietary
type of hypersensitivity (DTH) responses of healthy vitamin E is 15 IU/kg of dry matter in take for both
adults (Meydani et al., 1990). dry and lactating cows. (NRC,1988). It is worthy
to note that megadoses of vitamin E may be
Vitamin E supplementation enhances host
immunosuppressive.
defence mechanisms including antibody
production, cell proliferation, cytokine production, Weiss et al., (1997) reported that cows receiving
prostaglandin metabolism and neutrophil function vitamin E as dietary supplement at the rate of 1000
(smith, 1986). Neutrophils are considered to be a IU / d had 30 % less clinical mastitis than did cows
primary defense mechanism to bacterial infections receiving a supplement of 100 IU / d of vitamin E
in mammals. in first week of lactation and the reduction was
88% when cows were fed 4000 IU / d of vitamin E
Vitamin E & selenium protects the neutrophils from
during the last 14 days of the dry period.
free radicals. Vitamin E protect against free
radicals at the membrane, glutathione peroxidase Role of Vitamin D in the Immune System
activity is in the cytosol. It convert H2O2 to water
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Role of Vitamin E & Selenium in host defence pre vitamin D3 rapidly isomerizes to vitamin D3
against mastitis which then enters the blood. Dietary vitamin D2
Vitamin E & Selenium deficiency related to and D3 are absorbed in the small intestine where
increased incidence and severity of mastitis. Their they enter the lymphatic circulation. Vitamin D is
deficiency resulted in reduced neutrophil activity. then taken up by the liver & hydroxylated to form
Vitamin E & glutathione peroxidase protects 25-hydroxy vitamin D. This is the major circulating
neutrophils from the destructive action of toxic form of vitamin D & it is transported in the blood
oxygen molecules necessary for intracellular kill primarly associated with vitamin D binding protein.
of ingested pathogens. Dietary supplementation 25 (OH) vit D is then taken up by the kidney where
of cattle with Se results in a more rapid influx of it is further hydroxylated to form the steroid
neutrophils into milk following Intramammary hormone 1,25 (OH)2 vitamin D.1,25 (OH)2 vitamin
bacterial challenge & increased phagocytic D circulates bound to plasma proteins primarly vit
activity of neutrophils. D-binding protein. A small portion of the hormone
circulates in the free state and readily enters cells
Dietary vitamin E & selenium supplementation of due to its lipophilic nature. Binding of 1,25
dairy cows reduced the rates & duration of clinical dihydroxy cholicalciferol to its intracellular
mastitis. The first controlled study on the effects receptor results in the transformation of the
of vit E & Se supplementation on clinical mastitis receptor-hormone complex to a form which has
was reported by Smith et al. 1984. increased affinity for nuclear components.
Vitamin E & selenium are synergistic on duration Specific DNA domain binding or acceptor site
of clinical sings. Cows supplemented with both binding by the receptor-hormone complex results
vitamin E & selenium had shorter duration of in the induction or repression of mRNA
clinical signs than cows supplemented with either transcription. These events lead to specific
micronutrient alone. Concentration of vit E in alterations in protein synthesis, which modulate
neutrophils was related linearly to killing ability of cell function.
neutrophils. Calf thymus glands & lymphnodes, tonsils possess
Recommended dietary intake & blood levels: The 1,25 (OH)2 vit D receptors indistinguishable from
recommended and legal upper limit for selenium those described for classical target tissues of 1,25
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Kavitha and others
(OH)2 vitamin D. The concentration of receptors Bone resorption & cells of Immune system:
for this vitamin in thymus & lymphatic tissue was Cells of monocyte & macrophage serve as
about 10-20% of that found in intestine. Large, precursors to bone resorbing cells, osteoclasts
mitotically active medullary thymocytes have these and lymphocytes or monocytes produce
receptors. Peripheral blood monocytes also osteoclast activating factor (OAF) which is
possess receptors, but peripheral blood T & B important in bone resorption. Osteoclasts are of
lymphocytes do not have these receptors. hemopoietic origin (Loutit and Nisbet, 1982).
Macrophages possess calcitonin receptors as
Receptors for vitamin D also present on
osteoclasts.
malignant cell lines.
