Vitamin A and its active metabolite retinoic acid (RA) are key players in the regulation of the immune response, especially at the mucosal borders, where RA is particularly abundant. Retinoic acid receptors (RARs), via their transcriptional activity, modulate the expression of many genes in many types of immune cells, such as T cells, B cells, macrophages or dendritic cells. Among the pleiotropic effects on immune cells, the ability of RA and RARs to confer gut tropism and to promote the generation of regulatory T cells (Tregs) are undoubtedly the most prominent. However, depending on the physiopathological context, RA can also promote inflammation. These multiple and sometimes paradoxical properties of RA reflect the importance of this nutrient‐derived molecule in the fine‐tuning of the immune system.
Key Concepts
Retinoic acid is the active metabolite of Vitamin A, a nutrient essential for many biological processes.
Retinoic acid receptors act as transcription factors to regulate the expression of several genes.
Retinoic acid induces the expression of gut homing receptors on several immune cells.
Retinoic acid induces the generation of regulatory T cells that control the immune and inflammatory response.
In certain physiopathological contexts, retinoic acid can act as an adjuvant to promote inflammation.