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Fiveable
Advanced Nutrition

🥦advanced nutrition review

8.1 Nutrients and immune system function

Last Updated on August 14, 2024

Nutrients play a crucial role in supporting our immune system. Vitamins C and D, zinc, selenium, omega-3 fatty acids, and probiotics are key players in maintaining optimal immune function. These nutrients work together to enhance immune cell activity and protect against infections.

Understanding how nutrients impact immune health is vital for overall well-being. By ensuring adequate intake of these essential nutrients through diet or supplementation, we can boost our body's natural defenses and reduce the risk of various health issues.

Nutrients for Immune Health

Essential Nutrients and Their Roles

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  • Vitamin C is a potent antioxidant that enhances phagocytic activity of immune cells, stimulates interferon production, and supports collagen synthesis for barrier function
  • Vitamin D modulates innate and adaptive immune responses by regulating the production of antimicrobial peptides, reducing inflammation, and promoting T-cell differentiation
  • Zinc is essential for the development and function of immune cells, including T-cells, B-cells, and natural killer cells, and plays a role in maintaining skin and mucosal barrier integrity
  • Selenium is a key component of antioxidant enzymes that protect immune cells from oxidative damage and supports the production of antibodies and cytokines
  • Omega-3 fatty acids, particularly EPA and DHA, have anti-inflammatory properties that help regulate immune responses and may reduce the risk of autoimmune disorders
  • Probiotics, such as Lactobacillus and Bifidobacterium species, modulate immune function by interacting with gut-associated lymphoid tissue and promoting the production of immunoregulatory cytokines

Dietary Sources and Supplementation

  • Vitamin C is found in citrus fruits (oranges, grapefruits), berries (strawberries, kiwi), and vegetables (bell peppers, broccoli, spinach)
  • Vitamin D is synthesized in the skin upon exposure to sunlight and can be obtained from dietary sources such as fatty fish (salmon, tuna), egg yolks, and fortified foods (milk, cereals)
  • Zinc is present in animal-based foods (oysters, beef, poultry) and plant-based sources (legumes, nuts, seeds)
  • Selenium is found in Brazil nuts, seafood (tuna, shrimp), meat (beef, turkey), and whole grains
  • Omega-3 fatty acids are abundant in fatty fish (salmon, sardines, mackerel), flaxseeds, chia seeds, and walnuts
  • Probiotics are naturally present in fermented foods (yogurt, kefir, sauerkraut, kimchi) and can be consumed through dietary supplements

Nutrient Modulation of Immune Responses

Mechanisms of Action

  • Vitamin C acts as an antioxidant, neutralizing reactive oxygen species and protecting immune cells from oxidative stress, thus enhancing their ability to respond to pathogens
  • Vitamin D binds to the vitamin D receptor on immune cells, leading to the expression of genes involved in antimicrobial peptide production and the regulation of inflammatory responses
  • Zinc influences the development and function of T-cells by supporting the activity of thymulin, a hormone essential for T-cell maturation, and regulating the balance between T-helper cell subsets
  • Selenium, as a component of selenoproteins, supports the production of cytokines and antibodies by immune cells and helps maintain redox balance, which is crucial for optimal immune function
  • Omega-3 fatty acids, particularly EPA and DHA, modulate the production of pro-inflammatory eicosanoids and cytokines, reducing inflammation and supporting the resolution of immune responses
  • Probiotics interact with immune cells in the gut-associated lymphoid tissue, stimulating the production of immunoregulatory cytokines, such as IL-10 and TGF-β, which help maintain immune homeostasis

Impact on Immune Cell Function

  • Vitamin C enhances the phagocytic activity of neutrophils and macrophages, promoting the engulfment and destruction of pathogens
  • Vitamin D stimulates the differentiation of monocytes into macrophages and increases their antimicrobial activity, while also regulating T-cell activation and differentiation
  • Zinc supports the development and function of T-cells, B-cells, and natural killer cells, ensuring effective cell-mediated and humoral immune responses
  • Selenium promotes the proliferation and differentiation of T-cells and B-cells, enhancing their ability to produce cytokines and antibodies
  • Omega-3 fatty acids modulate the activity of T-cells, B-cells, and natural killer cells, reducing excessive inflammation and promoting the resolution of immune responses
  • Probiotics interact with dendritic cells in the gut, influencing their maturation and antigen-presenting function, which in turn modulates T-cell responses

