Yıl: 2018 Cilt: 24 Sayı: 1 Sayfa Aralığı: 11 - 14 Metin Dili: İngilizce DOI: 10.4274/tod.07108 İndeks Tarihi: 20-12-2018

Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume

Öz:
Objective: Vitamin D is important for calcium and phosphorus metabolism as well as bone homeostasis. Moreover, its receptors weredetected in immune system, brain, eyes, pancreas, heart, adipose tissue, thyroid and parathyroid tissues in addition to other tissues andvitamin D deficiency is thought to play a role in immune system response, autoimmune diseases, infectious diseases, some types of cancers,and cardiovascular and metabolic diseases as well. In this study, our main objective is to assess the relationship between 25-hydroxy-D3[25(OH)D3] deficiency and inflammation; using C-reactive protein (CRP), platelet to lymphocyte rate (PLR), neutrophil to lymphocyte ratio(NLR) and mean platelet volume (MPV) parameters.Materials and Methods: This retrospective-cross-sectional study included 122 patients with diagnosed 25(OH)D3 deficiency and 85 controls.Patients’ CRP, NLR, PLR and MPV values were recorded and investigated.Results: There was no significant difference between the patients with 25(OH)D3 deficiency and control group in terms of NLR, PLR and MPV(p>0.05). However, CRP was significantly higher in 25(OH)D3 deficiency patients (p=0.001). No correlation between the values were detected.Conclusion: In our study, CRP values were significantly higher in patients with 25(OH)D3 deficiencies. However, we were unable to find asignificant relationship between 25(OH)D3 deficiency and NLR, PLR and MPV values. In order to assess the relationship between inflammationand vitamin D deficiency properly, well-designed prospective randomized controlled studies with wider series are required.
Anahtar Kelime:

Konular: Ortopedi

D Vitamini ve Enflamasyon İlişkisinin Nötrofil Lenfosit Oranı, Trombosit Lenfosit Oranı ve Ortalama Trombosit Hacmi ile Değerlendirilmesi

Öz:
Amaç: D vitamini kalsiyum ve fosfor metabolizmasında ve kemik homeostazında önemli rol oynamaktadır. Bunun yanı sıra immün sistem, beyin, gözler, pankreas, kalp, yağ dokusu, tiroit, paratitoid gibi birçok doku ve organda reseptörü gösterilmiş ve D vitamini eksikliğinin immün yanıtın düzenlenmesinde, otoimmün hastalıklarda, enfeksiyöz hastalıklarda, çeşitli kanserlerde, kardiyovasküler ve metabolik hastalıklarda da önemli rol oynadığı ileri sürülmüştür. Bu çalışmada 25-hidroksi-D3 [25(OH)D3] eksikliğinin enflamasyonla ilişkisinin nötrofil lenfosit oranı (NLO), trombosit lenfosit oranı (TLO) ve ortalama trombosit hacmi (OTH) parametreleri kullanılarak değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif-kesitsel çalışmaya 25(OH)D3 eksikliği olan 122 hasta ile 85 kontrol alınmıştır. Hastaların C-reaktif protein (CRP), NLO, TLO ve OTH değerleri kaydedilmiş ve incelenmiştir. Bulgular: 25(OH)D3 eksikliği olan hastalar ile kontrol grubu arasında NLO, TLO ve OTH açısından anlamlı fark saptanmamıştır (p>0,05). 25(OH) D3 eksikliği olan hastalarda CRP anlamlı olarak yüksek bulunmuştur (p=0,001). Değerler arasında herhangi bir korelasyon saptanmamıştır. Sonuç: Çalışmamızda D vitamini eksikliği ile NLO, TLO ve OTH değerleri arasında anlamlı bir ilişki saptanmazken; CRP, D vitamini eksikliği olan hastalarda yüksek olarak bulunmuştur. D vitamini eksikliği ile yüksek MPV arasındaki ilişkiyi düzgün bir şekilde değerlendirmek için, iyi dizayn edilmiş prospektif, randomize kontrollü çalışmaların daha geniş serilerle yapılması gereklidir.
Anahtar Kelime:

