The effect of ultraviolet B-induced vitamin D levels on host resistance to Mycobacterium tuberculosis: a pilot study in immigrant Asian adults living in the United Kingdom

Photodermatol Photoimmunol Photomed. 2008 Apr;24(2):97-8. doi: 10.1111/j.1600-0781.2008.00339.x.

Abstract

Asian immigrants to the United Kingdom demonstrate much higher tuberculosis rates than the indigenous population. This is postulated to be because of their low vitamin D levels, consequent upon a combination of diet and their reduced ultraviolet (UV) exposure in the United Kingdom, because vitamin D enhances antimycobacterial activity in in vitro systems. The aim of this study was to examine the relationship between UVB exposure, vitamin D levels and tuberculo-immunity in Asian immigrants in the United Kingdom. Suberythemal UVB treatments were given to eight subjects on 3 consecutive days, using broadband UVB fluorescent lamps. Blood was sampled for 25-hydroxyvitamin D (25-OH D) and whole blood functional assays were performed for antimycobacterial immunity. The mean 25-OH D level increased from a baseline of 11.23 ng/ml (95% CI 6.7-20.39) to 20.39 ng/ml (95% CI 16.6-20) following UVB treatment, P<0.01. However, no significant change in antimycobacterial immunity occurred following UVB exposure. This pilot study in Asian subjects with good baseline tuberculo-immunity has not supported a role for UVB-induced 25-OH D in the immune response to Mycobacterium tuberculosis.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Asia / ethnology
  • Dose-Response Relationship, Radiation
  • Emigration and Immigration
  • Female
  • Humans
  • Immunity, Innate
  • Male
  • Mycobacterium tuberculosis / immunology*
  • Pilot Projects
  • Skin / metabolism
  • Skin / radiation effects*
  • Tuberculosis, Pulmonary / immunology*
  • Tuberculosis, Pulmonary / microbiology
  • Ultraviolet Rays*
  • United Kingdom
  • Vitamin D / biosynthesis*

Substances

  • Vitamin D