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Human studiesH01 · 2009
Li-Ng et al., 2009
Epidemiology and infection
What the study found
No reduction in URI incidence, duration, or severity despite increased 25(OH)D.
Limits: Winter trial; baseline vitamin D status generally not severely deficient.
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Human studiesH02 · 2010
Urashima et al., 2010
The American journal of clinical nutrition
What the study found
Lower incidence of influenza A in vitamin D group.
Limits: Specific pediatric population and influenza season; outcome-specific.
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Human studiesH03 · 2010
Laaksi et al., 2010
The Journal of infectious diseases
What the study found
Trial tested vitamin D for prevention of ARTI in young men; include in respiratory RCT evidence base.
Limits: PubMed metadata verified; no abstract available in the retrieved record. Full numerical extraction requires primary-article review before claim-level use.
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Human studiesH04 · 2012
Camargo et al., 2012
Pediatrics
What the study found
Vitamin D-fortified milk reduced reported ARIs.
Limits: Subset of larger cluster trial; very low baseline 25(OH)D; parent-reported outcome.
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Human studiesH05 · 2012
Murdoch et al., 2012 (VIDARIS)
JAMA
What the study found
High-dose monthly vitamin D did not reduce incidence or severity of URTIs.
Limits: Bolus regimen; participants not markedly deficient at baseline.
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Human studiesH06 · 2012
Bergman et al., 2012
BMJ open
What the study found
Daily vitamin D produced favorable infection-related outcomes in a selected high-risk population.
Limits: Selected clinical population; not generalizable to healthy adults.
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Human studiesH07 · 2013
Rees et al., 2013
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
What the study found
No significant reduction in winter URTI, colds, or influenza-like illness.
Limits: Respiratory outcomes were secondary; diary subset n=759.
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Human studiesH08 · 2014
Goodall et al., 2014
BMC infectious diseases
What the study found
Clinical URTI reduction was not statistically significant, but laboratory-confirmed URTI was lower with vitamin D.
Limits: Factorial trial also tested gargling; completion varied.
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Human studiesH09 · 2014
Urashima et al., 2014
Food & function
What the study found
No reduction in influenza A incidence.
Limits: Specific pandemic season; contrasts with earlier pediatric influenza trial.
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Human studiesH10 · 2015
Grant et al., 2015
Acta paediatrica (Oslo, Norway : 1992)
What the study found
Vitamin D supplementation was associated with reduced primary-care respiratory infection visits in the trial follow-up.
Limits: Maternal/infant intervention; population and dosing differ from adult supplementation.
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Human studiesH11 · 2016
Konijeti et al., 2016
The Journal of clinical endocrinology and metabolism
What the study found
Higher-dose vitamin D reduced stimulated CD4+ T-cell ATP release versus the lower dose; this is immune modulation, not enhanced protection.
Limits: Small ancillary study; low-dose active comparator rather than placebo.
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Human studiesH12 · 2016
Sharifi et al., 2016
Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
What the study found
Vitamin D increased cathelicidin gene expression and reduced hs-CRP and ESR versus placebo.
Limits: Disease-specific population; very large bolus; not evidence of general immune benefit.
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Human studiesH13 · 2019
Loeb et al. / Vietnam trial, 2019
Influenza and other respiratory viruses
What the study found
No reduction in influenza; moderate reduction in non-influenza respiratory viral infection and all respiratory viruses combined.
Limits: Benefit depended on virologic endpoint; baseline vitamin D not severely low.
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Human studiesH14 · 2020
Ganmaa et al., 2020
The New England journal of medicine
What the study found
Vitamin D substantially raised 25(OH)D but did not reduce tuberculosis infection, TB disease, or ARI hospitalization.
Limits: Large, long-duration trial; highly relevant negative evidence despite correction of deficiency.
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Human studiesH15 · 2022
Jolliffe et al., 2022 (CORONAVIT)
BMJ (Clinical research ed.)
What the study found
Test-and-treat vitamin D strategy did not establish prevention of all-cause ARI or COVID-19.
Limits: Open-label; intervention was an offer/test-and-treat strategy rather than simple blinded supplementation.
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Human studiesH16 · 2022
Jolliffe et al., 2022 (CORONAVIT vaccine substudy)
Nutrients
What the study found
Supplementation raised 25(OH)D but did not improve vaccine immunogenicity or efficacy.
Limits: Nested substudies; SARS-CoV-2 vaccines specifically.
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Normalized source record. Bibliographic metadata were checked against PubMed. Remaining extraction gaps are stated rather than filled by inference.
Human studiesH17 · 2024
Camargo et al., 2024 (VITAL URI analysis)
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
What the study found
Daily vitamin D3 did not significantly lower self-reported recent upper respiratory infection risk in older adults.
Limits: Predominantly vitamin-D-sufficient population; URI self-report.
