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Vitamin D3 as adjuvant in the treatment of type 2 diabetes mellitus: modulation of genomic and biochemical instability.
Mutagenesis ( IF 2.7 ) Pub Date : 2019-05-29 , DOI: 10.1093/mutage/gez001
Gabriela Elibio Fagundes 1 , Tamires Pavei Macan 1 , Paula Rohr 1 , Adriani Paganini Damiani 1 , Franciani Rodrigues Da Rocha 2 , Maiara Pereira 1 , Luiza Martins Longaretti 1 , Thais Ceresér Vilela 1 , Luciane Bisognin Ceretta 3 , Carolini Mendes 2 , Paulo Cesar Lock Silveira 2 , João Paulo Fernandes Teixeira 4 , Vanessa Moraes de Andrade 1
Affiliation  

Type 2 diabetes mellitus has undergone a worldwide growth in incidence in the world and has now acquired epidemic status. There is a strong link between type 2 diabetes and vitamin D deficiency. Because vitamin D has beneficial effects on glucose homeostasis, the aim of this study was to evaluate the influence of vitamin D3 supplementation on the modulation of glycaemic control and other metabolic effects, as well as modulation of genomic instability in patients with type 2 diabetes. We evaluated 75 patients with type 2 diabetes, registered in the Integrated Clinics of the University of Southern Santa Catarina. Participants received 4000 IU of vitamin D3 (25(OH)D) supplementation daily for 8 weeks. Blood samples were collected at the beginning and at the end of the supplementation, and 4 weeks after the end of supplementation. The glycidic and lipid profiles [total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein and triglycerides], oxidative stress, DNA damage and 25(OH)D levels were evaluated. Vitamin D3 supplementation for 8 weeks showed enough to significantly increase blood levels of 25(OH)D. A significant difference in lipid profile was observed only in non-HDL cholesterol. Significant changes were observed in glucose homeostasis (fasting glucose and serum insulin) and, in addition, a reduction in the parameters of oxidative stress and DNA damage. There was a significant reduction in the values of 25(OH)D 4 weeks after the end of the supplementation, but levels still remained above baseline. Use of vitamin D supplementation can be an ally in the health modulation of patients with type 2 diabetes mellitus.

中文翻译:

维生素D3作为2型糖尿病的佐剂:调节基因组和生化不稳定。

2型糖尿病在世界范围内的发病率已在全球范围内增长,并且现在已成为流行病。2型糖尿病和维生素D缺乏症之间有很强的联系。因为维生素D对葡萄糖稳态具有有益作用,所以本研究的目的是评估补充维生素D3对2型糖尿病患者血糖控制和其他代谢作用的调节以及基因组不稳定的调节的影响。我们评估了在南圣卡塔琳娜大学综合诊所注册的75位2型糖尿病患者。参与者每天接受4000 IU维生素D3(25(OH)D)补充,持续8周。在补充开始和结束时以及补充结束后4周收集血样。评估了糖脂和脂质概况[总胆固醇,高密度脂蛋白(HDL),低密度脂蛋白和甘油三酸酯],氧化应激,DNA损伤和25(OH)D水平。补充维生素D3 8周显示足以显着增加25(OH)D的血液水平。仅在非HDL胆固醇中观察到脂质分布的显着差异。观察到葡萄糖稳态(空腹葡萄糖和血清胰岛素)发生了显着变化,此外,氧化应激和DNA损伤的参数降低。补充结束后4周,25(OH)D值显着降低,但水平仍高于基线。补充维生素D可以成为2型糖尿病患者健康调节的盟友。评估了高密度脂蛋白(HDL),低密度脂蛋白和甘油三酸酯],氧化应激,DNA损伤和25(OH)D水平。补充维生素D3 8周显示足以显着增加25(OH)D的血液水平。仅在非HDL胆固醇中观察到脂质分布的显着差异。观察到葡萄糖稳态(空腹葡萄糖和血清胰岛素)发生了显着变化,此外,氧化应激和DNA损伤的参数降低。补充结束后4周,25(OH)D值显着降低,但水平仍高于基线。补充维生素D可以成为2型糖尿病患者健康调节的盟友。评估了高密度脂蛋白(HDL),低密度脂蛋白和甘油三酸酯],氧化应激,DNA损伤和25(OH)D水平。补充维生素D3 8周显示足以显着增加25(OH)D的血液水平。仅在非HDL胆固醇中观察到脂质分布的显着差异。观察到葡萄糖稳态(空腹葡萄糖和血清胰岛素)发生了显着变化,此外,氧化应激和DNA损伤的参数降低。补充结束后4周,25(OH)D值显着降低,但水平仍高于基线。补充维生素D可以成为2型糖尿病患者健康调节的盟友。DNA损伤和25(OH)D水平进行了评估。补充维生素D3 8周显示足以显着增加25(OH)D的血液水平。仅在非HDL胆固醇中观察到脂质分布的显着差异。观察到葡萄糖稳态(空腹葡萄糖和血清胰岛素)发生了显着变化,此外,氧化应激和DNA损伤的参数降低。补充结束后4周,25(OH)D值显着降低,但水平仍高于基线。补充维生素D可以成为2型糖尿病患者健康调节的盟友。DNA损伤和25(OH)D水平进行了评估。补充维生素D3 8周显示足以显着增加25(OH)D的血液水平。仅在非HDL胆固醇中观察到脂质分布的显着差异。观察到葡萄糖稳态(空腹葡萄糖和血清胰岛素)发生了显着变化,此外,氧化应激和DNA损伤的参数降低。补充结束后4周,25(OH)D值显着降低,但水平仍高于基线。补充维生素D可以成为2型糖尿病患者健康调节的盟友。仅在非HDL胆固醇中观察到脂质分布的显着差异。观察到葡萄糖稳态(空腹葡萄糖和血清胰岛素)发生了显着变化,此外,氧化应激和DNA损伤的参数降低。补充结束后4周,25(OH)D值显着降低,但水平仍高于基线。补充维生素D可以成为2型糖尿病患者健康调节的盟友。仅在非HDL胆固醇中观察到脂质分布的显着差异。观察到葡萄糖稳态(空腹葡萄糖和血清胰岛素)发生了显着变化,此外,氧化应激和DNA损伤的参数降低。补充结束后4周,25(OH)D值显着降低,但水平仍高于基线。补充维生素D可以成为2型糖尿病患者健康调节的盟友。但水平仍保持在基线以上。补充维生素D可以成为2型糖尿病患者健康调节的盟友。但水平仍保持在基线以上。补充维生素D可以成为2型糖尿病患者健康调节的盟友。
更新日期:2019-11-01
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