title: Effect of high dose vitamin D intake on interleukin-17 levels in multiple sclerosis: a randomized, double-blind, placebo-controlled clinical trial.
abstract: BACKGROUND
  Vitamin D has immunomodulatory effects in multiple sclerosis (MS). Vitamin D acts through various mechanisms such as secretion of cytokines. Interleukin-17 (IL-17) is a critical interleukin in inflammatory response in MS.
  
  
  OBJECTIVE
  This study assessed the effect of oral high dose vitamin D intake on IL-17 levels in MS patients in a double blind randomized clinical trial.
  
  
  METHODS
  94 patients with a diagnosis of relapsing remitting multiple sclerosis (RRMS) were randomized to two groups. One group received 50,000 IU vitamin D3 every five days for 12weeks. The other group was given placebo. Both groups received interferon-β (IFN-β) treatment. Serum levels of IL-17 were measured at the beginning of the study and after 12weeks.
  
  
  RESULTS
  IL-17 serum levels were 56.75±28.72pg/ml and 30.31±75.85pg/ml in the intervention and placebo group at the beginning of the study, respectively (Median±IQR, p=0.338). After 12weeks, IL-17 levels were 58.93±67.93pg/ml and 46.13±94.70pg/ml in the intervention and placebo group, respectively (Median±IQR, p=0.960). The multiple linear regression analysis indicated that the consumption of vitamin D3 was positively and significantly associated with the logarithm of IL-17 measures (β=1.719; p=0.002 and R2=0.91), adjusted by EDSS scores.
  
  
  CONCLUSIONS
  IL-17 levels showed significant change in RRMS patients after receiving high dose vitamin D3 for 12weeks.
authors.affiliation: Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: n.toghiani@gmail.com.
authors.forename: Nafiseh
authors.initials: N
authors.lastname: Toghianifar
authors.affiliation: Isfahan University of Medical Sciences, Isfahan, Iran; Isfahan Neuroscience Research Centre, Iran.
authors.forename: Fereshteh
authors.initials: F
authors.lastname: Ashtari
authors.affiliation: University of Isfahan, Department of Biology, Isfahan, Iran.
authors.forename: Sayyed Hamid
authors.initials: SH
authors.lastname: Zarkesh-Esfahani
authors.affiliation: Department of Biostatistics and Epidemiology, Health School, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Marjan
authors.initials: M
authors.lastname: Mansourian
mesh_terms: D000284:Administration, Oral; D000328:Adult; D015415:Biomarkers / Q000097:blood; D002762:Cholecalciferol / Q000008:administration & dosage*; D004305:Dose-Response Relationship, Drug; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D020381:Interleukin-17 / Q000097:blood*; D008297:Male; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000097:blood* / Q000175:diagnosis / Q000188:drug therapy*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D015415:Biomarkers; D020381:Interleukin-17; D002762:Cholecalciferol
keywords: IL-17; Immunology; Interleukins; Multiple Sclerosis; Vitamin D