The Controversial Role of Vitamin D in Thyroid Cancer Prevention

Nutrients. 2022 Jun 23;14(13):2593. doi: 10.3390/nu14132593.

Abstract

Thyroid cancer is the most common endocrine malignancy and exhibits rising incidence. Annual incidence varies by sex, age, and geographical location. It has been reported that impairment of vitamin D signalling promotes thyroid cancer progression. Recent studies have shown that vitamin D, a fat-soluble vitamin that acts as both a nutrient and a hormone, may have utility in the prevention of autoimmune thyroid-related diseases. However, the precise role of vitamin D in the pathobiology of thyroid cancer is controversial. Previous studies have suggested that elevated serum vitamin D levels have a protective role in thyroid cancer. However, there is also evidence demonstrating no inverse relationship between vitamin D levels and the occurrence of thyroid cancer. Furthermore, recent data provide evidence that circulating vitamin D concentration is inversely correlated with disease aggressiveness and poor prognosis, while evidence of an association with tumour initiation remains weak. Nevertheless, a variety of data support an anti-tumorigenic role of vitamin D and its potential utility as a secondary chemopreventive agent. In this review, we highlighted recent findings regarding the association of vitamin D status with the risk of thyroid cancer, prognosis, potential mechanisms, and possible utility as a chemopreventive agent.

Keywords: anti-tumorigenic; prevention; thyroid cancer; vitamin D.

Publication types

  • Review

MeSH terms

  • Hashimoto Disease* / complications
  • Humans
  • Thyroid Neoplasms*
  • Vitamin D
  • Vitamin D Deficiency* / complications
  • Vitamins / therapeutic use

Substances

  • Vitamins
  • Vitamin D

Grants and funding

This research received no external funding. A.P. holds a fellowship from the Instituto de Salud Carlos III, Madrid, Spain (Río Hortega Program CM19/00027).