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Рецепт. 2018; : 179-187

Витамин D в комплексной терапии лекарственно-устойчивого туберкулеза

Кралько В. Я., Скрягина Е. М., Дюсьмикеева М. И., Скрягин А. Е.

Аннотация

В последнее время внимание многих исследователей привлечено к изучению витамина D, его влияния как на физиологические, так и на патологические процессы, происходящие в организме человека. Имеется ряд наблюдений о положительном воздействии витамина D на течение туберкулезного процесса, поэтому все чаще дискутируется вопрос о целесообразности его применения во фтизиатрической практике. У пациентов с лекарственно-устойчивым туберкулезом, которые на фоне противотуберкулезной химиотерапии принимали витамин D, была установлена положительная рентгенологическая и микробиологическая динамика, сопровождающаяся ростом и нормализацией абсолютного количества лимфоцитов периферической крови и субпопуляций Т-лимфоцитов, а также отмечалась конверсия культуры.

Список литературы

1. Tyagi G., Singh P., Varma-Basil M., Bose M. (2017) Role of Vitamins B, C, and D in the fight against tuberculosis. Int J Mycobacteriol., no 6 (4), pp. 328-332.

2. Salahuddin N., Ali F., Hasan Z., Rao N., Aqeel M., Mahmood F. (2013) Vitamin D accelerates clinical recovery from tuberculosis: results of the SUCCINCT Study. BMC Infect Dis., no 19, pp. 13-22.

3. Ralph A.P., Lucas R.M., Norval M. (2013) Vitamin D and solar ultraviolet radiation in the risk and treatment of tuberculosis. Lancet Infect Dis., no 13 (1), pp. 77-88.

4. Daley P., Jagannathan V., John K.R., Sarojini J., Latha A., Vieth R., Suzana S., Jeyaseelan L., Christopher D.J., Smieja M., Mathai D. (2015) Adjunctive vitamin D for treatment of active tuberculosis in India: a randomised, double-blind, placebo-controlled trial. Lancet Infect Dis., no 15 (5), pp. 528-534.

5. Cegielski P., Vernon A. (2015) Tuberculosis and vitamin D: what’s the rest of the story? Lancet Infect Dis., no 15 (5), pp. 489-490.

6. Wahyunitisari M.R., Mertaniasih N.M., Amin M., Artama W.T., Koendhori E.B. (2017) Vitamin D, cell death pathways, and tuberculosis. Int J Mycobacteriol., no 6 (4), pp. 349-355.

7. Areeshi M.Y., Mandal R.K., Wahid M., Dar S.A., Jawed A., Lohani M., Abdallah A.M.A., Khan S., Panda A.K., Mishra B.N., Haque S. (2017) Vitamin D Receptor ApaI (rs7975232) Polymorphism

8. Confers Decreased Risk of Pulmonary Tuberculosis in Overall and African Population, but not in Asians: Evidence from a Meta-analysis. Ann Clin Lab Sci., no 47 (5), pp. 628-637.

9. Herrera M.T., Gonzalez Y., Hernández-Sánchez F., Fabián-San Miguel G., Torres M. (2017) Low serum vitamin D levels in type 2 diabetes patients are associated with decreased mycobacterial activity. BMC Infect Dis., no 17 (1), p. 610.

10. Ganmaa D., Munkhzul B., Fawzi W., Spiegelman D., Willett W.C., Bayasgalan P., Baasansuren E., Buyankhishig B., Oyun-Erdene S., Jolliffe D.A., Xenakis T., Bromage S., Bloom B.R., Martineau A.R. High-Dose (2017) Vitamin D3 during Tuberculosis Treatment in Mongolia. A Randomized Controlled Trial. Am. J. Respir. Crit. Care Med., no 196 (5), pp. 628-637.

11. McCullough P.J., Lehrer D.S. (2018) Vitamin D, cod liver oil, sunshine, and phototherapy: Safe, effective and forgotten tools for treating and curing tuberculosis infections - A comprehensive review. J. Steroid Biochem. Mol. Biol., no 177, pp. 21-29.

