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Monday 22 July 2013

Reduced vitamin D levels and increased hepatitis B viral replication

Reduced vitamin D levels linked with increase hepatitis B viral replicationJune 7, 2013. The journal Hepatology published an article on May 22, 2013 which revealed an association between reduced vitamin D levels and increased replication of the hepatitis B virus (HBV).

"Vitamin D helps maintain a healthy immune system and there is evidence of its role in inflammatory and metabolic liver disease, including infection with hepatitis C virus (HCV)," noted lead researcher Christian M. Lange of Johann Wolfgang Goethe University Hospital in Frankfurt, Germany. "However, the relationship between vitamin D metabolism and chronic HBV infection remains unknown and is the focus of our present study."

Dr Lange and his colleagues measured serum 25-hydroxyvitamin D levels in 203 chronic hepatitis B patients who had not yet initiated therapy. Vitamin D deficiency, defined as serum levels of less than 10 nanograms per milliliter (ng/mL) were detected in 34% of the patients and insufficient levels, ranging between 10 and 20 ng/mL, were uncovered in 47%.

Among those with serum hepatitis B DNA concentrations of less than 2,000 international units per milliliter, vitamin D levels averaged 17 ng/mL in comparison with an average of 11 ng/mL among participants with higher viral loads. Additionally, subjects who were positive for hepatitis B early antigen (HbeAg) had lower levels of the vitamin than those who were HBeAg negative. Furthermore, the researchers observed seasonal fluctuations in both serum hepatitis B DNA and vitamin D, with higher levels of one associated with lower levels of the other.

"Our data confirm an association between low levels of vitamin D and high concentrations of HBV in the blood," Dr Lange concluded. He suggests additional research involving the administration of vitamin D as a possible means of controlling hepatitis B infection.

http://www.lef.org/whatshot/2013_06.htm#Reduced-vitamin-D-levels-linked-with-increase-hepatitis-B-viral-replication

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