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The effect of serum 25(OH) vitamin D on hemogram parameters

Year 2014, Volume: 41 Issue: 2, 332 - 336, 01.06.2014
https://doi.org/10.5798/diclemedj.0921.2014.02.0426

Abstract

Objective: Vitamin D that has pleiotropic hormone characteristics is a fat soluble vitamin. In general, vitamin D is known to be associated with rickets, but the studies show that vitamin D also acts on tissues and cells other than bone itself. In this study, we aimed to investigate if vitamin D has any effects on hemogram parameters or not. Methods: This retrospective study was done with the data obtained from 243 female and 59, totally 302 patients. Vitamin D level and hemogram parameters [(red blood cell (RBC), hemoglobin (Hb), white blood cell (WBC), platelet (PLT), mean platelet volume (MPV), and red cell distribution width (RDW)] of patients were obtained. Patients were divided into 4 groups according to their levels of vitamin D: Group 1: < 10 ng/mL; Group 2: 10-19 ng/mL; Group 3: 20-29 ng/mL, and Group 4: 30-60 ng/mL. Results: There were no significant differences in RBC, Hb, WBC, PLT, MPV, and RDW between the groups (p>0.05). Also, there was no correlation between the hemogram parameters and vitamin D. Conclusion: According to the literature, there are a lot of studies that show the relationship between vitamin D and WBC, RBC, and PLT. However, contrary to the previous studies, we were unable to find any significant relationship between vitamin D and hemogram parameters. These results serve the idea that the effects of vitamin D on the hematopoietic system should be further investigated experimentally and clinically.

