title: Defective leukocyte fungicidal activity in end-organ resistance to 1,25-dihydroxyvitamin D.
abstract: Recent studies have shown 1,25(OH)2D3 receptor-mediated modulation of leukocyte proliferation, differentiation, and function. We examined the phagocytosis and killing of microorganisms by neutrophils and monocytes from five patients of three families with hereditary resistance to 1,25(OH)2D3. Phagocytosis of microorganisms by patients' neutrophils and monocytes was normal. However, defective neutrophil killing activity toward Candida albicans (30-40% of controls) was found in all patients. The killing of Staphylococcus aureus was normal. The neutrophil chemiluminescence, nitroblue tetrazolium (NBT) dye reduction, and the generation of superoxide ions and hydrogen peroxide by neutrophils and monocytes after induction by either soluble stimuli or zymozan particles, did not differ from those in controls. The neutrophil myeloperoxidase activity was also normal. Monocytes obtained from two patients of different families before long-term calcium infusion therapy and after they became normocalcemic, demonstrated a similar impaired fungicidal activity toward Saccharomyces cerevisiae, indicating that hypocalcemia itself was not the cause of the killing defect. However, the addition of the Ca+2 ionophore A23187 (1 microM) to the test medium restored the monocyte fungicidal activity to normal. As patients' neutrophil cytosolic free calcium concentration was similar to that in controls, it is suggested that 1,25-(OH)2D3 exerts its effect on leukocyte function by a putative receptor-mediated regulation of subcellular calcium localization which may be important for fungicidal activity.
authors.affiliation: Department of Pediatrics, Rambam Medical Center, Faculty of Medicine, Haifa, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Etzioni
authors.forename: Z
authors.initials: Z
authors.lastname: Hochberg
authors.forename: S
authors.initials: S
authors.lastname: Pollak
authors.forename: T
authors.initials: T
authors.lastname: Meshulam
authors.forename: V
authors.initials: V
authors.lastname: Zakut
authors.forename: E
authors.initials: E
authors.lastname: Tzehoval
authors.forename: Y
authors.initials: Y
authors.lastname: Keisari
authors.forename: I
authors.initials: I
authors.lastname: Aviram
authors.forename: Z
authors.initials: Z
authors.lastname: Spirer
authors.forename: A
authors.initials: A
authors.lastname: Benderly
mesh_terms: D002117:Calcitriol / Q000502:physiology*; D002176:Candida albicans; D002648:Child; D002675:Child, Preschool; D004351:Drug Resistance; D005260:Female; D006801:Humans; D008297:Male; D009000:Monocytes / Q000502:physiology*; D009504:Neutrophils / Q000502:physiology*; D010587:Phagocytosis; D018167:Receptors, Calcitriol; D011987:Receptors, Steroid / Q000502:physiology*; D014808:Vitamin D Deficiency / Q000097:blood / Q000503:physiopathology*
chemical_list: D018167:Receptors, Calcitriol; D011987:Receptors, Steroid; D002117:Calcitriol