Vitamin D deficiency is disproportionately prevalent among overweight and obese children,with conventional explanations such as poor dietary intake or reduced sun exposure offering only partial insight.Emerging eviden...Vitamin D deficiency is disproportionately prevalent among overweight and obese children,with conventional explanations such as poor dietary intake or reduced sun exposure offering only partial insight.Emerging evidence reveals a multifactorial pathophysiology,including sequestration of vitamin D in adipose tissue,altered hepatic metabolism,diminished bioavailability,and inflammationinduced resistance at the tissue level.These mechanisms contribute to a functional deficiency,wherein serum 25-hydroxyvitamin D levels may remain suboptimal despite adequate intake or sun exposure.Obesity-related alterations in vitamin Dbinding proteins,receptor expression,and pro-inflammatory signaling further compromise biological activity.Current diagnostic criteria and supplementation guidelines do not fully reflect these physiological complexities,leading to underdiagnosis and insufficient treatment.Personalized approaches-incorporating higher,body composition-adjusted dosing and consideration of inflammatory status-are emerging as promising strategies to restore sufficiency and improve metabolic outcomes.While preliminary evidence supports the safety and efficacy of high-dose supplementation in this population,pediatric-specific clinical trials are lacking.This review synthesizes current understanding of the pathophysiological mechanisms underlying vitamin D deficiency in pediatric obesity and emphasizes the need for individualized,evidence-based interventions to optimize vitamin D status and overall health.展开更多
The edible mushroom Agaricus bisporus L.plays a crucial ecological role in nutrient cycling and organic matter decomposition,alongside its increasing importance in the food and nutrition industry.This study explored e...The edible mushroom Agaricus bisporus L.plays a crucial ecological role in nutrient cycling and organic matter decomposition,alongside its increasing importance in the food and nutrition industry.This study explored ecological interventions to enhance the mushroom’s vitamin content by enriching its cultivation substrate with nanomaterials and biostimulatory agents.The experiment was conducted within the mushroom production project at Al-Qadisiyah Governorate,Iraq.The compost-based medium was amended with magnetic iron nanoparticles(N-FeO),carbon nanotube(CNT)suspensions,EM biofertilizer,and Atonik growth stimulant.Their ecological impact on the enrichment of fat-soluble(A,D,E)and water-soluble(B2,B3,B5,B6)vitamins in mushrooms was assessed.The study employed a Completely Randomized Design(CRD)with three replicates.Results revealed that the synergistic application of these eco-friendly treatments significantly enhanced the vitamin profiles of A.bisporus.The highest concentrations of vitamins B2 and B5(5.16 and 17.70 mg kg^(-1),respectively)and vitamin A(6.87 IU ml^(-1))were recorded under the combined quadruple treatment.Additionally,the triple treatment(N-FeO+EM+Atonik)notably increased levels of vitamins B2(4.47 mg kg^(-1)),B6(25.66 mg kg^(-1)),D(34.76 mg kg^(-1)),and vitamin A(6.87 IU ml^(-1)).Dual treatments(EM+Atonik)also significantly improved vitamin B2(4.54 mg kg^(-1))and vitamin E(3.30 mg kg^(-1))contents.These findings demonstrate that integrating nanomaterials and biostimulants can serve as an ecological strategy to improve the nutritional quality of mushrooms while promoting sustainable agricultural practices.展开更多
Vitamin D,beyond its classical role in calcium homeostasis,has emerged as a key regulator of immune function and epithelial barrier integrity.Its deficiency during early childhood—a critical period for immune maturat...Vitamin D,beyond its classical role in calcium homeostasis,has emerged as a key regulator of immune function and epithelial barrier integrity.Its deficiency during early childhood—a critical period for immune maturation—has been increasingly implicated in the development of atopic diseases.While extensively studied in asthma,its role in non-respiratory allergic conditions such as atopic dermatitis(AD)and allergic rhinitis(AR)remains comparatively underexplored.This minireview synthesizes current mechanistic and clinical evidence on vitamin D in pediatric AD and AR.In AD,vitamin D promotes epidermal barrier function through upregulation of filaggrin and ceramide synthesis,and enhances antimicrobial defense via induction of antimicrobial peptides.Observational studies consistently report lower serum 25-hydroxyvitamin D in affected children,particularly those with allergic sensitization.Select randomized controlled trials suggest clinical improvement with supplementation,especially at doses>2000 IU/day in deficient individuals.In AR,epidemiological data indicate stronger inverse associations with seasonal(pollen-induced)disease.Proposed mechanisms include modulation of dendritic cells,regulatory T cells,T helper 2 cytokines,and mucosal barrier integrity.The shared immunopathogenesis of AD and AR underscores vitamin D’s relevance.Although promising,clinical evidence remains heterogeneous.Future research should prioritize phenotype-stratified trials to clarify optimal dosing,timing,and individual response determinants,including genetics and microbiome composition.展开更多
Non-alcoholic fatty liver disease(NAFLD),a critical global health concern,continues to challenge medical researchers with limited treatment options.This letter examines on the study by Luo et al,demonstrating that vit...Non-alcoholic fatty liver disease(NAFLD),a critical global health concern,continues to challenge medical researchers with limited treatment options.This letter examines on the study by Luo et al,demonstrating that vitamin D 1,25-dihydroxyvitamin D3[1,25(OH)2D3]improves hepatic steatosis in NAFLD by inhibiting M1 macrophage polarization via the vitamin D receptor-peroxisome proliferator-activated receptor gamma signaling pathway.This letter critically appraises these findings,comparing them to similar studies,and discusses their potential implications for treating NAFLD.Furthermore,we highlight future directions,including dose optimization and mechanistic studies.展开更多
BACKGROUND The existing semi-quantitative ultrasound grading system inadequately evaluates synovial hypertrophy at the dorsal recess of the first metatarsophalangeal joint(MTPJ).Vitamin D deficiency is prevalent in ty...BACKGROUND The existing semi-quantitative ultrasound grading system inadequately evaluates synovial hypertrophy at the dorsal recess of the first metatarsophalangeal joint(MTPJ).Vitamin D deficiency is prevalent in type 2 diabetes mellitus(T2DM)and may influence joint inflammation.This study hypothesizes that serum 25-hydro-xyvitamin D[25(OH)D]levels are inversely associated with synovial hypertrophy severity of the first MTPJ in patients with T2DM.AIM To refine ultrasound grading for the first MTPJ synovial hypertrophy and inves-tigate its association with vitamin D in T2DM.METHODS This cross-sectional study included 56 patients(112 MTPJs)with T2DM from Shenzhen Traditional Chinese Medicine Hospital.Synovial hypertrophy was evaluated using a refined semi-quantitative ultrasound grading system focusing on the dorsal recess overlying the metatarsal bone.Serum 25(OH)D levels were measured.Logistic regression and threshold analyses assessed associations between vitamin D status and hypertrophy severity.RESULTS Of 112 joints assessed,98 exhibited synovial hypertrophy(grade 1:40;grade 2:50;grade 3:8).The refined grading system demonstrated strong intra-and inter-observer reliability(intraclass correlation coefficients=0.79 and 0.73,respectively).Lower serum 25(OH)D(<24.3 ng/mL)was independently associated with moderate-to-severe hypertrophy[odds ratio(OR)=0.83;P=0.0163].Vitamin D deficiency significantly increased the likelihood of moderate-to-severe hypertrophy compared with non-deficiency(OR=3.86;P=0.0422).Threshold analysis identified 23.8 ng/mL as a critical serum 25(OH)D level,below which each increment reduced moderate-to-severe hypertrophy risk by 21%(OR=0.79;P=0.0078).CONCLUSION The refined ultrasound grading system demonstrated strong reliability.Serum 25(OH)D may serve as a protective factor against the severity of synovial hypertrophy in T2DM patients with lower 25(OH)D levels.展开更多
