Evidence map›Paper›PMID 31550254›Full record

SynthesisPloS one2019

The role of vitamin D in increasing circulating T regulatory cell numbers and modulating T regulatory cell phenotypes in patients with inflammatory disease or in healthy volunteers: A systematic review.

Sheila A Fisher, Mana Rahimzadeh, Charlotte Brierley, Betty Gration, Carolyn Doree, Catherine E Kimber, Alicia Plaza Cajide, Abigail A Lamikanra, David J Roberts

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 4 pooled it
12.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 4 syntheses or guidelines pooled it, 156 citations in OpenAlex.

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  18. The potential role of 1,25(OH)Journal of inflammation (London, England) · 2025
    Review
  19. Paricalcitol promotes the maturation of immune granulomas in an experimental model of superoxide dismutase A-induced inflammation.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
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35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Sheila A FisherNHS Blood and Transplant, Oxford, United Kingdom.ORCID 0000-0002-8681-2362
Mana RahimzadehOxford University Medical School, John Radcliffe Hospital, Oxford, United Kingdom.
Charlotte BrierleyDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Churchill Hospital, Oxford, United Kingdom.
Betty GrationDepartment of Haematology, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Carolyn DoreeNHS Blood and Transplant, Oxford, United Kingdom.
Catherine E KimberNHS Blood and Transplant, Oxford, United Kingdom.
Alicia Plaza CajideNHS Blood and Transplant, Oxford, United Kingdom.
Abigail A LamikanraNHS Blood and Transplant, Oxford, United Kingdom.
David J RobertsNHS Blood and Transplant, Oxford, United Kingdom.
NHS Blood and Transplant · GBChurchill Hospital · GBGuy's and St Thomas' NHS Foundation Trust · GBJohn Radcliffe Hospital · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundThe evidence for vitamin D and other agents that experimentally modulate T regulatory cells (Tregs) for the treatment of patients with autoimmune or allergic diseases has not been established.

objectiveWe have undertaken a systematic review of randomised controlled trials to assess the efficacy of vitamin D, vitamin A, niacin and short-chain fatty acids in enhancing absolute Treg numbers and phenotypes in patients with inflammatory or autoimmune disease.

methodsThis systematic review was conducted using a predefined protocol (PROSPERO International prospective register of systematic reviews, ID = CRD42016048648/ CRD42016048646). Randomised controlled trials of patients with inflammatory or autoimmune disease or healthy participants which compared either oral vitamin D or vitamin A or short-chain fatty acids with control or placebo and measured the absolute concentration of proportion of Tregs were eligible for inclusion. Searches of electronic databases (CENTRAL, MEDLINE, EMBASE, CINAHL, PUBMED and Web of Science) identified eight eligible independent trials (seven autoimmune disease trials, one trial of healthy subjects). Data were extracted by two reviewers and the risk of study bias was assessed using Cochrane Collaboration methodology.

resultsPlanned meta-analysis was not possible due to the heterogeneous nature of the studies. Nevertheless, in five trials of autoimmune disorders which measured the proportion of Tregs, a higher proportion was observed in the vitamin D group compared to controls at 12 months in all but one trial. In the trial of healthy subjects, a significant difference was reported, with a higher percentage of Tregs observed in the vitamin D group (at 12 weeks, mean 6.4% (SD 0.8%) (vitamin D) vs 5.5% (1.0%) (placebo). There were no trials to assess the efficacy of vitamin A, niacin and short-chain fatty acids in enhancing absolute Treg numbers.

conclusionsVitamin D supplementation may increase Treg/CD3 ratios in both healthy individuals and patients with autoimmune disorders and may increase Treg function. There remains a need for further suitably powered clinical studies aimed at enhancing Treg numbers and/or function.

Indexed as

Autoimmune DiseasesHumansInflammationLymphocyte CountT-Lymphocytes, RegulatoryVitamin DVitamin D

Identifiers

PMID31550254
PMCPMC6759203
OpenAlexW2977125829

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.