Hypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients

Recent studies have shown the effects of vitamin D on host response to infectious diseases. Some studies detected a high prevalence of hypovitaminosis D in HIV-infected patients, but scarce information exists for HTLV-1 infection. We conducted a cross-sectional study to evaluate the frequency of hyp...

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Autores principales: Elaine Coutinho Netto, Alfredo Carlos Silva, Célia Pedroso, Carlos Brites
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:c9711afeb27f4057acfa027ac28225852021-11-25T19:13:28ZHypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients10.3390/v131122231999-4915https://doaj.org/article/c9711afeb27f4057acfa027ac28225852021-11-01T00:00:00Zhttps://www.mdpi.com/1999-4915/13/11/2223https://doaj.org/toc/1999-4915Recent studies have shown the effects of vitamin D on host response to infectious diseases. Some studies detected a high prevalence of hypovitaminosis D in HIV-infected patients, but scarce information exists for HTLV-1 infection. We conducted a cross-sectional study to evaluate the frequency of hypovitaminosis D in HTLV-1 patients and its relationship with their immune response in HTLV-infected patients and in age- and gender-matched controls at a Brazilian rehabilitation hospital. We compared vitamin D, interleukin-6 (IL-6), tumoral necrosis factor-alpha (TNF-α) and interferon-gamma (IFN-γ) levels across groups. Logistic regression was utilized to assess the association between hypovitaminosis D and cytokine levels. We enrolled 161 HTLV-infected subjects (129 HTLV-associated myelopathy/tropical spastic paraparesis (HAM/TSP) patients, 32 asymptomatic HTLV carriers) and equal number of HTLV-negative controls. We observed a significantly higher prevalence of hypovitaminosis D in patients with HAM/TSP than in HTLV asymptomatic carriers (<i>p</i> < 0.001), or controls (<i>p</i> < 0.001). HAM/TSP patients also had higher levels of IL-6 and IFN-γ than asymptomatic carriers. Patients with HAM/TSP and hypovitaminosis D had higher levels of TNF-α than asymptomatic HTLV carriers. These findings suggest hypovitaminosis D plays a role in HAM/TSP pathogenesis, and it needs to be evaluated in further studies.Elaine Coutinho NettoAlfredo Carlos SilvaCélia PedrosoCarlos BritesMDPI AGarticle25(OH)Dvitamin DHTLVCalcitriolHAM/TSPMicrobiologyQR1-502ENViruses, Vol 13, Iss 2223, p 2223 (2021)
institution DOAJ
collection DOAJ
language EN
topic 25(OH)D
vitamin D
HTLV
Calcitriol
HAM/TSP
Microbiology
QR1-502
spellingShingle 25(OH)D
vitamin D
HTLV
Calcitriol
HAM/TSP
Microbiology
QR1-502
Elaine Coutinho Netto
Alfredo Carlos Silva
Célia Pedroso
Carlos Brites
Hypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients
description Recent studies have shown the effects of vitamin D on host response to infectious diseases. Some studies detected a high prevalence of hypovitaminosis D in HIV-infected patients, but scarce information exists for HTLV-1 infection. We conducted a cross-sectional study to evaluate the frequency of hypovitaminosis D in HTLV-1 patients and its relationship with their immune response in HTLV-infected patients and in age- and gender-matched controls at a Brazilian rehabilitation hospital. We compared vitamin D, interleukin-6 (IL-6), tumoral necrosis factor-alpha (TNF-α) and interferon-gamma (IFN-γ) levels across groups. Logistic regression was utilized to assess the association between hypovitaminosis D and cytokine levels. We enrolled 161 HTLV-infected subjects (129 HTLV-associated myelopathy/tropical spastic paraparesis (HAM/TSP) patients, 32 asymptomatic HTLV carriers) and equal number of HTLV-negative controls. We observed a significantly higher prevalence of hypovitaminosis D in patients with HAM/TSP than in HTLV asymptomatic carriers (<i>p</i> < 0.001), or controls (<i>p</i> < 0.001). HAM/TSP patients also had higher levels of IL-6 and IFN-γ than asymptomatic carriers. Patients with HAM/TSP and hypovitaminosis D had higher levels of TNF-α than asymptomatic HTLV carriers. These findings suggest hypovitaminosis D plays a role in HAM/TSP pathogenesis, and it needs to be evaluated in further studies.
format article
author Elaine Coutinho Netto
Alfredo Carlos Silva
Célia Pedroso
Carlos Brites
author_facet Elaine Coutinho Netto
Alfredo Carlos Silva
Célia Pedroso
Carlos Brites
author_sort Elaine Coutinho Netto
title Hypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients
title_short Hypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients
title_full Hypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients
title_fullStr Hypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients
title_full_unstemmed Hypovitaminosis D Is Associated with Higher Levels of Inflammatory Cytokines and with HAM/TSP in HTLV-Infected Patients
title_sort hypovitaminosis d is associated with higher levels of inflammatory cytokines and with ham/tsp in htlv-infected patients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/c9711afeb27f4057acfa027ac2822585
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