The correlation between vitamin D and levels of IFN-γ, NF-κB, thyroid antibodies in down syndrome: study in Indonesian children

Yuni Hisbiyah, - and Anang Endaryanto, - and Bagus Setyoboedi, - and Nur Rochmah, - and Muhammad Faizi, - The correlation between vitamin D and levels of IFN-γ, NF-κB, thyroid antibodies in down syndrome: study in Indonesian children. Acta Biomedica, 93 (6). pp. 1-10. ISSN 03924203

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Abstract

Background and aim: Vitamin D (VD) reduces interferon-gamma (IFN-γ) production and prevents nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) activation, impacting the inhibition of the autoimmunity process such as autoimmune thyroiditis (AITD). Children with Down syndrome (DS) are reported to have a higher risk of autoimmunity and lower VD levels than non-DS. Therefore, this study aimed to evaluate VD levels in Indonesian DS children and their relationship with marker of AITD. Methods: This study was conducted on DS children at Dr Soetomo Hospital between February 2021-June 2022. Socio-demographic status, amount of milk, fish and meat consumption, and duration of sun exposure were obtained using a self-report questionnaire. Thyroid hormone (TSH and FT4), thyroid antibody ( TPO-Ab and Tg- Ab), 25 (OH)D, IFN-γ, and NF-κB levels were measured using ELISA. Results: Of the 80 participants, 53.75% had sufficient (50.829±17.713 ng/ml) and 46.25% had non-sufficient (20.606±5.974 ng/ml) VD levels. Daily milk consumption, meat and fish consumption were risk factors contributing to VD levels in multivariate analysis [p=0.003, OR=1.007(1.003–1.012); p=0.004, OR=1.816(1.209– 2.728), respectively]. Participants with sufficient VD had significantly higher TPO-Ab (p=0.007) and Tg-Ab (p=0.016). Mean of VD levels were significantly negatively correlated with IFN-γ levels (r =-0.262, p=0.037) and positively correlated with TPO-Ab (r= 0.432, p=1x10-5,) and Tg-Ab (r= 0.375, p=0.001). Conclusions: Majority of subjects had sufficient VD levels. VD suppresses IFN-γ, but is unable to affect NF-κB levels, presumably causing high levels of TPO-Ab and Tg-Ab in sufficient VD patient.

Item Type: Article
Uncontrolled Keywords: Vitamin D, thyroid autoantibodies, IFN-γ, NF-κB, Down syndrome, Indonesia
Subjects: R Medicine
R Medicine > R Medicine (General)
R Medicine > RJ Pediatrics
Divisions: 01. Fakultas Kedokteran > Ilmu Kesehatan Anak (Sub Spesialis)
Creators:
CreatorsNIM
Yuni Hisbiyah, -NIM011927017307
Anang Endaryanto, -NIDN8867700016
Bagus Setyoboedi, -NIDN8889700016
Nur Rochmah, -NIDN0029047909
Muhammad Faizi, -NIDN8890900016
Depositing User: Mrs Elok Dian Nuraeni
Date Deposited: 23 Jun 2023 23:47
Last Modified: 23 Jun 2023 23:47
URI: http://repository.unair.ac.id/id/eprint/127582
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