Nutrient Deficiencies and Immune Function

Consequences of Nutrient Deficiencies

  • Vitamin C deficiency impairs phagocytic activity, reduces interferon production, and weakens collagen synthesis, leading to compromised barrier function and increased susceptibility to infections
  • Vitamin D deficiency is associated with increased risk of respiratory tract infections, autoimmune disorders, and delayed wound healing due to its role in regulating immune responses
  • Zinc deficiency results in impaired T-cell and B-cell development and function, reduced antibody production, and increased susceptibility to bacterial, viral, and fungal infections
  • Selenium deficiency compromises the activity of antioxidant enzymes, leading to increased oxidative stress and impaired immune cell function, which may increase the risk of viral infections and autoimmune disorders
  • Omega-3 fatty acid deficiency may contribute to chronic inflammation and dysregulated immune responses, potentially increasing the risk of inflammatory and autoimmune conditions
  • Disruption of the gut microbiome due to factors such as antibiotic use, poor diet, or stress can lead to imbalances in immune-modulating probiotics, potentially increasing the risk of infections and inflammatory disorders

Populations at Risk

  • Elderly individuals are at higher risk of nutrient deficiencies due to age-related changes in nutrient absorption, decreased dietary intake, and the presence of chronic diseases
  • Pregnant women have increased nutrient requirements to support fetal development and maintain maternal immune function, making them more susceptible to deficiencies
  • Vegetarians and vegans may be at risk of zinc and omega-3 fatty acid deficiencies if their diets are not well-planned or supplemented
  • Individuals with malabsorption disorders (celiac disease, inflammatory bowel disease) may have difficulty absorbing nutrients, leading to deficiencies that impact immune function
  • People living in regions with limited access to diverse food sources or those experiencing food insecurity may be at higher risk of nutrient deficiencies

Nutrients as Immunomodulators

Clinical Applications

  • Vitamin C supplementation may be beneficial for individuals under physical stress, such as athletes or those exposed to extreme environments, to reduce the incidence and severity of respiratory tract infections
  • Vitamin D supplementation can be considered for individuals with low baseline levels or those at high risk of deficiency (elderly, institutionalized, or with limited sun exposure) to support immune function and reduce the risk of infections
  • Zinc supplementation may be recommended for individuals with inadequate dietary intake or increased requirements, such as vegetarians, pregnant women, or those recovering from infections, to enhance immune cell function
  • Selenium supplementation can be considered for populations living in areas with low soil selenium content or those with inadequate dietary intake to support optimal immune function and reduce the risk of viral infections
  • Omega-3 fatty acid supplementation may be beneficial for individuals with inflammatory conditions, such as rheumatoid arthritis or inflammatory bowel disease, to modulate immune responses and reduce inflammation
  • Probiotic supplementation can be recommended for individuals undergoing antibiotic treatment, those with digestive disorders, or those seeking to maintain a healthy gut microbiome and support immune function

Considerations and Limitations

  • While the evidence supports the immunomodulatory effects of specific nutrients, it is essential to consider factors such as dosage, duration of supplementation, and individual patient characteristics when evaluating their potential clinical applications
  • Nutrient supplementation should not be used as a substitute for a balanced diet and healthy lifestyle practices that support immune function, such as regular physical activity, stress management, and adequate sleep
  • Excessive intake of certain nutrients, such as vitamin C or zinc, may have adverse effects or interact with medications, highlighting the importance of monitoring and adjusting supplementation under the guidance of a healthcare professional
  • The effectiveness of nutrient supplementation may vary among individuals due to genetic factors, age, health status, and the presence of underlying medical conditions, necessitating personalized approaches to optimize immune function
  • Further research is needed to establish optimal dosages, duration of supplementation, and long-term safety of nutrient supplementation for immune health in various populations and clinical settings