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Effect of vitamin D on oxidative stress and serum inflammatory factors in the patients with type 2 diabetes.

Journal of clinical laboratory analysis
May 1, 2022
Jie-Chao Gu et al. (8 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether vitamin D supplementation could reduce oxidative stress and inflammation in T2DM patients by regulating glutathione (GSH) levels.

Results Summary

Vitamin D supplementation (400 IU/day) significantly increased GSH levels (2-fold) and reduced inflammatory markers (MCP-1 and IL-8) in T2DM patients after 90 days, suggesting it alleviates oxidative stress and inflammation.

Population

178 T2DM patients (92 in control group, 86 in vitamin D group).

Effective Dosage

400 IU per day.

Duration

90 days.

Interactions

None mentioned.

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
regular treatment
increase
MCP-1 and IL-8
T2DM group
-
has significantly higher concentrations
#1
vitamin D supplementation
increase
GSH levels
T2DM patients
from 2.72 ± 0.84 to 5.76 ± 3.19 μmol/ml
had a 2-fold increase
#2
vitamin D supplementation
decrease
concentration of MCP-1
T2DM patients
from 51.11 ± 20.86 to 25.42 ± 13.06 pg/ml
decreased
#3
vitamin D supplementation
decrease
IL-8
T2DM patients
from 38.21 ± 21.76 to 16.05 ± 8.99 pg/ml
decreased
#4
vitamin D
increase
GSH
-
-
could regulate the production
#5
vitamin D
decrease
MCP-1 and IL-8
-
-
reducing the serum levels
#6
vitamin D
decrease
oxidative stress and inflammation
-
-
alleviating
#7
Abstract

The type 2 diabetes mellitus (T2DM) is an urgent global health problem. T2DM patients are in a state of high oxidative stress and inflammation. Vitamin D and glutathione (GSH) play crucial roles in antioxidation and anti-inflammation. However, T2DM patients have lower vitamin D and GSH levels than healthy persons. A randomized controlled trial was conducted to see the effect of the vitamin D supplementation on oxidative stress and inflammatory factors in T2DM patients. In this study, a total of 178 T2DM patients were randomly enrolled, 92 patients received regular treatment (T2DM group) and 86 patients in Vitamin D group received extra vitamin D 400 IU per day in addition to regular treatment. Serum vitamin D, GSH, GSH metabolic enzyme GCLC and GR, inflammatory factor MCP-1, and IL-8 levels were investigated. We found that the T2DM group has significantly higher concentrations of MCP-1 and IL-8 than those in the healthy donor group. After vitamin D supplementation for 90 days, T2DM patients had a 2-fold increase of GSH levels, from 2.72 ± 0.84 to 5.76 ± 3.19 μmol/ml, the concentration of MCP-1 decreased from 51.11 ± 20.86 to 25.42 ± 13.06 pg/ml, and IL-8 also decreased from 38.21 ± 21.76 to 16.05 ± 8.99 pg/ml. In conclusion, our study demonstrated that vitamin D could regulate the production of GSH, thereby reducing the serum levels of MCP-1 and IL-8, alleviating oxidative stress and inflammation, providing evidence of the necessity and feasibility of adjuvant vitamin D treatment among patients with T2DM. On the other hand, vitamin D and GSH levels have important diagnostic and prognostic values in T2DM patients.

Medical Subject Headings (MeSH)
Diabetes Mellitus, Type 2Dietary SupplementsGlutathioneHumansInflammationInterleukin-8Oxidative StressVitamin DVitamins
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations27
Citations/Year9.0
Relative Citation Ratio4.20
NIH Percentile90.8%
Research Impact Scores
APT Score0.75
Weight Score2.84
Normalized Score0.70
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