Abstract
The biological mechanisms leading to multiple sclerosis (MS) are uncertain, but both genetic and environmental factors contribute to establishment and progression of the disease [1]. Compared with unrelated individuals, biological first-degree relatives of MS patients show a 20- to 40-fold increased risk of disease, and this increased risk is attributable to genetic factors, rather than a transmissible agent [2]. However, 70% of monozygotic twin pairs are discordant for MS, indicating that inheriting MS susceptibility genes is not sufficient for disease development [3]. Thus, MS development requires exposure to one or more environmental risk factors. This suggests that MS may be preventable if these risk factors can be identified and avoided.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Willer CJ, Ebers, GC (2000) Susceptibility to multiple sclerosis: interplay between genes and environment. Curr Opin Neurol 13:241–247
Ebers GC, Dyment DA (1998) Genetics of multiple sclerosis. Semin Neurol 18:295–299
Ebers GC, Bulman DE, Sadovnick AD et al (1986) A population-based study of multiple sclerosis in twins. N Engl J Med 315:1638–1642
Acheson ED, Bachrach CA, Wright FM (1960) Some comments on the relationship of the distribution of multiple sclerosis to latitude, solar radiation and other variables. Acta Psychiatr Scand 35 [Suppl 147]:132–147
Freedman DM, Dosemeci M, Alavanja MC (2000) Mortality from multiple sclerosis and exposure to residential and occupational solar radiation: a case-control study based on death certificates. Occup Environ Med 57:418–421
Kurtzke JF, Kurland LT, Goldberg ID (1971) Mortality and migration in multiple sclerosis. Neurology 21:1186–1197
Ebers GC, Sadovnick AD (1994) The role of genetic factors in multiple sclerosis susceptibility. J Neuroimmunol 54:1–17
Hammond SR, English DR, McLeod JG (2000) The age-range of risk of developing multiple sclerosis: evidence from a migrant population in Australia. Brain 123:968–974
Goldberg P (1974) Multiple sclerosis: vitamin D and calcium as environmental determinants of prevalance (a viewpoint). 1. Sunlight, dietary factors and epidemiology. Int J Environ Studies 6:19–27
Hayes CE, Cantorna MT, De Luca HF (1997) Vitamin D and multiple sclerosis. Proc Soc Exp Biol Med 216:21–27
Hayes CE (2000) Vitamin D: a natural inhibitor of multiple sclerosis. Proc Nutr Soc 59:531–535
Fuller KE, Casparian JM (2001) Vitamin D: balancing cutaneous and systemic considerations. South Med J 94:58–64
Holick MF (1995) Environmental factors that influence the cutaneous production of vitamin D. Am J Clin Nutr 61:638S–645S
Velluz L, Amiard G (1949) Chimie organique-equilibre de reaction entre precalciferol et calciferol. Comptes Rendus de l’Academie des Sciences 228:853
Holick M, Schnoes HK, De Luca HF (1971) Identification of 1,25-dihydroxycholecalciferol, a form of vitamin D3 metabolically active in the intestine. Proc Natl Acad Sci U S A 68:803–804
Norman AW, Myrtle JF, Midgett RJ, Nowicki HG, Williams V, Popjak G (1971) 1,25Dihydroxycholecalciferol: identification of the proposed active form of vitamin D3 in the intestine. Science 173:51–54
Webb AR, Kline L, Holick MF (1988) Influence of season and latitude on the cutaneous synthesis of vitamin D3: exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin. J Clin Endocrinol Metab 67:373–378