Vitamins are natural materials essential for maintaining the normal physical function of the live cells. It has been reported that 13 vitamins are needed in our body, included vitamin A, B vitamins （thiamine, ribofla...Vitamins are natural materials essential for maintaining the normal physical function of the live cells. It has been reported that 13 vitamins are needed in our body, included vitamin A, B vitamins （thiamine, riboflavin, niacin, pantothenic acid, pyridoxine, biotin, folic acid and cobalamin）, vitamin C, vitamin D, vitamin E and vitamin K. Nowadays, the functions of vitamins have been extensively investigated. The objective of this paper is to summarize the new functions of vitamins, aiming to provide suggestions on the usage of various vitamins in clinical application.展开更多
Introduction: Vitamin D plays a key role in phosphocalcic metabolism, in normal functioning of the immune system and in the prevention of certain forms of cancer. Systematic vitamin D supplementation has been implemen...Introduction: Vitamin D plays a key role in phosphocalcic metabolism, in normal functioning of the immune system and in the prevention of certain forms of cancer. Systematic vitamin D supplementation has been implemented in most Western countries, which has drastically reduced the prevalence of rickets. In Senegal, a country with enough sunshine, no large-scale data exists on vitamin D deficiency in children. In addition, there are no guidelines from the Ministry of Health and Social Action (MoHSA) on vitamin D supplementation. Our objective was to determine the prevalence of vitamin D deficiency in children aged 6 to 59 months and to analyze the factors associated with it at the Institute of Social Pediatrics in Pikine-Guédiawaye, a suburb of Dakar. Patients and Methods: This was a prospective, descriptive and analytical cross-sectional study over a 3-month period (from January to March 2024) at the Institute of Social Pediatric (IPS) of Pikine-Guédiawaye. The study population consisted of all children aged 6 to 59 months free from any acute or chronic pathology, whose parents had agreed to answer the questionnaires after having consented and signed the consent and children who had had a sample taken for vitamin D dosage. Results: We included 102 children, 35 of whom had vitamin D deficiency, i.e. a prevalence of 34.31% with a slight male predominance (sex ratio 1.05). Infants aged 13 - 24 months were more affected (41.67%), but the difference was not statistically significant (p-value = 0.385). Patients with acute malnutrition had a significantly higher prevalence of vitamin D deficiency (54.17% of cases versus 28.38%) in those without acute malnutrition (p = 0.02). On the other hand, chronic malnutrition, underweight and diversification foods were not significantly associated with vitamin D deficiency (p of 0.60, 0.42 and 0.09 respectively). Conclusion: Vitamin deficiency affects one-third of apparently healthy children under 5 and this deficiency has no significant relationship with diversification foods. This suggests that the observed vitamin D deficiencies are less related to diet than to lack of sun exposure.展开更多
Ascorbic acid, also referred to as vitamin C(Vc), is an important nutrient found in fruits and vegetables that promotes produce quality and human health. Rosa roxburghii is an underutilized natural fruit that contains...Ascorbic acid, also referred to as vitamin C(Vc), is an important nutrient found in fruits and vegetables that promotes produce quality and human health. Rosa roxburghii is an underutilized natural fruit that contains very high levels of Vc. However, the Vc content of R. roxburghii varies considerably during plant development and ripening. To better understand the molecular mechanisms that underlie fluctuations in Vc content of R. roxburghii fruit at different developmental stages, we performed transcriptomic and metabolomic analyses and identified two significant gene networks/modules and 168 transcription factors directly involved in Vc synthesis. Promoter analysis of two core genes involved in Vc synthesis, RrGGP and RrGalUR, revealed the presence of a retroviral long terminal repeat(LTR) insert in the RrGalUR promoter. Using yeast one-hybrid and dual-luciferase assays, we demonstrated that the transcription factors RrHY5H and RrZIP9 bind to the promoter of RrGGP to promote its expression. RrZIP6 and RrWRKY4 bind to the LTR in the RrGalUR promoter to promote its expression. Our results reveal a molecular mechanism that controls Vc synthesis and accumulation in R. roxburghii fruit.展开更多
Vitamin D deficiency(VDD)has emerged as a major nutritional problem among children and adolescents.Numerous studies have documented the adverse health effects of VDD,including conditions such as chronic kidney disease...Vitamin D deficiency(VDD)has emerged as a major nutritional problem among children and adolescents.Numerous studies have documented the adverse health effects of VDD,including conditions such as chronic kidney diseases,hypoparathyroidism,and autoimmune diseases.Nevertheless,these studies were conducted only in adults and among individuals with underlying medical conditions.Adolescence is at a unique stage of growth,where nutritional deficiencies may have profound implications on their future health.Thus,there is an urgent need to conduct research on the impact of vitamin D deficiency on adolescent health.展开更多
Background:Vitamin D deficiency is a global health concern,and exploring natural sources,particularly traditional medicinal plants,may offer a novel approach to addressing this widespread issue.This study investigates...Background:Vitamin D deficiency is a global health concern,and exploring natural sources,particularly traditional medicinal plants,may offer a novel approach to addressing this widespread issue.This study investigates the prevalence of vitamin D_(2) and D_(3) in indigenous medicinal plants,such as Solanum torvum,Solanum nigrum,Solanum xanthocarpum,Psoralea cordifolia,Cissus quadrangularis,and the resin Commiphora mukul,and Laccifer lacca.Methods:Vitamin D_(2) and D_(3) compounds were detected and quantified using advanced reversed-phase high-performance liquid chromatography.A refined technique for sample preparation was employed,which involved an overnight cold saponification process.This method was used to enhance the extraction of vitamin D molecules.The accuracy and reliability of the HPLC method were validated using liquid chromatography-mass spectrometry(LC-MS)/MS analysis.Results:The investigation revealed the remarkable presence of vitamin D_(2) and D_(3) in the chosen plant specimens.Significant amounts of vitamin D_(2) were found in Laccifer lacca and Psoralea cordifolia,however,vitamin D_(3) was only detected in Cissus quadrangularis and Solanum xanthocarpum.The revised approaches exhibited significant precision and accuracy,hence enhancing the reliability of the findings.Conclusion:The identification of vitamin D_(2) and D_(3) in these plants underscores their historical therapeutic significance for supporting bone health and indicates their potential as beneficial natural sources of vitamin D.This research advances understanding of the phytochemical features of these plants,facilitating future development of nutraceuticals and therapeutic applications.展开更多
Malignant tumors are heterogeneous diseases characterized by uncontrolled cell proliferation,invasion,metastasis,and/or recurrence of their malignancies.In particular,cancer stem cells(CSCs)within these tumors might b...Malignant tumors are heterogeneous diseases characterized by uncontrolled cell proliferation,invasion,metastasis,and/or recurrence of their malignancies.In particular,cancer stem cells(CSCs)within these tumors might be responsible for the property of invasiveness and/or therapies-resistance.CSCs are a self-renewing,awfully tumorigenic subpopulation of cancer cells,which are notorious for strong chemoresistance and are frequently responsible the aggravated invasion,metastasis,and/or recurrence.Developing targeting therapies against CSCs,therefore,may be deliberated a more encouraging mission for the greater cancer therapy.Innovation for a more potent anti-CSC treatment has been required as soon as possible.Interestingly,vitamin D could modulate the inflammatory condition of the tumor microenvironment(TME)by successfully affecting CSCs,which has an imperative role in determining the malignant phenotype of CSCs.In addition,vitamin D may also contribute to the regulation of the malignant behaviors of CSCs.Consistently,vitamin D could have potential applications for the significant inhibition of several tumor growths within various cancer therapies.The biological significance of vitamin D for CSCs regulation may be involved in the function of APRO family proteins.Therefore,vitamin D could be one of the innovative therapeutic modalities for the development of novel CSCs related tumor therapies.展开更多
