vitamin D

维生素 D
  • 文章类型: Journal Article
    UNASSIGNED: The current study investigated and compared serum levels of vitamin D (VD) and vaspin in AMI patients and healthy subjects and correlated these biomarkers with other biochemical risk factors for AMI.
    UNASSIGNED: The research was carried out at King Abdulaziz University Hospital (KAUH) in Jeddah. Blood samples and additional information were gathered from 110 admitted AMI patients in the Intensive Coronary Care Unit (ICCU) (ages 40-65 years) and 50 adult, healthy volunteers whose BMI and age were similar to those of the patients.
    UNASSIGNED: AMI patients had significantly lower vaspin (p < 0.001) and VD levels (p < 0.001) than the control group. Fasting plasma glucose (FPG), hemoglobin A1C (HbA1c), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) levels were shown to be significantly different between AMI patients and controls. Among the AMI patients, 15 (13.6%) had deficient serum VD levels (≤20 ng/mL), 60 (54.5%) had insufficient levels (>20 - <30 ng/mL), and 35 (31.8%) had sufficient levels (≥30 ng/mL). In healthy subjects, VD levels were deficient in 4(8%), insufficient in 13 (26%), and sufficient in 33 (66%). VD insufficiency was more prevalent in AMI patients compared to the healthy group (54.5% vs 26%; p < 0.001). In AMI patients, serum vaspin was found to be related to age and HbA1c in the control group. VD did not show a significant correlation with any variable in AMI patients and healthy subjects. Serum vaspin (p = 0.89) and VD levels (p = 0.29) did not differ significantly between female and male control groups.
    UNASSIGNED: Compared to the healthy group, AMI patients showed significantly lower vaspin and VD levels. Additionally, AMI patients had a higher prevalence of VD deficiency and insufficiency, suggesting its possible role in the occurrence of AMI.
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  • 文章类型: Journal Article
    BACKGROUND: Previous studies have demonstrated the strong association of inflammatory cytokines and vitamin D (VitD) deficiency and ischemic stroke (IS) pathogenesis. Due to the negative correlation between long non-coding RNA (lncRNA) Malat1 and pro-inflammatory factors we decided to investigate the associations between Malat1 expression with serum interleukin-1β (IL-1β), and VitD levels in IS patients.
    METHODS: In this cross-sectional study, 63 IS patients were included. We used enzyme-linked immunosorbent assays to evaluate the serum levels of VitD and IL-1β. Malat1 expression was evaluated by the real-time polymerase chain reaction test. The associations between Malat1expression with VitD and IL-1β were analysed with linear regression (Stepwise model) and Pearson\'s correlation analysis.
    RESULTS: The Malat1 expression was inversely correlated with stroke severity (r=-0.25, P=0.043). Stepwise regression analysis showed a significant positive relationship between VitD level and Malat1 expression (Beta=0.28, P=0.02), and also showed a non-significant negative relationship between IL-1β and stroke severity. VitD level showed a positive Pearson correlation with Malat1 (r=0.28, P=0.023) and a negative correlation with IL-1β (r=-0.29, P=0.018) while it could not detect a significantly negative correlation with stroke severity.
    CONCLUSIONS: For the first time the associations between Malat1 expression with IL-1β and VitD in IS patients was analyzed. We found a significant positive relationship between VitD and Malat1. This correlation needs to be investigated with a larger sample size to achieve a strong and reliable association between VitD and Malat1.
