A Novel Method for the Determination of Vitamin D Metabolites Assessed at the Blood-Cerebrospinal Fluid Barrier

oleh: Sieglinde Zelzer, Andreas Meinitzer, Markus Herrmann, Walter Goessler, Dietmar Enko

Format: Article
Diterbitkan: MDPI AG 2021-08-01

Deskripsi

The brain’s supply with vitamin D is poorly understood. Therefore, the present study aimed to determine 25-hydroxy vitamin D3 (25(OH)D) and 24,25-dihydroxy vitamin D (24,25(OH)<sub>2</sub>D<sub>3</sub>) in serum and cerebrospinal fluid (CSF) from individuals with intact and disturbed brain-CSF-barrier (BCB) function. In 292 pairs of serum and CSF samples the vitamin D metabolites were measured with liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS). CSF/serum ratios (Q<sub>ALB</sub>, Q<sub>25(OH)D</sub>, Q<sub>24,25(OH)2D3</sub>) were calculated. Median (IQR) serum concentrations of 25(OH)D and 24,25(OH)<sub>2</sub>D<sub>3</sub> were 63.8 (43.4–83.9) nmol/L and 4.2 (2.2–6.2) nmol/L. The CSF concentrations of both metabolites accounted for 3.7 and 3.3% of the respective serum concentrations. Serum 25(OH)D correlated inversely with Q<sub>25(OH)D</sub> and Q<sub>24,25(OH)2D3</sub> implying a more efficient transport of both metabolites across the BCB when the serum concentration of 25(OH)D is low. In patients with BCB dysfunction, the CSF concentrations and the CSF/serum ratios of both vitamin D metabolites were higher than in individuals with intact BCB. The CSF concentrations of 25(OH)D and 24,25(OH)<sub>2</sub>D<sub>3</sub> depend on BCB function and the respective serum concentrations of both metabolites. Higher vitamin D metabolite concentrations in CSF of patients with impaired BCB function may be due to passive diffusion across the BCB.