The antioxidant and anti-wrinkle firming effects of a combination of vitamin C(Vc)and black Ganoderma lucidum extract was evaluted.Through the DPPH radical scavenging model and elastase inhibition model,this research ...The antioxidant and anti-wrinkle firming effects of a combination of vitamin C(Vc)and black Ganoderma lucidum extract was evaluted.Through the DPPH radical scavenging model and elastase inhibition model,this research investigates the impact of these substances individually and in combination on antioxidant capabilities and anti-wrinkle firming effects.The results demonstrate that the combination of Vc and black Ganoderma lucidum extract exhibits significant antioxidant abilities at various concentrations,and is more effective than when each is used separately,indicating a synergistic interaction between them.Additionally,the combination also shows significant inhibition of elastase,suggesting potential applications in delaying the aging process of the skin.Furthermore,highperformance liquid chromatography(HPLC)was used to determine if reactions occur among the components of the mixture.The findings reveal that the concentration of Vc in the mixture is very close to the theoretical concentration and relatively stable,suggesting that the components function independently.A quantitative analysis using the Bliss independence model further confirms the synergistic effects of Vc and black Ganoderma lucidum extract at specific ratios,providing a scientific basis for the development of efficacious cosmetic products.展开更多
BACKGROUND Metabolic dysfunction-associated steatotic liver disease(MASLD)is defined by the abnormal lipid deposition in hepatocytes.The prevalence of MASLD is significantly increased in the elderly population,suggest...BACKGROUND Metabolic dysfunction-associated steatotic liver disease(MASLD)is defined by the abnormal lipid deposition in hepatocytes.The prevalence of MASLD is significantly increased in the elderly population,suggesting that aging may be related to the occurrence of MASLD.Emerging evidences suggest that vitamin D receptor(VDR)may be implicated in the progression of MASLD.Therefore,additional researches are warranted to elucidate whether VDR plays a role in aging-related MASLD.AIM To investigate the relationship between aging and MASLD and explore the role and related mechanisms of VDR in aging-related MASLD.METHODS Cellular senescence models were established,and the senescence phenotype of telomerase RNA component knockout mice was validated.These mice were then used as a senescence model for subsequent studies.Changes in VDR expression in the livers of aging mice were examined.VDR knockdown models,including cell knockdown models and hepatic-specific VDR knockout mice,were constructed,and MASLD was established in these models.Additionally,vitamin D(VD)-supplemented models,including senescent liver cell lines and senescent mice,were constructed.RESULTS The steatosis in senescent liver cells was more severe than in normal cells(P<0.05).Moreover,hepatic steatosis was significantly more pronounced in senescence model mice compared to control group when the MASLD model was successfully induced(P<0.05).Therefore,we concluded that aging aggravated hepatic steatosis.The hepatic expression of VDR increased after aging.VDR knockdown in senescent liver cells and senescent mice alleviated hepatic steatosis(P<0.05).When senescent liver cells were stimulated with VD,cellular steatosis was aggravated(P<0.05).However,VD supplementation had no effect on aging mice.CONCLUSION Aging can lead to increased hepatic steatosis,and the hepatic-specific knockdown of VDR alleviated aging-related MASLD.VDR could serve as a potential molecular target for aging-related MASLD.展开更多
BACKGROUND Diabetic foot ulcers(DFUs)represent a common and serious complication of diabetes,characterized by impaired wound healing and an increased risk of infection.These infections severely impact patient health,n...BACKGROUND Diabetic foot ulcers(DFUs)represent a common and serious complication of diabetes,characterized by impaired wound healing and an increased risk of infection.These infections severely impact patient health,necessitating extensive medical intervention,and increasing the risk of amputation.Vitamin D(VD)plays a critical role in immune regulation and tissue repair.AIM To investigate the effects of VD supplementation on infection rates,wound healing,and immune function in patients with DFUs.METHODS A randomized controlled trial was conducted involving 120 patients with DFUs.Participants were randomly assigned to either a control group(n=60),which received standard care without VD supplementation,or an intervention group(n=60),which received 2000 IU of oral VD3(cholecalciferol)daily for 12 weeks.The primary outcomes included the incidence and severity of infections,whereas the secondary outcomes included wound healing rate,serum 25-hydroxyvitamin D level,levels of immune markers(cathelicidin,interleukin-6 and tumor necrosis factor-α),and adverse events,such as hypercalcemia.RESULTS The incidence of infection was significantly lower in the VD supplementation group(25%)compared with the control group(45%)(P=0.01).Severe infections requiring systemic antibiotics or hospitalization were also less frequent in the VD supplementation group.Wound healing was notably enhanced in the VD supplementation group,with a 60%reduction in ulcer size compared with a 35%reduction in the control group(P<0.01).Serum 25(OH)D level significantly increased in the VD supplementation group(from 16.5 ng/mL to 35.2 ng/mL),confirming the efficacy of VD supplementation.Immune function improved,as demonstrated by a 30%rise in cathelicidin level and a 20%decline in levels of pro-inflammatory cytokines.No adverse effects,including hypercalcemia,were reported.CONCLUSION The VD supplementation effectively reduced infection rate,promoted wound healing,and strengthened immune responses in patients with DFUs.These findings support the incorporation of VD as a safe and effective adjunctive therapy in the clinical management of DFUs.展开更多
Ferroptosis of chondrocytes is a significant contributor to osteoarthritis(OA),for which there is still a lack of safe and effective therapeutic drugs targeting ferroptosis.Here,we screen for anti-ferroptotic drugs in...Ferroptosis of chondrocytes is a significant contributor to osteoarthritis(OA),for which there is still a lack of safe and effective therapeutic drugs targeting ferroptosis.Here,we screen for anti-ferroptotic drugs in Food and Drug Administration(FDA)-approved drug library via a high-throughput manner in chondrocytes.We identified a group of FDA-approved anti-ferroptotic drugs,among which vitamin K showed the most powerful protective effect.Further study demonstrated that vitamin K effectively inhibited ferroptosis and alleviated the extracellular matrix(ECM)degradation in chondrocytes.Intra-articular injection of vitamin K inhibited ferroptosis and alleviated OA phenotype in destabilization of the medial meniscus(DMM)mouse model.Mechanistically,transcriptome sequencing and knockdown experiments revealed that the anti-ferroptotic effects of vitamin K depended on growth arrest-specific 6(Gas6).Furthermore,exogenous expression of Gas6 was found to inhibit ferroptosis through the AXL receptor tyrosine kinase(AXL)/phosphatidylinositol 3-kinase(PI3K)/AKT serine/threonine kinase(AKT)axis.Together,we demonstrate that vitamin K inhibits ferroptosis and alleviates OA progression via enhancing Gas6 expression and its downstream pathway of AXL/PI3K/AKT axis,indicating vitamin K as well as Gas6 to serve as a potential therapeutic target for OA and other ferroptosis-related diseases.展开更多
