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Diseases associated with low levels of 25-D

According to the Marshall PathogenesisA description for how chronic inflammatory diseases originate and develop., chronic inflammatory disease is caused by a microbiotaThe bacterial community which causes chronic diseases - one which almost certainly includes multiple species and bacterial forms. of pathogens which interfere with proper functioning of the innate immune system. Patients suffering from inflammatory diseases have been shown to have lower than normal levels of 25-hydroxyvitamin DThe vitamin D metabolite widely (and erroneously) considered best indicator of vitamin D "deficiency." Inactivates the Vitamin D Nuclear Receptor. Produced by hydroxylation of vitamin D3 in the liver. , and there are at least several reasons why bacterial pathogens generate this response.

A full understanding of vitamin D metabolism supports the conclusion that elevated 1,25-D and depressed 25-D are a result rather than a cause of the inflammatory process.

Lower than normal levels of 25-D have been independently associated both with all-cause mortality1 and a number of chronic inflammatory diseases. The following selection of diseases (and patient groups) have been observed to display the hallmarks of this kind of dysregulated vitamin D metabolism.

Anomalies

In a 2008 nested case-control study appearing in Journal of the National Cancer Institute, Ahn et al. found that patients with the lowest levels of 25-D also had the lowest risk of prostate cancer.60

