Abstract
The vitamin D3 metabolite 1α,25-dihydroxyvitamin D3 (1,25(OH)2D3) activates at sub-nanomolar concentrations the transcription factor vitamin D receptor (VDR). VDR is primarily involved in the control of cellular metabolism but in addition modulates processes important for immunity, such as anti-microbial defense and the induction of T cell tolerance. Monocytes and their differentiated phenotypes, macrophages and dendritic cells, are key cell types of the innate immune system, in which vitamin D signaling was most comprehensively investigated via the use of next generation sequencing technologies. These investigations provided genome-wide maps illustrating significant effects of 1,25(OH)2D3 on the binding of VDR, the pioneer transcription factors purine-rich box 1 (PU.1) and CCAAT/enhancer binding protein α (CEBPA) and the chromatin modifier CCCTC-binding factor (CTCF) as well as on chromatin accessibility and histone markers of promoter and enhancer regions, H3K4me3 and H3K27ac. Thus, the epigenome of human monocytes is at multiple levels sensitive to vitamin D. These data served as the basis for the chromatin model of vitamin D signaling, which mechanistically explains the activation of a few hundred primary vitamin D target genes. Comparable epigenome- and transcriptome-wide effects of vitamin D were also described in peripheral blood mononuclear cells isolated from individuals before and after supplementation with a vitamin D3 bolus. This review will conclude with the hypothesis that vitamin D modulates the epigenome of immune cells during perturbations by antigens and other immunological challenges suggesting that an optimal vitamin D status may be essential for an effective epigenetic learning process, in particular of the innate immune system.
Introduction
Vitamin D3 is an evolutionary very old molecule that is produced from the direct cholesterol precursor 7-dehydrocholesterol in a non-enzymatic reaction using energy provided by the UV-B component of sunlight (). Thus, every species that exerts cholesterol biosynthesis and is exposed to sunlight should be able to synthesize vitamin D3. The molecule itself is biologically inert, but when it is converted to 25-hydroxyvitamin D3 (25(OH)D3) and then to 1α,25-dihydroxyvitamin D3 (1,25(OH)2D3), it acts as a nuclear hormone. The jawless fish lamprey is the oldest known species that some 550 million years ago evolved with the transcription factor VDR a nuclear receptor
that gets activated by 1,25(OH)2D3 at sub-nanomolar concentrations (). After the manifestation of VDR, vitamin D turned from a product of UV-B absorption, i.e., the output of a radiation protection pathway as found in plankton, to an endocrine molecule in higher species (). Thus, vitamin D has via its metabolite 1,25(OH)2D3 direct effects on gene regulation (Figure 1). In human, the main sites of 1,25(OH)2D3 production for endocrine purposes are proximal tubule cells of the kidneys, but for para- and autocrine use also monocytes, macrophages, and dendritic cells of the innate immune system and other cell types in skin and bone are able to produce the nuclear hormone ().
Figure 1
Since vitamin D3 can be synthesized endogenously in human skin (), the term “vitamin” seems not to be appropriate. However, compared to the past, humans spend far more time indoors, largely cover their skin by textile when being outdoors and often live at latitudes where during winter UV-B radiation is too low for many months, there is insufficient endogenous vitamin D3 production, i.e., under these conditions vitamin D3 is an essential micronutrient (). Average human diet is low in vitamin D, so that dietary products, such as milk, margarine and juices, are fortified and direct vitamin D supplementation via pills is recommended in winter months (). Interestingly, already more than 100 years ago cod-liver oil as well as UV-B exposure had been proposed for the protection against rickets (an infant bone malformation disease) as well as for the treatment of tuberculosis (an infectious disease caused by intra-cellular bacteria) (, ). Thus, vitamin D deficiency causes not only bone disorders () but also affects the protective roles of the molecule against a large number of other diseases (). The autoimmune disease multiple sclerosis is the most prominent example, which may be largely preventable by a sufficient vitamin D status (). This status is defined via the serum concentrations of the most stable vitamin D metabolite, 25(OH)D3, which for good bone health should be 50 nM (), but also levels of 75 nM or more are suggested (). Accordingly, instructions for daily supplementation with vitamin D3 range from 10 to 50 μg (400–2,000 IU). However, these population-wide recommendations do not take inter-individual variations into account, such as a different molecular response to vitamin D, which are expressed by the vitamin D response index (). As discussed below in more detail, this index can be determined via the genome-wide response of peripheral blood mononuclear cells (PBMCs) to an in vivo challenge with vitamin D3 ().