Objective This study aimed to investigate the neuroprotective effects of cholecalciferol cholesterol emulsion(CCE),a vitamin D(VD)precursor,in a murine model of acute cerebral infarction(ACI)and to elucidate the role ...Objective This study aimed to investigate the neuroprotective effects of cholecalciferol cholesterol emulsion(CCE),a vitamin D(VD)precursor,in a murine model of acute cerebral infarction(ACI)and to elucidate the role of the Nrf2 signaling pathway in mediating these effects.Methods Forty C57BL/6J mice(male and female)were divided into five groups(n=10 per group):control,control+CCE,ACI,ACI+CCE,and ACI+CCE+ML385(an Nrf2 inhibitor).ACI was induced by middle cerebral artery occlusion(MCAO).CCE was administered for three weeks prior to ACI induction,and ML385 was administered intravenously to inhibit Nrf2.Neurological function,brain edema,and infarct size,as well as inflammatory and apoptotic marker levels,were assessed post-ACI.Statistical analyses were conducted via one-way ANOVA and Student's t test,with P<0.05 considered significant.Results Compared to ACI group,CCE significantly reduced neurological deficits,brain edema,and infarct size(P<0.01).The ACI+CCE group presented improved short-term memory retention,as evidenced by shorter avoidance latency in shuttle avoidance tests(P<0.01).CCE administration attenuated the expression of inflammatory markers(IL-6,MIF,Lp-PLA2)while increasing IL-10 levels(P<0.001).Furthermore,CCE increased Nrf2 and HO-1 expression and reduced apoptosis by decreasing the Bax/Bcl-2 ratio in brain tissue(P<0.001).ML385 abolished these neuroprotective effects,confirming the role of the Nrf2 pathway in mediating the benefits of VD.Conclusion VD,via VD receptor-mediated activation of the Nrf2/HO-1 pathway,reduces inflammation,apoptosis,and neurological damage following ACI.These findings support the therapeutic potential of VD in the treatment of ischemic stroke and highlight the importance of Nrf2 in mediating these effects.展开更多
Objective Vitamin deficiencies,particularly in vitamins A,B12,and D,are prevalent across populations and contribute significantly to a range of health issues.While these deficiencies are well documented,the underlying...Objective Vitamin deficiencies,particularly in vitamins A,B12,and D,are prevalent across populations and contribute significantly to a range of health issues.While these deficiencies are well documented,the underlying etiology remains complex.Recent studies suggest a close link between the gut microbiota and the synthesis,absorption,and metabolism of these vitamins.However,the specific causal relationships between the gut microbiota composition and vitamin deficiencies remain poorly understood.Identifying key bacterial species and understanding their role in vitamin metabolism could provide critical insights for targeted interventions.Methods We conducted a two-sample Mendelian randomization(MR)study to assess the causal relationship between the gut microbiota and vitamin deficiencies(A,B12,D).The genome-wide association study data for vitamin deficiencies were sourced from the FinnGen biobank,and the gut microbiota data were from the MiBioGen consortium.MR analyses included inverse variance-weighted(IVW),MR‒Egger,weighted median,and weighted mode approaches.Sensitivity analyses and reverse causality assessments were performed to ensure robustness and validate the findings.Results After FDR adjustment,vitamin B12 deficiency was associated with the class Verrucomicrobiae,order Verrucomicrobiales,family Verrucomicrobiaceae,and genus Akkermansia.Vitamin A deficiency was associated with the phylum Firmicutes and the genera Fusicatenibacter and Ruminiclostridium 6.Additional associations for vitamin B12 deficiency included the Enterobacteriaceae and Rhodospirillaceae and the genera Coprococcus 2,Lactococcus,and Ruminococcaceae UCG002.Vitamin D deficiency was associated with the genera Allisonella,Eubacterium,and Tyzzerella 3.Lachnospiraceae and Lactococcus were common risk factors for both B12 and D deficiency.Sensitivity analyses confirmed the robustness of the findings against heterogeneity and horizontal pleiotropy,and reverse MR tests indicated no evidence of reverse causality.Conclusions Our findings reveal a possible causal relationship between specific gut microbiota characteristics and vitamin A,B12 and D deficiencies,providing a theoretical basis for addressing these nutritional deficiencies through the modulation of the gut microbiota in the future and laying the groundwork for related interventions.展开更多
BACKGROUND Vitamin D deficiency has been associated with prostate cancer,particularly in ethnic minorities.Patients with prostate cancer may still be deficient even in areas of high sun exposure.Although androgen depr...BACKGROUND Vitamin D deficiency has been associated with prostate cancer,particularly in ethnic minorities.Patients with prostate cancer may still be deficient even in areas of high sun exposure.Although androgen deprivation therapy(ADT)is well documented to affect bone health,its impact on vitamin D levels is still uncertain.This study investigates the subgroups of prostate cancer patients most associated with vitamin D deficiency and ADT’s relation to this.AIM To examine how prevalent vitamin D deficiency is among prostate cancer patients in a sun-rich environment,with focus on differences by race and disease stage.It also assessed whether ADT is associated with changes in vitamin D levels.METHODS Prostate cancer patients treated at Chao Family Comprehensive Cancer Center between 2014-2024 were retrospectively studied with regards to vitamin D levels across racial groups,disease stages,and ADT exposure.Changes in vitamin D levels pre-and post-ADT over 24 months were assessed by statistical methods including paired t-tests.RESULTS Among 120 patients(mean age:74 years,mean body mass index:27.6 kg/m^(2)),African American(33.3%)and Hispanic(31.8%)patients had the greatest prevalence of vitamin D deficiency(<20 ng/mL).With a 28.6%deficit rate,metastatic castration-resistant prostate cancer had the highest prevalence rates of deficiency.There was no significant difference between pre-and post-ADT vitamin D levels(P=0.45).CONCLUSION Vitamin D deficiency is common in prostate cancer patients,especially racial minorities and those with advanced disease,despite residing in an area with high sun exposure.ADT does not significantly impact vitamin D levels in the short term.Routine screening and supplementation should be considered in these high-risk groups.展开更多
Vitamin C,a potent antioxidant with broad therapeutic applications,is limited by rapid degradation under environmental stressors,which compromises its stability and bioactivity.This study addresses these limitations b...Vitamin C,a potent antioxidant with broad therapeutic applications,is limited by rapid degradation under environmental stressors,which compromises its stability and bioactivity.This study addresses these limitations by formulating a double nano-emulsion(W/O/W)system incorporating macadamia oil and tea tree oil,using homogenization and phase inversion temperature(PIT)techniques.Comprehensive physicochemical charac-terization,including droplet size,polydispersity index(PDI),zeta potential,turbidity,Fourier transform infrared spectroscopy(FTIR),and SEM,was conducted alongside stability assessments under varying pH,temperature,and storage conditions.The optimized nano-emulsions exhibited nanoscale droplet sizes(10-40 nm),low PDI values(indicating high uniformity),and robust stability.Interestingly,the formulation with 2%W/O loading,with a particle size of 11.57 nm and a PDI of 0.04,demonstrated an antioxidant capacity of 4622.62μg ascorbic acid equivalents(AA)/g,which was significantly higher(p<0.05)compared to both natural oils(macadamia oil:20.91μg AA/g,tea tree oil:16.86μg AA/g)and a 10%Vitamin C aqueous solution(592.94μg AA/g).FTIR analysis confirmed the molecular integrity of Vitamin C and its successful encapsulation with macadamia and tea tree oils,while SEM images revealed uniformly spherical and well-dispersed droplets.Moreover,the formulation retained its structural integrity and antioxidant functionality under diverse pH and thermal conditions.These findings underscore the potential of double nano-emulsion systems to overcome the stability challenges of Vitamin C,offering a promising approach to enhance its bioavailability and therapeutic performance in phar-maceutical and cosmetic applications.展开更多
