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Increased Circulating Levels of Vitamin D Binding Protein in MS Patients
Authors:Arturo Ottavio Rinaldi  Isabella Sanseverino  Cristina Purificato  Antonio Cortese  Rosella Mechelli  Silvia Francisci  Marco Salvetti  Enrico Millefiorini  Sandra Gessani  Maria Cristina Gauzzi
Abstract:Vitamin D (vitD) low status is currently considered a main environmental factor in multiple sclerosis (MS) etiology and pathogenesis. VitD and its metabolites are highly hydrophobic and circulate mostly bound to the vitamin D binding protein (DBP) and with lower affinity to albumin, while less than 1% are in a free form. The aim of this study was to investigate whether the circulating levels of either of the two vitD plasma carriers and/or their relationship are altered in MS. We measured DBP and albumin plasma levels in 28 MS patients and 24 healthy controls. MS patients were found to have higher DBP levels than healthy subjects. Concomitant interferon beta therapy did not influence DBP concentration, and the difference with the control group was significant in both females and males. No significant correlation between DBP and albumin levels was observed either in healthy controls or in patients. These observations suggest the involvement of DBP in the patho-physiology of MS.
Keywords:vitamin D binding protein   albumin   relapsing/remitting multiple sclerosis   beta-interferon   immunology   vitamin D
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