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. 2021 Jul 21;9(8):855. doi: 10.3390/biomedicines9080855

Table 1.

Articles collected and analyzed.

Author Year Type of Study N Patients Comorbidities Objective Outcome
Ali Faghih Habibi, Hooshang Gerami, et al. 2019 Case-Control Study 117 compare serum level of 25-OH-VitD in CRSw/sNP patients and control groups serum 25-OH-VitD was significantly lower in CRS patients
Ankur Kumar Chandrakar, Arun Alexander et al. 2014 cross-sectional study 80 patients with nasal polyposis and 80 healthy subjects Atopy Assessment of the levels of 25-hydroxy vitamin D and high sensitivity C-reactive protein (hs-CRP) in patients with nasal polyposis and control subjects, and identified their association with disease severity in nasal polyposis. The severity of polyposis correlated negatively with serum levels of 25-hydroxy vitamin D and positively with hs-CRP
Anna Bonanno, Sebastiano Gangemi et al. 2014 Case-control study 28 controls (HC), 11 allergic rhinitis (AR) patients, and 35 allergic asthma with rhinitis (AAR) patients Allergy and asthma whether low vitamin D is linked with circulating IL-31 and IL-33 in children with allergic disease of the airways low levels of 25(OH) Vit D might represent a risk factor for the development of concomitant asthma and rhinitis in children with allergic disease of the airways independently of IL-31/IL-33 Th2 activity
Arash Shahangian, Rodney J.Schlosser 2016 Review 0 Explore some of the contributions of VD3 to chronic rhinosinusitis with nasal polyposis and its role as a disease-modifying agent There is likely a role for VD3 use as a disease-modifying agent in treatment of patients with recalcitrant CRSwNP
B Rostkowska-Nadolska, E Sliupkas-Dyrda et al. 2010 investigate the influence of calcitriol and tacalcitol on the secretion of IL-6 and IL-8 by fibroblasts derived from NP Calcitriol and tacalcitol are capable of affecting pro-inflammatory cytokine (IL-6 and IL-8) levels in NP cultures
Badr El-Din Mostafa, Mohammed Shehata Taha et al. 2016 Case-control study 74 Measure VD3 levels in patients with AFRS and chronic rhinosinusitis (CRS) Serum level of VD3 in patients with CRSwNP and AFRS is significantly lower than that of patients with CRSsNP and control subjects
Binayak Baruah, Ajay Gupta et al. 2020 retrospective 1-year study 200 Comparison of incidence of vitamin D deficiency in CRS patients to normal population and evaluation of the beneficial role of its supplementation in treatment Higher prevalence of vitamin D deficiency in CRS patients and that vitamin D supplementation went a long way in alleviating their symptoms
Bo Li, Miaowei Wang et al. 2021 meta-analysis 337 chronic rhinosinusitis patients and 179 healthy controls asthma and/or
atopic status
Compare the serum vitamin D levels between patients with chronic rhinosinusitis and healthy controls and evaluate the associations of vitamin D level with its occurrence Detection of a significant association between lower serum vitamin D status and chronic rhinosinusitis, especially in chronic rhinosinusitis with nasal polyps patients
E Ritter Sansoni, Nathan B Sautter et al. 2015 Case-control study 57 (CRSsNP (n = 31), CRSwNP (n = 14), and controls (n = 12)) Correlation between 25-VD3 levels and sinonasal mucus monocyte chemoattractant protein-1 (MCP-1), regulated upon activation normal T cell expressed and secreted (RANTES), and basic fibroblast growth factor (bFGF) levels in patients with CRS 25-VD3 may play a role in regulation of RANTES and bFGF expression in CRSwNP. This may occur through regulation of NP fibroblasts or other immune cells
F Bavi, R Movahed, M Salehi, et al. 2019 cross-sectional study 166 cases with CRSwNP and 172 healthy subjects Serum vitamin D3 levels in patients with CRSwNP and its association with disease severity Disease severity, based on imaging, endoscopic and clinical criteria, was inversely associated with serum vitamin D levels
Farnaz Hashemian, Sonya Sadegh, et al. 2020 triple-blind placebocontrolled
clinical trial
Investigate the effects of oral VD3 on the recurrence of polyposis after FESS Efficacy and safety of vitamin D supplementation in the reduction of polyposis recurrence after FESS in patients with CRSwNP
Feng Wang, Yang Yang, Haihong Chen 2019 Retrospective
analysis of
collected data
Atopic status and asthma Serum vitamin D level in patients with chronic rhinosinusitis with nasal polyps and its correlation with the disease severity Serum 25-hydroxyvitamin D3 levels are lower in Chinese CRSwNP patients. These 25-hydroxyvitamin D3 levels are associated with SNOT-22 score. Preoperative 25-hydroxyvitamin D3 level may impact the symptom improvement after surgery
Iordanis Konstantinidis, Maria Fotoulaki et al. 2017 Case-control study 152 adult participants were included in five phenotypic groups: CF with NP (CFwNP) (n = 27), CF without NP (CFsNP) (n = 31), CRS with NP (CRSwNP) (n = 32), CRS without NP (CRSsNP) (n = 30), and controls (n = 32) Investigate if deficiency of VD3 is associated with the presence of NP in patients with cystic fibrosis (CF) and patients with chronic rhinosinusitis (CRS) VD3 deficiency seemed to be associated with the presence of nasal polyps in the patients with CRS and in the patients with CF in a similar manner