Konular: Ortopedi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Beyan C, Kaptan K, Ifran A. The relationship of mean platelet volume with the risk and prognosis of cardiovascular diseases. Int J Clin Pract 2010;64:827-8.
  • Flad HD, Brandt E. Platelet-derived chemokines: pathophysiology and therapeutic aspects. Cell Mol Life Sci 2010;67:2363-86.
  • Reid IR. What diseases are causally linked to vitamin D deficiency? Arch Dis Child 2016;101:185-9.
  • Kim M, Na W, Sohn C. Correlation between vitamin D and cardiovascular disease predictors in overweight and obese Koreans. J Clin Biochem Nutr 2013;52:167-71.
  • Yildirim I, Hur E, Kokturk F. Inflammatory markers: C-reactive protein, erythrocyte sedimentation rate, and leukocyte count in vitamin D deficient patients with and without chronic kidney disease. Int J Endocrinol 2013;2013:802165.
  • Garcia-Bailo B, Josse AR, Jamnik J, Badawi A, El-Sohemy A. Positive association between 25-hydroxyvitamin D and C-reactive protein is confounded by hormonal contraceptive use. J Womens Health (Larchmt) 2013;22:417-25.
  • Mirchi E, Saghafi H, Gharehbeglou M, Aghaali M, Rezaian Z, Ghaviahd M. Association Between 25-Hydroxyvitamin D Level and Inflammatory and Nutritional Factors in Hemodialysis and Peritoneal dialysis Patients in Qom, Iran. Iran J Kidney Dis. 2016;10:205-12.
  • Tabatabaeizadeh SA, Avan A, Bahrami A, Khodashenas E, Esmaeili H, Ferns GA, et al. High Dose Supplementation of Vitamin D Affects Measures of Systemic Inflammation: Reductions in High Sensitivity C-Reactive Protein Level and Neutrophil to Lymphocyte Ratio (NLR) Distribution. J Cell Biochem 2017;118:4317-22.
  • Mathur J, Naing S, Mills P, Limsui D. A randomized clinical trial of vitamin D3 (cholecalciferol) in ulcerative colitis patients with hypovitaminosis D3. Peer J 2017;5:e3654.
  • Alrefai D, Jones J, El-Matary W, Whiting SJ, Aljebreen A, Mirhosseini N, et al. The Association of Vitamin D Status with Disease Activity in a Cohort of Crohn’s Disease Patients in Canada. Nutrients 2017:9.
  • Yılmaz S, Akdağ Cırık D, Demirtaş C, Timur H, Şahin A, Danışman N, et al. Do vitamin D and high-sensitivity-C reactive protein levels differ in patients with hyperemesis gravidarum? A preliminary study. Turk J Obstet Gynecol 2016;13:123-6.
  • Ashraf AP, Fisher G, Alvarez J, Dudenbostel T, Calhoun DA, Szalai AJ, et al. Associations of C-reactive protein to indices of vascular health and the influence of serum 25(OH)D status in healthy adults. J Nutr Metab 2012;2012:475975.
  • Eleftheriadis T, Antoniadi G, Liakopoulos V, Stefanidis I, Galaktidou G. Inverse association of serum 25-hydroxyvitamin D with markers of inflammation and suppression of osteoclastic activity in hemodialysis patients. Iran J Kidney Dis 2012;6:129-35.
  • Ngo DT, Sverdlov AL, McNeil JJ, Horowitz JD. Does vitamin D modulate asymmetric dimethylarginine and C-reactive protein concentrations? Am J Med 2010;123:335-41.
  • Akbas EM, Gungor A, Ozcicek A, Akbas N, Askin S, Polat M. Vitamin D and inflammation: evaluation with neutrophil-tolymphocyte ratio and platelet-to-lymphocyte ratio. Arch Med Sci 2016;12:721-7.