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Human studiesH18 · 2024
A. Laaksi et al., 2024
Open forum infectious diseases
What the study found
Supplementation had no effect on ARI or days off; baseline insufficiency was associated with more ARI and lower cathelicidin.
Limits: Important distinction between association and supplementation effect.
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Human studiesH19 · 2025
Clerico et al., 2025
European journal of nutrition
What the study found
Fewer days with acute respiratory infection and with febrile respiratory infection; no difference in other measured outcomes.
Limits: Secondary analysis of a factorial Danish trial; generally vitamin-D-replete, white children aged 6–8; illness reported by parents. This measures sick days, not universal infection prevention.
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Human studiesH20 · 2025 · Added source
Rastgoo et al., 2025
Frontiers in Immunology
What the study found
5,000 IU/day reduced selected PBMC senescence-associated markers versus 1,000 IU/day; some NAC combinations also changed markers. Serum IL-6, CRP and NLR did not differ significantly between groups.
Limits: Short biomarker trial with active comparators; does not establish whole-system immune rejuvenation. 5,000 IU/day exceeds the usual adult upper intake level. Corrigendum PMID 40510343 corrects a 50,000/5,000 IU table-label typo.
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Human studiesH21 · 2025 · Added source
Zhu et al., 2025 (VITAL telomere substudy)
American Journal of Clinical Nutrition
What the study found
Vitamin D reduced leukocyte telomere attrition compared with placebo. This biomarker result does not establish immune rejuvenation.
Limits: Ancillary analysis; telomere measurement is not a clinical immunity outcome; differs from the negative monthly-dose D-Health study.
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Human studiesH22 · 2023 · Added source
Rahman et al., 2023 (D-Health telomere substudy)
The Journal of Nutrition, Health & Aging
What the study found
Monthly supplementation did not change relative telomere length.
Limits: No baseline telomere change measurement in this comparison; monthly regimen and population differ from VITAL.
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Animal studiesA01 · 2009
Bruce et al., 2009
International immunology
What the study found
VDR-KO mice cleared primary and secondary Listeria infections, with somewhat delayed kinetics; old VDR-KO mice had fewer memory T cells but elevated nonspecific cytokine/antibody responses.
Limits: Important aging model: amplified immune responses did not translate into better pathogen clearance.
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Animal studiesA02 · 2001
Mathieu et al., 2001
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
What the study found
VDR-KO mice showed lower anti-CD3 proliferation and impaired macrophage chemotaxis, but several abnormalities normalized when calcium homeostasis was corrected.
Limits: Highlights major calcium-homeostasis confounding in VDR-KO models.
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Animal studiesA03 · 2010
Wu et al., 2010
The American journal of pathology
What the study found
VDR deletion produced a pro-inflammatory intestinal phenotype and increased Salmonella burden and mortality.
Limits: Genetic receptor model; demonstrates VDR-dependent host regulation, not supplementation efficacy.
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Animal studiesA04 · 2012
Ryz et al., 2012
American journal of physiology. Gastrointestinal and liver physiology
What the study found
Active vitamin D suppressed mucosal Th17 responses and REG3γ and increased pathogen burden and pathology.
Limits: Important negative animal result: immune suppression can impair host defense.
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Animal studiesA05 · 2013
Ooi et al., 2013
The Journal of nutrition
What the study found
Vitamin D/VDR deficiency caused dysbiosis and greater colitis susceptibility; 1,25(OH)2D3 treatment reduced colitis severity in Cyp-KO mice.
Limits: Complex microbiome-mediated model; not direct human evidence.
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Animal studiesA06 · 2013
Liu et al., 2013
The Journal of clinical investigation
What the study found
Intestinal epithelial VDR expression protected against several experimental colitis models and rescued severe disease in VDR-null mice.
Limits: Tissue-specific genetic model; not supplementation evidence.
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Animal studiesA07 · 2016
Reeme & Robinson, 2016
Journal of immunology (Baltimore, Md. : 1950)
What the study found
Vitamin-D-replete diet reduced late pulmonary inflammation and immunopathology but did not significantly reduce bacterial burden.
Limits: Strong example that immune modulation and pathogen killing are distinct outcomes.
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Animal studiesA08 · 2016
Penkert et al., 2016
Clinical and vaccine immunology : CVI
What the study found
Vitamin D deficiency alone had limited effects, while combined A+D deficiency further reduced respiratory antibody responses; supplementation restored responses dose-dependently.
Limits: Combined nutrient model prevents attribution of rescue solely to vitamin D.
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Animal studiesA09 · 2016
Zhang et al., 2016
Scientific reports
What the study found
Vitamin D attenuated TNBS-induced colitis and suppressed Th1/Th17-related cytokines, but did not improve oxazolone colitis.
Limits: Effect differed by immune/pathologic model.
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Animal studiesA10 · 2019
Cantorna et al., 2019
Frontiers in immunology
What the study found
Vitamin-D-sufficient mice had more colonic regulatory T cells and were less susceptible to colitis; microbiota transfer reproduced aspects of the phenotype.