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  • 文章类型: Journal Article
    背景:已经在亚洲和非洲进行了几项关于哮喘患儿血清维生素D水平和维生素D缺乏百分比的研究,但是结果不一致,没有定论,需要系统的审查和荟萃分析来评估证据的强度。
    目的:本综述的目的是综合亚洲和非洲哮喘患儿血清维生素D水平和维生素D缺乏百分比的证据。
    方法:为了确定相关文章,对各种数据库和存储库进行了全面搜索,如PubMed、谷歌学者,Hinary,WebofScience,ResearchGate,以及灰色文献来源。在检索过程中遵循系统评价和荟萃分析(PRISMA)指南的首选报告项目。按照基于JBI(JoannaBriggs研究所)数据提取指南的标准化格式进行数据提取。MicrosoftExcel用于数据提取,随后,将数据导出至STATA17进行进一步分析.为了评估纳入研究之间的异质性,采用CochraneQ统计和I2检验。使用Egger测试和漏斗图评估发布偏差。
    结果:这项荟萃分析调查了33篇文章,共3432名被诊断为哮喘的儿童。调查结果表明,在非洲和亚洲的低收入或中等收入国家,哮喘患儿的平均血清维生素D水平为21.9ng/ml(95%置信区间[CI]:18.0-25.9ng/ml),53.7%(95%CI:40.5-66.9)患有维生素D缺乏症。此外,当考虑到大陆时,亚洲哮喘患儿的平均血清维生素D水平为18.5ng/ml(95%CI:13.8-23.3),而非洲的水平为28.7ng/ml(95%CI:22.7-34.8)。分析进一步探讨了不同的亚组分析。根据研究设计,病例对照研究得出的平均血清维生素D水平为20.3ng/ml(95%CI:18.2-22.4),而横断面研究的结果为23.8ng/ml(95%CI:17.5-30.1)。根据出版年份,2015年或之前发表的研究平均血清水平为21.0ng/ml(95%CI:18.0-24.0),而2015年后发表的水平为22.4ng/ml(95%CI:17.2-27.7)。此外,当考虑样本量时,100名或以下参与者的研究平均血清水平为21.7ng/ml(95%CI:17.3-26.1),而超过100名参与者的研究水平为22.1ng/ml(95%CI:18.6-25.6)。
    结论:亚洲和非洲的哮喘患儿血清维生素D水平低,维生素D缺乏比例高。这突出了早期检测和监测这些儿童维生素D水平的重要性,以预防与维生素D缺乏相关的潜在并发症。采取积极措施解决和管理维生素D缺乏对这些地区哮喘患儿的健康至关重要。
    BACKGROUND: Several studies on the serum level of vitamin D and the percentage of vitamin D deficiency in children with asthma have been conducted in Asia and Africa, but the results have been inconsistent and inconclusive, requiring a systematic review and meta-analysis to assess the strength of the evidence.
    OBJECTIVE: The objective of this review is to synthesize evidence on serum levels of vitamin D and the percentage of vitamin D deficiency among children with asthma in Asia and Africa.
    METHODS: To identify relevant articles, a comprehensive search was conducted across various databases and repositories such as PubMed, Google Scholar, Hinary, Web of Science, ResearchGate, as well as gray literature sources. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were followed during the retrieval process. Data extraction was performed following a standardized format based on the JBI (Joanna Briggs Institute) data extraction guidelines. Microsoft Excel was utilized for data extraction, and subsequently, the data was exported to STATA 17 for further analysis. To assess the heterogeneity among the included studies, Cochrane Q-statistics and the I2 tests were employed. Publication bias was assessed using the Egger test and funnel plot.
    RESULTS: This meta-analysis investigated 33 articles encompassing a total of 3432 children diagnosed with asthma. The findings demonstrated that in low- or middle-income countries across Africa and Asia, children with asthma had an average serum vitamin D level of 21.9 ng/ml (95% confidence interval [CI]: 18.0-25.9 ng/ml), with 53.7% (95% CI: 40.5-66.9) experiencing vitamin D deficiency. Additionally, when considering the continent, children with asthma in Asia had an average serum vitamin D level of 18.5 ng/ml (95% CI: 13.8-23.3), while those in Africa had a level of 28.7 ng/ml (95% CI: 22.7-34.8). The analysis further explored different sub-group analyses. Depending on the study design, case-control studies yielded an average serum vitamin D level of 20.3 ng/ml (95% CI: 18.2-22.4), whereas cross-sectional studies resulted in 23.8 ng/ml (95% CI: 17.5-30.1). Based on publication year, studies published on or before 2015 had an average serum level of 21.0 ng/ml (95% CI: 18.0-24.0), while those published after 2015 had a level of 22.4 ng/ml (95% CI: 17.2-27.7). Moreover, when considering sample size, studies with 100 participants or less had an average serum level of 21.7 ng/ml (95% CI: 17.3-26.1), while studies with more than 100 participants had a level of 22.1 ng/ml (95% CI: 18.6-25.6).