  • Sobolewska A, Włodarczyk M, Stec-Michalska K, Fichna J, Wiśniewska-Jarosińska M. Mean Platelet Volume in Crohn’s Disease Patients Predicts Sustained Response to a 52-Week Infliximab Therapy: A Pilot Study. Dig Dis Sci 2016;61:542-9.
  • Çerman Aksu A, Aktaş Karabay E, Altunay Kivanç İ. Psoriazisli Hastalarda Nötrofil Lenfosit Orani ve Ortalama Trombosit Hacminin Degerlendirilmesi. Şişli Etfal Hastanesi Tıp Bülteni 2016;50:137-41.
  • Isaac V, Wu CY, Huang CT, Baune BT, Tseng CL, McLachlan CS. Elevated neutrophil to lymphocyte ratio predicts mortality in medical inpatients with multiple chronic conditions. Medicine (Baltimore) 2016;95:e3832.
  • Bhat T, Teli S, Rijal J, Bhat H, Raza M, Khoueiry G, et al. Neutrophil to lymphocyte ratio and cardiovascular diseases: a review. Expert Rev Cardiovasc Ther 2013;11:55-9.
  • Baeke F, Takiishi T, Korf H, Gysemans C, Mathieu C. Vitamin D: modulator of the immune system. Curr Opin Pharmacol 2010;10:482-96.
  • Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011;96:1911-30.
  • Theodoratou E, Tzoulaki I, Zgaga L, Ioannidis JP. Vitamin D and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials. BMJ 2014;348:g2035.
  • Kocovska E, Fernell E, Billstedt E, Minnis H, Gillberg C. Vitamin D and autism: clinical review. Res Dev Disabil 2012;33:1541-50.
APA UMAY ALTAŞ E, TOSUN A (2018). Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. , 11 - 14. 10.4274/tod.07108
Chicago UMAY ALTAŞ Elif,TOSUN Aliye Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. (2018): 11 - 14. 10.4274/tod.07108
MLA UMAY ALTAŞ Elif,TOSUN Aliye Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. , 2018, ss.11 - 14. 10.4274/tod.07108
AMA UMAY ALTAŞ E,TOSUN A Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. . 2018; 11 - 14. 10.4274/tod.07108
Vancouver UMAY ALTAŞ E,TOSUN A Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. . 2018; 11 - 14. 10.4274/tod.07108
IEEE UMAY ALTAŞ E,TOSUN A "Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume." , ss.11 - 14, 2018. 10.4274/tod.07108
ISNAD UMAY ALTAŞ, Elif - TOSUN, Aliye. "Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume". (2018), 11-14. https://doi.org/10.4274/tod.07108
APA UMAY ALTAŞ E, TOSUN A (2018). Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. Türk Osteoporoz Dergisi, 24(1), 11 - 14. 10.4274/tod.07108
Chicago UMAY ALTAŞ Elif,TOSUN Aliye Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. Türk Osteoporoz Dergisi 24, no.1 (2018): 11 - 14. 10.4274/tod.07108
MLA UMAY ALTAŞ Elif,TOSUN Aliye Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. Türk Osteoporoz Dergisi, vol.24, no.1, 2018, ss.11 - 14. 10.4274/tod.07108
AMA UMAY ALTAŞ E,TOSUN A Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. Türk Osteoporoz Dergisi. 2018; 24(1): 11 - 14. 10.4274/tod.07108
Vancouver UMAY ALTAŞ E,TOSUN A Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume. Türk Osteoporoz Dergisi. 2018; 24(1): 11 - 14. 10.4274/tod.07108
IEEE UMAY ALTAŞ E,TOSUN A "Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume." Türk Osteoporoz Dergisi, 24, ss.11 - 14, 2018. 10.4274/tod.07108
ISNAD UMAY ALTAŞ, Elif - TOSUN, Aliye. "Assessment of Vitamin D and Inflammatory Response Relationship Using Neutrophil to Lymphocyte Ratio, Platelet to Lymphocyte Ratio and Mean Platelet Volume". Türk Osteoporoz Dergisi 24/1 (2018), 11-14. https://doi.org/10.4274/tod.07108