Monocytes regulate production of IL-1 and
Effect on Monocyte & Macrophage functions:
lymphokine, OAF two potent mediators of bone
Physiological doses of 1,25 (OH)2 vit D promotes
differentiation of several mono & promonocyte cell resorption (Mundy 1983).
lines toward a macrophage phenotype. 1, 25 Role of Vitamin C in Immune Response
(OH)2 vitamin D mediated cell differentiation is Vitamin C is necessary for the proper formation
receptor dependent. Cells that contain less than and maintenance of intercellular material, such
400 receptors per cell are resistant to the actions as collagen of all fibrous tissues, the cement
of 1,25 (OH)2 vit D. It increases the phagocytic substance of endothelial tissues and especially
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activity of 1,25 (OH)2 D3 enhances the cytotoxicity that of the capillaries, and the matrix of bone and
of pulmonary macrophages (Abe, et al., 1984). It cartilage.
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in monocytes. In normal monocytes 1,25 (OH)2 Vitamin C is having an antiviral and anticancer
vitamin D induces morphological changes as well activity. It is an antioxidant and quench free
as accelerated differentiation, increase in radicals and singlet oxygen. White blood cells
lysosomal enzymes, enhances adherence, use vitamin C to combat infections, and in the
accelerates cell fusion, increases synthesis of heat face of inflammation or microbial challenge, levels
shock proteins and controls the proliferation of of vitamin C are depleted. In vitamin C deficiency
intracellular Mycobacterium tuberculosis in there is marked increase in fragility and an
monocytes (Polla et al., 1986). impairment of phagocytosis of leukocytes. In some
Effect on thymocyte function: infections, of which tuberculosis is an outstanding
Enhance T cell differentiation & slows down example, the ascorbic acid requirement may be
spontaneous thymic involution. considerably greater in infected than in normal
individuals. Enhanced immunity by dietary
Effect on lymphocyte function: ascorbic acid (ASA) appears to be T-lymphocyte
Activated lymphocytes express large amounts of dependent.
1,25 (OH)2 vitmain D receptors. 1,25(OH)2 vitamin
D is a potent inhibitor of IL-2 production by Vitamin C is reported to have a stimulating effect
peripheral lymphocytes. Vitamin D inhibits on phagocytic activity of leukocytes, on function
mitogen stimulated lymphocyte proliferation. of the reticulo endothelial system and on the
Vitamin D decreases the development of formation of antibodies. Some of the most
cytotoxic, helper and inducer T-cells (Limire et controversial topics regarding the interactions of
al., 1984). vitamin C with immune functions have been the
reduction of common cold symptoms and
In vitamin D deficiency, rickets often accompanied favourable responses to cancer treatment.
by increased rates & severity of infections (stroder,
In calves stress associated with confinement
1975). In rickets, neutrophils have defective
decreased the immune response to a specific
motility. In vitamin D deficiency there is impaired
antigen and decrease the concentration of
macrophage function and decrease in bone
ascorbic acid in plasma (Cummins & Brunner
marrow cellularity.
1991). Supplementation of vitamin C increased
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Kavitha and others
the concentration of IgG in plasma of calves of serum complement in chickens (Werber et al.,
deprived of colostrum (Blair and Cummins 1984). 1963).
But in normal calves supplemented with ascorbic
There is a slow resynthesis when vitamin K is
acid had lower plasma concentrations of IgG and
restored to the diet, normal complement activity
reduced antibody titres (Cummins and Brunner,
returning more slowly than prothrombin activity.
1989).
Dietary supplementation of calves with ascorbic Role of Vitamin B Complex Group on Immunity
acid has shown to increase plasma ascorbate Deficiencies of vitamins of this group have long
concentrations and concurrently improve antibody been associated with reduction of antibody
responses to an antigen (Cummins and Brunner, production to antigenic stimuli.
1990).
1. Thiamin: Thiamin deficiency in mouse
Carol et al., (1987) reported that guinea pigs fed increases its susceptibility to Cryptococcus
100 times the amount of vitamin C needed for neoformans. But there is no good evidence that
growth and for prevention of scurvy have elevated antibody formation or acquired resistance to
levels of complement C1q which is a plasma infection itself is affected in any direction by
protein rich in hydroxy proline. Hydroxy proline is thiamin deficiency.
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classical complement pathway and as an opsonin experimental infections, in others decrease it. In
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Kavitha and others
experiments with skin grafts; vitamin deficient mice synthesis, resulting in impaired nuclear division.
did not reject grafts as readily as control mice on
Pteroylglutamic or folic acid is related chiefly to
a normal diet. Vit B6 deficiency also involves in
the macrocytic anemias and pernicious anemia.
the tumor suppression.
It is essential for the conversion of megaloblasts
Three groups of observations have been made into erythrocytes. In certain animals, including
on cellular metabolism during pyridoxine the monkey and the rat, a deficiency of this
deficiency which were thought to be related to substance also depresses granulopoiesis, so that
this responses. First there was reduction in the only a small number of leukocytes are
synthesis of nucleic acid (DNA and RNA) in liver manufactured. It might be imagine that the
& spleen. There is also a decreased protein depression of leukocyte formation would favour
synthesis in the polysomes of these organs susceptibility to a variety of microbes.