Haussier MR, Haussler CA, Jurutka PW, Thompson PD, Hsieh JC, Remus LS, Selznick SH, Whitfield GK (1998) The vitamin D hormone and its nuclear receptor: molecular actions and disease states. J Endocrinol 154 [Supp1]:557–573
Jones G, Strugnell SA, De Luca HF (1998) Current understanding of the molecular actions of vitamin D. Physiol Rev 78:1193–1231
Steckley JL, Dyment DA, Sadovnick AD, Risch N, Hayes C, Ebers GC (2000) Genetic analysis of vitamin D related genes in Canadian multiple sclerosis patients. Canadian Collaborative Study Group. Neurology 54:729–732
Arnason A, Jensson O, Skaftadottir I, Birgisdottir B, Gudmundsson G, Johannesson G (1980) HLA types, GC protein and other genetic markers in multiple sclerosis and two other neurological diseases in Iceland. Acta Neurol Scand 62 [Suppl 78]:39–40
Fukazawa T, Yabe I, Kikuchi S, Sasaki H, Hamada T, Miyasaka K, Tashiro K (1999) Association of vitamin D receptor gene polymorphism with multiple sclerosis in Japanese. J Neurol Sci 166:47–52
Niino M, Fukazawa T, Yabe I, Kikuchi S, Sasaki H, Tashiro K (2000) Vitamin D receptor gene polymorphism in multiple sclerosis and the association with HLA class II alleles. J Neurol Sci 177:65–71
Nashold FE, Hoag KA, Goverman J, Hayes CE (2001) Rag-l-dependent cells are necessary for 1,25-dihydroxyvitamin D3 prevention of experimental autoimmune encephalomyelitis. J Neuroimmunol 119:16–29
Swank RL, Lerstad O, Strom A, Backer J (1952) Multiple sclerosis in rural Norway: its geographic and occupational incidence in relation to nutrition. N Engl J Med 246:721–728
Goldberg P, Fleming MC, Picard EH (1986) Multiple sclerosis: decreased relapse rate through dietary supplementation with calcium, magnesium and vitamin D. Med Hypotheses 21:193–200
Nordvik I, Myhr KM, Nyland H, Bjerve KS (2000) Effect of dietary advice and n-3 supplementation in newly diagnosed MS patients. Acta Neurol Scand 102:143–149
Nieves J, Cosman F, Herbert J, Shen V, Lindsay R (1994) High prevalence of vitamin D deficiency and reduced bone mass in multiple sclerosis. Neurology 44:1687–1692
Cosman F, Nieves J, Komar L, Ferrer G, Herbert J, Formica C, Shen V, Lindsay R (1998) Fracture history and bone loss in patients with MS. Neurology 51:1161–1165
Wuthrich R, Rieder HP (1970) The seasonal incidence of multiple sclerosis in Switzerland. Eur Neurol 3:257–264
Bamford CR, Sibley WA, Thies C (1983) Seasonal variation of multiple sclerosis exacerbations in Arizona. Neurology 33:697–701
Goodkin DE, Hertsgaard D (1989) Seasonal variation of multiple sclerosis exacerbations in North Dakota. Arch Neurol 46:1015–1018
Jin YP, de Pedro-Cuesta J, Soderstrom M, Link H (1999) Incidence of optic neuritis in Stockholm, Sweden, 1990–1995: II. Time and space patterns. Arch Neurol 56:975–980
Auer DP, Schumann EM, Kumpfel T, Gossl C, Trenkwalder C (2000) Seasonal fluctuations of gadolinium-enhancing magnetic resonance imaging lesions in multiple sclerosis. Ann Neurol 47:276–277
Embry AF, Snowdon LR, Vieth R (2000) Vitamin D and seasonal fluctuations of gadolinium-enhancing magnetic resonance imaging lesions in multiple sclerosis. Ann Neurol 48:271–272
Olitsky PK, Yager RH (1949) Experimental disseminated encephalomyelitis in white mice. J Exp Med 90:213
Cantorna MT, Hayes CE, De Luca HF (1996) 1,25-Dihydroxyvitamin D3 reversibly blocks the progression of relapsing encephalomyelitis, a model of multiple sclerosis. Proc Natl Acad Sci U S A 93:7861–7864
