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.
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.
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.
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.
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.
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: Govern-ment of India, Central Tuberculosis; 2005 [cited 2016 Mar 1]. Available from: http://www.tbcindia.nic.in/pdfs/RNTCP%20 Lab%20Network%20Guidelines.pdf.
11. G R, Gupta A. Vitamin D deficiency in India: prevalence, causalities and interventions. Nutrients 2014;6:729-75.
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.
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.
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.
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.