    CONCLUSIONS: Children with asthma in Asia and Africa were found to have low serum levels of vitamin D and a high percentage of vitamin D deficiency. This highlights the importance of early detection and monitoring of vitamin D levels in these children to prevent potential complications associated with vitamin D deficiency. Taking proactive measures to address and manage vitamin D deficiency is crucial for the well-being of children with asthma in these regions.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    维生素D缺乏与各种慢性疼痛状况有关。然而,补充维生素D的随机试验结果好坏参半.相比之下,随机试验的系统评价表明补充维生素D对抑郁症有保护作用.我们在英国生物银行进行了孟德尔随机调查,一项针对招募时年龄在40-65岁的英国居民的研究。我们对四种结果进行线性和非线性孟德尔随机化分析:纤维肌痛,临床疲劳,慢性广泛性疼痛,和可能的终生严重抑郁症。我们使用与维生素D生物学已知联系的四个基因区域的遗传变异作为工具。在线性分析中,基因预测的25-羟基维生素D[25(OH)D]水平,维生素D状态的临床标志,与纤维肌痛无关(比值比[OR]每10nmol/L高25(OH)D1.02,95%置信区间[CI]0.93,1.12),临床疲劳(OR0.99,95%CI0.94,1.05),慢性广泛性疼痛(OR0.95,95%CI0.89,1.02),或可能的终生重度抑郁症(OR0.97,95%CI0.93,1.01)。在非线性分析中,在25(OH)D水平最低的五分之一人群中,观察到基因预测的25(OH)D水平与抑郁之间存在关联(OR0.75,95%CI0.59,0.94);在其他阶层中,关联为零.我们的研究结果表明,全人群补充维生素D不会显著减轻疼痛或抑郁;然而,有针对性地补充有缺陷的个体可以降低患抑郁症的风险.
    Vitamin D deficiency has been linked to various chronic pain conditions. However, randomized trials of vitamin D supplementation have had mixed results. In contrast, systematic reviews of randomized trials indicate a protective effect of vitamin D supplementation on depression. We undertake a Mendelian randomization investigation in UK Biobank, a study of UK residents aged 40-65 at recruitment. We perform linear and non-linear Mendelian randomization analyses for four outcomes: fibromyalgia, clinical fatigue, chronic widespread pain, and probable lifetime major depression. We use genetic variants from four gene regions with known links to vitamin D biology as instruments. In linear analyses, genetically-predicted levels of 25-hydroxyvitamin D [25(OH)D], a clinical marker of vitamin D status, were not associated with fibromyalgia (odds ratio [OR] per 10 nmol/L higher 25(OH)D 1.02, 95% confidence interval [CI] 0.93, 1.12), clinical fatigue (OR 0.99, 95% CI 0.94, 1.05), chronic widespread pain (OR 0.95, 95% CI 0.89, 1.02), or probable lifetime major depression (OR 0.97, 95% CI 0.93, 1.01). In non-linear analyses, an association was observed between genetically-predicted 25(OH)D levels and depression in the quintile of the population with the lowest 25(OH)D levels (OR 0.75, 95% CI 0.59, 0.94); associations were null in other strata. Our findings suggest that population-wide vitamin D supplementation will not substantially reduce pain or depression; however, targeted supplementation of deficient individuals may reduce risk of depression.
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  • 文章类型: Journal Article
    目的:本研究旨在研究蛋黄补充剂中补充维生素D对冻融RAM精液特性的影响。
    方法:将从成年公羊获得的精液样本合并并分成5个相等的体积。它是用含有不同浓度的维生素D:0(对照)的增量剂重建的,12.5(VITD12.5),25(VITD25),50(VITD50),和100ng/mL(VITD100),然后他们被冷冻了.精子运动参数,质膜功能完整性,顶体完整性,DNA片段化,精子解冻后评估各组的线粒体膜电位。
    结果:VITD50的总运动性和进行性运动性高于所有其他组(p<0.05)。更高的精子直线度,线性度VITD50和羊毛高于对照组(p<0.05)。在质膜完整性和线粒体膜电位方面观察到类似的VITD50模式(p>0.05)。
    结论:在研究中,观察到向补充剂中添加维生素D对公羊精子参数具有有益作用。此外,结论是,在补充剂中使用50ng/mL维生素D比其他剂量提供了更有效的保护.
    OBJECTIVE: This study aimed to examine the effects of supplementation of vitamin D to the egg-yolk extender on characteristics of frozen-thawed ram semen.