References

1) Melamed ML, Michos ED, Post W, Astor B 25-hydroxyvitamin D levels and the risk of mortality in the general population. Arch Intern Med. 2008;168:1629-37.
2) Laaksi I, Ruohola JP, Tuohimaa P, Auvinen A, Haataja R, Pihlajamäki H, Ylikomi T An association of serum vitamin D concentrations < 40 nmol/L with acute respiratory tract infection in young Finnish men. Am J Clin Nutr. 2007;86:714-7.
3) , 19) Fisher AH, Lomasky SJ, Fisher MJ, Oppenheim YL Celiac disease and the endocrinologist: a diagnostic opportunity. Endocr Pract. 2008;14:381-8.
4) , 31) , 54) Schneider B, Weber B, Frensch A, Stein J, Fritz J Vitamin D in schizophrenia, major depression and alcoholism. J Neural Transm. 2000;107:839-42.
5) Hyppönen E, Berry DJ, Wjst M, Power C Serum 25-hydroxyvitamin D and IgE - a significant but nonlinear relationship. Allergy. 2009;64:613-620.
6) , 8) Brehm JM, Celedón JC, Soto-Quiros ME, Avila L, Hunninghake GM, Forno E, Laskey D, Sylvia JS, Hollis BW, Weiss ST, Litonjua AA Serum vitamin D levels and markers of severity of childhood asthma in Costa Rica. Am J Respir Crit Care Med. 2009;179:765-71.
7) , 52) Evatt ML, Delong MR, Khazai N, Rosen A, Triche S, Tangpricha V Prevalence of vitamin d insufficiency in patients with Parkinson disease and Alzheimer disease. Arch Neurol. 2008;65:1348-52.
9) Khokhar JS, Brett AS, Desai A Vitamin D deficiency masquerading as metastatic cancer: a case series. Am J Med Sci. 2009;337:245-7.
10) Goodwin PJ, Ennis M, Pritchard KI, Koo J, Hood N Prognostic effects of 25-hydroxyvitamin D levels in early breast cancer. J Clin Oncol. 2009;27:3757-63.
11) Yin L, Grandi N, Raum E, Haug U, Arndt V, Brenner H Meta-analysis: longitudinal studies of serum vitamin D and colorectal cancer risk. Aliment Pharmacol Ther. 2009;30:113-25.
12) Lou YR, Qiao S, Talonpoika R, Syvälä H, Tuohimaa P The role of Vitamin D3 metabolism in prostate cancer. J Steroid Biochem Mol Biol. 2004;92:317-25.
13) , 14) , 15) Grant WB Epidemiology of disease risks in relation to vitamin D insufficiency. Prog Biophys Mol Biol. 2006;92:65-79.
16) Matias PJ, Ferreira C, Jorge C, Borges M, Aires I, Amaral T, Gil C, Cortez J, Ferreira A 25-Hydroxyvitamin D3, arterial calcifications and cardiovascular risk markers in haemodialysis patients. Nephrol Dial Transplant. 2009;24:611-8.
17) Lee JH, O'Keefe JH, Bell D, Hensrud DD, Holick MF Vitamin D deficiency an important, common, and easily treatable cardiovascular risk factor? J Am Coll Cardiol. 2008;52:1949-56.
20) Arvold DS, Odean MJ, Dornfeld MP, Regal RR, Arvold JG, Karwoski GC, Mast DJ, Sanford PB, Sjoberg RJ Correlation of symptoms with vitamin D deficiency and symptom response to cholecalciferol treatment: a randomized controlled trial. Endocr Pract. 2009;15:203-12.
21) Hillesund E, Skranes J, Trygg KU, Bøhmer T Micronutrient status in children with cerebral palsy. Acta Paediatr. 2007;96:1195-8.
22) Arteh J, Narra S, Nair S Prevalence of Vitamin D Deficiency in Chronic Liver Disease. Dig Dis Sci. 2009;:.
23) Franco CB, Paz-Filho G, Gomes PE, Nascimento VB, Kulak CA, Boguszewski CL, Borba VZ Chronic obstructive pulmonary disease is associated with osteoporosis and low levels of vitamin D. Osteoporos Int. 2009;20:1881-7.
24) Buell JS, Scott TM, Dawson-Hughes B, Dallal GE, Rosenberg IH, Folstein MF, Tucker KL Vitamin D is associated with cognitive function in elders receiving home health services. J Gerontol A Biol Sci Med Sci. 2009;64:888-95.
25) Annweiler C, Allali G, Allain P, Bridenbaugh S, Schott AM, Kressig RW, Beauchet O Vitamin D and cognitive performance in adults: a systematic review. Eur J Neurol. 2009;16:1083-9.
26) Zittermann A, Schleithoff SS, Koerfer R Vitamin D insufficiency in congestive heart failure: why and what to do about it? Heart Fail Rev. 2006;11:25-33.
27) Siffledeen JS, Siminoski K, Steinhart H, Greenberg G, Fedorak RN The frequency of vitamin D deficiency in adults with Crohn's disease. Can J Gastroenterol. 2003;17:473-8.
28) Neville LA, Ranganathan SC Vitamin D in infants with cystic fibrosis diagnosed by newborn screening. J Paediatr Child Health. 2009;45:36-41.
29) Pan A, Lu L, Franco OH, Yu Z, Li H, Lin X Association between depressive symptoms and 25-hydroxyvitamin D in middle-aged and elderly Chinese. J Affect Disord. 2009;118:240-3.
30) Nanri A, Mizoue T, Matsushita Y, Poudel-Tandukar K, Sato M, Ohta M, Mishima N Association between serum 25-hydroxyvitamin D and depressive symptoms in Japanese: analysis by survey season. Eur J Clin Nutr. 2009;63:1444-7.
32) Chowdhury TA, Boucher BJ, Hitman GA Vitamin D and type 2 diabetes: Is there a link? Prim Care Diabetes. 2009;3:115-6.
