Dietary vitamin D3 deficiency exacerbates sinonasal inflammation and alters local 25(OH)D3 metabolism

Autor: William W. Carroll, Carl Atkinson, Whitney N. Pasquini, Jennifer K. Mulligan, Rodney J. Schlosser, Nicholas Reaves, Tucker Williamson, Kunal Patel, Elliott Mappus
Rok vydání: 2017
Předmět:
0301 basic medicine
Neutrophils
Physiology
lcsh:Medicine
Pathology and Laboratory Medicine
T-Lymphocytes
Regulatory

Mice
White Blood Cells
chemistry.chemical_compound
0302 clinical medicine
Animal Cells
Immune Physiology
Medicine and Health Sciences
Nasal polyps
Lymphocytes
lcsh:Science
030223 otorhinolaryngology
Immune Response
Cholecalciferol
Rhinitis
Innate Immune System
Multidisciplinary
T Cells
Nutritional Deficiencies
Animal Models
respiratory system
3. Good health
medicine.anatomical_structure
Experimental Organism Systems
Micronutrient Deficiencies
Cytokines
Cellular Types
medicine.symptom
Research Article
Vitamin
Immune Cells
Inflammatory Diseases
Immunology
Mouse Models
Inflammation
Research and Analysis Methods
vitamin D deficiency
Immune Deficiency
03 medical and health sciences
Nasal Polyps
Model Organisms
Signs and Symptoms
Immune system
Diagnostic Medicine
otorhinolaryngologic diseases
medicine
Animals
Humans
Sinusitis
Nutrition
Blood Cells
business.industry
Aspergillus fumigatus
lcsh:R
Biology and Life Sciences
Cell Biology
Molecular Development
Eosinophil
Vitamin D Deficiency
medicine.disease
Blood Cell Count
Diet
Eosinophils
Disease Models
Animal

030104 developmental biology
chemistry
Immune System
Dietary Supplements
Nasal Lavage
lcsh:Q
Clinical Immunology
Nasal administration
Clinical Medicine
business
Developmental Biology
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 10, p e0186374 (2017)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0186374
Popis: Rationale Patients with chronic rhinosinusitis with nasal polyps (CRSwNP) have been shown to be vitamin D3 (VD3) deficient, which is associated with more severe disease and increased polyp size. To gain mechanistic insights into these observational studies, we examined the impact of VD3 deficiency on inflammation and VD3 metabolism in an Aspergillus fumigatus (Af) mouse model of chronic rhinosinusitis (Af-CRS). Methods Balb/c mice were fed control or VD3 deficient diet for 4 weeks. Mice were then sensitized with intraperitoneal Af, and one week later given Af intranasally every three days for four weeks while being maintained on control or VD3 deficient diet. Airway function, sinonasal immune cell infiltrate and sinonasal VD3 metabolism profiles were then examined. Results Mice with VD3 deficiency had increased Penh and sRaw values as compared to controls as well as exacerbated changes in sRaw when coupled with Af-CRS. As compared to controls, VD3 deficient and Af-CRS mice had reduced sinonasal 1α-hydroxylase and the active VD3 metabolite, 1,25(OH)2D3. Differential analysis of nasal lavage samples showed that VD3 deficiency alone and in combination with Af-CRS profoundly upregulated eosinophil, neutrophil and lymphocyte numbers. VD3 deficiency exacerbated increases in monocyte-derived dendritic cell (DC) associated with Af-CRS. Conversely, T-regulatory cells were decreased in both Af-CRS mice and VD3 deficient mice, though coupling VD3 deficiency with Af-CRS did not exacerbate CD4 or T-regulatory cells numbers. Lastly, VD3 deficiency had a modifying or exacerbating impact on nasal lavage levels of IFN-γ, IL-6, IL-10 and TNF-α, but had no impact on IL-17A. Conclusions VD3 deficiency causes changes in sinonasal immunity, which in many ways mirrors the changes observed in Af-CRS mice, while selectively exacerbating inflammation. Furthermore, both VD3 deficiency and Af-CRS were associated with altered sinonasal VD3 metabolism causing reductions in local levels of the active VD3 metabolite, 1,25(OH)2D3, even with adequate circulating levels.
Databáze: OpenAIRE