    METHODS: Semen samples obtained from adult rams were pooled and divided into five equal volumes. It was reconstituted with extenders containing different concentrations of vitamin D: 0 (control), 12.5 (VITD 12.5), 25 (VITD 25), 50 (VITD 50), and 100 ng/mL (VITD 100), and then they were frozen. Sperm motility parameters, plasma membrane functional integrity, acrosomal integrity, DNA fragmentation, and mitochondrial membrane potential of the groups were evaluated after sperm thawing.
    RESULTS: Total motility and progressive motility were higher in VITD 50 than in all other groups (p < 0.05). Higher sperm straightness, linearity, and wooble were higher in VITD 50 than in the control group (p < 0.05). A similar pattern of VITD 50 was observed for plasma membrane integrity and mitochondrial membrane potential (p > 0.05).
    CONCLUSIONS: In the study, it was observed that adding vitamin D to the extender had a beneficial effect on ram spermatological parameters. In addition, it was concluded that the use of the 50 ng/mL vitamin D in the extender provided more effective protection than the other doses.
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  • 文章类型: Journal Article
    累积证据表明,维生素D缺乏与各种癌症的易感性增加有关。然而,维生素D与甲状腺癌(TC)之间的关系尚不清楚.因此,迫切需要进行荟萃分析,以总结维生素D水平和TC风险的现有证据.
    这项荟萃分析旨在找出维生素D水平与TC风险之间的关联。
    根据PubMed,Embase,WebofScience,科克伦,和ClinicalTrials.gov.结果是与对照组相比,TC患者的维生素D水平以及TC患者维生素D缺乏的发生率。效果测量包括标准化平均差(SMD),均值比(RoM),和比值比(OR)。进行剂量反应荟萃分析以评估维生素D水平与TC风险之间的相关性。进行亚组分析和荟萃回归以探索异质性的来源。并通过Begg\和Egger\的测试对发表偏倚进行了评估。
    荟萃分析的结果表明,与对照组相比,TC病例中的维生素D水平较低[SMD=-0.25,95%CI:(-0.38,-0.12);RoM=0.87,95%CI:(0.81,0.94)],TC病例中的1,25(OH)D水平也低于对照组[SMD=-0.49,95%CI=0.85:0.维生素D缺乏与TC风险增加相关[OR=1.49,95%CI:(1.23,1.80)]。此外,剂量-反应荟萃分析结果显示,25(OH)D水平每降低10ng/ml,TC风险就会增加6%[OR=0.94;95%CI:(0.89,0.99)].
    与对照组相比,TC患者的维生素D水平较低,维生素D缺乏与TC风险增加相关。
    https://www.crd.约克。AC.uk/PROSPERO/display_record。php?RecordID=504417,标识符:CRD42024504417。
    UNASSIGNED: Cumulative evidence has suggested that vitamin D deficiency is related with an increased susceptibility to various types of cancers. However, the association between vitamin D and thyroid cancer (TC) has remained to be unknown. Thus, there has been an urgent need for a meta-analysis to summarize existing evidence on vitamin D levels and the risk of TC.
    UNASSIGNED: This meta-analysis aimed to figure out the association between vitamin D level and the risk of TC.
    UNASSIGNED: A systematic search was performed for eligible articles on the association between vitamin D and TC based on PubMed, Embase, Web of Science, Cochrane, and ClinicalTrials.gov. Outcomes were the vitamin D level of cases with TC and the incidence of vitamin D deficiency in cases with TC comparing with the controls. The effect measures included standardized mean difference (SMD), ratio of means (RoM), and odds ratio (OR). A dose-response meta-analysis was performed to assess the correlation between vitamin D level and the risk of TC. Subgroup analyses and meta-regressions were conducted to explore the source of heterogeneity. And publication bias was evaluated through Begg\'s and Egger\'s tests.
    UNASSIGNED: Results of the meta-analysis revealed lower levels of vitamin D in TC cases comparing with those in control [SMD = -0.25, 95% CI: (-0.38, -0.12); RoM = 0.87, 95% CI: (0.81, 0.94)] and the levels of 1,25 (OH)D in cases with TC were also lower than controls [SMD = -0.49, 95% CI: (-0.80, -0.19); RoM = 0.90, 95% CI: (0.85, 0.96)]. And vitamin D deficiency was associated with the increased risk of TC [OR = 1.49, 95% CI: (1.23, 1.80)]. Additionally, results from the dose-response meta-analysis showed that there is a 6% increase in the risk of TC for each 10 ng/ml decrease in 25 (OH)D levels [OR = 0.94; 95% CI: (0.89, 0.99)].