References

  • Lips P. Vitamin D physiology. Prog Biophys Mol Biol 2006;92:4-8.
  • Bogunia-Kubik K, Middleton P, Norden J, et al. Association of vitamin D receptor polymorphisms with the outcome of allogeneic haematopoietic stem cell transplantation. Int J Immunogenet 2008;35:207-213.
  • Provvedini DM, Tsoukas CD, Deftos LJ, et al. 1,25-dihy- droxyvitamin D3 receptors in human leukocytes. Science 1983;221:1181-1183.
  • Baeke F, Gysemans C, Korf H, et al. Vitamin D insufficien- cy: implications for the immune system. Pediatr Nephrol 2010;25:1597-1606.
  • Yilmaz M, Yilmaz N. D vitaminin beyindeki rolü ve ilişkili nörolojik hastalıklar. J Clin Exp Invest 2013; 4:411-415.
  • Çidem M, Kara S, Sarı H, et al. Yaygın kas-iskelet ağrısı olan hastalarda D vitamini eksikliği prevalansı ve risk faktörleri. J Clin Exp Invest 2013; 4:488-491.
  • Köse N. Fibromiyalji hastalarında kan vitamin D düzey- leri ve D vitamini tedavisinin etkinliği. Dicle Med J 2013; 40:583-588.
  • Wallis DE, Penckofer S, Sizemore GW. The “sunshine defi- cit” and cardiovascular disease. Circulation 2008;118:1476- 1485.
  • Zittermann A, Schleithoff SS, Koerfer R. Putting cardiovas- cular disease and vitamin D insufficiency into perspective. Br J Nutr 2005;94:483-492.
  • Kıdır V. D vitamininin kardiyovasküler ve metabolik et- kileri. J Clin Exp Invest 2013; 4:398-404.
  • Martins D, Wolf M, Pan D, et al. Prevalence of cardiovas- cular risk factors and the serum levels of 25-hydroxyvita- min D in the United States: data from the Third National Health and Nutrition Examination Survey. Arch Intern Med 2007;167:1159-1165.
  • von Hurst PR, Stonehouse W, Coad J. Vitamin D supple- mentation reduces insulin resistance in South Asian women living in New Zealand who are insulin resistant and vitamin D deficient - a randomized, placebo-controlled trial. Br J Nutr 2010;103:549-555.
  • Bunce CM, Brown G, Hewison M. Vitamin D and hemato- poiesis. Trends Endocrinol Metab 1997;8:245-251.
  • Grande A, Montanari M, Tagliafico E, et al. Physiological levels of 1alpha, 25 dihydroxyvitamin D3 induce the mono- cytic commitment of CD34+ hematopoietic progenitors. J Leukoc Biol 2002;71:641-651.
  • Stach K, Kalsch AI, Nguyen XD, et al. 1alpha,25-dihy- droxyvitamin D3 attenuates platelet activation and the ex- pression of VCAM-1 and MT1-MMP in human endothelial cells. Cardiology. 2011;118:107-115.
  • Muller K, Diamant M, Bendtzen K. Inhibition of produc- tion and function of interleukin-6 by 1,25-dihydroxyvita- min D3. Immunol Lett 1991;28:115-120.
  • Cantorna MT, Woodward WD, Hayes CE. 1,25-dihy- droxyvitamin D3 is a positive regulator for the two anti-en- cephalitogenic cytokines TGF-beta 1 and IL-4. J Immunol 1998;160:5314-5319.
  • Icardi A, Paoletti E, De Nicola L, et al. Renal anaemia and EPO hyporesponsiveness associated with vitamin D defi- ciency: the potential role of inflammation. Nephrol Dial Transplant 2013;28:1672-1679.
  • Luong QT, Koeffler HP. Vitamin D compounds in leukemia. J Steroid Biochem Mol Biol 2005;97:195-202.
  • O’Kelly J, Hisatake J, Hisatake Y, et al. Normal myelopoi- esis but abnormal T lymphocyte responses in vitamin D re- ceptor knockout mice. J Clin Invest 2002;109:1091-1099.
  • Yu S, Cantorna MT. Epigenetic reduction in invariant NKT cells following in utero vitamin D deficiency in mice. J Im- munol 2011;186:1384-1390.
  • Yu S, Zhao J, Cantorna MT. Invariant NKT cell defects in vitamin D receptor knockout mice prevents experimental lung inflammation. J Immunol 2011;187:4907-4912.
  • Kebapcilar AG, Kulaksizoglu M, Ipekci SH, et al. Relation- ship between mean platelet volume and low-grade systemic coagulation with vitamin D deficiency in primary ovarian insufficiency. Arch Gynecol Obstet 2013;288:207-212.
  • Yildirim I, Hur E, Kokturk F. Inflammatory markers: C- reactive protein, erythrocyte sedimentation rate, and leuko- cyte count in vitamin D deficient patients with and without chronic kidney disease. Int J Endocrinol 2013;2013:802165.
  • Bockow B, Kaplan TB. Refractory immune thrombocyto- penia successfully treated with high-dose vitamin D sup- plementation and hydroxychloroquine: two case reports. J Med Case Rep 2013;7:91.
  • Norman AW. Minireview: vitamin D receptor: new as- signments for an already busy receptor. Endocrinology 2006;147:5542-5548.
  • Patel NM, Gutierrez OM, Andress DL, et al. Vitamin D de- ficiency and anemia in early chronic kidney disease. Kid- ney Int 2010;77:715-720.
  • Shin JY, Shim JY. Low vitamin D levels increase anemia risk in Korean women. Clin Chim Acta 2013;421:177-180.
  • Goicoechea M, Vazquez MI, Ruiz MA, et al. Intravenous calcitriol improves anaemia and reduces the need for eryth- ropoietin in haemodialysis patients. Nephron 1998;78:23- 27.
  • Carvalho C, Isakova T, Collerone G, et al. Hepcidin and disordered mineral metabolism in chronic kidney disease. Clin Nephrol 2011;76:90-98.
  • Toxqui L, Perez-Granados AM, Blanco-Rojo R, et al. Ef- fects of an iron or iron and vitamin D-fortified flavored skim milk on iron metabolism: a randomized controlled double-blind trial in iron-deficient women. J Am Coll Nutr 2013;32:312-320.

