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Serum 25-hydroxyvitamin D and IgE - a significant but nonlinear relationship.

机译:血清25-羟基维生素D和IgE-显着但非线性的关系。

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BACKGROUND: Hormonal vitamin D system affects the determination of T-cell responses. It is unknown if there is an association between vitamin D status and allergic conditions. Our aim was to investigate differences in serum IgE concentrations by vitamin D status [measured by 25(OH)D] and by a genetic variation in a key vitamin D activation enzyme (CYP27B1) previously shown to be associated with type 1 diabetes. METHODS: 9377 participants in the 1958 British birth cohort completed a biomedical assessment at 45 years of age ; 7288 eligible participants had data on 25(OH)D and IgE, with 6429 having further information on CYP27B1 genotype ()1260C>A). RESULTS: There was a nonlinear association between 25(OH)D and IgE (P-value for curvature = 0.0001). Compared with the reference group with the lowest IgE concentrations [25(OH)D 100-125 nmol/l], IgE concentrations were 29% higher (95% CI 9-48%) for participants with the 25(OH)D <25 nmol/l, and 56% higher (95% CI 17-95%) for participants with 25(OH)D >135 nmol/l (adjusted for sex, month, smoking, alcohol consumption, time spent outside, geographical location, social class, PC/TV time, physical activity, body mass index and waist circumference). CYP27B1 genotype was associated with both 25(OH)D (difference for A vs. C allele: 1.88%, 95% CI 0.37-3.4%, P = 0.01) and IgE concentrations ()6.59%, )11.6% to )1.42%, P = 0.01). CONCLUSIONS: These data suggest that there may be a threshold effect with both low and high 25(OH)D levels associated with elevated IgE concentrations. The same CYP27B1 allele that is protective of diabetes was associated with increased IgE concentrations.
机译:背景:激素维生素D系统影响T细胞反应的确定。维生素D状态与过敏状况之间是否存在关联尚不清楚。我们的目的是研究通过维生素D状态(通过25(OH)D测量)和先前显示与1型糖尿病相关的关键维生素D激活酶(CYP27B1)的遗传变异来检测血清IgE浓度的差异。方法:1958年英国出生队列中的9377名参与者在45岁时完成了一项生物医学评估。 7288名符合条件的参与者具有25(OH)D和IgE的数据,其中6429名具有有关CYP27B1基因型()1260C> A的进一步信息。结果:25(OH)D与IgE之间存在非线性关联(曲率的P值= 0.0001)。与具有最低IgE浓度的参比组[25(OH)D 100-125 nmol / l]相比,25(OH)D <25的参与者的IgE浓度高29%(95%CI 9-48%) nmol / l,对于25(OH)D> 135 nmol / l(针对性别,月份,吸烟,饮酒,在外度过的时间,地理位置,社交环境进行了调整)的参与者,则提高了56%(95%CI 17-95%)课,PC / TV时间,体育锻炼,体重指数和腰围)。 CYP27B1基因型与25(OH)D相关(A与C等位基因差异:1.88%,95%CI 0.37-3.4%,P = 0.01)和IgE浓度()6.59%,(11.6%至)1.42% ,P = 0.01)。结论:这些数据表明,低和高25(OH)D水平与升高的IgE浓度相关可能有阈值作用。保护糖尿病的同一CYP27B1等位基因与IgE浓度升高相关。

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