Cantorna MT, Humpal-Winter J, De Luca HF (1999) Dietary calcium is a major factor in 1,25-dihydroxycholecalciferol suppression of experimental autoimmune encephalomyelitis in mice. J Nutr 129:1966–1971
Lemire JM, Archer DC (1991) 1,25-dihydroxyvitamin D3 prevents the in vivo induction of murine experimental autoimmune encephalomyelitis. J Clin Invest 87:1103–1107
Nashold FE, Miller DJ, Hayes CE (2000) 1,25-dihydroxyvitamin D3 treatment decreases macrophage accumulation in the CNS of mice with experimental autoimmune encephalomyelitis. J Neuroimmunol 103:171–179
Bhalla AK, Amento EP, Clemens TL, Holick MF, Krane SM (1983) Specific high-affinity receptors for 1,25-dihydroxyvitamin D3 in human peripheral blood mononuclear cells: presence in monocytes and induction in T lymphocytes following activation. J Clin Endocrinol Metab 57:1308–1310
Provvedini DM, Tsoukas CD, Deftos LJ, Manolagas SC (1983) 1,25-dihydroxyvitamin D3 receptors in human leukocytes. Science 221:1181–1183
Veldman CM, Cantorna, MT, De Luca HF (2000) Expression of 1,25-dihydroxyvitamin D(3) receptor in the immune system. Arch Biochem Biophys 374:334–338
Reichel H, Koeffler HP, Tobler A, Norman AW (1987) 1 alpha,25-Dihydroxyvitamin D3 inhibits gamma-interferon synthesis by normal human peripheral blood lymphocytes. Proc Natl Acad Sci U S A 84:3385–3389
Rigby WF, Denome S, Fanger MW (1987) Regulation of lymphokine production and human T lymphocyte activation by 1,25-dihydroxyvitamin D3. Specific inhibition at the level of messenger RNA. J Clin Invest 79:1659–1664
Rigby WF (1988) The immunobiology of vitamin D. Immunol Today 9:54–58
Lemire JM, Archer DC, Beck L, Spiegelberg HL (1995) Immunosuppressive actions of 1,25-dihydroxyvitamin D3: preferential inhibition of Th1 functions. J Nutr 125:17045–1708S
Muller K, Bendtzen K (1996) 1,25-Dihydroxyvitamin D3 as a natural regulator of human immune functions. J Invest Dermatol Symp Proc 1:68–71
Lemire J (2000) 1,25-Dihydroxyvitamin D3--a hormone with immunomodulatory properties. Z Rheumatol 59:24–27
D’Ambrosio D, Cippitelli M, Cocciolo MG, Mazzeo D, Di Lucia P, Lang R, Sinigaglia F, Panina-Bordignon P (1998) Inhibition of IL-12 production by 1,25-dihydroxyvit-amin D3. Involvement of NF-kappaB downregulation in transcriptional repression of the p40 gene. J Clin Invest 101:252–262
Griffin MD, Lutz WH, Phan VA, Bachman LA, McKean DJ, Kumar R (2000) Potent inhibition of dendritic cell differentiation and maturation by vitamin D analogs. Biochem Biophys Res Commun 270:701–708
Penna G, Adorini L (2000) 1 Alpha,25-dihydroxyvitamin D3 inhibits differentiation, maturation, activation, and survival of dendritic cells leading to impaired alloreactive T cell activation. J Immunol 164:2405–2411
Piemonti L, Monti P, Sironi M, Fraticelli P, Leone BE, Dal Cin E, Allavena P, Di Carlo V (2000) Vitamin D3 affects differentiation, maturation, and function of human monocyte-derived dendritic cells. J Immunol 164:4443–4451
Trinchieri G, Scott P (1999) Interleukin-12: basic principles and clinical applications. Curr Top Microbiol Immunol 238:57–78
Zamvil SS, Mitchell DJ, Moore AC, Kitamura K, Steinman L, Rothbard JB (1986) T-cell epitope of the autoantigen myelin basic protein that induces encephalomyelitis. Nature 324:258–260
Goverman J, Woods A, Larson L, Weiner LP, Hood L, Zaller DM (1993) Transgenic mice that express a myelin basic protein-specific T cell receptor develop spontaneous autoimmunity. Cell 72:551–560
