Mazzone Giovanna, Morisco Carmine, Lembo Vincenzo, D'Argenio Giuseppe, D'Armiento Maria, Rossi Antonella, Giudice Carmine Del, Trimarco Bruno, Caporaso Nicola, Morisco Filomena
Gastroenterology, Department of Clinical Medicine and Surgery, University 'Federico II', Naples, Italy.
Department of Advanced Biomedical Sciences, University 'Federico II', Naples, Italy.
United European Gastroenterol J. 2018 Aug;6(7):1056-1064. doi: 10.1177/2050640618774140. Epub 2018 May 17.
The western diet high in fat and fructose may cause metabolic disorders and cardiovascular diseases.
To evaluate whether long-term daily vitamin D supplementation prevents hepatic steatosis and cardiovascular abnormalities and restores insulin sensitivity caused by fat diet in rats without vitamin D deficiency.
Three groups of rats were fed for 6 months with standard diet (SD), western diet (WD) or WD containing 23 IU/day/rat vitamin D, respectively. Tail-cuff systolic blood pressure (SBP)measurements in conscious rats and transthoracic echocardiography were performed in basal condition, and after 3 and 6 months of diet. Hepatic steatosis and myocardial fibrosis were assessed in liver and cardiac tissues using standard methods. Serum insulin and 25(OH)D3 concentrations were determined using rat-specific ELISA kits. Insulin resistance was determined according to the homeostasis model assessment of insulin resistance (HOMA-IR) method.
Sixty-one per cent of hepatocytes in WD rats had steatotic vacuoles compared with just 27% in rats on a WD plus vitamin D ( < 0.05).HOMA-IR was reduced in rats with vitamin D supplementation compared with WD alone (19.4 ± 5.2 vs 41.9 ± 8.9, < 0.05). Rat blood pressure and left ventricular mass were both reduced by vitamin D supplementation.
In animal models of liver and cardiovascular metabolic damage, the supplementation of vitamin D shows liver and cardio-protective effects.
高脂肪和高果糖的西方饮食可能会导致代谢紊乱和心血管疾病。
评估长期每日补充维生素D是否能预防肝脂肪变性和心血管异常,并恢复无维生素D缺乏的大鼠因高脂饮食引起的胰岛素敏感性。
将三组大鼠分别用标准饮食(SD)、西方饮食(WD)或含23 IU/天/只维生素D的西方饮食喂养6个月。在基础状态下以及饮食3个月和6个月后,对清醒大鼠进行尾袖收缩压(SBP)测量,并进行经胸超声心动图检查。使用标准方法评估肝脏和心脏组织中的肝脂肪变性和心肌纤维化。使用大鼠特异性ELISA试剂盒测定血清胰岛素和25(OH)D3浓度。根据胰岛素抵抗稳态模型评估(HOMA-IR)方法确定胰岛素抵抗。
WD大鼠中有61%的肝细胞有脂肪变性空泡,而WD加维生素D组大鼠中只有27%(P<0.05)。与单独的WD组相比,补充维生素D的大鼠HOMA-IR降低(19.4±5.2对41.9±8.9,P<0.05)。补充维生素D可降低大鼠血压和左心室质量。
在肝脏和心血管代谢损伤的动物模型中,补充维生素D具有肝脏和心脏保护作用。