Research Article
Dietary Vitamin D Increases Percentages and Function of
Regulatory T Cells in the Skin-Draining Lymph Nodes and
Suppresses Dermal Inflammation
Shelley Gorman, Sian Geldenhuys, Melinda Judge, Clare E. Weeden,
Jason Waithman, and Prue H. Hart
Telethon Kids Institute, University of Western Australia, Perth, WA, Australia
Correspondence should be addressed to Shelley Gorman; shelley.gorman@telethonkids.org.au
Received 12 June 2016; Revised 4 August 2016; Accepted 17 August 2016
Academic Editor: Manoj K. Mishra
Copyright © 2016 Shelley Gorman et al. Tis is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Skin infammatory responses in individuals with allergic dermatitis may be suppressed by dietary vitamin D through induction and
upregulation of the suppressive activity of regulatory T (T
Reg
) cells. Vitamin D may also promote T
Reg
cell tropism to dermal sites.
In the current study, we examined the capacity of dietary vitamin D
3
to modulate skin infammation and the numbers and activity
of T
Reg
cells in skin and other sites including lungs, spleen, and blood. In female BALB/c mice, dietary vitamin D
3
suppressed
the efector phase of a biphasic ear swelling response induced by dinitrofuorobenzene in comparison vitamin D
3
-defcient female
BALB/c mice. Vitamin D
3
increased the percentage of T
Reg
(CD3+CD4+CD25+Foxp3+) cells in the skin-draining lymph nodes
(SDLN). Te suppressive activity of T
Reg
cells in the SDLN, mesenteric lymph nodes, spleen, and blood was upregulated by vitamin
D
3
. However, there was no diference in the expression of the naturally occurring T
Reg
cell marker, neuropilin, nor the expression
of CCR4 or CCR10 (skin-tropic chemokine receptors) on T
Reg
cells in skin, SDLN, lungs, and airway-draining lymph nodes. Tese
data suggest that dietary vitamin D
3
increased the percentages and suppressive activity of T
Reg
cells in the SDLN, which are poised
to suppress dermal infammation.
1. Introduction
Vitamin D plays an intrinsic role in shaping innate and
adaptive immune responses [1, 2]. Vitamin D is produced
following skin exposure to ultraviolet B photons of sunlight,
resulting in the conversion of the precursor 7-dehydro-
cholesterol into vitamin D
3
, which can also be acquired
through dietary supplementation. Te vitamin D-binding
protein (VDBP) transports much of this vitamin D
3
into the
liver, where a hydroxylation reaction converts vitamin D
3
into
25-hydroxyvitamin D
3
(25(OH)D
3
). Tis form of vitamin D
3
is found at nanomolar levels in blood, and because of its
relative stability and longer half-life, it is used as a measure
of vitamin D sufciency, with 50 nM currently considered
the tipping point for insufciency by the National Institute of
Health [3] (although this remains controversial [4]). In renal
proximal tubule epithelial cells, and other cells including
disease-activated macrophages (reviewed in [5]), 25(OH)D
3
is converted into the most active vitamin D metabolite,
1,25-dihydroxyvitamin D
3
(1,25(OH)
2
D
3
). It is this form of
vitamin D
3
which has the most potent efects on regulating
immune responses, with circulating levels in the picomolar
range [1, 6].
Central to the ability of 1,25(OH)
2
D
3
to modulate
immune responses are changes to regulatory T cells (T
Reg
cells) and dendritic cells (DCs) [7]. Topical (skin) application
of 1,25(OH)
2
D
3
enhanced the suppressive capacity [8, 9] and
proliferative activity [10] of CD4+CD25+Foxp3+ T
Reg
cells.
Stimulation of DCs with bacterial products like lipopolysac-
charide or cytokines like transforming growth factor-ß may
result in the synthesis of 1,25(OH)
2
D
3
from circulating
25(OH)D
3
, promoting T
Reg
cell activity (reviewed in [1, 2]).
Te VDBP may also play an important role in this process,
whereby high afnity VDBP can prevent conversion of
25(OH)D
3
to 1,25(OH)
2
D
3
by DCs and thus their ability to
modulate T
Reg
cell activity [11]. With the right costimulators,
Hindawi Publishing Corporation
Journal of Immunology Research
Volume 2016, Article ID 1426503, 13 pages
http://dx.doi.org/10.1155/2016/1426503