Effect of vitamin D on oxidative stress and serum inflammatory factors in the patients with type 2 diabetes.
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.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.