Serum 25(OH) D vitamini düzeyinin hemogram parametreleri üzerine etkisi

Year 2014, Volume: 41 Issue: 2, 332 - 336, 01.06.2014
https://doi.org/10.5798/diclemedj.0921.2014.02.0426

Abstract

Amaç: D vitamini pleitropik hormon özellikleri olan yağda çözünen bir vitamindir. Genel anlamda rikets ile beraber anılır ancak yapılan araştırmalar D vitamininin kemik dışı dokularda da etkin olduğunu göstermektedir. Biz de bu çalışmada serum D vitamini düzeyinin hemogram parametrelerine etkisi olup olmadığını araştırmayı amaçladık. Yöntemler: Bu retrospektif çalışma, 243 kadın 59 erkek toplam 302 hastanın verileri değerlendirilerek gerçekleştirildi. Hastaların D vitamini düzeyi ve hemogram [eritrosit sayısı (RBC), hemoglobin (Hb), beyaz küre sayısı (WBC), trombosit sayısı (PLT), ortalama trombosit volümü (MPV) ve eritrosit dağılım genişliği (RDW)] parametreleri elde edildi. Hastalar D vitamini düzeylerine göre 4 gruba ayrıldı: Grup 1: < 10 ng/mL; Grup 2: 10-19 ng/mL; Grup 3: 20-29 ng/mL ve Grup 4: 30-60 ng/mL. Bulgular: Gruplar arası RBC, Hb, WBC, PLT, MPV ve RDW değerleri arasında anlamlı bir farklılık saptanmadı (p>0.05). Ayrıca, D vitamini ile hemogram parametreleri arasında herhangi bir korelasyon tespit edilmedi. Sonuçlar: Literatüre bakıldığında D vitamini ile WBC, RBC ve PLT arasında ilişki olduğunu gösteren çok sayıda yayın bulunmaktadır. Ancak, bizim çalışmamızda literatürün aksine D vitamini ile hemogram parametreleri arasında herhangi bir ilişki tespit edilemedi. Bu sonuçlar D vitamininin hematopoietik sistem üzerindeki etkilerinin deneysel ve klinik olarak daha iyi araştırılması gerektiği fikrini vermektedir.

