The relation of 25-hydroxy vitamin D concentrations to liver histopathology, seasonality and baseline characteristics in chronic hepatitis C virus genotype 2 or 3 infection

The hydroxylation to 25-hydroxy vitamin D (25(OH)D) occurs in the liver and the impact of liver disease on vitamin D is unclear. This study evaluated the relationship between vitamin D concentrations and hepatic histopathology, seasonality and patient characteristics in well-characterized patients h...

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Veröffentlicht in:PloS one 2020-08, Vol.15 (8), p.e0237840-e0237840
Hauptverfasser: Waldenstrom, Jesper, Nystrom, Kristina, Nilsson, Staffan, Norkrans, Gunnar, Ydreborg, Magdalena, Langeland, Nina, Morch, Kristine, Westin, Johan, Lagging, Martin
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creator Waldenstrom, Jesper
Nystrom, Kristina
Nilsson, Staffan
Norkrans, Gunnar
Ydreborg, Magdalena
Langeland, Nina
Morch, Kristine
Westin, Johan
Lagging, Martin
description The hydroxylation to 25-hydroxy vitamin D (25(OH)D) occurs in the liver and the impact of liver disease on vitamin D is unclear. This study evaluated the relationship between vitamin D concentrations and hepatic histopathology, seasonality and patient characteristics in well-characterized patients having undergone a liver biopsy. 25(OH)D was measured post-hoc in pre-treatment serum from 331 North European patients with chronic HCV genotype 2 or 3 infection (NORDynamIC study). Liver biopsies were scored for fibrosis and inflammation according to the Ishak protocol, and graded for steatosis. Non-invasive markers of hepatic fibrosis as well as baseline viral and host characteristics, including genetic polymorphisms rs2228570, rs7975232, and rs10877012 were also evaluated. Mean 25(OH)D concentration was 59 ±23 nmol/L, with 41% having values
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This study evaluated the relationship between vitamin D concentrations and hepatic histopathology, seasonality and patient characteristics in well-characterized patients having undergone a liver biopsy. 25(OH)D was measured post-hoc in pre-treatment serum from 331 North European patients with chronic HCV genotype 2 or 3 infection (NORDynamIC study). Liver biopsies were scored for fibrosis and inflammation according to the Ishak protocol, and graded for steatosis. Non-invasive markers of hepatic fibrosis as well as baseline viral and host characteristics, including genetic polymorphisms rs2228570, rs7975232, and rs10877012 were also evaluated. Mean 25(OH)D concentration was 59 ±23 nmol/L, with 41% having values &lt;50 nmol/L and 6% were &lt;30 nmol/L. 25(OH)D correlated with fibrosis (r = -0.10, p [less than or equal to]0.05) in univariate but not in multivariate analyses. No association was observed between 25(OH)D and hepatic inflammation, but with steatosis in HCV genotype 2 infected patients. None of the genetic polymorphisms impacted on 25(OH)D levels or fibrosis. 25(OH)D levels were significantly inversely correlated to BMI (r = -0.19, p = 0.001), and was also associated with season and non-Caucasian ethnicity. Fibrosis was not independently associated with 25(OH)D concentration and no association was seen with hepatic inflammation, but HCV genotype 2 infected patients with moderate-to-severe steatosis had lower 25(OH)D levels compared to those without steatosis. 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This study evaluated the relationship between vitamin D concentrations and hepatic histopathology, seasonality and patient characteristics in well-characterized patients having undergone a liver biopsy. 25(OH)D was measured post-hoc in pre-treatment serum from 331 North European patients with chronic HCV genotype 2 or 3 infection (NORDynamIC study). Liver biopsies were scored for fibrosis and inflammation according to the Ishak protocol, and graded for steatosis. Non-invasive markers of hepatic fibrosis as well as baseline viral and host characteristics, including genetic polymorphisms rs2228570, rs7975232, and rs10877012 were also evaluated. Mean 25(OH)D concentration was 59 ±23 nmol/L, with 41% having values &lt;50 nmol/L and 6% were &lt;30 nmol/L. 25(OH)D correlated with fibrosis (r = -0.10, p [less than or equal to]0.05) in univariate but not in multivariate analyses. No association was observed between 25(OH)D and hepatic inflammation, but with steatosis in HCV genotype 2 infected patients. None of the genetic polymorphisms impacted on 25(OH)D levels or fibrosis. 25(OH)D levels were significantly inversely correlated to BMI (r = -0.19, p = 0.001), and was also associated with season and non-Caucasian ethnicity. Fibrosis was not independently associated with 25(OH)D concentration and no association was seen with hepatic inflammation, but HCV genotype 2 infected patients with moderate-to-severe steatosis had lower 25(OH)D levels compared to those without steatosis. A high percentage had potential risk of 25(OH)D deficiency, and BMI, seasonality and ethnicity were independently associated with 25(OH)D as previously reported.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32822420</pmid><doi>10.1371/journal.pone.0237840</doi><tpages>e0237840</tpages><orcidid>https://orcid.org/0000-0002-7995-3626</orcidid><orcidid>https://orcid.org/0000-0003-2234-0076</orcidid><oa>free_for_read</oa></addata></record>
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subjects association
Biology and Life Sciences
Biopsy
body-mass index
Calciferol
Chronic infection
d deficiency
Diagnosis
disease
Evaluation
fat
Fatty liver
Fibrosis
Gene polymorphism
Genotype & phenotype
Haplotypes
Health aspects
Hepatitis
Hepatitis C
Histopathology
Hospitals
Hydroxylation
Infections
Infectious diseases
Infectious Medicine
Infektionsmedicin
Inflammation
Interferon
latitude
Liver
Liver cirrhosis
Liver diseases
Medicine and health sciences
Metabolism
Mineralization
Minority & ethnic groups
Physical sciences
Population
rather
Science & Technology - Other Topics
Seasonal variations
Steatosis
Viruses
Vitamin D
Vitamin deficiency
title The relation of 25-hydroxy vitamin D concentrations to liver histopathology, seasonality and baseline characteristics in chronic hepatitis C virus genotype 2 or 3 infection
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