Vitamin D as a modulator of molecular pathways involved in CVDs: Evidence from preclinical studies.
Study Goal
The researchers aimed to synthesize and critically evaluate preclinical evidence on the role of vitamin D in cardiovascular health, focusing on its potential preventive and therapeutic effects in cardiovascular diseases.
Results Summary
The study found that vitamin D modulates vascular tone, prevents fibrosis and hypertrophy, and influences key signaling pathways related to inflammation, oxidative stress, and pathological remodeling. Vitamin D supplementation demonstrated protective effects in cardiovascular disease models, reducing inflammation, attenuating hypertrophy, decreasing plaque formation, and improving cardiac function.
Population
Preclinical models (in vitro cardiomyocyte cell lines and in vivo animal models, including knockout mice, diet-induced deficiency models, and disease-specific models like hypertension, hypertrophy, and myocardial infarction).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
vitamin D | neutral | vascular tone | preclinical models | - | modulates | #1 |
vitamin D | decrease | fibrosis | preclinical models | - | prevents | #2 |
vitamin D | decrease | hypertrophy | preclinical models | - | prevents | #3 |
vitamin D | increase | cardiomyocyte differentiation | in vitro (cardiomyocyte cell line) models | - | promotes | #4 |
vitamin D | decrease | pathological remodeling | in vitro (cardiomyocyte cell line) models | - | inhibit | #5 |
vitamin D deficiency (VDD) | decrease | cardiac function | in vivo models | - | detrimental cardiac effects | #6 |
supplementation with vitamin D | decrease | inflammation | cardiovascular disease (CVD) models | - | demonstrated its protective effects by decreasing | #7 |
supplementation with vitamin D | decrease | hypertrophy | cardiovascular disease (CVD) models | - | demonstrated its protective effects by attenuating | #8 |
supplementation with vitamin D | decrease | plaque formation | cardiovascular disease (CVD) models | - | demonstrated its protective effects by reduction in | #9 |
supplementation with vitamin D | increase | cardiac function | cardiovascular disease (CVD) models | - | demonstrated its protective effects by improving | #10 |
Vitamin D deficiency (VDD) is a widespread global health issue, affecting nearly a billion individuals worldwide, and mounting evidence links it to an increased risk of cardiovascular diseases like hypertension, atherosclerosis, and heart failure. The discovery of vitamin D receptors and metabolizing enzymes in cardiac and vascular cells, coupled with experimental studies, underscores the complex relationship between vitamin D and cardiovascular health. This review aims to synthesize and critically evaluate the preclinical evidence elucidating the role of vitamin D in cardiovascular health. We examined diverse preclinical in vitro (cardiomyocyte cell line) models and in vivo models, including knockout mice, diet-induced deficiency, and disease-specific animal models (hypertension, hypertrophy and myocardial infarction). These studies reveal that vitamin D modulates vascular tone, and prevents fibrosis and hypertrophy through effects on major signal transduction pathways (NF-kB, Nrf2, PI3K/AKT/mTOR, Calcineurin/NFAT, TGF-β/Smad, AMPK) and influences epigenetic mechanisms governing inflammation, oxidative stress, and pathological remodeling. In vitro studies elucidate vitamin D's capacity to promote cardiomyocyte differentiation and inhibit pathological remodeling. In vivo studies further uncovered detrimental cardiac effects of VDD, while supplementation with vitamin D in cardiovascular disease (CVD) models demonstrated its protective effects by decreasing inflammation, attenuating hypertrophy, reduction in plaque formation, and improving cardiac function. Hence, this comprehensive review emphasizes the critical role of vitamin D in cardiovascular health and its potential as a preventive/therapeutic strategy in CVDs. However, further research is needed to translate these findings into clinical applications as there are discrepancies between preclinical and clinical studies.