Increased vitamin D binding protein levels are associated with irritable bowel syndrome
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Date
2021
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Abstract
identify Irritable bowel syndrome (IBS) and its subtypes.
The aim of this study is to explore potential serum biomarkers
that may be associated with IBS subtypes, particularly
in the vitamin D pathway.
Methods: The study population comprised 75 IBS patients
and 79 controls. Patients divided into IBS subtypes. Routine
biochemical parameters, 25-OH-vitamin D, vitamin D
binding protein (VDBP) and vitamin D receptor (VDR)
serum levels were compared between IBS subtypes and
controls. Factors related to IBS subtypes were examined by
multivariate logistic regression analysis.
Results: Vitamin D levels were lower; VDBP and VDR were
higher in all IBS patients than in controls (p<0.001; 0.047
and 0.029, respectively). According to logistic regression analysis, VDBP was a disease-related parameter as much
as vitamin D in all IBS subtypes. C-reactive protein (CRP)
and erythrocyte sedimentation rate (ESR) were higher
especially in diarrhea-dominant IBS (IBS-D) (p=0.041;
0.046) and vitamin B12 were significantly lower in
constipation-dominant IBS (IBS-C) (p=0.001).
Conclusions: Increased VDBP levels were associated with
all IBS subtypes. Patients, especially in IBS-D, had higher
serum levels of VDBP, CRP and ESR. Vitamin B12 deficiency,
which we consider as a result of the disease, was
more common in IBS-C.