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Serum vitamin D and colonic vitamin D receptor in inflammatory bowel disease

World Journal of Gastroenterology 2016年第13期22卷 3581-3591页

作者： Yamilka Abreu-Delgado raymond a isidro Esther A Torres Alexandra González Myrella L Cruz Angel A isidro Carmen I González-Keelan Priscilla Medero Caroline B Appleyard Division of Gastroenterology Department of Medicine University of Puerto Rico Medical Sciences Campus-School of Medicine Department of Basic Sciences Physiology Division Ponce Health Sciences University-Medical School and Ponce Research Institute Department of Pathology and Laboratory Medicine University of Puerto Rico-Medical Sciences Campus

AIM: To determine serum vitamin D levels and colonic vitamin D receptor(VDR) expression in inflammatory bowel disease(IBD) and non-IBD patients and correlate these with ***: Puerto Rican IBD(n = 10) and non-IBD(n = 10) patients ≥ 21 years old scheduled for colonoscopy were recruited. Each patient completed a questionnaire and provided a serum sample and a colonic biopsy of normal-appearing mucosa. For IBD patients, an additional biopsy was collected from visually diseased mucosa. Serum vitamin D levels were measured by ultra-performance liquid chromatography and mass spectrometry. Hematoxylin and eosin stained tissue sections from colonic biopsies were classified histologically as normal or colitis(active/inactive), and scored for the degree of inflammation present(0-3, inactive/absent to severe). Tissue sections from colonic biopsies were also stained by immunohistochemistry for VDR, for which representative diagnostic areas were photographed and scored for staining intensity using a 4-point ***: The IBD cohort was significantly younger(40.40 ± 5.27, P < 0.05) than the non-IBD cohort(56.70 ± 1.64) with a higher prevalence of vitamin D deficiency(40% vs 20%, respectively) and insufficiency(70% vs 50%, respectively). Histologic inflammation was significantly higher in visually diseased mucosa from IBD patients(1.95 ± 0.25) than in normalappearing mucosa from control patients(0.25 ± 0.08, P < 0.01) and from IBD patients(0.65 ± 0.36, P < 0.05) and correlated inversely with VDR expression in visually diseased colonic tissue from IBD patients(r =-0.44, P < 0.05) and from IBD patients with Crohn's disease(r =-0.69, P < 0.05), but not in normal-appearing colonic tissue from control patients or IBD patients. Control and IBD patient serum vitamin D levels correlated positively with VDR expression in normal colon from control and IBD patients(r = 0.38, P < 0.05) and with patient age(r = 0.54, P < 0.01). CONCLUSION: Levels of serum vitamin D correl

关键词： Colitis Inflammation Vitamin D Vitamin D receptor Inflammatory bowel disease

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Immunohistochemical expression of SP-NK-1R-EGFR pathway and VDR in colonic inflammation and neoplasia

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World Journal of Gastroenterology 2015年第6期21卷 1749-1758页

作者： raymond a isidro Myrella L Cruz Angel A isidro Axel Baez Axel Arroyo William A González-Marqués Carmen González-Keelan Esther A Torres Caroline B Appleyard Department of Physiology and Pharmacology Ponce School of Medicine and Health Sciences Ponce Department of Pathology Ponce School of Medicine and Health Sciences Ponce Department of Anatomy Ponce School of Medicine and Health Sciences Ponce Departments of Pathology and Laboratory Medicine University of Puerto Rico School of Medicine Department of Medicine University of Puerto Rico School of Medicine

AIM:To determine the expression of neurokinin-1receptor(NK-1R),phosphorylated epidermal growth factor receptor(p EGFR),cyclooxygenase-2(Cox-2),and vitamin D receptor(VDR)in normal,inflammatory bowel disease(IBD),and colorectal neoplasia tissues from Puerto ***:Tissues from patients with IBD,colitisassociated colorectal cancer(CAC),sporadic dysplasia,and sporadic colorectal cancer(CRC),as well as normal controls,were identified at several centers in Puerto *** formalin-fixed,paraffin-embedded tissues were de-identified and processed by immunohistochemistry for NK-1R,p EGFR,Cox-2,and *** of representative areas of each tissues diagnosis were taken and scored by three observers using a4-point scale that assessed intensity of *** with CAC were further analyzed by photographing representative areas of IBD and the different grades of dysplasia,in addition to the areas of cancer,within each *** in the average age between the five patient groups were assessed with one-way analysis of variance and Tukey-Kramer multiple comparisons *** mean scores for normal tissues and tissues with IBD,dysplasia,CRC,and CAC were calculatedand statistically compared using one-way analysis of variance and Dunnett’s multiple comparisons *** between protein expression patterns were analyzed with the Pearson’s product-moment correlation *** are presented as mean±***:On average,patients with IBD were younger(34.60±5.81)than normal(63.20±6.13,P<0.01),sporadic dysplasia(68.80±4.42,P<0.01),sporadic cancer(74.80±4.91,P<0.001),and CAC(57.50±5.11,P<0.05)***-1R in cancer tissue(sporadic CRC,1.73±0.34;CAC,1.57±0.53)and sporadic dysplasia(2.00±0.45)were higher than in normal tissues(0.73±0.19).p EGFR was significantly increased in sporadic CRC(1.53±0.43)and CAC(2.25±0.47)when compared to normal tissue(0.07±0.25,P<0.05,P<0.001,respectively).Cox-2 was significantly increased in sporadic colorectal cancer(

关键词： Colitis Colon cancer Dysplasia Neurokinin Vitamin

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