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Publication : 1,25-Dihydroxyvitamin D<sub>3</sub> increases the methionine cycle, CD4<sup>+</sup> T cell DNA methylation and Helios<sup>+</sup>Foxp3<sup>+</sup> T regulatory cells to reverse autoimmune neurodegenerative disease.

First Author  Moore JR Year  2018
Journal  J Neuroimmunol Volume  324
Pages  100-114 PubMed ID  30267995
Mgi Jnum  J:290595 Mgi Id  MGI:6443812
Doi  10.1016/j.jneuroim.2018.09.008 Citation  Moore JR, et al. (2018) 1,25-Dihydroxyvitamin D3 increases the methionine cycle, CD4(+) T cell DNA methylation and Helios(+)Foxp3(+) T regulatory cells to reverse autoimmune neurodegenerative disease. J Neuroimmunol 324:100-114
abstractText  We investigated how one calcitriol dose plus vitamin D3 reverses experimental autoimmune encephalomyelitis (EAE), a multiple sclerosis model. This protocol rapidly increased CD4(+) T cell Ikzf2 transcripts, Helios protein, and CD4(+)Helios(+)FoxP3(+) T regulatory cells. It also rapidly increased CD4(+) T cell Bhmt1 transcripts, betaine:homocysteine methyltransferase-1 (BHMT1) enzyme activity, and global DNA methylation. BHMT1 transmethylates homocysteine to replenish methionine. Targeting the Vdr gene in T cells decreased Ikzf2 and Bhmt1 gene expression, reduced DNA methylation, and elevated systemic homocysteine in mice with EAE. We hypothesize that calcitriol drives a transition from encephalitogenic CD4(+) T cell to Treg cell dominance by upregulating Ikzf2 and Bhmt1, recycling homocysteine to methionine, reducing homocysteine toxicity, maintaining DNA methylation, and stabilizing CD4(+)Helios(+)FoxP3(+)Tregulatory cells. Conserved vitamin D-responsive element (VDRE)-type sequences in the Bhmt1 and Ikzf2 promoters, the universal need for methionine in epigenetic regulation, and betaine's protective effects in MTHFR-deficiency suggest similar regulatory mechanisms exist in humans.
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