Vitamin D Regulation of Gut Specific B Cells and Antibodies Targeting Gut Bacteria in Inflammatory Bowel Disease

Trial ID or NCT#

NCT04828031

Status

not recruiting iconNOT RECRUITING

Purpose

Specific Aim 1: Characterize the effects of vitamin D treatment on expression of α4β7 on B cells in patients with inflammatory bowel disease (IBD). Specific Aim 2: Determine the effects of vitamin D treatment on fecal immunoglobulins, percentage of Ig-coated gut bacteria, gut microbiome composition (global and bound by immunoglobulins) in patients with IBD and the association of these parameters with change in α4β7+ B cells . Specific Aim 3: Compare BCR repertoire (BCR clonotypes, immunoglobulin heavy chain gene (IGHV), and isotype usage) between α4β7+ and α4β7- B cells in patients with IBD and identify α4β7+ BCR clonotypes associated with Ig-bound gut bacteria .

Official Title

Vitamin D Regulation of α4β7+ B Cell Immunophenotypes and Mucosal Antibody Response to Commensal Gut Bacteria in Patients With Inflammatory Bowel Disease

Eligibility Criteria

Ages Eligible for Study: Older than 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers: No
Inclusion Criteria:
  1. * Adult patients (18 years or older) with inflammatory bowel disease (ulcerative colitis or Crohn's disease)* Low serum vitamin D (25(OH)D ≤ 25 ng/mL* Not currently on high dose vitamin D supplementation* No prior bowel resections* No antibiotic use in past 3 months.
Exclusion Criteria:
  1. * Patients less than 18 years old* No diagnosis of IBD* Serum 25(OH)D \> 25 ng/mL* Patients already on vitamin D supplementation* Prior history of bowel surgery (colectomy or small bowel resections)* Recent antibiotic use in past 3 months* Renal Dysfunction* History of Hypercalcemia* History of HIV* History of IgA deficiency* History of Common Variable Immunodeficiency (CVID)* Active C. diff infection

Investigator(s)

John Mark Gubatan, MD
Instructor, Medicine - Gastroenterology & Hepatology

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Contact

John Gubatan, MD
650-725-3362