Association of vitamin D3, VDR gene polymorphisms, and LL-37 with a clinical form of Chagas Disease.

Autor:	Oliveira Junior LR; Universidade Estadual Paulista, Faculdade de Medicina, Programa de Pós-Graduação em Doenças Tropicais, Botucatu, SP, Brasil., Carvalho TB; Universidade Estadual Paulista, Faculdade de Medicina, Programa de Pós-Graduação em Doenças Tropicais, Botucatu, SP, Brasil., Santos RMD; Universidade Estadual Paulista, Faculdade de Medicina, Programa de Pós-Graduação em Doenças Tropicais, Botucatu, SP, Brasil., Costa ÉAPND; Universidade Estadual Paulista, Faculdade de Medicina, Programa de Pós-Graduação em Doenças Tropicais, Botucatu, SP, Brasil., Pereira PCM; Universidade Estadual Paulista, Faculdade de Medicina, Programa de Pós-Graduação em Doenças Tropicais, Botucatu, SP, Brasil., Kurokawa CS; Universidade Estadual Paulista, Faculdade de Medicina, Programa de Pós-Graduação em Doenças Tropicais, Botucatu, SP, Brasil.
Jazyk:	angličtina
Zdroj:	Revista da Sociedade Brasileira de Medicina Tropical [Rev Soc Bras Med Trop] 2019 Sep 05; Vol. 52, pp. e20190133. Date of Electronic Publication: 2019 Sep 05.
DOI:	10.1590/0037-8682-0133-2019
Abstrakt:	Introduction: Chagas disease (CD) is an important public health problem in Brazil and worldwide. Aging and obesity are important matters in patients with CD, as is hypovitaminosis D3, which can decrease the quality of life of these patients. Immunomodulation mediated by vitamin D3, especially the production of antimicrobial peptides such as cathelicidin LL-37, might be related to the severity and symptoms of CD. This study aimed to determine the serum levels of vitamin D and LL-37 and VDR gene polymorphisms in patients with chronic CD. Methods: This study included male patients with cardiac and indeterminate clinical forms of CD. Clinical, anthropometric, and blood parameters were obtained. Serum levels of 25(OH)D3 and LL-37 were determined by chemiluminescence and enzyme-linked immunosorbent assay respectively. Fok (rs731236), Bsm (rs1544410), Apa (rs7975232), and Taq (rs731236) polymorphisms of the VDR gene were investigated by PCR-RFLP. Results: Sixty-four patients were included in the study: 18 of the cardiac form and 46 of the indeterminate form. No differences in age, ethnicity, BMI, arterial hypertension, diabetes mellitus, or dyslipidemias were observed between groups. However, the serum levels of 25(OH)D3, but not of LL-37, were lower in the cardiac form group. The association among polymorphisms, vitamin D, and clinical form was not significant. Conclusions: Decreased levels of vitamin D suggest an association with the cardiac form of CD. Studies investigating the roles of vitamin D and LL-37 in the immune response and their associations with VDR polymorphisms and disease susceptibility are necessary.
Databáze:	MEDLINE
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