Wu Hai-Yan, Chen Jin-Xiang, Tian Hui-Qin, Zhang Xiu-Ling, Bian Hai-Yan, Cheng Lei
Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China.
Department of Otorhinolaryngology, Affiliated Jiangyin Hospital, Medical College of Southeast University, Jiangyin 214400, Jiangsu, China.
Asia Pac Allergy. 2017 Oct;7(4):213-220. doi: 10.5415/apallergy.2017.7.4.213. Epub 2017 Oct 30.
The relationship between vitamin D and allergic rhinitis (AR) remains unclear. The present study investigated their association by examining serum 25-hydroxyvitamin D (25(OH)D) levels, blood eosinophils, and the expression of vitamin D receptors (VDR) on nasal mucosa in patients with AR.
A total of 32 patients with persistent AR and 25 controls were enrolled in this study. Serum 25(OH)D levels were detected by enzyme-linked immunosorbent assay, and eosinophils in the peripheral blood were examined by an automated hematology system, while VDR expression on inferior turbinate mucosa was assessed by immunohistochemistry. Furthermore, the correlation of serum 25(OH)D levels with blood eosinophils in persistent AR was analyzed.
No significant difference in serum 25(OH)D levels was detected between the AR and control groups ( = 0.371). Interestingly, the serum 25(OH)D levels of the AR group were negatively correlated with blood eosinophil count and its proportion ( = 0.019 and = 0.010, respectively) even when adjusting confounding factors including age, sex, body mass index, and the season of blood sampling. On the other hand, no significant difference in the expression levels of VDR on nasal mucosa was found between the AR group and the control group ( = 0.231).
These results suggest that the serum 25(OH)D might be inversely associated with blood eosinophils in patients with persistent AR. However, the relationship between vitamin D and AR still requires further clarification.
维生素D与变应性鼻炎(AR)之间的关系尚不清楚。本研究通过检测AR患者血清25-羟基维生素D(25(OH)D)水平、血液嗜酸性粒细胞以及鼻黏膜维生素D受体(VDR)的表达,来研究它们之间的关联。
本研究共纳入32例持续性AR患者和25例对照。采用酶联免疫吸附测定法检测血清25(OH)D水平,用自动血液学系统检测外周血嗜酸性粒细胞,通过免疫组织化学评估下鼻甲黏膜VDR表达。此外,分析持续性AR患者血清25(OH)D水平与血液嗜酸性粒细胞的相关性。
AR组和对照组血清25(OH)D水平无显著差异(=0.371)。有趣的是,即使校正包括年龄、性别、体重指数和采血季节等混杂因素后,AR组血清25(OH)D水平仍与血液嗜酸性粒细胞计数及其比例呈负相关(分别为=0.019和=0.010)。另一方面,AR组和对照组鼻黏膜VDR表达水平无显著差异(=0.231)。
这些结果表明,持续性AR患者血清25(OH)D可能与血液嗜酸性粒细胞呈负相关。然而,维生素D与AR之间的关系仍需进一步阐明。