Jenna M Christensen, Jasmine Cheng et al. 2017 cross-sectional study 31 patients (8 CRSsNP, 10 CRSwNP, and 13 controls) Determine expression of genes encoding the vitamin D receptor (VDR), 25-hydroxylase (CYP2R1), 1α-hydroxylase (CYP27B1), and 24-hydroxylase (CYP24A1) Vitamin D may be dysregulated at multiple levels, with decreased transcription of the metabolic gene CYP27B1 and increased transcription of the catabolic gene CYP24A1 observed
Jennifer K Mulligan, Whitney N Pasquini et al. 2017 Observational studies Impact of VD3 deficiency on inflammation and VD3
metabolism in an Aspergillus fumigatus (Af) mouse model of chronic rhinosinusitis (Af-CRS)
VD3 deficiency causes changes in sinonasal immunity. Both VD3 deficiency and Af-CRS were associated with reductions in local levels of the active VD3 metabolite even with adequate circulating levels
Ling-Feng Wang, Chih-Feng Tai et al. 2015 Observational study Understand the role of vitamin D in chronic rhinosinusitis with nasal polyps (CRSwNP) by investigating its effect on the secretion of matrix metalloproteinase-2 (MMP-2) and MMP-9 Vitamin D derivatives could significantly inhibit TNF-α-induced MMP-2 and MMP-9 secretion in nasal polyp-derived fibroblasts
Ling-Feng Wang, Chih-Hung Lee et al. 2013 Case-control study Determine if serum Vitamin D level is lower in chronic rhinosinusitis with nasal polyposis (CRSwNP) patients and if low serum Vitamin D level is correlated with the severity of CRSwNP A significantly lower vitamin D level was found in a group of Taiwanese CRSwNP patients, which revealed an association with greater nasal polyp size
Malgorzata Tomaszewska, Elzbieta Sarnowska et al. 2019 Case-control study 52 patients with CRS without nasal polyps (sNP), 55 with CRS with nasal polyps (wNP), and 59 in the control group Atopy Relationships between the total concentration of vitamin D, vitamin D receptor (VDR) expression, 1α-hydroxylase expression, and clinical data, including age, gender, Sino-Nasal Outcome Test (SNOT-22), computerized tomography (CT) scan, allergy status, and vitamin D supplementation in CRS patients with (CRSwNP) and without nasal polyps (CRSsNP), and in a control group vitamin D and its receptor and enzymes may play a role in CRS
Murdaca, G., Tonacci, A. et al. 2019 update Find a correlation between vitamin D levels and its effect upon several autoimmune diseases Inverse association between vitamin D and the development of several autoimmune diseases
Omer Erdag, Mahfuz Turan, et al. 2016 case-control study 46 subjects with NP (NP group) and 40 volunteers (control group) Assess the relation between levels of vitamin D receptor (VDR) gene expression and serum vitamin D with NP VDR gene expression may be associated with the pathogenesis or progression of NP
Patrick J Stokes, Joanne Rimmer 2016 systematic review 539 asthma and/or
atopic status
Relationship among serum VD3 levels, CRS phenotype, and disease severity by using outcome assessments Significantly lower VD3 levels in the polypoid phenotypes of CRS compared with controls. Low VD3 levels were often associated with an increased degree of inflammation
Pooja Thakur, Praneeth Potluri 2020 prospective casecontrol study Evaluate the association of serum vitamin D levels with chronic rhinosinusitis (CRS) in population residing at high altitudes and to assess its correlation with severity of CRS Lower vitamin D level is associated with CRS, irrespective of presence or absence of nasal polyposis in adults residing at high altitudes. Vitamin D is an independent predictive factor for CRS. There is an inverse moderate correlation of severity of CRS with vitamin D
Rodney J. Schlosser, Zachary M. Soler, et al. 2014 Retrospective review Determine if CRSwNP populations are at risk for vitamin D3 (VD3) deficiency and if VD3 levels correlate with radiographic measures of disease severity or eosinophilia VD3 insufficiency/deficiency is common in CRSwNP patients, especially those of African American race. Lower levels of VD3 are associated with worse LMS on CT
Sule Ozkara, Erol Keles, Nevin Ilhan et al. 2012 case-control study 60 adult patients and 40 healthy volunteers Allergic rhinitis Study Th1/Th2 cell balance by measuring the levels of cytokines IL-4, IL-10, and IFN-γ and determine the correlation between Th1/Th2 cell balance and 1α,25-dihydroxyvitamin D(3) vitamin D is effective on Th1/Th2 balance in patients with allergic rhinitis and that there is a significant relation between vitamin D deficiency and allergy
Vahid Zand, Mohammadhossein Baradaranfar et al. 2020 cross-sectional study 93 patients suffering from chronic rhino sinusitis with nasal polyposis (CRS w NP) Investigate the association between the serum vitamin D levels and severity of disease in chronic rhino sinusitis (CRS) patients There was a significant relationship between the serum vitamin D levels and severity of disease in patients with CRS w NP
William W Carroll, Rodney J Schlosser et al. 2016 Case-control study 15 patients with CRSwNP and 12 control subjects Investigate VD3 deficiency and HSNF proliferation in CRSwNP VD3 deficiency is associated with increased HSNF proliferation in CRSwNP