Vitamin D Metabolism and Human Health

A special issue of Metabolites (ISSN 2218-1989). This special issue belongs to the section "Nutrition and Metabolism".

Deadline for manuscript submissions: closed (12 February 2026) | Viewed by 14315

Special Issue Editors


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Guest Editor
Department of Bromatology, Collegium Pharmaceuticum, Poznan Unversity of Medical Sciences, 60-806 Poznań, Poland
Interests: vitamin D; metabolism; nutrigenetics and nutrigenomics; nutrition and metabolic diseases; nutritional education; functional foods; antioxidants
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E-Mail Website
Guest Editor
Department of Physical Pharmacy and Pharmacokinetics, Collegium Pharmaceuticum, Poznan University of Medical Sciences, 6 Święcickiego Street, 60-781 Poznań, Poland
Interests: vitamin D; bioanalysis of endogenous compounds; HPLC-MS/MS; method validation; pharmacokinetics; pharmacogenetics
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Bromatology, Collegium Pharmaceuticum, Poznan University of Medical Sciences, 60-806 Poznan, Poland
Interests: vitamins and minerals; metabolism; nutrition; nutrition assessment; nutritional and metabolic diseases; nutritional education; functional foods; food technology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Vitamin D is a key factor in maintaining a healthy status. Various observational studies have reported the association between vitamin D deficiency and an elevated risk of bone diseases and osteoporosis, cardiovascular disease, diabetes mellitus, metabolic syndrome and obesity, autoimmune diseases, certain types of cancer, and mental health disorders such as depression and cognitive decline.

Vitamin D metabolism involves multiple organs and complex regulatory mechanisms that convert inactive vitamin D into its active form, which is essential for calcium and phosphate homeostasis, immune function, and overall health. Calcitriol, the active form of vitamin D, exerts its effects by binding to the vitamin D receptor (VDR), which is a nuclear receptor found in various tissues, including the intestines, kidneys, bones, and immune cells. Polymorphisms in the VDR gene can affect the receptor’s efficiency in binding vitamin D, its expression, and its ability to regulate gene transcription. Understanding individual genetic variations could aid in the tailoring of vitamin D supplementation strategies. People with VDR polymorphisms that reduce the efficiency of the receptor may require higher doses of vitamin D to achieve optimal health outcomes. In addition, single-nucleotide polymorphisms in genes related to the vitamin D pathway may influence the vitamin D status in the body and thus determine the potential response to vitamin D supplementation.

Despite the availability of vitamin D from sunlight and dietary sources, vitamin D deficiency is a worldwide issue, especially in regions with limited sun exposure, darker-skinned populations, the elderly, and those with health conditions that affect vitamin D absorption. Understanding the factors that influence vitamin D metabolism, including sunlight exposure, diet, organ health, and genetic factors, is crucial for maintaining adequate levels of vitamin D and optimizing health. Raising awareness and educating society about the global burden of vitamin D deficiency through research publications could promote the development of solutions to this widespread problem. Long-term studies that track vitamin D levels and health outcomes in diverse populations could provide invaluable insights into its role in the prevention of chronic diseases and promotion of overall health. These studies could be crucial in developing robust, evidence-based public health recommendations. Novel research tools such as genetic testing, personalized nutrition approaches, and advancements in immunology offer opportunities for novel research. Therefore, research on vitamin D metabolism and its broad impact on health is not only highly relevant, but crucial in improving global health. Despite numerous studies, many questions remain, and this makes the topic of vitamin D dynamic and open to further research. This Special Issue therefore focuses on vitamin D metabolism and human health, the analysis of metabolic perturbations (effect of drugs, nutrients, environment, etc. on metabolism/metabolic pathway), diseases and errors in metabolism, and the development of methodologies for detecting metabolites or changes in the metabolic pathway. We welcome the submission of longitudinal studies, randomized controlled trials, systematic reviews and meta-analyses on vitamin D metabolism and its impact on human health.