References

  • Lips P. Vitamin D physiology. Prog Biophys Mol Biol 2006;92:4-8.
  • Bogunia-Kubik K, Middleton P, Norden J, et al. Association of vitamin D receptor polymorphisms with the outcome of allogeneic haematopoietic stem cell transplantation. Int J Immunogenet 2008;35:207-213.
  • Provvedini DM, Tsoukas CD, Deftos LJ, et al. 1,25-dihy- droxyvitamin D3 receptors in human leukocytes. Science 1983;221:1181-1183.
  • Baeke F, Gysemans C, Korf H, et al. Vitamin D insufficien- cy: implications for the immune system. Pediatr Nephrol 2010;25:1597-1606.
  • Yilmaz M, Yilmaz N. D vitaminin beyindeki rolü ve ilişkili nörolojik hastalıklar. J Clin Exp Invest 2013; 4:411-415.
  • Çidem M, Kara S, Sarı H, et al. Yaygın kas-iskelet ağrısı olan hastalarda D vitamini eksikliği prevalansı ve risk faktörleri. J Clin Exp Invest 2013; 4:488-491.
  • Köse N. Fibromiyalji hastalarında kan vitamin D düzey- leri ve D vitamini tedavisinin etkinliği. Dicle Med J 2013; 40:583-588.
  • Wallis DE, Penckofer S, Sizemore GW. The “sunshine defi- cit” and cardiovascular disease. Circulation 2008;118:1476- 1485.
  • Zittermann A, Schleithoff SS, Koerfer R. Putting cardiovas- cular disease and vitamin D insufficiency into perspective. Br J Nutr 2005;94:483-492.
  • Kıdır V. D vitamininin kardiyovasküler ve metabolik et- kileri. J Clin Exp Invest 2013; 4:398-404.
  • Martins D, Wolf M, Pan D, et al. Prevalence of cardiovas- cular risk factors and the serum levels of 25-hydroxyvita- min D in the United States: data from the Third National Health and Nutrition Examination Survey. Arch Intern Med 2007;167:1159-1165.
  • von Hurst PR, Stonehouse W, Coad J. Vitamin D supple- mentation reduces insulin resistance in South Asian women living in New Zealand who are insulin resistant and vitamin D deficient - a randomized, placebo-controlled trial. Br J Nutr 2010;103:549-555.
  • Bunce CM, Brown G, Hewison M. Vitamin D and hemato- poiesis. Trends Endocrinol Metab 1997;8:245-251.
  • Grande A, Montanari M, Tagliafico E, et al. Physiological levels of 1alpha, 25 dihydroxyvitamin D3 induce the mono- cytic commitment of CD34+ hematopoietic progenitors. J Leukoc Biol 2002;71:641-651.
  • Stach K, Kalsch AI, Nguyen XD, et al. 1alpha,25-dihy- droxyvitamin D3 attenuates platelet activation and the ex- pression of VCAM-1 and MT1-MMP in human endothelial cells. Cardiology. 2011;118:107-115.
  • Muller K, Diamant M, Bendtzen K. Inhibition of produc- tion and function of interleukin-6 by 1,25-dihydroxyvita- min D3. Immunol Lett 1991;28:115-120.
  • Cantorna MT, Woodward WD, Hayes CE. 1,25-dihy- droxyvitamin D3 is a positive regulator for the two anti-en- cephalitogenic cytokines TGF-beta 1 and IL-4. J Immunol 1998;160:5314-5319.
  • Icardi A, Paoletti E, De Nicola L, et al. Renal anaemia and EPO hyporesponsiveness associated with vitamin D defi- ciency: the potential role of inflammation. Nephrol Dial Transplant 2013;28:1672-1679.
  • Luong QT, Koeffler HP. Vitamin D compounds in leukemia. J Steroid Biochem Mol Biol 2005;97:195-202.
  • O’Kelly J, Hisatake J, Hisatake Y, et al. Normal myelopoi- esis but abnormal T lymphocyte responses in vitamin D re- ceptor knockout mice. J Clin Invest 2002;109:1091-1099.
  • Yu S, Cantorna MT. Epigenetic reduction in invariant NKT cells following in utero vitamin D deficiency in mice. J Im- munol 2011;186:1384-1390.
  • Yu S, Zhao J, Cantorna MT. Invariant NKT cell defects in vitamin D receptor knockout mice prevents experimental lung inflammation. J Immunol 2011;187:4907-4912.
  • Kebapcilar AG, Kulaksizoglu M, Ipekci SH, et al. Relation- ship between mean platelet volume and low-grade systemic coagulation with vitamin D deficiency in primary ovarian insufficiency. Arch Gynecol Obstet 2013;288:207-212.
  • Yildirim I, Hur E, Kokturk F. Inflammatory markers: C- reactive protein, erythrocyte sedimentation rate, and leuko- cyte count in vitamin D deficient patients with and without chronic kidney disease. Int J Endocrinol 2013;2013:802165.
  • Bockow B, Kaplan TB. Refractory immune thrombocyto- penia successfully treated with high-dose vitamin D sup- plementation and hydroxychloroquine: two case reports. J Med Case Rep 2013;7:91.
  • Norman AW. Minireview: vitamin D receptor: new as- signments for an already busy receptor. Endocrinology 2006;147:5542-5548.
  • Patel NM, Gutierrez OM, Andress DL, et al. Vitamin D de- ficiency and anemia in early chronic kidney disease. Kid- ney Int 2010;77:715-720.
  • Shin JY, Shim JY. Low vitamin D levels increase anemia risk in Korean women. Clin Chim Acta 2013;421:177-180.
  • Goicoechea M, Vazquez MI, Ruiz MA, et al. Intravenous calcitriol improves anaemia and reduces the need for eryth- ropoietin in haemodialysis patients. Nephron 1998;78:23- 27.
  • Carvalho C, Isakova T, Collerone G, et al. Hepcidin and disordered mineral metabolism in chronic kidney disease. Clin Nephrol 2011;76:90-98.
  • Toxqui L, Perez-Granados AM, Blanco-Rojo R, et al. Ef- fects of an iron or iron and vitamin D-fortified flavored skim milk on iron metabolism: a randomized controlled double-blind trial in iron-deficient women. J Am Coll Nutr 2013;32:312-320.
There are 31 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Gülfer Öztürk This is me

