PMID- 32122449 OWN - NLM STAT- MEDLINE DCOM- 20210106 LR - 20210106 IS - 1539-6304 (Electronic) IS - 1088-5412 (Linking) VI - 41 IP - 2 DP - 2020 Mar 1 TI - Association of serum 25-OH vitamin D(3) with serum IgE and the Pediatric Asthma Severity Score in patients with pediatric asthma. PG - 126-133 LID - 10.2500/aap.2020.41.190025 [doi] AB - Background: Pediatric asthma is a prevalent disease and has a significant immunologic and inflammatory nature. In recent years, the role of vitamin D(3) in immunologic processes has been studied, and many aspects of this role have been clarified in some human diseases. Objective: The aim of this study was to evaluate the relationship among the vitamin D(3) status, Pediatric Asthma Severity Score (PASS), and inflammatory indicators of pediatric asthma. Methods: Among all of the pediatric patients with asthma and with asthma exacerbation, 100 patients were randomly enrolled in the study and subdivided into three groups according to serum levels of 25-OH vitamin D(3). The control group consisted of 100 sex- and age-matched healthy subjects. Asthma exacerbation severity was evaluated based on the PASS before starting the medical care. The count of the white blood cells, eosinophil count, and serum levels of total immunoglobulin E (IgE) plus 25-OH vitamin D(3) were measured in all the subjects. The obtained data were then compared via proper statistical tests. A p value of <0.05 was considered as statistically significant. Results: The median level of serum IgE was increased in patients with vitamin D(3) deficiency compared with other groups. There was a significant inverse correlation between serum levels of 25-OH vitamin D(3) and IgE in pediatric patients with asthma (r = -0.483, p = 0.001). Furthermore, the serum levels of 25-OH vitamin D(3) also significantly inversely correlated with the PASS (r = -0.285, p = 0.004). Conclusion: Vitamin D(3) deficiency is associated with exacerbation severity and serum IgE levels in patients with pediatric asthma; hence, it can have an important role in pediatric asthma pathogenesis, possibly through IgE. FAU - Mohammadzadeh, Iraj AU - Mohammadzadeh I AD - From the Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. FAU - Darvish, Sorena AU - Darvish S AD - Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. FAU - Qujeq, Durdi AU - Qujeq D AD - Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences. Babol, Iran. FAU - Hajiahmadi, Mahmoud AU - Hajiahmadi M AD - From the Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. FAU - Vaghari-Tabari, Mostafa AU - Vaghari-Tabari M AD - Department of Clinical Biochemistry and Laboratory Medicine, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran, and. LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Allergy Asthma Proc JT - Allergy and asthma proceedings JID - 9603640 RN - 37341-29-0 (Immunoglobulin E) RN - P6YZ13C99Q (Calcifediol) SB - IM MH - Adolescent MH - Asthma/epidemiology/immunology/*metabolism MH - Calcifediol/*blood MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Disease Progression MH - Female MH - Humans MH - Immunoglobulin E/*blood MH - Iran/epidemiology MH - Male MH - Prevalence MH - Severity of Illness Index MH - Vitamin D Deficiency/*epidemiology EDAT- 2020/03/04 06:00 MHDA- 2021/01/07 06:00 CRDT- 2020/03/04 06:00 PHST- 2020/03/04 06:00 [entrez] PHST- 2020/03/04 06:00 [pubmed] PHST- 2021/01/07 06:00 [medline] AID - 10.2500/aap.2020.41.190025 [doi] PST - ppublish SO - Allergy Asthma Proc. 2020 Mar 1;41(2):126-133. doi: 10.2500/aap.2020.41.190025.