Objective Epidemiological studies have shown that vitamin D status affects glycemic control in individuals with type 2 diabetes mellitus(T2DM).However,findings from intervention studies remain inconsistent.Therefore,a...Objective Epidemiological studies have shown that vitamin D status affects glycemic control in individuals with type 2 diabetes mellitus(T2DM).However,findings from intervention studies remain inconsistent.Therefore,a network meta-analysis was conducted to evaluate the comparative efficacy of various vitamin D supplementation strategies on glucose indicators in adults with T2DM.Methods Eligible studies published before September 12,2024,were retrieved from PubMed,EMBASE,Cochrane Library,and Web of Science.A network meta-analysis of multiple dosage strategies—low(<1,000 IU/day,LDS),medium(1,000–2,000 IU/day,MDS),high(2,000–4,000 IU/day,HDS),and extremely high(≥4,000 IU/day,EHDS)—was performed.Results The network meta-analysis of 40 RCTs indicated that,compared with placebo,vitamin D_(3)supplementation increased 25-hydroxyvitamin D[25-(OH)-D]levels,with pooled mean difference(MD)showing a stepwise increase from LDS to EHDS.Ranking probabilities showed a corresponding rise in 25-(OH)-D levels from LDS(46.7%)to EHDS(91.2%).EHDS reduced fasting blood glucose(FBG)relative to no treatment.LDS significantly decreased hemoglobin A1c(HbA1c),and vitamin D_(2) significantly affected FBG levels.MDS led to a significant change in fasting insulin(FIN)compared to both placebo(MD:-4.76;95%CI-8.91 to-0.61)and no treatment(MD:-7.30;95%CI-14.44 to-0.17).Conclusion The findings suggest that vitamin D supplementation may be a viable approach for improving glycemic control in adults with T2DM,with lower doses potentially offering benefit.The analysis also showed a dose-dependent increase in 25-(OH)-D levels.展开更多
文摘Vitamin D deficiency is disproportionately prevalent among overweight and obese children,with conventional explanations such as poor dietary intake or reduced sun exposure offering only partial insight.Emerging evidence reveals a multifactorial pathophysiology,including sequestration of vitamin D in adipose tissue,altered hepatic metabolism,diminished bioavailability,and inflammationinduced resistance at the tissue level.These mechanisms contribute to a functional deficiency,wherein serum 25-hydroxyvitamin D levels may remain suboptimal despite adequate intake or sun exposure.Obesity-related alterations in vitamin Dbinding proteins,receptor expression,and pro-inflammatory signaling further compromise biological activity.Current diagnostic criteria and supplementation guidelines do not fully reflect these physiological complexities,leading to underdiagnosis and insufficient treatment.Personalized approaches-incorporating higher,body composition-adjusted dosing and consideration of inflammatory status-are emerging as promising strategies to restore sufficiency and improve metabolic outcomes.While preliminary evidence supports the safety and efficacy of high-dose supplementation in this population,pediatric-specific clinical trials are lacking.This review synthesizes current understanding of the pathophysiological mechanisms underlying vitamin D deficiency in pediatric obesity and emphasizes the need for individualized,evidence-based interventions to optimize vitamin D status and overall health.
文摘The edible mushroom Agaricus bisporus L.plays a crucial ecological role in nutrient cycling and organic matter decomposition,alongside its increasing importance in the food and nutrition industry.This study explored ecological interventions to enhance the mushroom’s vitamin content by enriching its cultivation substrate with nanomaterials and biostimulatory agents.The experiment was conducted within the mushroom production project at Al-Qadisiyah Governorate,Iraq.The compost-based medium was amended with magnetic iron nanoparticles(N-FeO),carbon nanotube(CNT)suspensions,EM biofertilizer,and Atonik growth stimulant.Their ecological impact on the enrichment of fat-soluble(A,D,E)and water-soluble(B2,B3,B5,B6)vitamins in mushrooms was assessed.The study employed a Completely Randomized Design(CRD)with three replicates.Results revealed that the synergistic application of these eco-friendly treatments significantly enhanced the vitamin profiles of A.bisporus.The highest concentrations of vitamins B2 and B5(5.16 and 17.70 mg kg^(-1),respectively)and vitamin A(6.87 IU ml^(-1))were recorded under the combined quadruple treatment.Additionally,the triple treatment(N-FeO+EM+Atonik)notably increased levels of vitamins B2(4.47 mg kg^(-1)),B6(25.66 mg kg^(-1)),D(34.76 mg kg^(-1)),and vitamin A(6.87 IU ml^(-1)).Dual treatments(EM+Atonik)also significantly improved vitamin B2(4.54 mg kg^(-1))and vitamin E(3.30 mg kg^(-1))contents.These findings demonstrate that integrating nanomaterials and biostimulants can serve as an ecological strategy to improve the nutritional quality of mushrooms while promoting sustainable agricultural practices.
文摘Vitamin D,beyond its classical role in calcium homeostasis,has emerged as a key regulator of immune function and epithelial barrier integrity.Its deficiency during early childhood—a critical period for immune maturation—has been increasingly implicated in the development of atopic diseases.While extensively studied in asthma,its role in non-respiratory allergic conditions such as atopic dermatitis(AD)and allergic rhinitis(AR)remains comparatively underexplored.This minireview synthesizes current mechanistic and clinical evidence on vitamin D in pediatric AD and AR.In AD,vitamin D promotes epidermal barrier function through upregulation of filaggrin and ceramide synthesis,and enhances antimicrobial defense via induction of antimicrobial peptides.Observational studies consistently report lower serum 25-hydroxyvitamin D in affected children,particularly those with allergic sensitization.Select randomized controlled trials suggest clinical improvement with supplementation,especially at doses>2000 IU/day in deficient individuals.In AR,epidemiological data indicate stronger inverse associations with seasonal(pollen-induced)disease.Proposed mechanisms include modulation of dendritic cells,regulatory T cells,T helper 2 cytokines,and mucosal barrier integrity.The shared immunopathogenesis of AD and AR underscores vitamin D’s relevance.Although promising,clinical evidence remains heterogeneous.Future research should prioritize phenotype-stratified trials to clarify optimal dosing,timing,and individual response determinants,including genetics and microbiome composition.
基金National Natural Science Foundation of China,No.82170406 and No.81970238.
文摘Non-alcoholic fatty liver disease(NAFLD),a critical global health concern,continues to challenge medical researchers with limited treatment options.This letter examines on the study by Luo et al,demonstrating that vitamin D 1,25-dihydroxyvitamin D3[1,25(OH)2D3]improves hepatic steatosis in NAFLD by inhibiting M1 macrophage polarization via the vitamin D receptor-peroxisome proliferator-activated receptor gamma signaling pathway.This letter critically appraises these findings,comparing them to similar studies,and discusses their potential implications for treating NAFLD.Furthermore,we highlight future directions,including dose optimization and mechanistic studies.
文摘BACKGROUND The existing semi-quantitative ultrasound grading system inadequately evaluates synovial hypertrophy at the dorsal recess of the first metatarsophalangeal joint(MTPJ).Vitamin D deficiency is prevalent in type 2 diabetes mellitus(T2DM)and may influence joint inflammation.This study hypothesizes that serum 25-hydro-xyvitamin D[25(OH)D]levels are inversely associated with synovial hypertrophy severity of the first MTPJ in patients with T2DM.AIM To refine ultrasound grading for the first MTPJ synovial hypertrophy and inves-tigate its association with vitamin D in T2DM.METHODS This cross-sectional study included 56 patients(112 MTPJs)with T2DM from Shenzhen Traditional Chinese Medicine Hospital.Synovial hypertrophy was evaluated using a refined semi-quantitative ultrasound grading system focusing on the dorsal recess overlying the metatarsal bone.Serum 25(OH)D levels were measured.Logistic regression and threshold analyses assessed associations between vitamin D status and hypertrophy severity.RESULTS Of 112 joints assessed,98 exhibited synovial hypertrophy(grade 1:40;grade 2:50;grade 3:8).The refined grading system demonstrated strong intra-and inter-observer reliability(intraclass correlation coefficients=0.79 and 0.73,respectively).Lower serum 25(OH)D(<24.3 ng/mL)was independently associated with moderate-to-severe hypertrophy[odds ratio(OR)=0.83;P=0.0163].Vitamin D deficiency significantly increased the likelihood of moderate-to-severe hypertrophy compared with non-deficiency(OR=3.86;P=0.0422).Threshold analysis identified 23.8 ng/mL as a critical serum 25(OH)D level,below which each increment reduced moderate-to-severe hypertrophy risk by 21%(OR=0.79;P=0.0078).CONCLUSION The refined ultrasound grading system demonstrated strong reliability.Serum 25(OH)D may serve as a protective factor against the severity of synovial hypertrophy in T2DM patients with lower 25(OH)D levels.
