Vitamin D deficiency is associated with asthma risk. Vitamin D deficiency may enhance the inflammatory response, and we have previously shown that airway remodeling and airway hyperresponsiveness is increased in vitamin D-deficient mice. In this study, we hypothesize that vitamin D deficiency would exacerbate house dust mite (HDM)-induced inflammation and alterations in lung structure and function. A BALB/c mouse model of vitamin D deficiency was established by dietary manipulation. Responsiveness to methacholine, airway smooth muscle (ASM) mass, mucus cell metaplasia, lung and airway inflammation, and cytokines in bronchoalveolar lavage (BAL) fluid were assessed. Gene expression patterns in mouse lung samples were profiled by RNA-Seq. HDM exposure increased inflammation and inflammatory cytokines in BAL, baseline airway resistance, tissue elastance, and ASM mass. Vitamin D deficiency enhanced the HDM-induced influx of lymphocytes into BAL, ameliorated the HDM-induced increase in ASM mass, and protected against the HDM-induced increase in baseline airway resistance. RNA-Seq identified nine genes that were differentially regulated by vitamin D deficiency in the lungs of HDM-treated mice. Immunohistochemical staining confirmed that protein expression of midline 1 (MID1) and adrenomedullin was differentially regulated such that they promoted inflammation, while hypoxia-inducible lipid dropletassociated, which is associated with ASM remodeling, was downregulated. Protein expression studies in human bronchial epithelial cells also showed that addition of vitamin D decreased MID1 expression. Differential regulation of these genes by vitamin D deficiency could determine lung inflammation and pathophysiology and suggest that the effect of vitamin D deficiency on HDM-induced allergic airways disease is complex. airway remodeling; airway hyperresponsiveness; mouse model; RNASeq; house dust mite VITAMIN D DEFICIENCY IS PREVALENT all over the world and is a public health concern. Epidemiological studies have linked vitamin D deficiency to respiratory diseases, including lung cancer, chronic obstructive pulmonary disease, and asthma (16,26,43). However, while there is evidence that higher vitamin D levels may reduce the risk of asthma exacerbations, there is inconclusive evidence that vitamin D deficiency has the capacity to cause asthma (5,13,34).Asthma is an inflammatory disorder affecting the conducting airways (22). Allergic asthma is characterized by T helper (Th) 2 type inflammation, and persistent airway inflammation drives structural alterations in the lung (32). These structural changes, termed airway remodeling, lead to reversible airflow obstruction, deficits in lung function, and airway hyperresponsiveness (AHR) (32). These functional deficits are ultimately linked to asthma-related morbidity. Vitamin D has important immunomodulatory properties, as evidenced by the widespread expression of the vitamin D receptor on immune cells, including activated T and B cells, macrophages, and dendritic cells (18). Studies hav...