Erdem Bulut This is me

Sümeyya Akyol This is me

Mine Yavuz Taşlıpınar This is me

Zeynep Giniş This is me

Fatma Uçar This is me

Gönül Erden This is me

Publication Date June 1, 2014
Submission Date March 2, 2015
Published in Issue Year 2014 Volume: 41 Issue: 2

Cite

APA Öztürk, G., Bulut, E., Akyol, S., Taşlıpınar, M. Y., et al. (2014). Serum 25(OH) D vitamini düzeyinin hemogram parametreleri üzerine etkisi. Dicle Tıp Dergisi, 41(2), 332-336. https://doi.org/10.5798/diclemedj.0921.2014.02.0426
AMA Öztürk G, Bulut E, Akyol S, Taşlıpınar MY, Giniş Z, Uçar F, Erden G. Serum 25(OH) D vitamini düzeyinin hemogram parametreleri üzerine etkisi. diclemedj. June 2014;41(2):332-336. doi:10.5798/diclemedj.0921.2014.02.0426
Chicago Öztürk, Gülfer, Erdem Bulut, Sümeyya Akyol, Mine Yavuz Taşlıpınar, Zeynep Giniş, Fatma Uçar, and Gönül Erden. “Serum 25(OH) D Vitamini düzeyinin Hemogram Parametreleri üzerine Etkisi”. Dicle Tıp Dergisi 41, no. 2 (June 2014): 332-36. https://doi.org/10.5798/diclemedj.0921.2014.02.0426.
EndNote Öztürk G, Bulut E, Akyol S, Taşlıpınar MY, Giniş Z, Uçar F, Erden G (June 1, 2014) Serum 25(OH) D vitamini düzeyinin hemogram parametreleri üzerine etkisi. Dicle Tıp Dergisi 41 2 332–336.
IEEE G. Öztürk, E. Bulut, S. Akyol, M. Y. Taşlıpınar, Z. Giniş, F. Uçar, and G. Erden, “Serum 25(OH) D vitamini düzeyinin hemogram parametreleri üzerine etkisi”, diclemedj, vol. 41, no. 2, pp. 332–336, 2014, doi: 10.5798/diclemedj.0921.2014.02.0426.
ISNAD Öztürk, Gülfer et al. “Serum 25(OH) D Vitamini düzeyinin Hemogram Parametreleri üzerine Etkisi”. Dicle Tıp Dergisi 41/2 (June 2014), 332-336. https://doi.org/10.5798/diclemedj.0921.2014.02.0426.
JAMA Öztürk G, Bulut E, Akyol S, Taşlıpınar MY, Giniş Z, Uçar F, Erden G. Serum 25(OH) D vitamini düzeyinin hemogram parametreleri üzerine etkisi. diclemedj. 2014;41:332–336.
MLA Öztürk, Gülfer et al. “Serum 25(OH) D Vitamini düzeyinin Hemogram Parametreleri üzerine Etkisi”. Dicle Tıp Dergisi, vol. 41, no. 2, 2014, pp. 332-6, doi:10.5798/diclemedj.0921.2014.02.0426.
Vancouver Öztürk G, Bulut E, Akyol S, Taşlıpınar MY, Giniş Z, Uçar F, Erden G. Serum 25(OH) D vitamini düzeyinin hemogram parametreleri üzerine etkisi. diclemedj. 2014;41(2):332-6.