Yıl: 2020 Cilt: 31 Sayı: 2 Sayfa Aralığı: 99 - 104 Metin Dili: İngilizce DOI: 10.5152/tjg.2020.181028 İndeks Tarihi: 09-06-2021

Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial

Öz:
Background/Aims: The interaction of CD40 ligand (CD40L) and CD40 triggers the induction of pro-inflammatory cytokines. It has been proposed that vitamin D deficiency might be an important factor, which causes or aggregates the autoimmune situations. The aim of the present study was to assess the effect of vitamin D on CD40L gene expression in patients with ulcerative colitis (UC). Materials and Methods: Ninety mild-to-moderate UC patients were randomized to receive a single injection of 7.5 mg cholecalciferol or 1 mL normal saline. At baseline and 90 days following the intervention, RNA samples from whole blood were obtained. Fold changes in CD40L mRNA expression were determined for each patient using the 2-ΔΔCq method. The data were analyzed. Results: The serum levels of vitamin D and calcium increased only in the vitamin D group (p<0.05). Relative to baseline values, the CD40L gene expression fold change was significantly lower in the vitamin D group compared with the placebo group (median±interquartile range: 0.34±0.30 vs 0.43±1.20, respectively, p=0.016). Conclusion: The results of this study showed that vitamin D administration in mild-to-moderate UC patients led to the downregulation of the CD40L gene, which is an essential part of inflammatory pathways.
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  • 1. Zhang YZ, Li YY. Inflammatory bowel disease: pathogenesis. World J Gastroenterol 2014; 20: 91-9.
  • 2. Lederman S, Yellin MJ, Krichevsky A, Belko J, Lee JJ, Chess L. Iden tification of a novel surface protein on activated CD4+ T cells that induces contact-dependent B cell differentiation (help). J Exp Med 1992; 175: 1091-101.
  • 3. Almerighi C, Sinistro A, Cavazza A, Ciaprini C, Rocchi G, Bergamini A. 1α, 25-dihydroxyvitamin D3 inhibits CD40L-induced pro-inflam matory and immunomodulatory activity in human monocytes. Cyto kine 2009; 45: 190-7.
  • 4. Ludwiczek O, Kaser A, Tilg H. Plasma levels of soluble CD40 li gand are elevated in inflammatory bowel diseases. Int J Colorectal Dis 2003; 18: 142-7.
  • 5. Danese S, Katz JA, Saibeni S, et al. Activated platelets are the source of elevated levels of soluble CD40 ligand in the circulation of inflammatory bowel disease patients. Gut 2003; 52: 1435-41.
  • 6. Grammer AC, Slota R, Fischer R, et al. Abnormal germinal center re actions in systemic lupus erythematosus demonstrated by blockade of CD154-CD40 interactions. J Clin Invest 2003; 112: 1506-20.
  • 7. Grammer AC, Slota R, Fischer R, et al. Abnormal germinal center reactions in systemic lupus erythematosus demonstrated by block ade of CD154-CD40 interactions. J Clin Invest; 117: 835.
  • 8. Boumpas DT, Furie R, Manzi S, et al. A short course of BG9588 (an ti-CD40 ligand antibody) improves serologic activity and decreases hematuria in patients with proliferative lupus glomerulonephritis. Arthritis Rheum 2003; 48: 719-27.
  • 9. Stuber E, Strober W, Neurath M. Blocking the CD40L-CD40 in teraction in vivo specifically prevents the priming of T helper 1 cells through the inhibition of interleukin 12 secretion. J Exp Med 1996; 183: 693-8.
  • 10. Yu QT, Saruta M, Papadakis KA. Visilizumab induces apoptosis of mucosal T lymphocytes in ulcerative colitis through activation of caspase 3 and 8 dependent pathways. Clin Immunol (Orlando, Fla) 2008; 127: 322-9.
  • 11. Holick MF. Vitamin D deficiency. N Engl J Med 2007; 357: 266-81.
