Free 25-Hydroxyvitamin D Concentrations in Cystic Fibrosis.

نویسندگان

  • Moon Jeong Lee
  • Malcolm D Kearns
  • Ellen M Smith
  • Li Hao
  • Thomas R Ziegler
  • Jessica A Alvarez
  • Vin Tangpricha
چکیده

BACKGROUND Vitamin D deficiency is common in cystic fibrosis (CF), but there is no previous data on free 25-hydroxyvitamin D (25[OH]D) in CF or in relation to healthy individuals. METHODS We assessed total serum 25(OH)D concentration by chemiluminescence and serum free 25(OH)D concentration by both direct measurement (ELISA) and calculation, using serum albumin and vitamin D binding protein (VDBP) levels in 80 subjects (28 healthy adults, 25 clinically stable adults and children with CF and 27 adults experiencing a CF exacerbation). RESULTS Serum albumin and VDBP concentrations were lower in CF compared with healthy controls. Total serum 25(OH)D concentrations were positively correlated with both calculated and measured free 25(OH)D (P < 0.001 for both). Calculated and directly measured serum free 25(OH)D levels were positively correlated (P < 0.001). CONCLUSIONS Serum levels of directly measured free 25(OH)D positively correlated with total 25(OH)D, suggesting that achieving sufficient total serum 25(OH)D may result in adequate free 25(OH)D levels in CF.

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عنوان ژورنال:
  • The American journal of the medical sciences

دوره 350 5  شماره 

صفحات  -

تاریخ انتشار 2015