Effect of Vitamin D Adjuvant and Allergen Specific Immunotherapy on Serum IL-10 and IL-17 Levels in Childhood Asthma: A Controlled Clinical Trial | ||
| Egyptian Journal of Medical Microbiology | ||
| Article 22, Volume 30, Issue 1, January 2021, Pages 175-181 PDF (367.58 K) | ||
| Document Type: New and original researches in the field of Microbiology. | ||
| Author | ||
| Lobna A. El-Korashi* | ||
| Microbiology and Immunology Department, Faculty of Medicine, Zagazig University | ||
| Abstract | ||
| Background: 1, 25-dihydroxy vitamin D3 (VitD3) can improve the effect of allergen-specific immunotherapy (SIT). Few data is available about its role in childhood asthma. Objective: To assess the immunological and clinical efficacy of VitD3 as an adjuvant to allergen specific immunotherapy in pediatric asthma. Methodology: Sixty nine children with atopic asthma were divided into three groups: a group received subcutaneous immunotherapy (SCIT) in combination with VitD3 (n=23), another group received SCIT alone (n=23), and the last group VitD3 alone (n=23). All children were assessed at baseline, and six months for rate of inhaled corticosteroid (ICS) discontinuation, and serum levels of IL-10, and IL-17A. Results: In the SCIT + vitD3, ICS discontinuation rate was higher compared to VitD3 alone group and SCIT alone group at the end of 6th month (P=0.555 and 0.016 respectively). The combined SCIT+ VitD3 group showed significant increase of serum IL-10 level in comparison to SCIT alone group and VitD3 alone group (P=0.000) and significant decrease in serum IL-17A level compared to VitD3 alone group (P= 0.011) Conclusion: VitD3 enhance the clinical and immunological outcomes of SIT in pediatric asthma. Further investigation is needed to evaluate this effect in a larger scale to confirm its role as an adjunct to SIT. | ||
| Keywords | ||
| VitD3; Asthma; IL-10; IL-17; Adjuvant | ||
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