Dr. Magdalena Kowalówka
Prof. Dr. Marta Karaźniewicz-Łada
Dr. Ilona Górna
Guest Editors

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Keywords

  • vitamin D
  • metabolites vitamin D
  • metabolic pathways
  • metabolic perturbations
  • vitamin D receptor
  • enzymes
  • polymorphism
  • vitamin D deficiency
  • health
  • metabolic diseases
  • nutrition

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Published Papers (4 papers)

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Research

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14 pages, 497 KB  
Article
Vitamin D Status in People Living with HIV: Assessment of 25(OH)D Levels and Associated Factors—A Cross-Sectional Study
by Florentina Dumitrescu, Eugenia-Andreea Marcu, Vlad Pădureanu, Livia Dragonu, Ilona-Andreea Georgescu, Lucian Giubelan, Rodica Pădureanu and Sineta Cristina Firulescu
Metabolites 2026, 16(1), 83; https://doi.org/10.3390/metabo16010083 - 21 Jan 2026
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Abstract
Background: Vitamin D deficiency (VDD) is highly prevalent among people living with human immunodeficiency virus (HIV), with reported rates of insufficiency and deficiency substantially higher than in many general-population cohorts. This study aims to assess the prevalence of vitamin D deficiency and to [...] Read more.
Background: Vitamin D deficiency (VDD) is highly prevalent among people living with human immunodeficiency virus (HIV), with reported rates of insufficiency and deficiency substantially higher than in many general-population cohorts. This study aims to assess the prevalence of vitamin D deficiency and to investigate the risk factors contributing to its occurrence among people living with HIV who are receiving antiretroviral therapy (ART) and are registered at the Craiova Regional Center (CRC). Methods: A retrospective study was conducted from May 2024 to August 2024, including individuals with HIV aged 18 years and older who were registered at the CRC. Results: A total of 138 patients were included in the study. The prevalence of vitamin D deficiency (<20 ng/mL) and vitamin D insufficiency (20–29.9 ng/mL) was 36.2% and 33.3%, respectively, with an average vitamin D level of 26.4 ± 9.9 ng/mL. Vitamin D deficiency was associated with obesity (p = 0.0013), high HIV viral load (p = 0.043), low CD4 nadir (<200 cells/mm3, p = 0.006), prolonged ART exposure (p = 0.002), and the use of tenofovir disoproxil fumarate or protease inhibitor-containing regimens (p = 0.034 and p = 0.016, respectively). Conclusions: These findings indicate that monitoring vitamin D levels could be particularly relevant for patients with HIV with higher-risk profiles. However, our study included a relatively small number of participants, so further research in larger cohorts is needed to better understand these patterns. Full article
(This article belongs to the Special Issue Vitamin D Metabolism and Human Health)
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Review

