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Sunlight may play a bigger role than vitamin D in controlling multiple sclerosis | Ultraviolet portion of sunlight plays a bigger role than vitamin D in controlling multiple sclerosis (MS), according to researchers at University of Wisconsin-Madison. For more than 30 years, scientists have known
that multiple sclerosis (MS) is much more common in higher latitudes than in the
tropics. Because sunlight is more abundant near the equator, many researchers
have wondered if the high levels of vitamin D engendered by sunlight could explain
this unusual pattern of prevalence. Vitamin D may reduce the symptoms of MS, but
it is the ultraviolet portion of sunlight that has a major role in controlling
MS, according to Hector DeLuca. The ultraviolet (UV) portion of sunlight stimulates
the body to produce vitamin D, and both vitamin D and UV can regulate the immune
system and perhaps slow MS. But researchers were not clear of the immune regulation
result directly from the UV, indirectly from the creation of vitamin D, or both.
The study was designed to distinguish the role of vitamin D and UV light in explaining
the high rate of MS away from the equator, said DeLuca, a world authority on vitamin
D. "Since the 1970s, a lot of people have believed that sunlight worked through
vitamin D to reduce MS. It's true that large doses of the active form of vitamin
D can block the disease in the animal model. That causes an unacceptably high
level of calcium in the blood, but we know that people at the equator don't have
this high blood calcium, even though they have a low incidence of MS. So it seems
that something other than vitamin D could explain this geographic relationship,"
says DeLuca. Using mice that are genetically susceptible to MS-like disease, the
researchers triggered the disease by injecting a protein from nerve fibers. Then
the mice were exposed to moderate levels of UV radiation for a week. After they
initiated disease by injecting the protein, they irradiated the mice every second
or third day. The UV exposure (equivalent to two hours of direct summer sun) did
not change how many mice got the MS-like disease, but it did reduce the symptoms
of MS, especially in the animals that were treated with UV every other day, said
DeLuca. The team also found that although the UV exposure did increase the level
of vitamin D, that effect, by itself, could not explain the reduced MS symptoms.
In some situations, radiation does reduce immune reactions, but it's not clear
what role that might play in the current study. "We are looking to identify what
compounds are produced in the skin that might play a role, but we honestly don't
know what is going on. Somehow it makes the animal either tolerate what's going
on, or have some reactive mechanism that blocks the autoimmune damage," said DeLuca.
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