  • 12. Sharifi A, Nedjat S, Vahedi H, Veghari G, Hosseinzadeh-Attar MJ. Vitamin D Status and Its Relation to Inflammatory Markers in Pa tients with Mild to Moderate Ulcerative Colitis. Middle East J Dig Dis 2018; 10: 84-9.
  • 13. Aranow C. Vitamin D and the immune system. J Investig Med 2011; 59: 881-6.
  • 14. Canning MO, Grotenhuis K, de Wit H, Ruwhof C, Drexhage HA. 1-alpha,25-Dihydroxyvitamin D3 (1,25(OH)(2)D(3)) hampers the maturation of fully active immature dendritic cells from monocytes. Eur J Endocrinol 2001; 145: 351-7.
  • 15. Mahon BD, Wittke A, Weaver V, Cantorna MT. The targets of vi tamin D depend on the differentiation and activation status of CD4 positive T cells. J Cell Biochem 2003; 89: 922-32.
  • 16. Kamen DL, Tangpricha V. Vitamin D and molecular actions on the immune system: modulation of innate and autoimmunity. Journal of molecular medicine (Berlin, Germany) 2010; 88: 441-50.
  • 17. Froicu M, Weaver V, Wynn TA, McDowell MA, Welsh JE, Cantorna MT. A crucial role for the vitamin D receptor in experimental inflam matory bowel diseases. Mol Endocrinol 2003; 17: 2386-92.
  • 18. Sharifi A, Hosseinzadeh-Attar MJ, Vahedi H, Nedjat S. A random ized controlled trial on the effect of vitamin D3 on inflammation and cathelicidin gene expression in ulcerative colitis patients. Saudi J Gastroenterol 2016; 22: 316-23.
  • 19. Ledderose C, Heyn J, Limbeck E, Kreth S. Selection of reliable ref erence genes for quantitative real-time PCR in human T cells and neutrophils. BMC Res Notes 2011; 4: 427.
  • 20. Pereira F, Barbachano A, Singh PK, Campbell MJ, Munoz A, Lar riba MJ. Vitamin D has wide regulatory effects on histone demethy lase genes. Cell Cycle 2012; 11: 1081-9.
  • 21. Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods 2001; 25: 402-8.
  • 22. Xu Y, Song G. The role of CD40-CD154 interaction in cell immu noregulation. J Biomed Sci 2004; 11: 426-38.
  • 23. Chatzigeorgiou A, Lyberi M, Chatzilymperis G, Nezos A, Kamper E. CD40/CD40L signaling and its implication in health and disease. BioFactors 2009; 35: 474-83.
  • 24. Schonbeck U, Libby P. The CD40/CD154 receptor/ligand dyad. Cell Mol Life Sci 2001; 58: 4-43.
  • 25. Liu Z, Colpaert S, D’Haens GR, et al. Hyperexpression of CD40 ligand (CD154) in inflammatory bowel disease and its contribution to pathogenic cytokine production. J Immunol 1999; 163: 4049-57.
  • 26. Munroe ME, Bishop GA. A costimulatory function for T cell CD40. J Immunol 2007; 178: 671-82.
  • 27. Yan JC, Ding S, Liang Y, et al. Relationship between upregulation of CD40 system and restenosis in patients after percutaneous coronary intervention. Acta Pharmacologica Sinica 2007; 28: 339.
  • 28. Danese S, Sans M, Scaldaferri F, et al. TNF-alpha blockade down-regulates the CD40/CD40L pathway in the mucosal micro circulation: a novel anti-inflammatory mechanism of infliximab in Crohn’s disease. J Immunol 2006; 176: 2617-24.
  • 29. Lin R, Liu J, Gan W, Yang G. C-reactive protein-induced expres sion of CD40-CD40L and the effect of lovastatin and fenofibrate on it in human vascular endothelial cells. Biol Pharm Bull 2004; 27: 1537-43.