12. Magee M.J., Sun Y.V., Brust J.C.M., Shah N.S., Ning Y., Allana S., Campbell A., Hui Q., Mlisana K., Moodley P., Gandhi N.R. (2017) Polymorphisms in the vitamin D receptor gene are associated with reduced rate of sputum culture conversion in multidrug-resistant tuberculosis patients in South Africa. PLoS One, no 12 (7). doi: 10.1371/journal.pone.0180916.

13. Workineh M., Mathewos B., Moges B., Gize A., Getie S., Stendahl O., Schon T., Abate E. (2017) Vitamin D deficiency among newly diagnosed tuberculosis patients and their household contacts: a comparative cross-sectional study. Arch Public Health. doi: 10.1186/s13690-017- 0195-7.

14. Bischoff-Ferrari H.A., Burckhardt P., Quack-Loetscher K., Gerber B., I’Allemand D., Laimbacher J., Bachmann M., Rizzoli R. (2012) Vitamin D deficiency: Evidence, safety, and recommendations for the Swiss population. Report written by a group of experts on behalf of the Federal Commission for Nutrition (FCN). Available at: http://www.iccidd.org/p142000804.html.

15. Kelechi E., Clarke A. (2008) Low serum vitamin D levels and tuberculosis: a systematic review and meta-analysis. International Journal of Epidemiology, no 37, pp. 113-119.

16. Mithal A. (2014) Treatment of vitamin D deficiency. Meet-The-Professor: Endocrine Case Management, Endocrine society, pp. 37-39. doi: http://dx.doi.org/10.1210/ MTP3.9781936704835.ch8.

17. Wilkinson R.J., Lange C. (2009) Vitamin D and tuberculosis: new light on a potent biologic therapy? Am. J. Respir. Crit. Care Med., no 179, pp. 740-742.

18. Wejse C., Gomes F.V., Rabna P., Gustafson P., Aaby P., Lisse I.M., Anderson P.L., Glerup H., Sodemann M. (2009) Vitamin D as supplementary treatment for tuberculosis: a double-blind randomized placebo-controlled trial. Am. J. Respir. Crit. Care Med., no 179, pp. 843-850.

Recipe. 2018; : 179-187

Vitamin D in the complex treatment of drug-resistant tuberculosis

Kralko V. ., Skrahina A. ., Dziusmikeyeva M. ., Skrahin A. .

Abstract

Recently, the attention of many researchers has been drawn to the study of vitamin D, its influence on both the physiological and pathological processes occurring in the human body. There are a number of observations on the positive effects of vitamin D on the course of the tuberculosis process, so the question of the appropriateness of its use in phthisiatric practice is increasingly being debated. In patients with drug-resistant tuberculosis who took vitamin D against antituberculous chemotherapy, positive X-ray and microbiological dynamics were established accompanied by an increase and normalization of the absolute number of peripheral blood lymphocytes and T-lymphocyte subpopulations, as well as a culture conversion.
References

1. Tyagi G., Singh P., Varma-Basil M., Bose M. (2017) Role of Vitamins B, C, and D in the fight against tuberculosis. Int J Mycobacteriol., no 6 (4), pp. 328-332.

2. Salahuddin N., Ali F., Hasan Z., Rao N., Aqeel M., Mahmood F. (2013) Vitamin D accelerates clinical recovery from tuberculosis: results of the SUCCINCT Study. BMC Infect Dis., no 19, pp. 13-22.

3. Ralph A.P., Lucas R.M., Norval M. (2013) Vitamin D and solar ultraviolet radiation in the risk and treatment of tuberculosis. Lancet Infect Dis., no 13 (1), pp. 77-88.

4. Daley P., Jagannathan V., John K.R., Sarojini J., Latha A., Vieth R., Suzana S., Jeyaseelan L., Christopher D.J., Smieja M., Mathai D. (2015) Adjunctive vitamin D for treatment of active tuberculosis in India: a randomised, double-blind, placebo-controlled trial. Lancet Infect Dis., no 15 (5), pp. 528-534.