文摘Vitamins are natural materials essential for maintaining the normal physical function of the live cells. It has been reported that 13 vitamins are needed in our body, included vitamin A, B vitamins （thiamine, riboflavin, niacin, pantothenic acid, pyridoxine, biotin, folic acid and cobalamin）, vitamin C, vitamin D, vitamin E and vitamin K. Nowadays, the functions of vitamins have been extensively investigated. The objective of this paper is to summarize the new functions of vitamins, aiming to provide suggestions on the usage of various vitamins in clinical application.
文摘Introduction: Vitamin D plays a key role in phosphocalcic metabolism, in normal functioning of the immune system and in the prevention of certain forms of cancer. Systematic vitamin D supplementation has been implemented in most Western countries, which has drastically reduced the prevalence of rickets. In Senegal, a country with enough sunshine, no large-scale data exists on vitamin D deficiency in children. In addition, there are no guidelines from the Ministry of Health and Social Action (MoHSA) on vitamin D supplementation. Our objective was to determine the prevalence of vitamin D deficiency in children aged 6 to 59 months and to analyze the factors associated with it at the Institute of Social Pediatrics in Pikine-Guédiawaye, a suburb of Dakar. Patients and Methods: This was a prospective, descriptive and analytical cross-sectional study over a 3-month period (from January to March 2024) at the Institute of Social Pediatric (IPS) of Pikine-Guédiawaye. The study population consisted of all children aged 6 to 59 months free from any acute or chronic pathology, whose parents had agreed to answer the questionnaires after having consented and signed the consent and children who had had a sample taken for vitamin D dosage. Results: We included 102 children, 35 of whom had vitamin D deficiency, i.e. a prevalence of 34.31% with a slight male predominance (sex ratio 1.05). Infants aged 13 - 24 months were more affected (41.67%), but the difference was not statistically significant (p-value = 0.385). Patients with acute malnutrition had a significantly higher prevalence of vitamin D deficiency (54.17% of cases versus 28.38%) in those without acute malnutrition (p = 0.02). On the other hand, chronic malnutrition, underweight and diversification foods were not significantly associated with vitamin D deficiency (p of 0.60, 0.42 and 0.09 respectively). Conclusion: Vitamin deficiency affects one-third of apparently healthy children under 5 and this deficiency has no significant relationship with diversification foods. This suggests that the observed vitamin D deficiencies are less related to diet than to lack of sun exposure.
基金supported in part by the Priority Academic Program Development of Jiangsu Higher Education Institutions and the State Key Laboratory of Crop Genetics and Germplasm Enhancement (Grant No. ZW201813)supported by the high-performance computing platform at the Bioinformatics Center of Nanjing Agricultural University。
文摘Ascorbic acid, also referred to as vitamin C(Vc), is an important nutrient found in fruits and vegetables that promotes produce quality and human health. Rosa roxburghii is an underutilized natural fruit that contains very high levels of Vc. However, the Vc content of R. roxburghii varies considerably during plant development and ripening. To better understand the molecular mechanisms that underlie fluctuations in Vc content of R. roxburghii fruit at different developmental stages, we performed transcriptomic and metabolomic analyses and identified two significant gene networks/modules and 168 transcription factors directly involved in Vc synthesis. Promoter analysis of two core genes involved in Vc synthesis, RrGGP and RrGalUR, revealed the presence of a retroviral long terminal repeat(LTR) insert in the RrGalUR promoter. Using yeast one-hybrid and dual-luciferase assays, we demonstrated that the transcription factors RrHY5H and RrZIP9 bind to the promoter of RrGGP to promote its expression. RrZIP6 and RrWRKY4 bind to the LTR in the RrGalUR promoter to promote its expression. Our results reveal a molecular mechanism that controls Vc synthesis and accumulation in R. roxburghii fruit.
基金funded by the grants from the National Natural Science Foundation of China(Grant No.82204071,81874268 and 82173539)grant of the Scientific Research of BSKY from Anhui Medical University(0303033201)grant of Natural Scientific Research Priority Project of Anhui Higher Education Institution(KJ2021A0228).
文摘Vitamin D deficiency(VDD)has emerged as a major nutritional problem among children and adolescents.Numerous studies have documented the adverse health effects of VDD,including conditions such as chronic kidney diseases,hypoparathyroidism,and autoimmune diseases.Nevertheless,these studies were conducted only in adults and among individuals with underlying medical conditions.Adolescence is at a unique stage of growth,where nutritional deficiencies may have profound implications on their future health.Thus,there is an urgent need to conduct research on the impact of vitamin D deficiency on adolescent health.
文摘Background:Vitamin D deficiency is a global health concern,and exploring natural sources,particularly traditional medicinal plants,may offer a novel approach to addressing this widespread issue.This study investigates the prevalence of vitamin D_(2) and D_(3) in indigenous medicinal plants,such as Solanum torvum,Solanum nigrum,Solanum xanthocarpum,Psoralea cordifolia,Cissus quadrangularis,and the resin Commiphora mukul,and Laccifer lacca.Methods:Vitamin D_(2) and D_(3) compounds were detected and quantified using advanced reversed-phase high-performance liquid chromatography.A refined technique for sample preparation was employed,which involved an overnight cold saponification process.This method was used to enhance the extraction of vitamin D molecules.The accuracy and reliability of the HPLC method were validated using liquid chromatography-mass spectrometry(LC-MS)/MS analysis.Results:The investigation revealed the remarkable presence of vitamin D_(2) and D_(3) in the chosen plant specimens.Significant amounts of vitamin D_(2) were found in Laccifer lacca and Psoralea cordifolia,however,vitamin D_(3) was only detected in Cissus quadrangularis and Solanum xanthocarpum.The revised approaches exhibited significant precision and accuracy,hence enhancing the reliability of the findings.Conclusion:The identification of vitamin D_(2) and D_(3) in these plants underscores their historical therapeutic significance for supporting bone health and indicates their potential as beneficial natural sources of vitamin D.This research advances understanding of the phytochemical features of these plants,facilitating future development of nutraceuticals and therapeutic applications.
文摘Malignant tumors are heterogeneous diseases characterized by uncontrolled cell proliferation,invasion,metastasis,and/or recurrence of their malignancies.In particular,cancer stem cells(CSCs)within these tumors might be responsible for the property of invasiveness and/or therapies-resistance.CSCs are a self-renewing,awfully tumorigenic subpopulation of cancer cells,which are notorious for strong chemoresistance and are frequently responsible the aggravated invasion,metastasis,and/or recurrence.Developing targeting therapies against CSCs,therefore,may be deliberated a more encouraging mission for the greater cancer therapy.Innovation for a more potent anti-CSC treatment has been required as soon as possible.Interestingly,vitamin D could modulate the inflammatory condition of the tumor microenvironment(TME)by successfully affecting CSCs,which has an imperative role in determining the malignant phenotype of CSCs.In addition,vitamin D may also contribute to the regulation of the malignant behaviors of CSCs.Consistently,vitamin D could have potential applications for the significant inhibition of several tumor growths within various cancer therapies.The biological significance of vitamin D for CSCs regulation may be involved in the function of APRO family proteins.Therefore,vitamin D could be one of the innovative therapeutic modalities for the development of novel CSCs related tumor therapies.