(Axelrod and Trakatellis 1964). And there is
7. Biotin: Lack of this vitamin causes increased
severe reduction in the number of antibody
susceptibility of rats and mice to salmonella & may
forming cells.
also depress the formation of antibodies.
The poor antibody response may indeed be part
8. Vitamin B12 (cyanacobalamine): In untreated
of the generalized depression of protein
animals there was a correlation between the
metabolism in liver and spleen. The vitamin acts
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Urinary tract infections occurs frequently in people In small intestine dietary vitamin B12 bound to an
deficient in this vitamin. Acute pyridoxine intrinsic factor, a soluble receptor that participates
deficiency is deleterious to lymphoid cells. in the transport of vitamin across mucosa. In
Pyridoxine deficiency has been indicated recently autoimmune status associated with chronic
as permitting animals to accept homografts during gastritis antibodies are found against the intrinsic
the intervals of the deficient state but efforts to factor which effects the absorption of vitamin &
take advantage of this in man have failed. results in pernicious anemia.
5. Nicotinic Acid: Nicotinamide is the functional 9. Choline: The choline improves cellular immune
group in coenzymes which act as hydrogen response. The choline supplementation at the
carriers in the body. A deficiency of this substance highest level (2000 mg/kg) increases the cellular
leads to pellagra. Among the symptoms immune response which is measured as
traditionally associated with pellagra are lymphocyte migration inhibition (LMI). The choline
inflammation of the tongue, gums and membranes requirement for better health & immunity is more
of the mouth and pharynx. The organisms of than that required for optimum growth (Swain and
vincent’s angina become very abundant Johri, 2000).
wherever the mucous membranes are involved
and several reports indicate that they disappear 10. Para Amino Benzoic Acid (PABA): This is
following treatment with the vitamin. There is some exceptional to all vitamins. Excessive amounts
impairment of antibody formation in nicotinamide are beneficial in rickettsial infections of animals &
deficiency. man. This effect may be the result of stimulation
of the metabolism of the host’s cells, for rickettsiae
6. Folic Acid: Folic acid deficiency reduces propagation, optimally when cellular respiration
antibody production in various animals to a is at a low level. A deficiency in this vitamin is
number of stimuli (Axelrod and Prozansky 1955). said to decrease susceptibility to malaria.
It is needed to maintain the immune system. The
functioning of the immune system is severely The deficiency of the B complex vitamins cause
inhibited by folic acid deficiency and this is 1. Decrease in complement. 2. reduction of
probably mediated through a reduction in DNA leukocytes in peritoneal-induced exudates &
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Kavitha and others
Hormones, 13:1.
Donawho, C.K. and Kripke, M.L. (1991). Evidence
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Axelrod, A E., and Trakatellis, A C. (1964). that the local effect of U.V radiation on the growth
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Kavitha and others
Polla, B.S., Healy, A.M., Amento, E.P. and Krane, Stoerk, H.C. and Eisen H.N. (1946). Proceedings
S.M. (1986). 1,25 (OH)2 D3 maintains adherence of Society for Experimental Biology and Medicine,
of human monocytes and protects them from 89, 323.
thermal injury. Journal of Clinical Invest. 77:1332.
Stroder, J. (1975). Immunity in vitamin D-deficient
Rhodes and Oliver, S. (1980). Retinoids as rickets. Vitamin D & problems related to uremic
regulators of macrophage function. Immunology, bone disease. Walter de Gruyter and Co., Berlin,
40:467. FRG. pp. 678-687.
Roth, J.A. and Kaeberle, M.L. (1985). In vivo effect
of ascorbic acid on neutrophil function in healthy Swain, B.K. and Johri, T.S. (2000). Effect of
and dexamethasone treated cattle. Am. J. Vet. supplemental methionine choline and their
Res., 46 : 2434-2436. combinations on the performance and immune
response of broilers. British Poultry Science,
Smith, K.L. (1986). Vitamin E enhancement of 41:83-88.
immune response & effects on mastitis in dairy Tyler, P.J. and Cummins, K.A. (2003). Effect of
cows. Proceedings of Roche symposium, dietary Ascorbyl-2-phosphate on Immune function
London, Engl. Hoffman Lroche, Nutley, NJ. pp:1 after transport to a feeding facility. J. Dairy Science,
86: 622-629.
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