APA Sharifi A, Vahedi H, Honarvar M, Amiriani T, Nikniaz z, yousefi rad e, Hosseinzadeh-Attar M (2020). Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. , 99 - 104. 10.5152/tjg.2020.181028
Chicago Sharifi Amrollah,Vahedi Homayoon,Honarvar Mohammad Reza,Amiriani Taghi,Nikniaz zeinab,yousefi rad esmaeil,Hosseinzadeh-Attar Mohammad Javad Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. (2020): 99 - 104. 10.5152/tjg.2020.181028
MLA Sharifi Amrollah,Vahedi Homayoon,Honarvar Mohammad Reza,Amiriani Taghi,Nikniaz zeinab,yousefi rad esmaeil,Hosseinzadeh-Attar Mohammad Javad Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. , 2020, ss.99 - 104. 10.5152/tjg.2020.181028
AMA Sharifi A,Vahedi H,Honarvar M,Amiriani T,Nikniaz z,yousefi rad e,Hosseinzadeh-Attar M Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. . 2020; 99 - 104. 10.5152/tjg.2020.181028
Vancouver Sharifi A,Vahedi H,Honarvar M,Amiriani T,Nikniaz z,yousefi rad e,Hosseinzadeh-Attar M Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. . 2020; 99 - 104. 10.5152/tjg.2020.181028
IEEE Sharifi A,Vahedi H,Honarvar M,Amiriani T,Nikniaz z,yousefi rad e,Hosseinzadeh-Attar M "Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial." , ss.99 - 104, 2020. 10.5152/tjg.2020.181028
ISNAD Sharifi, Amrollah vd. "Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial". (2020), 99-104. https://doi.org/10.5152/tjg.2020.181028
APA Sharifi A, Vahedi H, Honarvar M, Amiriani T, Nikniaz z, yousefi rad e, Hosseinzadeh-Attar M (2020). Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. Turkish Journal of Gastroenterology, 31(2), 99 - 104. 10.5152/tjg.2020.181028
Chicago Sharifi Amrollah,Vahedi Homayoon,Honarvar Mohammad Reza,Amiriani Taghi,Nikniaz zeinab,yousefi rad esmaeil,Hosseinzadeh-Attar Mohammad Javad Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. Turkish Journal of Gastroenterology 31, no.2 (2020): 99 - 104. 10.5152/tjg.2020.181028
MLA Sharifi Amrollah,Vahedi Homayoon,Honarvar Mohammad Reza,Amiriani Taghi,Nikniaz zeinab,yousefi rad esmaeil,Hosseinzadeh-Attar Mohammad Javad Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. Turkish Journal of Gastroenterology, vol.31, no.2, 2020, ss.99 - 104. 10.5152/tjg.2020.181028
AMA Sharifi A,Vahedi H,Honarvar M,Amiriani T,Nikniaz z,yousefi rad e,Hosseinzadeh-Attar M Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. Turkish Journal of Gastroenterology. 2020; 31(2): 99 - 104. 10.5152/tjg.2020.181028
Vancouver Sharifi A,Vahedi H,Honarvar M,Amiriani T,Nikniaz z,yousefi rad e,Hosseinzadeh-Attar M Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial. Turkish Journal of Gastroenterology. 2020; 31(2): 99 - 104. 10.5152/tjg.2020.181028
IEEE Sharifi A,Vahedi H,Honarvar M,Amiriani T,Nikniaz z,yousefi rad e,Hosseinzadeh-Attar M "Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial." Turkish Journal of Gastroenterology, 31, ss.99 - 104, 2020. 10.5152/tjg.2020.181028
ISNAD Sharifi, Amrollah vd. "Vitamin D decreases CD40L gene expression in ulcerative colitis patients: A randomized, double-blinded, placebo-controlled trial". Turkish Journal of Gastroenterology 31/2 (2020), 99-104. https://doi.org/10.5152/tjg.2020.181028