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

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2016, v.79 no.3, pp.153-157
B. Yuvaraj (Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER))
M. G. Sridhar (Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER))
S. Vinod Kumar (Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER))
T. Kadhiravan (Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER))
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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
Vitamin D, Tuberculosis, Pulmonary

Reference

1.

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.

2. Thacher TD, Clarke BL. Vitamin D insufficiency. Mayo Clin Proc 2011;86:50-60.

3.

3. Londhey V. Vitamin D deficiency: Indian scenario. J Assoc Physicians India 2011;59:695-6.

4.

4. Harinarayan CV, Joshi SR. Vitamin D status in India: its implications and remedial measures. J Assoc Physicians India 2009;57:40-8.

5.

5. Zasloff M. Fighting infections with vitamin D. Nat Med 2006;12:388-90.

6.

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.

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.

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.

9. Sasidharan PK, Rajeev E, Vijayakumari V. Tuberculosis and vitamin D deficiency. J Assoc Physicians India 2002;50:554-8.

10.

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.

11. G R, Gupta A. Vitamin D deficiency in India: prevalence, causalities and interventions. Nutrients 2014;6:729-75.

12.

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.

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.

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.

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.

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.

Tuberculosis & Respiratory Diseases