Cantorna MT, Woodward WD, Hayes CE, De Luca HF (1998) 1,25-dihydroxyvitamin D3 is a positive regulator for the two anti-encephalitogenic cytokines TGF-beta 1 and IL-4. J Immunol 160:5314–5319
Cantorna MT, Humpal-Winter J, De Luca HF (2000) In vivo upregulation of interleukin-4 is one mechanism underlying the immunoregulatory effects of 1,25-dihydroxyvitamin D(3). Arch Biochem Biophys 377:135–138
Van de Keere F, Tonegawa S (1998) CD4(+) T cells prevent spontaneous experimental autoimmune encephalomyelitis in anti-myelin basic protein T cell receptor trans-genic mice. J Exp Med 188:1875–1882
Olivares-Villagomez D, Wang Y, Lafaille JJ (1998) Regulatory CD4(+) T cells expressing endogenous T cell receptor chains protect myelin basic protein-specific transgenic mice from spontaneous autoimmune encephalomyelitis. J Exp Med 188:1883–1894
Brabb T, von Dassow P, Ordonez N, Schnabel B, Duke B, Goverman J (2000) In situ tolerance within the central nervous system as a mechanism for preventing autoimmunity. J Exp Med 192:871–880
Pyke DA (1969) The geography of diabetes. Postgrad Med J [Supp1]:796–801
Group DERI (1988) Geographic patterns of childhood insulin-dependent diabetes mellitus. Diabetes 37:1113–1119
Green A, Gale EA, Patterson CC et al (1992) Incidence of childhood-onset insulin-dependent diabetes mellitus: the EURODIAB ACE Study. Lancet 339:905–909
Nystrom L, Dahlquist G, Ostman J, Wall S, Arnqvist H, Blohme G, Lithner F, Littorin B, Schersten B, Wibell L (1992) Risk of developing insulin-dependent diabetes mellitus (IDDM) before 35 years of age: indications of climatological determinants for age at onset. Int J Epidemiol 21:352–358
Williams DR (1993) Epidemiological and geographic factors in diabetes. Eye 7:202–204
Dahlquist G, Mustonen L (1994) Childhood onset diabetes--time trends and climatological factors. Int J Epidemiol 23:1234–1241
McDermott MF, Ramachandran A, Ogunkolade BW, Aganna E, Curtis D, Boucher BJ, Snehalatha C, Hitman GA (1997) Allelic variation in the vitamin D receptor influences susceptibility to IDDM in Indian Asians. Diabetologia 40:971–975
Group ES (1999) Vitamin D supplement in early childhood and risk for type I (insulin-dependent) diabetes mellitus. Diabetologia 42:51–54
Mathieu C, Waer M, Laureys J, Rutgeerts O, Bouillon R (1994) Prevention of autoimmune diabetes in NOD mice by 1,25 dihydroxyvitamin D3. Diabetologia 37:552–558
Sonnenberg A, McCarty DJ, Jacobsen SJ (1991) Geographic variation of inflammatory bowel disease within the United States. Gastroenterology 100:143–149
Sonnenberg A, Wasserman IH (1991) Epidemiology of inflammatory bowel disease among U.S. military veterans. Gastroenterology 101:122–130
Shivananda S, Lennard-Jones J, Logan R, Fear N, Price A, Carpenter L, van Blankenstein M (1996) Incidence of inflammatory bowel disease across Europe: is there a difference between north and south? Results of the European Collaborative Study on Inflammatory Bowel Disease (EC-IBD). Gut 39:690–697
Sonnenberg A (1986) Geographic variation in the incidence of and mortality from inflammatory bowel disease. Dis Colon Rectum 29:854–861
Sonnenberg, A (1990) Occupational distribution of inflammatory bowel disease among German employees. Gut 31:1037–1040
Sonnenberg A (1990) Occupational mortality of inflammatory bowel disease. Digestion 46:10–18
Cucino C, Sonnenberg A (2001) Occupational mortality from inflammatory bowel disease in the United States 1991–1996. Am J Gastroenterol 96:1101–1105