Limits: Microbiota-dependent; developmental timing mattered.
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Animal studiesA11 · 2020
Yamamoto et al., 2020
Nutrients
What the study found
25(OH)D3-fed mice had significantly lower lung viral titers than standard-fed controls.
Limits: High-dose metabolite in mice; cannot be generalized to standard human D3 supplementation.
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Animal studiesA12 · 2022
Cantorna group, 2022
Nutrients
What the study found
Deficiency or inability to generate 1,25(OH)2D worsened H1N1 outcomes; supplementation reduced inflammation in mice, but viral replication was not consistently reduced and hamster results differed.
Limits: Species- and endpoint-dependent; distinguishes inflammation/survival from viral replication.
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Animal studiesA13 · 2002
Meehan & DeLuca, 2002
Archives of biochemistry and biophysics
What the study found
Calcitriol suppressed EAE through the canonical vitamin D receptor; VDR was required for the effect.
Limits: Pharmacologic active hormone in autoimmune model, not nutritional supplementation.
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Animal studiesA14 · 2011
Mayne et al., 2011
European journal of immunology
What the study found
Calcitriol acted directly through T-cell VDR to inhibit EAE; Foxp3+ proportions were not the key mechanism in this model.
Limits: Disease model and pharmacologic calcitriol; not general immune-health evidence.
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Reviews & meta-analysesR01 · 2019
Martineau/Jolliffe et al., 2019 IPD meta-analysis
Health technology assessment (Winchester, England)
What the study found
Overall protection was reported; stronger effects were observed with daily/weekly dosing without bolus and among very deficient participants in those regimens.
Limits: Based on older trial set; later larger meta-analyses changed the overall inference.
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Reviews & meta-analysesR02 · 2021
Jolliffe et al., 2021
The lancet. Diabetes & endocrinology
What the study found
Small overall reduction in ARI was reported, with heterogeneity; no significant interaction by prespecified modifiers.
Limits: Superseded by newer 2025 update with additional large trials.
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Reviews & meta-analysesR03 · 2022
Cho et al., 2022
Nutrients
What the study found
No significant overall prevention; apparent daily/short-term subgroup effects disappeared in high-quality-study subgroup analyses.
Limits: Subgroup heterogeneity; quality-sensitive results.
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Reviews & meta-analysesR04 · 2022
Cho et al., 2022 treatment meta-analysis
Nutrients
What the study found
Small statistical signal overall was not clinically substantial and disappeared in high-quality RCTs.
Limits: Publication bias observed; treatment rather than prevention.
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Reviews & meta-analysesR05 · 2024
2024 dose-response ARI meta-analysis
Nutrition journal
What the study found
No significant overall preventive effect; some subgroup signals for daily dosing and seasonal windows.
Limits: Subgroup findings require caution given null overall result.
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Reviews & meta-analysesR06 · 2025
Jolliffe et al., 2025
The lancet. Diabetes & endocrinology
What the study found
Updated evidence found no statistically significant overall reduction in ARI and no evidence of effect modification by age, baseline vitamin D status, dosing frequency, or dose size.
Limits: Most current major synthesis; funnel-plot asymmetry noted.
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Reviews & meta-analysesR07 · 2025
Wang et al., 2025
BMC pediatrics
What the study found
No significant reduction in pediatric ARI incidence, hospitalization duration, recovery time, or mortality.
Limits: Pediatric-specific; substantial heterogeneity possible across trials.
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Reviews & meta-analysesR08 · 2011
Hewison, 2011
Vitamins and hormones
What the study found
Review describes intracrine/paracrine vitamin D signaling in innate and adaptive immunity.
Limits: Review, not primary clinical evidence.
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Reviews & meta-analysesR09 · 2013
Kongsbak et al., 2013
Frontiers in immunology
What the study found
Summarizes VDR regulation and its role in T-cell development and effector function.
Limits: Review; use primary studies for specific clinical claims.
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Reviews & meta-analysesR10 · 2010
Kamen & Tangpricha, 2010
Journal of molecular medicine (Berlin, Germany)
What the study found
Summarizes immunomodulatory effects including antimicrobial peptide induction and adaptive immune regulation.
Limits: Review-level evidence.
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Reviews & meta-analysesR11 · 2024
Carlberg & Velleuer, 2024
Nutrients
What the study found
Proposes a central role for VDR-dependent immune-cell programming in immunocompetence and aging.
Limits: Conceptual review; does not establish that supplementation reverses immunosenescence.
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Human cell experimentsM01 · 2006 · Added source
Liu et al., 2006
Science
What the study found
TLR activation induced a vitamin-D-dependent antimicrobial pathway in human macrophages.
Limits: Cell experiments establish a pathway, not that supplements prevent tuberculosis or respiratory infections in people.
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