    UNASSIGNED: Individuals with TC had lower levels of vitamin D compared to controls, and vitamin D deficiency was correlated with an increase risk of TC.
    UNASSIGNED: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=504417, identifier: CRD42024504417.
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  • 文章类型: Journal Article
    背景:脂肪组织与炎症性肠病(IBD)密切相关。维生素D可以影响脂肪生成和炎症。这项研究的目的是比较选定的脂肪因子的产生,可能参与IBD-脂联素的发病机制,抵抗素,视黄醇结合蛋白4(RBP-4),根据存在25-羟基维生素D(25(OH)D)缺乏症,IBD儿童的脂肪细胞脂肪酸结合蛋白和nesfatin-1。
    方法:本研究作为病例对照研究在IBD患儿和相同性别和年龄的健康儿童中进行。除了脂肪因子和25(OH)D,人体测量参数,在所有参与者中评估炎症和疾病活动的标志物.
    结果:无论25(OH)D水平如何,IBD患儿的抵抗素水平均明显较高。与健康对照相比,并且与没有25(OH)D缺乏的IBD患者相比,具有25(OH)D缺乏的IBD患者仅具有显著更低的RBP-4。在患有或不患有25(OH)D缺乏症的IBD儿童中,没有发现脂肪因子的其他显着差异。仅与RBP-4相关的IBD患者的25(OH)D水平,与其他脂肪因子无关。
    结论:在IBD患者中,25(OH)D缺乏组的较低RBP-4水平是否直接反映维生素D缺乏仍不确定。其他脂肪因子的产生似乎与维生素D缺乏没有直接关系。
    BACKGROUND: Adipose tissue is significantly involved in inflammatory bowel disease (IBD). Vitamin D can affect both adipogenesis and inflammation. The aim of this study was to compare the production of selected adipokines, potentially involved in the pathogenesis of IBD - adiponectin, resistin, retinol binding protein 4 (RBP-4), adipocyte fatty acid binding protein and nesfatin-1 in children with IBD according to the presence of 25-hydroxyvitamin D (25(OH)D) deficiency.
    METHODS: The study was conducted as a case-control study in pediatric patients with IBD and healthy children of the same sex and age. In addition to adipokines and 25(OH)D, anthropometric parameters, markers of inflammation and disease activity were assessed in all participants.
    RESULTS: Children with IBD had significantly higher resistin levels regardless of 25(OH)D levels. IBD patients with 25(OH)D deficiency only had significantly lower RBP-4 compared to healthy controls and also compared to IBD patients without 25(OH)D deficiency. No other significant differences in adipokines were found in children with IBD with or without 25(OH)D deficiency. 25(OH)D levels in IBD patients corelated with RBP-4 only, and did not correlate with other adipokines.
    CONCLUSIONS: Whether the lower RBP-4 levels in the 25(OH)D-deficient group of IBD patients directly reflect vitamin D deficiency remains uncertain. The production of other adipokines does not appear to be directly related to vitamin D deficiency.
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  • 文章类型: Journal Article
    痤疮是毛囊皮脂腺单位的炎性病症。以前的研究已经建立了痤疮和维生素D缺乏之间的联系,以及维生素D补充剂在治疗中的潜在有效性。然而,维生素D辅助治疗痤疮的疗效尚不清楚.
    评估每周口服维生素D2作为痤疮标准局部护理的辅助治疗的功效。
    这项研究是一项随机研究,双盲,安慰剂对照试验,包括轻度至中度痤疮受试者。向所有受试者每天两次施用局部2.5%过氧化苯甲酰,持续12周。在治疗期间,受试者被随机分配每周接受口服维生素D240,000IU或每周接受安慰剂。在4周的随访期间不给予额外的治疗。
    本研究共纳入44名受试者。它们都具有不足的25(OH)D水平。两种方案均显示在治疗期间痤疮的显著改善。每周补充维生素D2可显着预防炎症性痤疮病变的复发(P=.048)。未观察到不良反应或生化变化。
    没有严重寻常痤疮的受试者。
    每周补充维生素D2到标准的局部过氧化苯甲酰可以减少轻度至中度痤疮的炎性病变的复发。
    UNASSIGNED: Acne is an inflammatory condition of the pilosebaceous unit. Previous studies have established a link between acne and vitamin D deficiency and the potential effectiveness of vitamin D supplementation in treatment. However, the efficacy of vitamin D as an adjuvant treatment for acne remains unknown.
