DOI QR코드

DOI QR Code

Association of Serum Vitamin D Levels with Bacterial Load in Pulmonary Tuberculosis Patients

  • Yuvaraj, B. (Department of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)) ;
  • Sridhar, M.G. (Department of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)) ;
  • Kumar, S. Vinod (Department of Pulmonary Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)) ;
  • Kadhiravan, T. (Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER))
  • Received : 2015.11.18
  • Accepted : 2016.05.04
  • Published : 2016.07.01

Abstract

Background: Vitamin D is known to have diverse effects on various systems in the body. There is evidence to suggest that a link exists between the serum vitamin D status and tuberculosis. The present study was designed to assess the alterations in serum 25-hydroxyvitamin D levels in newly diagnosed sputum acid fast bacilli (AFB) positive pulmonary tuberculosis patients and to study the association, if any, between serum vitamin D levels and different levels of sputum smear positivity. Methods: Serum 25-hydroxyvitamin D levels were estimated in 65 sputum AFB positive pulmonary tuberculosis patients and 65 age and gender-matched healthy controls. Results: The levels of serum 25 hydroxy-vitamin D in tuberculosis patients were not statistically different from the levels of serum 25 hydroxy-vitamin D in healthy controls. However, among patients with pulmonary tuberculosis, there was a significant negative correlation between the levels of serum 25 hydroxy-vitamin D and levels of sputum positivity. Conclusion: Serum vitamin D levels negatively correlates with bacterial load in patients with active pulmonary tuberculosis.

Keywords

References

  1. World Health Organization. Global tuberculosis control: WHO report 2011 [Internet]. Geneva: World Health Organization; 2014 [cited 2014 Jul 16]. Available from: http://www.who.int/tb/publications/global_report/2011/en/.
  2. Thacher TD, Clarke BL. Vitamin D insufficiency. Mayo Clin Proc 2011;86:50-60. https://doi.org/10.4065/mcp.2010.0567
  3. Londhey V. Vitamin D deficiency: Indian scenario. J Assoc Physicians India 2011;59:695-6.
  4. Harinarayan CV, Joshi SR. Vitamin D status in India: its implications and remedial measures. J Assoc Physicians India 2009;57:40-8.
  5. Zasloff M. Fighting infections with vitamin D. Nat Med 2006;12:388-90. https://doi.org/10.1038/nm0406-388
  6. Jhun BW, Kim SJ, Kim K, Lee JE, Hong DJ. Vitamin D status in South Korean military personnel with acute eosinophilic pneumonia: a pilot study. Tuberc Respir Dis 2015;78:232-8. https://doi.org/10.4046/trd.2015.78.3.232
  7. Hansdottir S, Monick MM, Hinde SL, Lovan N, Look DC, Hunninghake GW. Respiratory epithelial cells convert inactive vitamin D to its active form: potential effects on host defense. J Immunol 2008;181:7090-9. https://doi.org/10.4049/jimmunol.181.10.7090
  8. Davies PD, Church HA, Brown RC, Woodhead JS. Raised serum calcium in tuberculosis patients in Africa. Eur J Respir Dis 1987;71:341-4.
  9. Sasidharan PK, Rajeev E, Vijayakumari V. Tuberculosis and vitamin D deficiency. J Assoc Physicians India 2002;50:554-8.
  10. RNTCP, Tuberculosis manual [Internet]. New Delhi: Government of India, Central Tuberculosis; 2005 [cited 2016 Mar 1]. Available from: http://www.tbcindia.nic.in/pdfs/RNTCP%20Lab%20Network%20Guidelines.pdf.
  11. G R, Gupta A. Vitamin D deficiency in India: prevalence, causalities and interventions. Nutrients 2014;6:729-75. https://doi.org/10.3390/nu6020729
  12. Nnoaham KE, Clarke A. Low serum vitamin D levels and tuberculosis: a systematic review and meta-analysis. Int J Epidemiol 2008;37:113-9. https://doi.org/10.1093/ije/dym247
  13. Wejse C, Olesen R, Rabna P, Kaestel P, Gustafson P, Aaby P, et al. Serum 25-hydroxyvitamin D in a West African population of tuberculosis patients and unmatched healthy controls. Am J Clin Nutr 2007;86:1376-83. https://doi.org/10.1093/ajcn/86.5.1376
  14. Tostmann A, Wielders JP, Kibiki GS, Verhoef H, Boeree MJ, van der Ven AJ. Serum 25-hydroxy-vitamin D3 concentrations increase during tuberculosis treatment in Tanzania. Int J Tuberc Lung Dis 2010;14:1147-52.
  15. Liu PT, Stenger S, Tang DH, Modlin RL. Cutting edge: vitamin D-mediated human antimicrobial activity against Mycobacterium tuberculosis is dependent on the induction of cathelicidin. J Immunol 2007;179:2060-3. https://doi.org/10.4049/jimmunol.179.4.2060
  16. Kim SH, Baek MS, Yoon DS, Park JS, Yoon BW, Oh BS, et al. Vitamin D inhibits expression and activity of matrix metalloproteinase in human lung fibroblasts (HFL-1) cells. Tuberc Respir Dis 2014;77:73-80. https://doi.org/10.4046/trd.2014.77.2.73

Cited by

  1. Prevalence and clinical impact of vitamin D deficiency on abdominal tuberculosis vol.4, pp.3, 2017, https://doi.org/10.1177/2049936117709722
  2. A STUDY ON VITAMIN D STATUS IN TUBERCULOSIS vol.6, pp.72, 2016, https://doi.org/10.14260/jemds/2017/1105
  3. Use of computed tomography imaging during long-term follow-up of nine feline tuberculosis cases vol.20, pp.2, 2016, https://doi.org/10.1177/1098612x17699476
  4. SEASONAL VARIATION OF SERUM 25-HYDROXY-VITAMIN D IN TWO CAPTIVE EASTERN BLACK RHINOCEROS (DICEROS BICORNIS MICHAELI) HOUSED IN A NORTH AMERICAN ZOO vol.49, pp.4, 2018, https://doi.org/10.1638/2017-00090.1
  5. Association of Vitamin D Deficiency and Newly Diagnosed Pulmonary Tuberculosis vol.2021, pp.None, 2016, https://doi.org/10.1155/2021/5285841