Professor Martin Hewison PhD

Professor Martin Hewison

Department of Metabolism and Systems Science
Professor of Molecular Endocrinology

Contact details

Address
Department of Metabolism and Systems Science
IBR Building
University of Birmingham
Edgbaston
Birmingham
B15 2TT UK

Professor Hewison’s work focuses on different facets of vitamin D physiology, including classical skeletal effects and non-classical extra-skeletal effects. He has a particular interest in the interaction between vitamin D and the immune system, where antigen-presenting cells such as dendritic cells and macrophages synthesize active vitamin D (calcitriol) and also express the nuclear receptor for calcitriol (VDR). Vitamin D can therefore act as an endogenous regulator of both innate and adaptive immunity by enhancing antibacterial activity, and modulating antigen presentation and T lymphocyte function. Crucially these responses are highly dependent on the bioavailability of vitamin D, and Professor Hewison has hypothesized that immune function is influenced by vitamin D status in humans. His group is using a variety of models to test this hypothesis including basic molecular and cell analyses, and vitamin D supplementation trials in human cohorts. A key objective of his work is to increase awareness of vitamin D-deficiency in the UK population.

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Qualifications

  • PhD (1987)
  • BSc (Hons) (1982)

Biography

Vitamin D: endocrine, intracrine and paracrine functions

Professor Hewison is currently Professor of Molecular Endocrinology in the Department of Metabolism and Systems Science at the University of Birmingham. He gained his PhD in Biochemistry from Guy’s Hospital Medical School London and then spent nine years at University College London. He then moved to the University of Birmingham where he established the UK’s major vitamin D research group, leading to an appointment as Professor of Molecular Endocrinology in 2004. In 2005 he joined Cedars-Sinai Medical Center Los Angeles but was then recruited to neighbouring UCLA at the end of 2007 as Professor-in-Residence. In September 2014 Professor Hewison returned to The University of Birmingham to join the newly-established IMSR, becoming Director of the IMSR from 2022-2024.

Professor Hewison has published over 280 peer-reviewed manuscripts focused on various facets of steroid hormone endocrinology, and vitamin D in particular. He has previously held various prominent external positions including the Chair of the Vitamin D Workshop and Editor-in-Chief of the journal Cell Biochemistry and Function and a major book on Vitamin D. Professor Hewison has mentored numerous PhD students, and postdoctoral and clinical fellows, and he was Molecular Medicine Module Lead and Year 3 Tutor for the Birmingham Bachelor of Medical Sciences (BMedSc) course for several years.

Teaching

  • BMedSc 3rd Year (Molecular Medicine)
  • BClinSc intercalating (Endocrinology, Diabetes and Metabolism)
  • MBChB 1st Year (Endocrinology)
  • BDS, Dentistry (Endocrinology)
  • MPharm, Pharmacy – (Endocrinology)

Postgraduate supervision

  • Professor Hewison has supervised 23 PhD students and 3 MSc students

Research

Vitamin D is sub-optimal for most UK residents. In 2016 the Scientific Advisory Council on Nutrition recommended supplementation on a national scale to tackle vitamin D-deficiency and associated bone disease. Vitamin D also exerts extra-skeletal effects, and this may impact an array of common human diseases. The over-arching aim of my research is to mechanistically define a role for vitamin D in human health.

My group has identified new immunomodulatory effects of vitamin D mediated via localized intracrine/paracrine mechanisms independent of classical skeletal vitamin D endocrinology. We have shown that antibacterial and anti-inflammatory effects of vitamin D correlate better with serum levels of inactive 25-hydroxyvitamin D (25D) than active 1,25-dihydroxyvitamin D (1,25D). 25D is the major circulating form of vitamin D so that 25D status can potently influence immune function. Over the last 20 years, using human studies and mouse models, my group has been at the forefront of studies of vitamin D and immune function.

In the last five years this has included studies of vitamin D and COVID-19, but we have also pioneered new work on the role of vitamin D as a key regulator of immunometabolism, and the impact of vitamin D-deficiency on pregnancy outcomes, inflammatory bowel disease, rheumatoid arthritis and sarcopenia. Our work has provided researchers worldwide with the mechanistic rationale for the myriad clinical studies that have linked vitamin D-deficiency with human health problems.

