Department of Immunology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iran J Allergy Asthma Immunol. 2022 Aug 12;21(4):407-417. doi: 10.18502/ijaai.v21i4.10288.
Hashimoto's thyroiditis (HT) results from chemoattraction of inflammatory cells toward the thyroid gland by inducing the production of interferon-gamma (IFNγ)-induced protein 10 (IP10) by T helper (Th) 1 cells. Vitamin D may suppress the IFNγ-IP10 axis, but this new function of vitamin D has not yet been investigated in HT patients. In an intervention and control group, patients received 50000 IU cholecalciferol or placebo every week for three months, respectively. The CD4+ T cells of 40 patients were isolated, and the mRNA expression levels of vitamin D receptor (VDR), peroxisome proliferator-activated receptors (PPAR)-α, and PPAR-γ genes were determined by real-time PCR. ELISA method was used to determine serum levels of vitamin D, tumor necrosis factor-alpha (TNF-α), IFN-γ, and IP10. Vitamin D levels in the intervention group were significantly higher than in the placebo group after supplementation. PPAR-α and PPAR-γ gene expression levels did not differ significantly between the two groups. The serum levels of IP10, IFNγ, and TNF-α decreased significantly in the vitamin D group, as well as in the placebo group. During this study, vitamin D levels significantly increased in the intervention group and inflammatory factors decreased. Based on the similar results obtained in the placebo group, further studies with larger sample sizes and longer intervention times are recommended.
桥本甲状腺炎 (HT) 是由辅助性 T 细胞 1 (Th1) 细胞诱导产生干扰素-γ (IFNγ) 诱导蛋白 10 (IP10),引起炎症细胞向甲状腺趋化所致。维生素 D 可能抑制 IFNγ-IP10 轴,但维生素 D 的这一新功能尚未在 HT 患者中进行研究。在干预组和对照组中,患者分别每周接受 50000IU 胆钙化醇或安慰剂治疗 3 个月。分离 40 例患者的 CD4+T 细胞,实时 PCR 法测定维生素 D 受体 (VDR)、过氧化物酶体增殖物激活受体 (PPAR)-α 和 PPAR-γ 基因的 mRNA 表达水平。采用 ELISA 法测定血清维生素 D、肿瘤坏死因子-α (TNF-α)、IFN-γ 和 IP10 水平。补充后,干预组的维生素 D 水平明显高于安慰剂组。两组间 PPAR-α 和 PPAR-γ 基因表达水平无明显差异。维生素 D 组和安慰剂组的 IP10、IFNγ 和 TNF-α 血清水平均显著下降。在这项研究中,干预组的维生素 D 水平显著增加,炎症因子水平降低。鉴于安慰剂组也得到了类似的结果,建议开展更大样本量和更长干预时间的进一步研究。