文摘The antioxidant and anti-wrinkle firming effects of a combination of vitamin C(Vc)and black Ganoderma lucidum extract was evaluted.Through the DPPH radical scavenging model and elastase inhibition model,this research investigates the impact of these substances individually and in combination on antioxidant capabilities and anti-wrinkle firming effects.The results demonstrate that the combination of Vc and black Ganoderma lucidum extract exhibits significant antioxidant abilities at various concentrations,and is more effective than when each is used separately,indicating a synergistic interaction between them.Additionally,the combination also shows significant inhibition of elastase,suggesting potential applications in delaying the aging process of the skin.Furthermore,highperformance liquid chromatography(HPLC)was used to determine if reactions occur among the components of the mixture.The findings reveal that the concentration of Vc in the mixture is very close to the theoretical concentration and relatively stable,suggesting that the components function independently.A quantitative analysis using the Bliss independence model further confirms the synergistic effects of Vc and black Ganoderma lucidum extract at specific ratios,providing a scientific basis for the development of efficacious cosmetic products.
基金Supported by the National Natural Science Foundation of China,No.820300089.
文摘BACKGROUND Metabolic dysfunction-associated steatotic liver disease(MASLD)is defined by the abnormal lipid deposition in hepatocytes.The prevalence of MASLD is significantly increased in the elderly population,suggesting that aging may be related to the occurrence of MASLD.Emerging evidences suggest that vitamin D receptor(VDR)may be implicated in the progression of MASLD.Therefore,additional researches are warranted to elucidate whether VDR plays a role in aging-related MASLD.AIM To investigate the relationship between aging and MASLD and explore the role and related mechanisms of VDR in aging-related MASLD.METHODS Cellular senescence models were established,and the senescence phenotype of telomerase RNA component knockout mice was validated.These mice were then used as a senescence model for subsequent studies.Changes in VDR expression in the livers of aging mice were examined.VDR knockdown models,including cell knockdown models and hepatic-specific VDR knockout mice,were constructed,and MASLD was established in these models.Additionally,vitamin D(VD)-supplemented models,including senescent liver cell lines and senescent mice,were constructed.RESULTS The steatosis in senescent liver cells was more severe than in normal cells(P<0.05).Moreover,hepatic steatosis was significantly more pronounced in senescence model mice compared to control group when the MASLD model was successfully induced(P<0.05).Therefore,we concluded that aging aggravated hepatic steatosis.The hepatic expression of VDR increased after aging.VDR knockdown in senescent liver cells and senescent mice alleviated hepatic steatosis(P<0.05).When senescent liver cells were stimulated with VD,cellular steatosis was aggravated(P<0.05).However,VD supplementation had no effect on aging mice.CONCLUSION Aging can lead to increased hepatic steatosis,and the hepatic-specific knockdown of VDR alleviated aging-related MASLD.VDR could serve as a potential molecular target for aging-related MASLD.
基金Supported by Natural Science Foundation of Henan Province,No.202300410396the Young Talents Promotion Project of Henan Province,No.2021HYTP043.
文摘BACKGROUND Diabetic foot ulcers(DFUs)represent a common and serious complication of diabetes,characterized by impaired wound healing and an increased risk of infection.These infections severely impact patient health,necessitating extensive medical intervention,and increasing the risk of amputation.Vitamin D(VD)plays a critical role in immune regulation and tissue repair.AIM To investigate the effects of VD supplementation on infection rates,wound healing,and immune function in patients with DFUs.METHODS A randomized controlled trial was conducted involving 120 patients with DFUs.Participants were randomly assigned to either a control group(n=60),which received standard care without VD supplementation,or an intervention group(n=60),which received 2000 IU of oral VD3(cholecalciferol)daily for 12 weeks.The primary outcomes included the incidence and severity of infections,whereas the secondary outcomes included wound healing rate,serum 25-hydroxyvitamin D level,levels of immune markers(cathelicidin,interleukin-6 and tumor necrosis factor-α),and adverse events,such as hypercalcemia.RESULTS The incidence of infection was significantly lower in the VD supplementation group(25%)compared with the control group(45%)(P=0.01).Severe infections requiring systemic antibiotics or hospitalization were also less frequent in the VD supplementation group.Wound healing was notably enhanced in the VD supplementation group,with a 60%reduction in ulcer size compared with a 35%reduction in the control group(P<0.01).Serum 25(OH)D level significantly increased in the VD supplementation group(from 16.5 ng/mL to 35.2 ng/mL),confirming the efficacy of VD supplementation.Immune function improved,as demonstrated by a 30%rise in cathelicidin level and a 20%decline in levels of pro-inflammatory cytokines.No adverse effects,including hypercalcemia,were reported.CONCLUSION The VD supplementation effectively reduced infection rate,promoted wound healing,and strengthened immune responses in patients with DFUs.These findings support the incorporation of VD as a safe and effective adjunctive therapy in the clinical management of DFUs.
基金supported by grants from the Wenzhou Science and Technology Bureau Foundation,China(Grant No.:ZY2019014)“Pioneer”and“Leading Goose”R&D Program of Zhejiang,China(Grant No.:2022C03144)National Natural Science Foundation of China(Grant Nos.:82172494,and 82372461).
文摘Ferroptosis of chondrocytes is a significant contributor to osteoarthritis(OA),for which there is still a lack of safe and effective therapeutic drugs targeting ferroptosis.Here,we screen for anti-ferroptotic drugs in Food and Drug Administration(FDA)-approved drug library via a high-throughput manner in chondrocytes.We identified a group of FDA-approved anti-ferroptotic drugs,among which vitamin K showed the most powerful protective effect.Further study demonstrated that vitamin K effectively inhibited ferroptosis and alleviated the extracellular matrix(ECM)degradation in chondrocytes.Intra-articular injection of vitamin K inhibited ferroptosis and alleviated OA phenotype in destabilization of the medial meniscus(DMM)mouse model.Mechanistically,transcriptome sequencing and knockdown experiments revealed that the anti-ferroptotic effects of vitamin K depended on growth arrest-specific 6(Gas6).Furthermore,exogenous expression of Gas6 was found to inhibit ferroptosis through the AXL receptor tyrosine kinase(AXL)/phosphatidylinositol 3-kinase(PI3K)/AKT serine/threonine kinase(AKT)axis.Together,we demonstrate that vitamin K inhibits ferroptosis and alleviates OA progression via enhancing Gas6 expression and its downstream pathway of AXL/PI3K/AKT axis,indicating vitamin K as well as Gas6 to serve as a potential therapeutic target for OA and other ferroptosis-related diseases.
基金supported by the Medical Science Research Project Program of Hebei Province(20211722).
文摘Objective This study aimed to investigate the neuroprotective effects of cholecalciferol cholesterol emulsion(CCE),a vitamin D(VD)precursor,in a murine model of acute cerebral infarction(ACI)and to elucidate the role of the Nrf2 signaling pathway in mediating these effects.Methods Forty C57BL/6J mice(male and female)were divided into five groups(n=10 per group):control,control+CCE,ACI,ACI+CCE,and ACI+CCE+ML385(an Nrf2 inhibitor).ACI was induced by middle cerebral artery occlusion(MCAO).CCE was administered for three weeks prior to ACI induction,and ML385 was administered intravenously to inhibit Nrf2.Neurological function,brain edema,and infarct size,as well as inflammatory and apoptotic marker levels,were assessed post-ACI.Statistical analyses were conducted via one-way ANOVA and Student's t test,with P<0.05 considered significant.Results Compared to ACI group,CCE significantly reduced neurological deficits,brain edema,and infarct size(P<0.01).The ACI+CCE group presented improved short-term memory retention,as evidenced by shorter avoidance latency in shuttle avoidance tests(P<0.01).CCE administration attenuated the expression of inflammatory markers(IL-6,MIF,Lp-PLA2)while increasing IL-10 levels(P<0.001).Furthermore,CCE increased Nrf2 and HO-1 expression and reduced apoptosis by decreasing the Bax/Bcl-2 ratio in brain tissue(P<0.001).ML385 abolished these neuroprotective effects,confirming the role of the Nrf2 pathway in mediating the benefits of VD.Conclusion VD,via VD receptor-mediated activation of the Nrf2/HO-1 pathway,reduces inflammation,apoptosis,and neurological damage following ACI.These findings support the therapeutic potential of VD in the treatment of ischemic stroke and highlight the importance of Nrf2 in mediating these effects.