The over-arching objective of our work is to answer a simple question: Is serum 25D concentration alone an accurate reflection of vitamin D function in vivo?

Our work has shown that the answer to this question is no. Instead, we now know that other health and disease pathways interface with vitamin D to provide a disease- or patient-specific profile for optimal vitamin D. Key factors, outlined above, that contribute to this profile are vitamin D binding protein (DBP), fibroblast growth factor 23 (FGF23), and tissue microbiota. Our recent work has also shown that our perspective on vitamin D is limited by the exclusive use of 25D as a marker of vitamin D function. We are now leading the world in demonstrating that the broader vitamin D ‘metabolome’ provides a more meaningful insight into vitamin D bioactivity.  Our overall aim is to demonstrate that many health responses to vitamin D are not simply dependent on the basic building block of vitamin D function - serum 25D. A recent exciting example of this is our collaborative project with Prof. David Hodson at the University of Oxford that has identified a new role for DBP as a regulator of islet function and diabetes pathophysiology.

I am proud that my group at UoB is the leading vitamin D research team in the UK, with a huge global impact (my work has been cited nearly 50,000 times) and many productive collaborations to take our research legacy forward.

Research Centres and Groups

Centre for Musculoskeletal Ageing Research (CMAR) – Theme Lead

Publications

Recent publications

Article

Arabi, TZ, Fakhoury, HMA, Tamim, H, Chun, RF, Hewison, M, AlAnouti, F, Pilz, S, Annweiler, C, Tzimagiorgis, G, Haitoglou, C & Karras, SN 2024, 'Associations between total, free and bioavailable 25-hydroxyvitamin D forms with adiponectin and irisin in maternal-neonatal pairs at birth from Greece', Frontiers in Endocrinology, vol. 15, 1397869. https://doi.org/10.3389/fendo.2024.1397869

Martin, CS, Crastin, A, Sagmeister, MS, Kalirai, MS, Turner, JD, MacDonald, L, Kurowska-Stolarska, M, Scheel-Toellner, D, Taylor, AE, Gilligan, LC, Storbeck, K, Price, M, Gorvin, CM, Filer, A, Mahida, R, Clark, AR, Jones, SW, Raza, K, Hewison, M & Hardy, RS 2024, 'Inflammation Dynamically Regulates Steroid Hormone Metabolism and Action within Macrophages in Rheumatoid Arthritis  ', Journal of Autoimmunity, vol. 147, 103263. https://doi.org/10.1016/j.jaut.2024.103263

Patel, A, Caruana, EJ, Hodson, J, Morrison, R, Khor, B, Gysling, S, Trevis, J, Mangel, T, Benson, R, Zakeri, R, Manders, J, Vaja, R, Rogers, L, Baker, P, Pournaras, DJ, Thickett, D, Hewison, M, Naidu, B & Lim, E 2024, 'Role of vitamin D supplementation in modifying outcomes after surgery: a systematic review of randomised controlled trials', BMJ open, vol. 14, no. 1, e073431. https://doi.org/10.1136/bmjopen-2023-073431

Davies, S, Perkin, O, Betts, J, Gonzalez, J, Hewison, M, Jenkinson, C, Jones, K, Meadows, S, Parkington, D, Koulman, A & Thompson, D 2024, 'The Effect of an Acute Bout of Exercise on Circulating Vitamin D Metabolite Concentrations: A Randomised Crossover Study in Healthy Adults', The Journal of Physiology. https://doi.org/10.1113/JP286395

Bishop, EL, Gudgeon, N, Fulton-Ward, T, Stavrou, V, Roberts, J, Boufersaoui, A, Tennant, DA, Hewison, M, Raza, K & Dimeloe, S 2024, 'TNF-α signals through ITK-Akt-mTOR to drive CD4+ T cell metabolic reprogramming, which is dysregulated in rheumatoid arthritis', Science signaling, vol. 17, no. 833, eadg5678. https://doi.org/10.1126/scisignal.adg5678

