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. 2011 Sep 30;3(1):91–129.

Table 1.

Effect of vitamin E on immune function

Subjects N Intervention Findings Reference
Animals
Male C57BL/6J mice, 24 mo 10 (C)
10 (E)
C: 30 mg/kg diet
E: 500 mg/kg diet as dl-α-tocopheryl acetate for 6 wk
  • -Increase DTH response

  • -Increase lymphocyte proliferation in response to Con A, and LPS

  • -Decrease PGE2 production

  • -Increase Con A-stimulated IL-2 activity

Meydani et al. 1986 [37]
Male Fisher rats, 12 wk 5 (C)
5 (E)
C: 50 mg/kg diet
E: 585 mg/kg diet as dl-α-tocopheryl nicotinate for 12 mo
  • -Increase lymphocyte proliferation in response to Con A, and PHA

  • -Increase Con A-stimulated IL-2 activity measured by proliferation of IL-2 dependent CTLL-2 cells

Sakai and Moriguchi, 1997 [67]
Male C57BL/6 mice, 4 mo and 24 mo Young
4 (C), 4 (E)
Old
4 (C), 4 (E)
C: 30 mg/kg diet
E: 500 mg/kg diet as dl-α-tocopherol acetate for 4 wk
  • -Increase IL-2 gene expression in young and old T cells

  • -Decrease IL-4 gene expression in old T cells

  • -Increase cell cycle-related gene Ccnb2, Cdc2, and Cdc6 in old T cells

Han et al. 2006 [249]
Male C57BL/6 mice, 22–26 mo 5 (C)
5 (E)
C: 30 mg/kg diet
E: 500 mg/kg diets as dl-α-tocopheryl acetate for 8 wk
  • -Increase redistribution of LAT and Vav and a trend towards a increase in Zap70 (p=0.095) into the immune synapse

Marko et al. 2007 [31]
Male C57BL/6 mice, 23 mo 11–13 (C)
11–13 (TE)
C: 107 mg/kg diet as dl-α-tocopherol
TE: 107 mg/kg diets as dl-α-tocopherol + 393 mg/kg as tocotrienols for 6 wk
  • -Increase lymphocyte proliferation in response to Con A, PHA, anti-CD3, or anti-CD3 and anti-CD28 (anti-CD3/CD28)

  • -Increase LPS-induced IL-1β in splenocytes and LPS-induced IL-6 in MΦ

  • -No effect on IL-2, IFN-γ, IL-4, IL-10 in splenocytes in response to either Con A or anti-CD3/CD28

Ren et al. 2010 [250]
Humans
Healthy elderly, ≥60 y 14 (P)
18 (E)
P: soybean oil provided as capsule
E: 800 mg/d as dl-α-tocopherol acetate in soybean oil provided as capsule for 30 d
Compared to basal value (before supplementation),
  • -Increase Con A-stimulated lymphocyte proliferation and IL-2 production

  • -Increase DTH response

  • -Decrease PGE2 and plasma lipid-peroxide concentration

Meydani et al. 1990 [38]
Free living healthy elderly, ≥65 y 19 (P)
20/20/19 (E)
P: capsule containing soybean oil
E: 60, 200, or 800 mg/d as dl-α-tocopherol in soybean oil provided as capsule for 235 d
Compared to basal value (before supplementation),
  • -Increase DTH with 60, 200, 800 mg/d, Increase Ab titer to hepatitis B with 200, 800 mg/d, Increase Ab titer to tetanus toxoid with 200 mg/d

  • -No effect on serum Ig level (IgA, IgM, IgG), lymphocyte subsets (T cells, B cells, CD4+, CD8+), Ab production to diphtheria vaccine, ability of neutropils to kill C. albicans

  • -No additional effect on IgG Ab against pneumococcal vaccine

Meydani et al. 1997 [66]
Free living elderly, 65–80 y 50 (P)
54/53 (E)
P: soybean oil provided as capsule
E: 50 or 100 mg/d as dl-α-tocopheryl acetate in soybean oil provided as capsule for 6 mo
  • -Increase DTH response in all groups including two vitamin E supplementation group compared to their own baseline

