Division of Nephrology and Kidney Center, Kobe University Graduate School of Medicine, Kobe, Japan.
Am J Nephrol. 2013;37(2):167-74. doi: 10.1159/000346808. Epub 2013 Feb 7.
BACKGROUND/AIMS: Vascular disease is one of the critical complications of diabetes. A growing body of evidence suggests that oxidative stress plays a key role for vascular disease progression. Recent studies have demonstrated a strong link between vitamin D and cardiovascular disease.
We investigated the anti-oxidative effects of a vitamin D analog, 22-oxacalcitriol (maxacalcitol), on vascular lesions in type 2 diabetic rats. We used Spontaneously Diabetic Torii (SDT) rats, a model of non-obese type 2 diabetes. At 20 weeks of age, SDT rats were randomly divided into three groups: diabetes mellitus (DM, n = 10), DM + maxacalcitol (DM + D, n = 10), and DM + insulin (DM + I, n = 10). The rats were sacrificed at 30 weeks for the evaluation of blood and urine samples as well as histopathology and mRNA expression in the aorta.
Urinary 8-hydroxydeoxyguanosine (8-OHdG) excretion and the number of 8-OHdG-positive cells were significantly lower in the DM + I and DM + D groups than in the DM group. Real-time polymerase chain reaction analysis demonstrated that NADPH p22 phox and NADPH p47 phox mRNA levels were markedly decreased in the DM + I and DM + D groups compared with the DM group. Furthermore, the mRNA expression of MCP-1, ICAM-1 and VCAM-1 was significantly reduced in the DM + I and DM + D groups compared with the DM group.
Our results suggest that the vasoprotective effects of vitamin D are mediated by reducing oxidative stress.
背景/目的:血管疾病是糖尿病的一种严重并发症。越来越多的证据表明氧化应激在血管疾病进展中起着关键作用。最近的研究表明维生素 D 与心血管疾病之间存在很强的联系。
我们研究了维生素 D 类似物 22-氧代钙三醇(maxacalcitol)对 2 型糖尿病大鼠血管病变的抗氧化作用。我们使用 Spontaneously Diabetic Torii(SDT)大鼠,这是一种非肥胖 2 型糖尿病模型。在 20 周龄时,SDT 大鼠被随机分为三组:糖尿病(DM,n = 10)、DM + maxacalcitol(DM + D,n = 10)和 DM + 胰岛素(DM + I,n = 10)。在 30 周时处死大鼠,评估血液和尿液样本以及主动脉的组织病理学和 mRNA 表达。
DM + I 和 DM + D 组的尿 8-羟基脱氧鸟苷(8-OHdG)排泄量和 8-OHdG 阳性细胞数明显低于 DM 组。实时聚合酶链反应分析表明,与 DM 组相比,DM + I 和 DM + D 组 NADPH p22 phox 和 NADPH p47 phox mRNA 水平显著降低。此外,与 DM 组相比,DM + I 和 DM + D 组 MCP-1、ICAM-1 和 VCAM-1 的 mRNA 表达显著降低。
我们的结果表明,维生素 D 的血管保护作用是通过降低氧化应激来介导的。