Asian A, Triadafilopoulos G (1992) Fish oil fatty acid supplementation in active ulcerative colitis: a double-blind, placebo-controlled, crossover study. Am J Gastroenterol 87:432–437
Stenson WF, Cort D, Rodgers J, Burakoff R, De Schryver-Kecskemeti K, Gramlich TL, Beeken W (1992) Dietary supplementation with fish oil in ulcerative colitis. Ann Intern Med 116:609–614
O’Sullivan MA, O’Morain CA (1998) Nutritional therapy in Crohn’s disease. Inflamm Bowel Dis 4:45–53
Fournier C, Gepner P, Sadouk M, Charreire J (1990) In vivo beneficial effects of cyclosporin A and 1,25-dihydroxyvitamin D3 on the induction of experimental autoimmune thyroiditis. Clin Immunol Immunopathol 54:53–63
Lemire JM, Ince A, Takashima M (1992) 1,25-Dihydroxyvitamin D3 attenuates the expression of experimental murine lupus of MRL/l mice. Autoimmunity 12:143–148
Cantorna MT, Hayes CE, De Luca HF (1998) 1,25-Dihydroxycholecalciferol inhibits the progression of arthritis in murine models of human arthritis. J Nutr 128:68–72
Holick MF (2001) Sunlight “D”ilemma: risk of skin cancer or bone disease and muscle weakness. Lancet 357:4–6
Malabanan A, Veronikis IE, Holick MF (1998) Redefining vitamin D insufficiency. Lancet 351:805–806
Chapuy MC, Preziosi P, Maamer M, Arnaud S, Galan P, Hercberg S, Meunier PJ (1997) Prevalence of vitamin D insufficiency in an adult normal population. Osteoporos Int 7:439–443
Vieth R (1999) Vitamin D supplementation, 25-hydroxyvitamin D concentrations, and safety. Am J Clin Nutr 69:842–856
Holick MF (1998) Vitamin D requirements for humans of all ages: new increased requirements for women and men 50 years and older. Osteoporos Int 8:S24–S29
Utiger RD (1998) The need for more vitamin D. N Engl J Med 338:828–829
Glerup H, Mikkelsen K, Poulsen L, Hass E, Overbeck S, Thomsen J, Charles P, Eriksen EF (2000) Commonly recommended daily intake of vitamin D is not sufficient if sunlight exposure is limited. J Intern Med 247:260–268
Zerath E, Holy X, Gaud R, Schmitt D (1999) Decreased serum levels of 1,25-(OH)2 vitamin D during 1 year of sunlight deprivation in the Antarctic. Eur J Appl Physiol Occup Physiol 79:141–147
Compston JE (1998) Vitamin D deficiency: time for action. Evidence supports routine supplementation for elderly people and others at risk. BMJ 317:1466–1467
Vieth R, Chan PC, MacFarlane GD (2001) Efficacy and safety of vitamin D(3) intake exceeding the lowest observed adverse effect level. Am J Clin Nutr 73:288–294
Hess AF, Unger LF (1929) Rickets, osteomalacia and tetany. Lea and Febiger, Philadelphia, pp 38–61
Hess AF, Unger LF (1921) Cure of infantile rickets by sunlight. JAMA 39:77–82
Chick H, Dalyell EJ, Hume M, Mackay HMM, Smith HH (1922) The etiology of rickets in infants: prophylactic and curative observations at the Vienna University Kinderklinik. Lancet 1:7–12
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Italia
About this chapter
Cite this chapter
Hayes, C.E. (2004). Sunlight, Vitamin D, and Multiple Sclerosis. In: Hommes, O.R., Comi, G. (eds) Early Indicators Early Treatments Neuroprotection in Multiple Sclerosis. Topics in Neuroscience. Springer, Milano. https://doi.org/10.1007/978-88-470-2117-4_18
Download citation
DOI: https://doi.org/10.1007/978-88-470-2117-4_18
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2171-6
Online ISBN: 978-88-470-2117-4
eBook Packages: Springer Book Archive