The intestinal vitamin D receptor in inflammatory bowel disease: inverse correlation with inflammation but no relationship with circulating vitamin D status.

Crohn’s disease inflammatory bowel disease ulcerative colitis vitamin D vitamin D receptor

Journal

Therapeutic advances in gastroenterology
ISSN: 1756-283X
Titre abrégé: Therap Adv Gastroenterol
Pays: England
ID NLM: 101478893

Informations de publication

Date de publication:
2019
Historique:
received: 31 08 2018
accepted: 28 11 2018
entrez: 6 2 2019
pubmed: 6 2 2019
medline: 6 2 2019
Statut: epublish

Résumé

The intestinal vitamin D receptor (VDR) remains poorly characterized in patients with inflammatory bowel disease (IBD). Colonoscopic biopsies and intestinal resection specimens from the terminal ileum, ascending and sigmoid colon, from patients with and without IBD, were analyzed for VDR mRNA quantification by polymerase chain reaction, and protein localization and semi-quantification by immunohistochemistry. The relationship between VDR and intestinal inflammation, serum 25(OH)D and oral vitamin D intake was elicited. A total of 725 biopsies from 20 patients with Crohn's disease (CD), 15 with ulcerative colitis (UC) and 14 non-IBD controls who underwent colonoscopy were studied. VDR gene expression and protein staining intensity was similar across all three groups, and across the intestinal segments. Sigmoid colon VDR mRNA expression inversely correlated with faecal calprotectin ( VDR transcript expression and protein staining intensity are inversely related to inflammation in IBD, but unrelated to serum 25(OH)D, and similar to non-IBD controls. Strategies to upregulate intestinal VDR, potentially translating to modulation of disease activity, require investigation.

Sections du résumé

BACKGROUND BACKGROUND
The intestinal vitamin D receptor (VDR) remains poorly characterized in patients with inflammatory bowel disease (IBD).
METHODS METHODS
Colonoscopic biopsies and intestinal resection specimens from the terminal ileum, ascending and sigmoid colon, from patients with and without IBD, were analyzed for VDR mRNA quantification by polymerase chain reaction, and protein localization and semi-quantification by immunohistochemistry. The relationship between VDR and intestinal inflammation, serum 25(OH)D and oral vitamin D intake was elicited.
RESULTS RESULTS
A total of 725 biopsies from 20 patients with Crohn's disease (CD), 15 with ulcerative colitis (UC) and 14 non-IBD controls who underwent colonoscopy were studied. VDR gene expression and protein staining intensity was similar across all three groups, and across the intestinal segments. Sigmoid colon VDR mRNA expression inversely correlated with faecal calprotectin (
CONCLUSIONS CONCLUSIONS
VDR transcript expression and protein staining intensity are inversely related to inflammation in IBD, but unrelated to serum 25(OH)D, and similar to non-IBD controls. Strategies to upregulate intestinal VDR, potentially translating to modulation of disease activity, require investigation.

Identifiants

pubmed: 30719077
doi: 10.1177/1756284818822566
pii: 10.1177_1756284818822566
pmc: PMC6348511
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1756284818822566

Déclaration de conflit d'intérêts

Conflict of interest statement: The authors declare that there is no conflict of interest.

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Auteurs

Mayur Garg (M)

Department of Gastroenterology, Eastern Health Clinical School, Monash University, Level 3W, Building B, 8 Arnold St, Box Hill, Victoria, 3128, Australia.

Simon G Royce (SG)

Department of Medicine, Central Clinical School, Monash University, Victoria, Australia.

Chris Tikellis (C)

Department of Diabetes, Central Clinical School, Monash University, Victoria, Australia.

Claire Shallue (C)

Eastern Health Clinical School, Monash University, Victoria, Australia.

Pavel Sluka (P)

Eastern Health Clinical School, Monash University, Victoria, Australia.

Hady Wardan (H)

Eastern Health Clinical School, Monash University, Victoria, Australia.

Patrick Hosking (P)

Department of Pathology, Eastern Health, Victoria, Australia.

Shaun Monagle (S)

Department of Pathology, Eastern Health, Victoria, Australia.

Merlin Thomas (M)

Department of Diabetes, Central Clinical School, Monash University, Victoria, Australia.

John S Lubel (JS)

Department of Gastroenterology, Eastern Health, Victoria, Australia; Eastern Health Clinical School, Monash University, Victoria, Australia.

Peter R Gibson (PR)

Department of Gastroenterology, Alfred Hospital and Monash University, Victoria, Australia.

Classifications MeSH