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Review Articles

Vitamin D, serum 25(OH)D, LL-37 and polymorphisms in a Canadian First Nation population with endemic tuberculosis

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Article: 28952 | Received 24 Jun 2015, Accepted 16 Jul 2015, Published online: 19 Aug 2015
 

Abstract

Background

Canadian First Nation populations have experienced endemic and epidemic tuberculosis (TB) for decades. Vitamin D–mediated induction of the host defence peptide LL-37 is known to enhance control of pathogens such as Mycobacterium tuberculosis.

Objective

Evaluate associations between serum levels of 25-hydroxy vitamin D (25(OH)D) and LL-37, in adult Dene First Nation participants (N = 34) and assess correlations with single nucleotide polymorphisms (SNPs) in the vitamin D receptor (VDR) and vitamin D binding protein (VDBP).

Design

Venous blood was collected from all participants at baseline (winter and summer) and in conjunction with taking vitamin D supplements (1,000 IU/day) (winter and summer). Samples were analysed using ELISA for concentrations of vitamin D and LL-37, and SNPs in the VDR and VDBP regions were genotyped.

Results

Circulating levels of 25(OH)D were not altered by vitamin D supplementation, but LL-37 levels were significantly decreased. VDBP and VDR SNPs did not correlate with serum concentrations of 25(OH)D, but LL-37 levels significantly decreased in individuals with VDBP D432E T/G and T/T, and with VDR SNP Bsm1 T/T genotypes.

Conclusions

Our findings suggest that vitamin D supplementation may not be beneficial as an intervention to boost innate immune resistance to M. tuberculosis in the Dene population.

To access the supplementary material for this article, please see Supplementary files under ‘Article Tools’

To access the supplementary material for this article, please see Supplementary files under ‘Article Tools’

Acknowledgements

We gratefully acknowledge the privilege of working in partnership with the people of Northlands Denesuline First Nation, in common purpose, seeking paths to health and wellness. We thank you. Maci chos.

Notes

To access the supplementary material for this article, please see Supplementary files under ‘Article Tools’