  • -A trend towards an increased DTH in 100 mg vitamin E/d group compared to placebo (p=0.06)

  • -A trend towards a greater increase in cumulative DTH score (p=0.07) and the number of positive DTH response (p=0.08) in 100 mg vitamin E/d group with a low baseline DTH reaction

  • -Increase IL-2, IL-4 and decrease IFN-γ in response to PHA compared to their own basal values

  • -A trend towards an increase in IFN-γ in 50 mg/d groups (p=0.07) compared to those in placebo

Pallast et al. 1999 [68]
Healthy adults, 25–35 y 26 (E) 400 mg/d as dl-α-tocopherol provided as capsule for 28 d
  • -Decrease PMA-stimulated hydrogen peroxide production

  • -Increase PHA or LPS-stimulated lymphocyte proliferation

  • -Increase % T cells and CD4+ T cells, but no change in % CD8+, NK cells, CD25+ cells

  • -Decrease urinary 8-hydroxy-2’deoxyguanosine and malondialdehyde

Lee and Wan, 2000 [251]
Healthy elderly, mean age 70.4 y 33 (E) 200 mg/d as dl-α-tocopherol for 3 mo
  • -Increase PHA-stimulated lymphocyte proliferation, Con A-stimulated IL-2 production, NK cell activity

  • -Increase neutrophil chemotaxis and phagocytosis

De la Fuente et al. 2008 [69]
Nursing home residents, >65 y 63 (P)
47 (E)
P: multivitamin and mineral (50% of RDA) provided as capsule
E: 200 IU/d as dl-α-tocopherol + multivitamin and mineral (50% of RDA) provided as capsule for 1 y
  • -A significant interaction between vitamin E treatment and baseline cytokine production for follow-up production of IFN-γ (both Con A and PHA elicitation), TNF-α, IL-1β and IL-6 (LPS elicitation); a significant decrease cytokine production in subjects with low basal levels of cytokine production while a significant increase cytokine production in subjects with high basal levels of cytokine production

  • -Subjects with the A/A and A/G genotype at TNF-α-308G>A who were treated with vitamin E had lower TNF-α production than those with the A allele treated with placebo

  • -TNF-α-308G>A had a significant effect on TNF-α production at baseline in whole blood elicited with LPS

Belisle et al. 2008 [82]
Belisle et al. 2009 [83]
Healthy adults, 20–50 y 17 (P)
15 (E)
16 (E+TE)
P: placebo tablet
E: 200 mg/d as dl-α-tocopherol or 200 mg/d (70% tocotrienol +30% tocopherol) for 56 d
  • -Plasma vitamin E concentration, 8 μg/ml at basal and 18 μg/ml after vitamin E supplementation

  • -No change in lymphocyte phenotype (% CD4+, CD8+, B, NK cells)

  • -No effect on IL-4, IL-10, and IFN-γ production in response to Con A

Radhakrishnan et al. 2009 [252]
Healthy women, 18–25 y 108 into (P) or (TE) P: soy oil provided as capsule
TE: 400 mg/d as tocotrienol + 183.2 mg/d as dl-α-tocopherol for 56d
  • -After tetanus toxoid (TT) vaccination, increase plasma anti-TT IgG in both placebo and TE, but more significant increase in TE group

  • -Increase Con A-stimulated IFN-γ production in both placebo and TE group, but more significant increase in TE group

  • -Increase TT-stimulated IFN-γ production in TE group

  • -Increase Con A-induced IL-4 in both groups and no difference between P and TE

  • -Increase TT-stimulated IL-4 in TE

  • -Decrease LPS-stimulated IL-6 in TE

Mahalingam et al. 2011 [253]

(C) control, (P) placebo, (E) vitamin E supplementation, (TE) tocotrienol supplementation