4.7 Review

Vitamin D as a Shield against Aging

Journal

Publisher

MDPI
DOI: 10.3390/ijms24054546

Keywords

vitamin D; immunosenescence; inflammaging; molecular mechanisms; immunocytes; cardiomyocytes; skeletal muscle cells

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Aging is a natural and unavoidable process that is characterized by the accumulation of biomolecular damage and defective cellular components, resulting in weakened overall body function. Aging is associated with changes in immune system cells, leading to a decline in immune surveillance and an increased risk of inflammation and oxidative stress-related diseases. Nutrition, including micronutrients like vitamins and elements, can play a role in regulating the aging process by impacting cell function.
Aging can be seen as a physiological progression of biomolecular damage and the accumulation of defective cellular components, which trigger and amplify the process, toward whole-body function weakening. Senescence initiates at the cellular level and consists in an inability to maintain homeostasis, characterized by the overexpression/aberrant expression of inflammatory/immune/stress responses. Aging is associated with significant modifications in immune system cells, toward a decline in immunosurveillance, which, in turn, leads to chronic elevation of inflammation/oxidative stress, increasing the risk of (co)morbidities. Albeit aging is a natural and unavoidable process, it can be regulated by some factors, like lifestyle and diet. Nutrition, indeed, tackles the mechanisms underlying molecular/cellular aging. Many micronutrients, i.e., vitamins and elements, can impact cell function. This review focuses on the role exerted by vitamin D in geroprotection, based on its ability to shape cellular/intracellular processes and drive the immune response toward immune protection against infections and age-related diseases. To this aim, the main biomolecular paths underlying immunosenescence and inflammaging are identified as biotargets of vitamin D. Topics such as heart and skeletal muscle cell function/dysfunction, depending on vitamin D status, are addressed, with comments on hypovitaminosis D correction by food and supplementation. Albeit research has progressed, still limitations exist in translating knowledge into clinical practice, making it necessary to focus attention on the role of vitamin D in aging, especially considering the growing number of older individuals.

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