5. Cegielski P., Vernon A. (2015) Tuberculosis and vitamin D: what’s the rest of the story? Lancet Infect Dis., no 15 (5), pp. 489-490.

6. Wahyunitisari M.R., Mertaniasih N.M., Amin M., Artama W.T., Koendhori E.B. (2017) Vitamin D, cell death pathways, and tuberculosis. Int J Mycobacteriol., no 6 (4), pp. 349-355.

7. Areeshi M.Y., Mandal R.K., Wahid M., Dar S.A., Jawed A., Lohani M., Abdallah A.M.A., Khan S., Panda A.K., Mishra B.N., Haque S. (2017) Vitamin D Receptor ApaI (rs7975232) Polymorphism

8. Confers Decreased Risk of Pulmonary Tuberculosis in Overall and African Population, but not in Asians: Evidence from a Meta-analysis. Ann Clin Lab Sci., no 47 (5), pp. 628-637.

9. Herrera M.T., Gonzalez Y., Hernández-Sánchez F., Fabián-San Miguel G., Torres M. (2017) Low serum vitamin D levels in type 2 diabetes patients are associated with decreased mycobacterial activity. BMC Infect Dis., no 17 (1), p. 610.

10. Ganmaa D., Munkhzul B., Fawzi W., Spiegelman D., Willett W.C., Bayasgalan P., Baasansuren E., Buyankhishig B., Oyun-Erdene S., Jolliffe D.A., Xenakis T., Bromage S., Bloom B.R., Martineau A.R. High-Dose (2017) Vitamin D3 during Tuberculosis Treatment in Mongolia. A Randomized Controlled Trial. Am. J. Respir. Crit. Care Med., no 196 (5), pp. 628-637.

11. McCullough P.J., Lehrer D.S. (2018) Vitamin D, cod liver oil, sunshine, and phototherapy: Safe, effective and forgotten tools for treating and curing tuberculosis infections - A comprehensive review. J. Steroid Biochem. Mol. Biol., no 177, pp. 21-29.

12. Magee M.J., Sun Y.V., Brust J.C.M., Shah N.S., Ning Y., Allana S., Campbell A., Hui Q., Mlisana K., Moodley P., Gandhi N.R. (2017) Polymorphisms in the vitamin D receptor gene are associated with reduced rate of sputum culture conversion in multidrug-resistant tuberculosis patients in South Africa. PLoS One, no 12 (7). doi: 10.1371/journal.pone.0180916.

13. Workineh M., Mathewos B., Moges B., Gize A., Getie S., Stendahl O., Schon T., Abate E. (2017) Vitamin D deficiency among newly diagnosed tuberculosis patients and their household contacts: a comparative cross-sectional study. Arch Public Health. doi: 10.1186/s13690-017- 0195-7.

14. Bischoff-Ferrari H.A., Burckhardt P., Quack-Loetscher K., Gerber B., I’Allemand D., Laimbacher J., Bachmann M., Rizzoli R. (2012) Vitamin D deficiency: Evidence, safety, and recommendations for the Swiss population. Report written by a group of experts on behalf of the Federal Commission for Nutrition (FCN). Available at: http://www.iccidd.org/p142000804.html.

15. Kelechi E., Clarke A. (2008) Low serum vitamin D levels and tuberculosis: a systematic review and meta-analysis. International Journal of Epidemiology, no 37, pp. 113-119.

16. Mithal A. (2014) Treatment of vitamin D deficiency. Meet-The-Professor: Endocrine Case Management, Endocrine society, pp. 37-39. doi: http://dx.doi.org/10.1210/ MTP3.9781936704835.ch8.

17. Wilkinson R.J., Lange C. (2009) Vitamin D and tuberculosis: new light on a potent biologic therapy? Am. J. Respir. Crit. Care Med., no 179, pp. 740-742.

18. Wejse C., Gomes F.V., Rabna P., Gustafson P., Aaby P., Lisse I.M., Anderson P.L., Glerup H., Sodemann M. (2009) Vitamin D as supplementary treatment for tuberculosis: a double-blind randomized placebo-controlled trial. Am. J. Respir. Crit. Care Med., no 179, pp. 843-850.