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15 pages, 108518 KB  
Review
From Sunlight to Signaling: Evolutionary Integration of Vitamin D and Sterol Metabolism
by Marianna Raczyk and Carsten Carlberg
Metabolites 2026, 16(1), 74; https://doi.org/10.3390/metabo16010074 - 14 Jan 2026
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Abstract
Background/Objectives: This review integrates evolutionary, metabolic, genetic, and nutritional perspectives to explain how sterol-derived vitamin D pathways shape human physiology and inter-individual variability in vitamin D status. Methods: The literature on sterol and vitamin D metabolism across animals, plants, fungi, and algae was [...] Read more.
Background/Objectives: This review integrates evolutionary, metabolic, genetic, and nutritional perspectives to explain how sterol-derived vitamin D pathways shape human physiology and inter-individual variability in vitamin D status. Methods: The literature on sterol and vitamin D metabolism across animals, plants, fungi, and algae was synthesized with data from metabolomics databases, genome-wide association studies, RNA-seq resources (including GTEx), structural biology, and functional genomics. Results: Vitamin D2 and vitamin D3 likely emerged early in evolution as non-enzymatic photochemical sterol derivatives and were later co-opted into a tightly regulated endocrine system in vertebrates. In humans, cytochrome P450 enzymes coordinate vitamin D activation and degradation and intersect with oxysterol production, thereby linking vitamin D signaling to cholesterol and bile acid metabolism. Tissue-specific gene expression and regulatory genetic variants, particularly in the genes DHCR7, CYP2R1, CYP27B1, and CYP27A1, contribute to population-level differences in vitamin D status and metabolic outcomes. Structural analyses reveal selective, high-affinity binding of 1,25-dihydroxyvitamin D3 to VDR, contrasted with broader, lower-affinity ligand recognition by LXRs. Dietary patterns modulate nuclear receptor signaling through distinct yet convergent ligand sources, including cholesterol-derived oxysterols, oxidized phytosterols, and vitamin D2 versus vitamin D3. Conclusions: Sterol and vitamin D metabolism constitute an evolutionarily conserved, adaptable network shaped by UV exposure, enzymatic control, genetic variation, and diet. This framework explains inter-individual variability in vitamin D biology and illustrates how evolutionary and dietary modulation of sterol-derived ligands confers functional flexibility to nuclear receptor signaling in human health. Full article
(This article belongs to the Special Issue Vitamin D Metabolism and Human Health)
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20 pages, 1272 KB  
Review
Nutri-Epigenetic Regulation of Vitamin D—Impact on Metabolism and Biological Functions: Narrative Review
by Magdalena Kowalówka, Ilona Górna, Marta Karaźniewicz-Łada, Dominika Kusyk, Juliusz Przysławski and Sławomira Drzymała-Czyż
Metabolites 2025, 15(7), 436; https://doi.org/10.3390/metabo15070436 - 30 Jun 2025
Cited by 5 | Viewed by 3021
Abstract
Vitamin D deficiency is widespread. It increases the risk of several diseases. Therefore, researchers have long studied the factors that influence vitamin D levels in the body. These include its metabolism, catabolism, transport and binding of vitamin D to the receptor VDR. Currently, [...] Read more.
Vitamin D deficiency is widespread. It increases the risk of several diseases. Therefore, researchers have long studied the factors that influence vitamin D levels in the body. These include its metabolism, catabolism, transport and binding of vitamin D to the receptor VDR. Currently, an increasing number of studies are focusing on genetic factors. Variations in vitamin D levels, including vitamin D deficiency, are under substantial genetic control. There is a reciprocity between the vitamin D system and epigenetic mechanisms. Vitamin D metabolism, on the one hand, is regulated by epigenetic mechanisms and, on the other hand, is involved in regulating epigenetic events. To appraise recent advances in nutrigenomics with its application in public health, several databases, including PubMed, Scopus and Web of Science, were investigated in detail. Nutri-epigenetics deals with the interplay between dietary components and the possible resulting changes in the epigenome. There is, therefore, great potential for the development of nutri-epigenetics. The purpose of the narrative review is to highlight the genetic aspects of vitamin D, its receptor VDR and vitamin D-related gene polymorphisms with a particular focus on vitamin D gene regulation. Particular attention is paid to the vitamin D response index. Full article
(This article belongs to the Special Issue Vitamin D Metabolism and Human Health)
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Other

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11 pages, 614 KB  
Opinion
The Optimal Protective 25-Hydroxyvitamin D Level for Different Health Outcomes in Adults: A Brief Summary of Dose–Response Meta-Analyses
by Cem Ekmekcioglu and Michael Poteser
Metabolites 2025, 15(4), 264; https://doi.org/10.3390/metabo15040264 - 10 Apr 2025
Cited by 1 | Viewed by 8842
Abstract
Vitamin D is very important for bone metabolism as well as for the prevention of various diseases, such as type 2 diabetes, cardiovascular disease and different types of cancer. Although vitamin D deficiency is widespread and an important public health problem, there exists [...] Read more.
Vitamin D is very important for bone metabolism as well as for the prevention of various diseases, such as type 2 diabetes, cardiovascular disease and different types of cancer. Although vitamin D deficiency is widespread and an important public health problem, there exists controversy in the scientific community, with no established standard definition of adequate and deficient vitamin D status. To add new information on this topic, the aim of this brief opinion paper is to identify and discuss the optimal 25(OH)D concentration (range) for a reduction in the risk of various disease outcomes by summarizing dose–response reporting meta-analyses. Full article
(This article belongs to the Special Issue Vitamin D Metabolism and Human Health)
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