33) Svoren BM, Volkening LK, Wood JR, Laffel LM Significant vitamin D deficiency in youth with type 1 diabetes mellitus. J Pediatr. 2009;154:132-4.
34) Orwoll E, Nielson CM, Marshall LM, Lambert L, Holton KF, Hoffman AR, Barrett-Connor E, Shikany JM, Dam T, Cauley JA Vitamin D deficiency in older men. J Clin Endocrinol Metab. 2009;94:1214-22.
35) Kuchuk NO, Pluijm SM, van Schoor NM, Looman CW, Smit JH, Lips P Relationships of serum 25-hydroxyvitamin D to bone mineral density and serum parathyroid hormone and markers of bone turnover in older persons. J Clin Endocrinol Metab. 2009;94:1244-50.
37) Yamashita H, Noguchi S, Takatsu K, Koike E, Murakami T, Watanabe S, Uchino S, Yamashita H, Kawamoto H High prevalence of vitamin D deficiency in Japanese female patients with Graves' disease. Endocr J. 2001;48:63-9.
38) Mehrotra R, Kermah D, Budoff M, Salusky IB, Mao SS, Gao YL, Takasu J, Adler S, Norris K Hypovitaminosis D in chronic kidney disease. Clin J Am Soc Nephrol. 2008;3:1144-51.
39) Rodríguez M, Daniels B, Gunawardene S, Robbins GK High frequency of vitamin D deficiency in ambulatory HIV-Positive patients. AIDS Res Hum Retroviruses. 2009;25:9-14.
40) Pappa HM, Gordon CM, Saslowsky TM, Zholudev A, Horr B, Shih MC, Grand RJ Vitamin D status in children and young adults with inflammatory bowel disease. Pediatrics. 2006;118:1950-61.
41) Kamen DL, Aranow C The link between vitamin D deficiency and systemic lupus erythematosus. Curr Rheumatol Rep. 2008;10:273-80.
42) Kevin C. Maki, Martyn R. Rubin, Les G. Wong, Jamie F. McManus, Christopher D. Jensen, John W. Marshall, Andrea Lawless. Serum 25-hydroxyvitamin D is independently associated with high-density lipoprotein cholesterol and the metabolic syndrome in men and women/ 21 July 2009 (Article in Press DOI: 10.1016/j.jacl.2009.07.003).
44) Smolders J, Menheere P, Kessels A, Damoiseaux J, Hupperts R Association of vitamin D metabolite levels with relapse rate and disability in multiple sclerosis. Mult Scler. 2008;14:1220-4.
45) Giovannucci E, Liu Y, Hollis BW, Rimm EB 25-hydroxyvitamin D and risk of myocardial infarction in men: a prospective study. Arch Intern Med. 2008;168:1174-80.
46) Moschonis G, Tanagra S, Koutsikas K, Nikolaidou A, Androutsos O, Manios Y Association between serum 25-hydroxyvitamin D levels and body composition in postmenopausal women: the postmenopausal Health Study. Menopause. 2009;16:701-7.
47) Kremer R, Campbell PP, Reinhardt T, Gilsanz V Vitamin D status and its relationship to body fat, final height, and peak bone mass in young women. J Clin Endocrinol Metab. 2009;94:67-73.
48) Lane NE, Gore LR, Cummings SR, Hochberg MC, Scott JC, Williams EN, Nevitt MC Serum vitamin D levels and incident changes of radiographic hip osteoarthritis: a longitudinal study. Study of Osteoporotic Fractures Research Group. Arthritis Rheum. 1999;42:854-60.
49) Islam MZ, Shamim AA, Kemi V, Nevanlinna A, Akhtaruzzaman M, Laaksonen M, Jehan AH, Jahan K, Khan HU, Lamberg-Allardt C Vitamin D deficiency and low bone status in adult female garment factory workers in Bangladesh. Br J Nutr. 2008;99:1322-9.
50) Atherton K, Berry DJ, Parsons T, Macfarlane GJ, Power C, Hyppönen E Vitamin D and chronic widespread pain in a white middle-aged British population: evidence from a cross-sectional population survey. Ann Rheum Dis. 2009;68:817-22.
51) Turner MK, Hooten WM, Schmidt JE, Kerkvliet JL, Townsend CO, Bruce BK Prevalence and clinical correlates of vitamin D inadequacy among patients with chronic pain. Pain Med. 2008;9:979-84.
55) Lee DM, Tajar A et al. Association between 25-hydroxyvitamin D levels and cognitive performance in middle-aged and older European men. Journal of Neurology, Neurosurgery, and Psychiatry 2009;80:722-729.
56) Pilz S, Dobnig H, Fischer JE, Wellnitz B, Seelhorst U, Boehm BO, März W Low vitamin d levels predict stroke in patients referred to coronary angiography. Stroke. 2008;39:2611-3.
57) Williams B, Williams AJ, Anderson ST Vitamin D deficiency and insufficiency in children with tuberculosis. Pediatr Infect Dis J. 2008;27:941-2.
58) Zold E, Szodoray P, Gaal J, Kappelmayer J, Csathy L, Gyimesi E, Zeher M, Szegedi G, Bodolay E Vitamin D deficiency in undifferentiated connective tissue disease. Arthritis Res Ther. 2008;10:R123.
60) Ahn J, Peters U, Albanes D, Purdue MP, Abnet CC, Chatterjee N, Horst RL, Hollis BW, Huang WY, Shikany JM, Hayes RB Serum vitamin D concentration and prostate cancer risk: a nested case-control study. J Natl Cancer Inst. 2008;100:796-804.
Last modified: 06.02.2010
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