In extension to a recent summary on the nutrigenomic role of vitamin D (), the aim of this short review is to present the epigenome-wide impact of the nuclear hormone in relation to immunity. Special attention is given to human monocytes and PBMCs serving as in vitro and in vivo model systems for vitamin D signaling.
Vitamin D and the Epigenome
Chromatin is a complex of histone proteins and genomic DNA (, ) that by default largely restricts the access of RNA polymerases to promoter regions and of transcription factors to enhancer regions. Therefore, in a differentiated cell only some 200,000 genomic loci are accessible (). The epigenome comprises genome-wide information represented by covalent and structural modifications of chromatin, such as cytosine methylation, post-translational modifications of histone proteins and 3D structure of the nucleus, that do not involve any alterations in the sequence of genomic DNA (). Epigenetic programming is a memory creating event that during embryogenesis and cellular differentiation, such as of monocytes after immune challenges (Figure 2C), determines the specialized roles of terminally differentiated cells via changes of their epigenome (). In these cases epigenetic programming is irreversible and leads to static outcomes, in order to keep the identity of tissues and cell types. Thus, the epigenome largely determines gene expression and the functional profile of a cell; i.e., alternations of the epigenome precede those of the transcriptome.
Figure 2
A number of diet-derived metabolites, such as resveratrol, genistein, curcumin and polyphenols from fruits, vegetables, spices, teas and medicinal herbs, can affect the activity of chromatin modifiers and transcription factors (
In human cells, the cistrome of VDR, i.e., the genome-wide binding pattern of the transcription factor, was determined by the ChIP-seq in lymphocytes (
In THP-1 cells, statistically significant epigenome-wide effects of vitamin D were also described for the binding of the pioneer factors PU.1 (
Chromatin Model of Vitamin D Signaling
The chromatin model of vitamin D signaling (
A meta-analysis of four independent transcriptome-wide datasets of 1,25(OH)2D3-stimulated undifferentiated THP-1 cells (
Vitamin D and Immunity
Based on the evolutionary history of nuclear receptors (46, 47), VDR's original function was the regulation of cellular metabolism. This role specialized into the control of calcium homeostasis, when some 400 million years ago species left the ocean and had to improve their calcium-based skeleton, in order to resist to gravitation (48). Although there are no direct effects of vitamin D on bone mineralization, bone-resorbing osteoclasts derive from monocytes, the differentiation of which is controlled by the vitamin D target gene TNF superfamily member 11 (TNFSF11, encoding the cytokine RANKL) (49). VDR's tasks in the control of metabolism involves regulating genes mediating energy metabolism, like the glycolytic enzymes fructose-bisphosphatase 1 (FBP1) (
During hematopoiesis VDR acts together with the pioneer transcription factors PU.1 and CEBPA as a key regulator of myeloid differentiation toward key cells in innate immunity, such as monocytes and granulocytes (55). Furthermore, vitamin D can inhibit the maturation, differentiation and the stimulatory capacity of dendritic cells, which derive from monocytes (56). A profile change of dendritic cells induces the production of regulatory T cells and leads to immunological tolerance. In parallel, vitamin D and its receptor are able to antagonize the pro-inflammatory actions of the transcription factors nuclear factor activated T cells (NF-AT) and nuclear factor κ-light-chain-enhancer of activated B cells (NF-κB) in T cells (57). In this way, vitamin D reduces autoimmunity, such as the onset and progression of multiple sclerosis (58), as well as chronic inflammation, such as in inflammatory bowel disease (59).
Most cells of the immune system have a rapid turnover, which enables them to respond more flexible to environmental changes than other cell types of the human body. For example, monocytes coordinate not only inflammatory pathways, but also control via in their differentiated forms, macrophages and dendritic cells, metabolic pathways, and general stress responses. Cellular perturbations, such as an encounter of immune cells with an antigen, affect via signal transduction cascades the epigenome. For example, most inflammatory lesions are initiated by monocyte-derived macrophages, the altered gene expression profile of which is based on changes of their epigenome in response to extra-cellular signals (Figure 2C). Moreover, the differentiation process of monocytes to macrophages (or dendritic cells) is based on epigenome changes in response to contacts with antigens. Such a subtype specification is also referred to as trained immunity, as demonstrated by studies of the BLUEPRINT consortium (www.blueprint-epigenome.eu) (60, 61). This rather short-term epigenetic memory monitors the close relationship between immune challenges and effects on chromatin. Epigenetic memory prepares innate immune cells for a possible next microbe encounter (62). In the context of these immunological processes, high affinity receptors for lipophilic signaling molecules, such as VDR and other members of the nuclear receptor superfamily, are in a prime position sensing environmental changes and other signals with a potential of creating cellular stress. Thus, VDR and its ligand are predestined for modulating the process of recording epigenetic memory in innate immunity (63) (Figure 2C).
