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Murr, C; Pilz, S; Grammer, TB; Kleber, ME; Meinitzer, A; Boehm, BO; Marz, W; Fuchs, D.
Vitamin D deficiency parallels inflammation and immune activation, the Ludwigshafen Risk and Cardiovascular Health (LURIC) study.
Clin Chem Lab Med. 2012; 50(12):2205-2212
Doi: 10.1515/cclm-2012-0157
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PubMed
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- Co-Autor*innen der Med Uni Graz
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März Winfried
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Meinitzer Andreas
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Pilz Stefan
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- Abstract:
- Background: Low vitamin D concentrations are detected in patients suffering from various clinical conditions which are characterized also by inflammation and immune activation. We investigated whether vitamin D levels in patients with coronary artery disease (CAD) are related to markers of immune activation.
Methods: Serum concentrations of 25-hydroxyvitamin D [25(OH)D] and 1,25-dihydroxyvitamin D [1,25(OH)(2)D] and the immune activation markers neopterin and high sensitivity C-reactive protein (hsCRP) were measured in 2015 patients derived from the LUdwigshafen RIsk and Cardiovascular Health (LURIC) study, a cohort study among patients referred for coronary angiography.
Results: Serum concentrations of 25(OH)D and 1,25(OH)(2)D did not differ between patients with CAD [mean +/- SD: 25(OH)D: 17.4 +/- 9.4 mu g/L; 1,25(OH)(2)D: 34.4 +/- 13.3 ng/L] and controls [25(OH)D: 18.4 +/- 11.7 mu g/L; 1,25(OH)(2)D: 35.3 +/- 12.7 ng/L; WelchANDapos;s t-test: p=n.s.] but CAD patients had higher neopterin (8.6 +/- 7.4 nmol/L) and hsCRP (9.6 +/- 19.6 mg/L) concentrations compared to controls (neopterin: 7.5 +/- 4.8 nmol/L; p = 0.0004; hsCRP: 5.4 +/- 10.0 mg/L; pANDlt;0.0001). There was an inverse correlation between serum 25(OH)D or 1,25(OH)(2)D concentrations and serum neopterin [SpearmanANDapos;s rank correlation: 25(OH)D: r(s) = -0.183; 1,25(OH)(2)D: rs = -0.230] and hsCRP [25(OH)D: rs = -0.142; 1,25(OH)(2)D: rs = -0.130; all pANDlt;0.0001] concentrations.
Conclusions: Our results indicate increased inflammatory processes in patients with low vitamin D status. Further studies should clarify the underlying mechanisms for the observed associations of vitamin D status and inflammatory parameters.
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Aged -
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C-Reactive Protein - metabolism
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Cardiovascular Diseases - complications
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Cohort Studies -
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Humans -
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Immune System - immunology
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Inflammation - physiopathology
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Middle Aged -
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Vitamin D - analogs & derivatives
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Vitamin D Deficiency - physiopathology
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coronary artery disease
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creatinine
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C-reactive protein
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cystatin C
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neopterin
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vitamin D