Objective: Acne vulgaris is a disease of pilosebaceous unit. Although multiple factors contribute to the development of acne, inflammation is the key component in the pathogenesis. Creactive protein (CRP) is a well-known marker of inflammation and there are few reports studying the antioxidant, and anti-inflammatory effects of vitamin D in acne. In the present study, the aim was to compare serum vitamin D and CRP levels in acne patients with control subjects. Material and Methods: 65 patients with acne vulgaris, and 41 healthy subjects were enrolled in this crosssectional study. Serum vitamin D and CRP levels of both groups were evaluated. Results: No significant association was found between the occurence of acne vulgaris and serum 25-hydroxyvitamin D and CRP levels (p=0.692, p=0.300, respectively). Conclusion: Vitamin D deficiency was determined to be equivalent in both acne patients and healthy subjects. This result might be due to the affection of the whole Turkish population with the same problem. Larger size studies which investigate the status of vitamin D levels in patients with acne, could provide making more precise interpretations.
Keywords: Acne vulgaris; c-reactive protein; inflammation; vitamin D
Amaç: Akne vulgaris pilosebase ünitenin bir hastalığıdır. Akne gelişimine pek çok faktör katkıda bulunsa da, inflamasyon patogenezdeki ana bileşendir. C-reaktif protein (CRP) iyi bilinen bir inflamatuar belirteçtir ve vitamin D'nin aknedeki antioksidan ve antiinflamatuar etkilerini inceleyen birkaç çalışma bulunmaktadır. Bu çalışmanın amacı akne hastaları ile kontrol grubu arasında serum vitamin D ve CRP düzeylerini karşılaştırmaktır. Gereç ve Yöntemler: 65 akne vulgaris ve 41 sağlıklı kontrol kişileri bu kesitsel çalışmaya dâhil edilmiştir. Her iki grupta da serum vitamin D ve CRP düzeyleri değerlendirilmiştir. Bulgular: Akne vulgaris varlığı ile serum 25-hidroksi-vitamin D ve CRP düzeyleri arasında bir ilişki gösterilememiştir (p=0,692, p=0,300, sırasıyla). Sonuç: Vitamin D eksikliğinin hem akne hem de kontrol grubunda eşit olarak bulunması, bu sorunun tüm Türkiye popülasyonunu ekileyen genel bir problem olmasına bağlanabilir. Akne hastalarında vitamin D düzeyinin araştırılması için daha geniş gruplarla yapılacak çalışmalar, daha net yorumların yapılabilmesini sağlayabilir.
Anahtar Kelimeler: Akne vulgaris; c-reaktif protein; inflamasyon; vitamin D
- Williams HC, Dellavalle RP, Garner S. Acne vulgaris. Lancet. 2012;379(9813):361-72. [Crossref]
- Mouser PE, Baker BS, Seaton ED, Chu AC. Propionibacterium acnes-reactive T helper-1 cells in the skin of patients with acne vulgaris. J Invest Dermatol. 2003;121(5):1226-8. [Crossref] [PubMed]
- Kim J, Ochoa MT, Krutzik SR, Takeuchi O, Uematsu S, Legaspi AJ, et al. Activation of toll-like receptor 2 in acne triggers inflammatory cytokine responses. J Immunol. 2002;169(3):1535-41. [Crossref] [PubMed] [PMC]
- Vowels BR, Yang S, Leyden JJ. Induction of proinflammatory cytokines by a soluble factor of Propionibacterium acnes: implications for chronic inflammatory acne. Infect Immun. 1995;63(8):3158-65.
- Namazi MR, Parhizkar AR, Jowkar F. Serum levels of hypersensitive-C-reactive protein in moderate and severe acne. Indian Dermatol Online J. 2015;6(4):253-7. [Crossref] [PubMed] [PMC]
- Yildizgören MT, Togral AK. Preliminary evidence for vitamin D deficiency in nodulocystic acne. Dermatoendocrinol. 2015;6(1):e983687. [Crossref]
- Lim SK, Ha JM, Lee YH, Lee Y, Seo YJ, Kim CD, et al. Comparison of vitamin D levels in patients with and without acne: a case-control study combined with a randomized controlled trial. PloS One. 2016;11(8):e0161162. [Crossref]
- Vanlint S. Vitamin D and obesity. Nutrients. 2013;5(3):949-56.
