Demir Mehmet Gokhan
Department of ENT, Etımesgut State Hospıtal, Ankara, Turkey.
Int Arch Otorhinolaryngol. 2018 Oct;22(4):428-431. doi: 10.1055/s-0038-1649492. Epub 2018 May 9.
Allergic rhinitis is one of the most common allergic diseases that cause a decrease in quality of life. Over the last decades, the increase in the number of cases is supposed to be a result of industrialization and lifestyle changes. Vitamin D, which is a steroid hormone, has a significant immunomodulatory and antioxidant role in the human body. The objective of the present study is to investigate the role of 1α-25-dihydroxyvitamin D3 levels in allergic rhinitis patients and to compare them to the levels found in the healthy population. A total of 256 participants were included in the present study. Allergic rhinitis is diagnosed with the help of the Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines confirmed through skin prick tests. Control subjects were selected among people without allergy history, which was also confirmed through skin prick tests. The levels of 1α-25-dihydroxyvitamin D3, immunoglobulin E (IgE), and eosinophil counts were measured in blood samples from both groups. The mean value of serum levels of 1α-25-hydroxyvitamin D3 was 25.5 ± 3.74 in the allergic rhinitis group, and 31.58 ± 3.85 in the control subjects. This difference reveals statistically-decreased levels in the allergic rhinitis group ( < 0.05). The total IgE levels are increased in the allergic rhinitis group ( < 0.05) and negatively correlated with the serum levels of 1α-25-hydroxyvitamin D3 (r = - 0.259, < 0.05). Lower serum levels of 1α-25-hydroxyvitamin D3 were detected in the allergic rhinitis population. This data is also correlated to the IgE response in the study group. A supplement of 1α-25-hydroxyvitamin D3 in deficient patients might be helpful to relieve symptoms and signs of allergic rhinitis, but further studies are needed.
变应性鼻炎是导致生活质量下降的最常见变应性疾病之一。在过去几十年中,病例数量的增加被认为是工业化和生活方式改变的结果。维生素D是一种类固醇激素,在人体中具有重要的免疫调节和抗氧化作用。
本研究的目的是调查1α-25-二羟基维生素D3水平在变应性鼻炎患者中的作用,并将其与健康人群中的水平进行比较。
本研究共纳入256名参与者。变应性鼻炎通过变应性鼻炎及其对哮喘的影响(ARIA)指南并经皮肤点刺试验确诊。对照受试者从无过敏史的人群中选取,这也通过皮肤点刺试验得到证实。两组均采集血样检测1α-25-二羟基维生素D3、免疫球蛋白E(IgE)和嗜酸性粒细胞计数水平。
变应性鼻炎组血清1α-25-羟基维生素D3水平的平均值为25.5±3.74,对照组为31.58±3.85。这种差异表明变应性鼻炎组的水平在统计学上降低(<0.05)。变应性鼻炎组总IgE水平升高(<0.05),且与血清1α-25-羟基维生素D3水平呈负相关(r = -0.259,<0.05)。
变应性鼻炎人群中检测到较低的血清1α-25-羟基维生素D3水平。该数据也与研究组中的IgE反应相关。对缺乏该物质的患者补充1α-25-羟基维生素D3可能有助于缓解变应性鼻炎的症状和体征,但还需要进一步研究。