Vitamin D and anti-cancer therapy

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“TAKING vitamin D supplements may help prevent a potentially serious side effect of a revolutionary form of anti-cancer therapy,” according to CANCER, a peer-reviewed journal of the American Cancer Society.

It said immune checkpoint inhibitors help the immune system recognize and combat cancer cells, and although these treatments have helped many patients and have prolonged lives, they can cause side effects such as colitis, an inflammatory reaction in the colon.

CANCER reported that Osama Rahma, MD, of the Dana-Farber Cancer Institute and Harvard Medical School and his colleagues conducted a study that examined whether taking vitamin D supplements might reduce the risk of colitis in patients receiving immune checkpoint inhibitors to treat their cancer.

“The team chose this strategy because previous studies have found that vitamin D may affect the immune system in cases of autoimmune disorders and inflammatory bowel disease.

“The study included information on 213 patients with melanoma who received immune checkpoint inhibitors between 2011 and 2017. Thirty-seven (17%) of these patients developed colitis. Sixty-six patients in the study (31%) took vitamin D supplements before starting treatment with immune checkpoint inhibitors.”

CANCER said patients who took vitamin D had “65% lower odds of developing colitis, after adjustments for confounding factors. These findings were validated in another group of 169 patients, of whom 49 (29%) developed colitis. In this validation group, use of vitamin D was linked with 54 percent lower odds of developing colitis.”

Dr. Rahma said their  findings of a link between vitamin D intake and reduced risk for colitis “could potentially impact practice if validated in future prospective studies.”

She added, “Vitamin D supplementation should be tested further to determine if it could be a safe, easily accessible, and cost-effective approach towards preventing immunotherapy's gastrointestinal toxicity and extending the effectiveness of immune checkpoint inhibitor treatment in cancer patients.”

Foods that provide vitamin D include beef liver, cheese and egg yolks as well as fatty fish such as tuna, mackerel and salmon. Foods fortified with vitamin D include dairy products, orange juice, soy milk, and cereals.

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