    UNASSIGNED: To evaluate the efficacy of weekly vitamin D2 oral administration as an adjunctive treatment to standard topical care for acne.
    UNASSIGNED: This study was a randomized, double-blind, placebo-controlled trial including subjects with mild-to-moderate acne. Topical 2.5% benzoyl peroxide was applied twice daily for 12 weeks to all subjects. Subjects were randomly allocated to receive either oral vitamin D2 40,000 IU weekly or placebo weekly during the treatment period. No additional treatment was administered during the 4-week follow-up period.
    UNASSIGNED: A total of 44 subjects were included in this study. All of them had inadequate 25(OH)D levels. Both regimens showed significant improvement in acne during the treatment period. Weekly vitamin D2 supplementation significantly prevented the relapse of inflammatory acne lesions (P = .048) at the follow-up visit. No adverse effects or biochemical changes were observed.
    UNASSIGNED: There were no subjects of severe acne vulgaris.
    UNASSIGNED: Adjunctive weekly vitamin D2 supplementation to standard topical benzoyl peroxide could reduce relapses of inflammatory lesions in mild-to-moderate acne.
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  • 文章类型: Journal Article
    在实验性过敏性脑脊髓炎中,缺乏的严重程度与轴突的丢失有关,细胞毒性T细胞8(CD8T)可能起重要作用。在复发缓解型多发性硬化症中,病变的炎症活动与轴突横断之间存在相关性。为了了解病理机制,评估疾病过程中血清促炎和抗炎细胞因子浓度的变化非常重要。共有46名患者和40名健康人参加了开放标签,prospective,2012-2014年病例对照研究。使用酶联免疫吸附测定(ELISA)测量细胞因子的血清浓度。与对照组相比,在复发和缓解期观察到免疫失衡。在复发期间,与缓解期相比,干扰素-γ(IFN-γ)水平显着升高(p=0.017)。在缓解期间,缺陷有所改善(p<0.001),与复发患者相比,抗炎细胞因子转化生长因子-β(TGF-β)和白介素4(IL4)增加(p=0.006;p=0.009)。发现复发期间肿瘤坏死因子-α(TNF-α)的血清浓度与扩展的残疾状态量表(EDSS)之间存在相关性(相关系数:0.301;显著性(Sig。)(双尾0.042)。在恶化期间,白细胞介素17(IL17)和25-羟基维生素D(25(OH)D)之间存在中等关系(P(p值(概率值)=0.02)).TNF-α,IFN-γ,IL17和TGF-β血清水平是评估复发和缓解期免疫炎症活性的标准。
    In experimental allergic encephalomyelitis, the severity of the deficiency is associated with the loss of axons, and it is likely that cytotoxic T-cells 8 (CD8 T) play an important role. In relapsing-remitting multiple sclerosis, there is a correlation between the inflammatory activity in the lesion and the transection of axons. To understand the pathological mechanisms, it is important to evaluate the changes in serum concentrations of pro- and anti-inflammatory cytokines during the disease course. A total of 46 patients and 40 healthy individuals participated in an open-label, prospective, case-control study from 2012 to 2014. The serum concentrations of cytokines were measured using enzyme-linked immunosorbent assay (ELISA). An immune imbalance was observed during relapse and remission phases compared to the control group. During relapse, the levels of interferon-gamma (IFN-γ) were significantly higher compared to those in remission (p=0.017). During remission, there was an improvement in the deficiency (p<0.001), and the anti-inflammatory cytokines transforming growth factor-beta (TGF-β) and interleukin 4 (IL4) increased compared to those in relapse (p=0.006; p=0.009). A correlation was found between the serum concentrations of tumor necrosis factor-alpha (TNF-α) and Expanded Disability Status Scale (EDSS) during relapse (correlation coefficient: 0.301; significance (Sig.) (2-tailed 0.042). During the exacerbation, there was a moderate relationship between interleukin 17 (IL17) and 25-hydroxyvitamin D (25(OH)D) (P (p-value (probability value) = 0.02)). TNF-α, IFN-γ, IL17, and TGF-β serum levels are criteria for evaluating immune inflammatory activity during relapse and remission periods.
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