文摘Objective Vitamin deficiencies,particularly in vitamins A,B12,and D,are prevalent across populations and contribute significantly to a range of health issues.While these deficiencies are well documented,the underlying etiology remains complex.Recent studies suggest a close link between the gut microbiota and the synthesis,absorption,and metabolism of these vitamins.However,the specific causal relationships between the gut microbiota composition and vitamin deficiencies remain poorly understood.Identifying key bacterial species and understanding their role in vitamin metabolism could provide critical insights for targeted interventions.Methods We conducted a two-sample Mendelian randomization(MR)study to assess the causal relationship between the gut microbiota and vitamin deficiencies(A,B12,D).The genome-wide association study data for vitamin deficiencies were sourced from the FinnGen biobank,and the gut microbiota data were from the MiBioGen consortium.MR analyses included inverse variance-weighted(IVW),MR‒Egger,weighted median,and weighted mode approaches.Sensitivity analyses and reverse causality assessments were performed to ensure robustness and validate the findings.Results After FDR adjustment,vitamin B12 deficiency was associated with the class Verrucomicrobiae,order Verrucomicrobiales,family Verrucomicrobiaceae,and genus Akkermansia.Vitamin A deficiency was associated with the phylum Firmicutes and the genera Fusicatenibacter and Ruminiclostridium 6.Additional associations for vitamin B12 deficiency included the Enterobacteriaceae and Rhodospirillaceae and the genera Coprococcus 2,Lactococcus,and Ruminococcaceae UCG002.Vitamin D deficiency was associated with the genera Allisonella,Eubacterium,and Tyzzerella 3.Lachnospiraceae and Lactococcus were common risk factors for both B12 and D deficiency.Sensitivity analyses confirmed the robustness of the findings against heterogeneity and horizontal pleiotropy,and reverse MR tests indicated no evidence of reverse causality.Conclusions Our findings reveal a possible causal relationship between specific gut microbiota characteristics and vitamin A,B12 and D deficiencies,providing a theoretical basis for addressing these nutritional deficiencies through the modulation of the gut microbiota in the future and laying the groundwork for related interventions.
文摘BACKGROUND Vitamin D deficiency has been associated with prostate cancer,particularly in ethnic minorities.Patients with prostate cancer may still be deficient even in areas of high sun exposure.Although androgen deprivation therapy(ADT)is well documented to affect bone health,its impact on vitamin D levels is still uncertain.This study investigates the subgroups of prostate cancer patients most associated with vitamin D deficiency and ADT’s relation to this.AIM To examine how prevalent vitamin D deficiency is among prostate cancer patients in a sun-rich environment,with focus on differences by race and disease stage.It also assessed whether ADT is associated with changes in vitamin D levels.METHODS Prostate cancer patients treated at Chao Family Comprehensive Cancer Center between 2014-2024 were retrospectively studied with regards to vitamin D levels across racial groups,disease stages,and ADT exposure.Changes in vitamin D levels pre-and post-ADT over 24 months were assessed by statistical methods including paired t-tests.RESULTS Among 120 patients(mean age:74 years,mean body mass index:27.6 kg/m^(2)),African American(33.3%)and Hispanic(31.8%)patients had the greatest prevalence of vitamin D deficiency(<20 ng/mL).With a 28.6%deficit rate,metastatic castration-resistant prostate cancer had the highest prevalence rates of deficiency.There was no significant difference between pre-and post-ADT vitamin D levels(P=0.45).CONCLUSION Vitamin D deficiency is common in prostate cancer patients,especially racial minorities and those with advanced disease,despite residing in an area with high sun exposure.ADT does not significantly impact vitamin D levels in the short term.Routine screening and supplementation should be considered in these high-risk groups.
基金Ho Chi Minh City University of Technology(HCMUT),VNU-HCM for supporting this study.
文摘Vitamin C,a potent antioxidant with broad therapeutic applications,is limited by rapid degradation under environmental stressors,which compromises its stability and bioactivity.This study addresses these limitations by formulating a double nano-emulsion(W/O/W)system incorporating macadamia oil and tea tree oil,using homogenization and phase inversion temperature(PIT)techniques.Comprehensive physicochemical charac-terization,including droplet size,polydispersity index(PDI),zeta potential,turbidity,Fourier transform infrared spectroscopy(FTIR),and SEM,was conducted alongside stability assessments under varying pH,temperature,and storage conditions.The optimized nano-emulsions exhibited nanoscale droplet sizes(10-40 nm),low PDI values(indicating high uniformity),and robust stability.Interestingly,the formulation with 2%W/O loading,with a particle size of 11.57 nm and a PDI of 0.04,demonstrated an antioxidant capacity of 4622.62μg ascorbic acid equivalents(AA)/g,which was significantly higher(p<0.05)compared to both natural oils(macadamia oil:20.91μg AA/g,tea tree oil:16.86μg AA/g)and a 10%Vitamin C aqueous solution(592.94μg AA/g).FTIR analysis confirmed the molecular integrity of Vitamin C and its successful encapsulation with macadamia and tea tree oils,while SEM images revealed uniformly spherical and well-dispersed droplets.Moreover,the formulation retained its structural integrity and antioxidant functionality under diverse pH and thermal conditions.These findings underscore the potential of double nano-emulsion systems to overcome the stability challenges of Vitamin C,offering a promising approach to enhance its bioavailability and therapeutic performance in phar-maceutical and cosmetic applications.
文摘Objective Epidemiological studies have shown that vitamin D status affects glycemic control in individuals with type 2 diabetes mellitus(T2DM).However,findings from intervention studies remain inconsistent.Therefore,a network meta-analysis was conducted to evaluate the comparative efficacy of various vitamin D supplementation strategies on glucose indicators in adults with T2DM.Methods Eligible studies published before September 12,2024,were retrieved from PubMed,EMBASE,Cochrane Library,and Web of Science.A network meta-analysis of multiple dosage strategies—low(<1,000 IU/day,LDS),medium(1,000–2,000 IU/day,MDS),high(2,000–4,000 IU/day,HDS),and extremely high(≥4,000 IU/day,EHDS)—was performed.Results The network meta-analysis of 40 RCTs indicated that,compared with placebo,vitamin D_(3)supplementation increased 25-hydroxyvitamin D[25-(OH)-D]levels,with pooled mean difference(MD)showing a stepwise increase from LDS to EHDS.Ranking probabilities showed a corresponding rise in 25-(OH)-D levels from LDS(46.7%)to EHDS(91.2%).EHDS reduced fasting blood glucose(FBG)relative to no treatment.LDS significantly decreased hemoglobin A1c(HbA1c),and vitamin D_(2) significantly affected FBG levels.MDS led to a significant change in fasting insulin(FIN)compared to both placebo(MD:-4.76;95%CI-8.91 to-0.61)and no treatment(MD:-7.30;95%CI-14.44 to-0.17).Conclusion The findings suggest that vitamin D supplementation may be a viable approach for improving glycemic control in adults with T2DM,with lower doses potentially offering benefit.The analysis also showed a dose-dependent increase in 25-(OH)-D levels.