- Hollis BW, Wagner CL. Normal serum vitamin D levels. N Engl J Med. 2005;352(5):515-6. [Crossref] [PubMed]
- Smith RN, Mann NJ, Braue A, Mäkeläinen H, Varigos GA. The effect of a high-protein, low glycemic-load diet versus a conventional, high glycemic-load diet on biochemical parameters associated with acne vulgaris: a randomized, investigator-masked, controlled trial. J Am Acad Dermatol. 2007;57(2):247-56. [Crossref] [PubMed]
- Melnik BC, Schmitz G. Role of insulin, insulinlike growth factor-1, hyperglycaemic food and milk consumption in the pathogenesis of acne vulgaris. Exp Dermatol. 2009;18(10):833-41. [Crossref] [PubMed]
- Erpolat S, Arslanyılmaz Z, Kaygusuz İ. [Serum zinc levels in patients with acne vulgaris and its correlation with severity of acne]. Dicle Tıp Dergisi. 2016;43(2):310-4.
- Zouboulis CC. Is acne vulgaris a genuine inflammatory disease? Dermatology. 2001; 203(4):277-9. [Crossref] [PubMed]
- Jeremy AH, Holland DB, Roberts SG, Thomson KF, Cunliffe WJ. Inflammatory events are involved in acne lesion initiation. J Invest Dermatol. 2003;121(1):20-7. [Crossref] [PubMed]
- Kang S, Cho S, Chung JH, Hammerberg C, Fisher GJ, Voorhees JJ. Inflammation and extracellular matrix degradation mediated by activated transcription factors nuclear factorkappaB and activator protein-1 in inflammatory acne lesions in vivo. Am J Pathol. 2005;166(6):1691-9. [Crossref]
- Özlü E, Baykan A, Ertaş R. [An overview of etipathogenesis of acne vulgaris]. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2018;8(1):44-51.
- McInturff JE, Kim J. The role of toll-like receptors in the pathophysiology of acne. Semin Cutan Med Surg. 2005;24(2):73-8. [Crossref] [PubMed]
- Bhat YJ, Latief I, Hassan I. Update on etiopathogenesis and treatment of acne. Indian J Dermatol Venereol Leprol. 2017;83(3):298-306. [Crossref] [PubMed]
- Lee WJ, Choi YH, Sohn MY, Lee SJ, Kim DW. Expression of inflammatory biomarkers from cultured sebocytes was influenced by treatment with vitamin D. Indian J Dermatol. 2013;58(4):327. [Crossref] [PubMed] [PMC]
- Agak GW, Qin M, Nobe J, Kim MH, Krutzik SR, Tristan GR, et al. Propionibacterium acnes inducesan IL-17 response in acne vulgaris that is regulated by vitamin A and vitamin D. J Invest Dermatol. 2014;134(2):366-73. [Crossref] [PubMed] [PMC]
- Lee WJ, Cha HW, Sohn MY, Lee SJ, Kim DW. Vitamin D increases expression of cathelicidin in cultured sebocytes. Arch Dermatol Res. 2012;304(8):627-32. [Crossref] [PubMed]
- Krämer C, Seltmann H, Seifert M, Tilgen W, Zouboulis CC, Reichrath J. Characterization of the vitamin D endocrine system in human sebocytes in vitro. J Steroid Biochem Mol Biol. 2009;113(1-2):9-16. [Crossref]
- Sertznig P, Seifert M, Tilgen W, Reichrath J. Activation of vitamin D receptor (VDR) and peroxisome proliferator-activated receptor (PPAR)-signaling pathways through 1,25(OH)(2)D(3) in melanoma cell lines and other skin-derived cell lines. Dermatoendocrinol. 2009;1(4):232-8. [Crossref] [PubMed] [PMC]
- Tehrani HG, Mostajeran F, Shahsavari S. The effect of calcium and vitamin D supplementation on menstrual cycle, body mass index and hyperandrogenism state of women with polycystic ovarian syndrome. J Res Med Sci. 2014;19(9):875-80.
- Zacho J, Tybjaerg-Hansen A, Jensen JS, Grande P, Sillesen H, Nordestgaard BG. Genetically elevated C-reactive protein and ischemic vascular disease. N Engl J Med. 2008;359(18):1897-908. [Crossref] [PubMed]
- Vergou T, Mantzou E, Tseke P, Moustou AE, Katsambas A, Alevizaki M, et al. Association of thyroid autoimmunity with acne in adult women. J Eur Acad Dermatol Venereol. 2012;26(4):413-6. [Crossref] [PubMed]
- Alemzadeh R, Kichler J, Calhoun M. Spectrum of metabolic dysfunction in relationship with hyperandrogenemia in obese adolescent girls with polycystic ovary syndrome. Eur J Endocrinol. 2010;162(6):1093-9. [Crossref] [PubMed]
- Keskin Kurt R, Okyay AG, Hakverdi AU, Gungoren A, Dolapcioglu KS, Karateke A, et al. The effect of obesity on inflammatory markers in patients with PCOS: a BMI-matched casecontrol study. Arch Gynecol Obstet. 2014;290(2):315-9. [Crossref]
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