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Peer-reviewedCC BY 4.0International Journal of Molecular Sciences

Immunomodulatory Effects of Vitamin D Receptors and Serum Vitamin D Levels in COVID-19 Patients After Immunization: A Narrative Review

  1. 1Central Research Laboratory and Molecular Diagnostic, Allied Health Sciences, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha 442001, Maharashtra, India

Abstract

Coronavirus disease 2019 (COVID-19) has caused global morbidity and mortality. Vaccination remains the most effective preventive strategy. However, variation in immune response after immunization has been observed among individuals. vitamin D plays a crucial role in immune regulation through activation of the VDR, which is expressed on various immune cells. The role of vitamin D status in post-vaccination immune responses among COVID-19 patients has gained increasing scientific interest. This narrative review evaluates the immunomodulatory roles of vitamin D receptors (VDRs) and serum vitamin D status in COVID-19 patients following vaccination, with particular emphasis on immune mechanisms, inflammatory regulation, and vaccine-induced immune responses. The relevant literature concerning vitamin D, VDR signaling, COVID-19 infection, vaccination, and immune responses was comprehensively reviewed. Emphasis was placed on studies discussing immune modulation, cytokine regulation, and antibody responses. Current evidence suggests that adequate serum vitamin D status may support both innate and adaptive immune responses following COVID-19 vaccination. Activation of the VDR regulates T-cell differentiation, modulates pro-inflammatory cytokine production, and supports humoral immune responses. Vitamin D deficiency has been associated with impaired vaccine responsiveness and persistent systemic inflammation. Vitamin D and VDR-mediated signaling pathways appear to play important roles in regulating immune responses following COVID-19 vaccination. Maintaining optimal vitamin D levels may help improve vaccine-induced immunity and reduce excessive inflammatory responses.

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BibTeX
@article{rathored2026immunomodulatory,
  title = {{Immunomodulatory Effects of Vitamin D Receptors and Serum Vitamin D Levels in COVID-19 Patients After Immunization: A Narrative Review}},
  author = {Jaishriram Rathored and Sandesh Shende},
  journal = {International Journal of Molecular Sciences},
  year = {2026},
  month = oct,
  doi = {10.3390/ijms27209354},
  url = {https://www.mdpi.com/1422-0067/27/20/9354},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Immunomodulatory Effects of Vitamin D Receptors and Serum Vitamin D Levels in COVID-19 Patients After Immunization: A Narrative Review
AU  - Jaishriram Rathored
AU  - Sandesh Shende
PY  - 2026
DA  - 2026/10/21
JO  - International Journal of Molecular Sciences
DO  - 10.3390/ijms27209354
UR  - https://www.mdpi.com/1422-0067/27/20/9354
AB  - Coronavirus disease 2019 (COVID-19) has caused global morbidity and mortality. Vaccination remains the most effective preventive strategy. However, variation in immune response after immunization has been observed among individuals. vitamin D plays a crucial role in immune regulation through activation of the VDR, which is expressed on various immune cells. The role of vitamin D status in post-vaccination immune responses among COVID-19 patients has gained increasing scientific interest. This narrative review evaluates the immunomodulatory roles of vitamin D receptors (VDRs) and serum vitamin D status in COVID-19 patients following vaccination, with particular emphasis on immune mechanisms, inflammatory regulation, and vaccine-induced immune responses. The relevant literature concerning vitamin D, VDR signaling, COVID-19 infection, vaccination, and immune responses was comprehensively reviewed. Emphasis was placed on studies discussing immune modulation, cytokine regulation, and antibody responses. Current evidence suggests that adequate serum vitamin D status may support both innate and adaptive immune responses following COVID-19 vaccination. Activation of the VDR regulates T-cell differentiation, modulates pro-inflammatory cytokine production, and supports humoral immune responses. Vitamin D deficiency has been associated with impaired vaccine responsiveness and persistent systemic inflammation. Vitamin D and VDR-mediated signaling pathways appear to play important roles in regulating immune responses following COVID-19 vaccination. Maintaining optimal vitamin D levels may help improve vaccine-induced immunity and reduce excessive inflammatory responses.
SN  - 1422-0067
ER  -