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Vitamin D, skin filaggrin, allergic sensitization, and race.


ABSTRACT:

Background

In addition to its involvement in both the innate and adaptive immune systems, vitamin D has been found to affect keratinocyte function and proliferation, suggesting a possible role for vitamin D in cutaneous allergic sensitization.

Objective

To explore the role of circulating vitamin D levels in allergic sensitization.

Methods

Serum 25-hydroxyvitamin D (25(OH)D) levels were measured in a subset of children (N = 323) enrolled in the Mechanisms of Progression of Atopic Dermatitis to Asthma in Children cohort, a prospective early life cohort of children with atopic dermatitis. Allergic sensitization was determined using skin prick testing, and FLG expression in the keratinocytes was measured by quantitative polymerase chain reaction. Multiple Poisson regression was used to evaluate interaction effects between serum 25(OH)D levels and FLG expression with sensitization load as the outcome.

Results

Black participants had significantly lower mean levels of serum 25(OH)D compared with non-Black participants (29.3 vs 32.9 ng/mL; P < .001). FLG expression and sensitization load were negatively correlated in non-Black participants with 25(OH)D levels less than 27.2 ng/mL (Rho = -0.45; P = .02). No association between FLG expression and sensitization load was found in Black participants or participants with 25(OH)D levels greater than or equal to 27.2 ng/mL. Multiple Poisson regression models confirmed that 25(OH)D levels interact with FLG expression to affect sensitization load in non-Black participants.

Conclusion

Despite lower vitamin D levels in Black participants, sensitization load was associated with nonlesional skin FLG expression in non-Black, but not Black, children with low vitamin D levels. Thus, a complex interplay of factors determines the impact of vitamin D on allergic sensitization.

SUBMITTER: Johansson E 

PROVIDER: S-EPMC9109635 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

Vitamin D, skin filaggrin, allergic sensitization, and race.

Johansson Elisabet E   Biagini Jocelyn M JM   Martin Lisa J LJ   He Hua H   Kroner John W JW   Almasri Cassandra C   Velasquez Veronica V   Sonzogni Maud M   DeVore Stanley B SB   Spagna Daniel D   Grashel Brittany B   Hershey Gurjit K Khurana GKK  

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology 20220123 4


<h4>Background</h4>In addition to its involvement in both the innate and adaptive immune systems, vitamin D has been found to affect keratinocyte function and proliferation, suggesting a possible role for vitamin D in cutaneous allergic sensitization.<h4>Objective</h4>To explore the role of circulating vitamin D levels in allergic sensitization.<h4>Methods</h4>Serum 25-hydroxyvitamin D (25(OH)D) levels were measured in a subset of children (N = 323) enrolled in the Mechanisms of Progression of A  ...[more]

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