Chadda, KR, Roberts, SA, Lugg, ST, Faniyi, AA, Faustini, SE, Webster, C, Duffy, JE, Hewison, M, Shields, A, Richter, AG, Parekh, D, Scott, A & Thickett, DR 2024, 'Vitamin D deficiency and duration of COVID-19 symptoms in UK healthcare workers', Frontiers in Medicine, vol. 11, 1494129. https://doi.org/10.3389/fmed.2024.1494129

Viloria, K, Nasteska, D, Ast, J, Hasib, A, Cuozzo, F, Heising, S, Briant, LJB, Hewison, M & Hodson, DJ 2023, 'GC-Globulin/Vitamin D-Binding Protein Is Required for Pancreatic α-Cell Adaptation to Metabolic Stress', Diabetes, vol. 72, no. 2, pp. 275-289. https://doi.org/10.2337/db22-0326

Fletcher, J, Brown, M, Hewison, M, Swift, A & Cooper, SC 2023, 'Prevalence of vitamin D deficiency and modifiable risk factors in patients with Crohn's disease: A prospective observational study', Journal of Advanced Nursing, vol. 79, no. 1, pp. 205-214. https://doi.org/10.1111/jan.15476

Bishop, EL, Gudgeon, NH, Mackie, GM, Chauss, D, Roberts, J, Tennant, DA, Maslowski, KM, Afzali, B, Hewison, M & Dimeloe, S 2022, '1,25-Dihydroxyvitamin D3 suppresses CD4+ T-cell effector functionality by inhibition of glycolysis', Immunology, vol. 166, no. 3, pp. 299-309. https://doi.org/10.1111/imm.13472

Jenkinson, C, Desai, R, Mcleod, MD, Mueller, JW, Hewison, M & Handelsman, DJ 2022, 'Circulating conjugated and unconjugated vitamin D metabolite measurements by liquid chromatography mass spectrometry', Journal of Clinical Endocrinology and Metabolism, vol. 107, no. 2, pp. 435-449. https://doi.org/10.1210/clinem/dgab708

Ashley, B, Simner, C, Manousopoulou, A, Jenkinson, C, Hey, F, Frost, JM, Rezwan, FI, White, CH, Lofthouse, EM, Hyde, E, Cooke, LD, Barton, S, Mahon, P, Curtis, EM, Moon, RJ, Crozier, SR, Inskip, HM, Godfrey, KM, Holloway, JW, Cooper, C, Jones, KS, Lewis, RM, Hewison, M, Garbis, SD, Branco, MR, Harvey, NC & Cleal, JK 2022, 'Placental uptake and metabolism of 25(OH)vitamin D determine its activity within the fetoplacental unit', eLife, vol. 11, e71094. https://doi.org/10.7554/eLife.71094

Hewison, M 2022, 'There is more to life than serum vitamin D: a lesson from the past', Clinical Science, vol. 136, no. 8, pp. 639-642. https://doi.org/10.1042/CS20211176

Abstract

Roberts, SA, Lugg, ST, Faniyi, AA, Faustini, SE, Faniyi, C, Duffy, J, Hewison, M, Shields, A, Richter, AG, Parekh, D, Scott, A & Thickett, DR 2023, 'P165 Association between vitamin D deficiency and extended duration of COVID-19 symptoms', Thorax, vol. 77, no. Suppl 1, pp. A170-A171. https://doi.org/10.1136/thorax-2022-BTSabstracts.299

Review article

Fletcher, J, Bishop, E, Harrison, S, Williamson-Swift, A, Cooper, SC, Dimeloe, S, Raza, K & Hewison, M 2022, 'Autoimmune disease and interconnections with vitamin D', Endocrine Connections, vol. 11, no. 3, e210554. https://doi.org/10.1530/EC-21-0554

Tamblyn, J, Pilarski, N, Markland, AD, Marson, EJ, Devall, A, Hewison, M, Morris, RK & Coomarasamy, A 2022, 'Vitamin D and miscarriage: a systematic review and meta-analysis', Fertility and Sterility, vol. 118, no. 1, pp. 111-122. https://doi.org/10.1016/j.fertnstert.2022.04.017

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