In vivo Response of Immune Cells to Vitamin D
The chromatin model and the suggested regulatory scenarios of primary vitamin D target genes had been previously developed based on the THP-1 in vitro cell system, but are supposed to apply also to other VDR expressing tissue and cell types. This should include in vivo situations, such as PBMCs obtained from vitamin D3 treated individuals (
PBMCs are a mixture of monocytes, T and B cells, of which monocytes seem to be the most vitamin D-responsive component (
Concluding Hypothesis
Vitamin D is a molecule that is able to modulate in vitro as well as in vivo the epigenome of immune cells, in particular of monocytes and their differentiated subtypes. In parallel, the rather recently discovered process of trained immunity (70) implies that immune cells memorize challenges, to which they are exposed in their rather short lifespan, in form of changes of their epigenome leading to subtype specification (Figure 2C). By combining these two observations, it is tempting to hypothesize that a large part of the immune-related effects of vitamin D are due to a modulation of the epigenomic programing of monocytes, macrophages, and dendritic cells during their differentiation into subtypes. For example, the HLA cluster, which comprises the highest density of immunologically important genes (71), may be programmed differently in the presence of vitamin D than in its absence. Thus, the efficiency of the epigenetic memory effect of trained immunity should be best at an optimized vitamin D status when vitamin D signaling functions best. Thus, personalized vitamin D3 supplementation may support proper epigenetic programming of immune cells throughout hematopoiesis as well as during antigen encounter. In conclusion, the recently discovered epigenome modulation function of vitamin D (
Statements
Author contributions
The author confirms being the sole contributor of this work and has approved it for publication.
Funding
Early stages of this work had been supported by the Academy of Finland (#267067) to CC.
Acknowledgments
The author thanks Andrea Hanel for critical comments.
Conflict of interest
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
- 1,25(OH)2D3
1α,25-dihydroxyvitamin D3
- 25(OH)D3
25-hydroxyvitamin D3
- BRD7
bromodomain containing 7
- CAMP
cathelicidin antimicrobial peptide
- CD14
CD14 molecule
- CDKN1C
cyclin dependent kinase inhibitor 1C
- CEBP
CCAAT/enhancer binding protein
- ChIP-seq
chromatin immunoprecipitation sequencing
- CTCF
CCCTC-binding factor
- CYP
cytochrome P450
- DENND6B
DENN domain containing 6B
- FAIRE-seq
formaldehyde-assisted isolation of regulatory elements sequencing
- FBP1
fructose-bisphosphatase 1
- GABPA
GA binding protein transcription factor α
- HLA
human leukocyte antigen
- KDM6B
lysine demethylase 6B
- MYO1G
myosin IG
- NF-AT
nuclear factor activated T cells
- NF-κB
nuclear factor κ-light-chain-enhancer of activated B cells
- PBMCs
peripheral blood mononuclear cells
- PFKFB4
6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 4
- PU.1, purine-rich box 1
Spi-1 proto-oncogene (official gene symbol: SPI1)
- qPCR
quantitative polymerase chain reaction
- RNA-seq
RNA sequencing
- TAD
topologically associated domain
- TNFSF11
TNF superfamily member 11
- TSS
transcription start site
- VDR
vitamin D receptor
- ZMIZ1
zinc finger MIZ-type containing 1.
Abbreviations
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Summary
Keywords
vitamin D, VDR, epigenome, transcriptome, gene regulation, vitamin D target genes, monocytes, PBMCs
Citation
Carlberg C (2019) Vitamin D Signaling in the Context of Innate Immunity: Focus on Human Monocytes. Front. Immunol. 10:2211. doi: 10.3389/fimmu.2019.02211
Received
17 May 2019
Accepted
02 September 2019
Published
13 September 2019
Volume
10 - 2019
Edited by
Susu M. Zughaier, Qatar University, Qatar
Reviewed by
Anthony George Tsolaki, Brunel University London, United Kingdom; Lakshna Mahajan, Swami Shraddhanand College, University of Delhi, India
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© 2019 Carlberg.
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*Correspondence: Carsten Carlberg carsten.carlberg@uef.fi
This article was submitted to Molecular Innate Immunity, a section of the journal Frontiers in Immunology
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