Vrzhesinskaya O A, Leonenko S N, Kodentsova V M, Beketova N A, Kosheleva O V, Sokolnikov A A, Shevyakova L V, Zorin S N, Zhilinskaya N V
Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation.
Vopr Pitan. 2021;90(2):91-99. doi: 10.33029/0042-8833-2021-90-2-91-99. Epub 2021 Mar 11.
Despite the presence of combined deficiency of vitamins D and group B among the population of Russia, the intake of cholecalciferol is often recommended without correcting the supply with B group vitamins, which are involved in ensuring the biological functions of vitamin D. of the study was to compare the effectiveness of vitamin D deficit correction by replenishing its content in the diet to an adequate level without eliminating the deficit of B vitamins and by restoring vitamin D level in combination with B vitamins. . The experiment was carried out on male Wistar rats (n=33) with an initial body weight of 69.5±0.8 g. Combined deficit of vitamins D and B group in rats (n=24) was caused by a 5-fold decrease in their content in the vitamin mixture of a semi-synthetic diet for 23 days. Over the next 7 days, in order to correct vitamin deficiency, 12 rats (group «-B+D») were fed a diet, replenished up to 100% for vitamin D with continued deficiency of B group vitamins, and 12 rats (group «+B+D») were fed a diet replenished for all missing vitamins. Animals of the control group (n=9) received a full semi-synthetic diet during the entire experiment. The concentration of vitamins A and E in blood plasma and lyophilized liver and whole brain was determined by HPLC, vitamins B1 and B2 in the liver, brain and urine, riboflavin in plasma and 4-pyridoxic acid in urine - by fluorimetric methods, 25(OH)D in blood plasma was determined by ELISA. The content of calcium, magnesium, iron, manganese, zinc and copper in freeze-dried liver and brain was determined by atomic absorption method, biochemical parameters of blood and urine were determined using a biochemical analyzer. . The only vitamin D addition to the feed with a persisting deficiency of B vitamins did not restore the concentration of 25(OH)D and osteocalcin to the level in control animals sufficiently provided with all vitamins. In animals of the "-B+D" group, 25(OH)D plasma level was reduced by 17.3% (p<0.10), osteocalcin - by 11.7% (p<0.05), the activity of aspartate aminotransferase was 1.5 fold less, alanine aminotransferase - 2.3 fold (p<0.05), lactate dehydrogenase - by 14.9% (p<0.10), while the concentration of iron exceeded 2.7 times, glucose - by 15.0%, calcium - by 8.0%, creatinine - by 8.7% (p<0.05), urea - by 32.1%, direct bilirubin - by 24.2% (p<0.10 ) compared with corresponding indicator in rats of the control group. The level of cholesterol and HDL cholesterol was 14.7% and 15.9% higher (p<0.10) than in animals of the «+B+D» group. . Deficiency of B vitamins inhibits the restoration of adequate supply with vitamin D. In the presence of a lack of B vitamins in rats, vitamin D deficit and its consequences cannot be completely eliminated. Adequate supply with vitamins D and B group are synergistic factors in maintaining the level of glucose, cholesterol in blood plasma and other diagnostically significant parameters.
尽管俄罗斯人群中存在维生素D和B族维生素联合缺乏的情况,但人们通常建议补充胆钙化醇,却不纠正B族维生素的供应,而B族维生素对于确保维生素D的生物学功能至关重要。本研究的目的是比较在不消除B族维生素缺乏的情况下,通过将饮食中维生素D的含量补充至充足水平来纠正维生素D缺乏的效果,以及联合补充B族维生素来恢复维生素D水平的效果。实验以初始体重为69.5±0.8 g的雄性Wistar大鼠(n=33)为对象。大鼠(n=24)的维生素D和B族维生素联合缺乏是通过将半合成饲料维生素混合物中它们的含量降低5倍,持续23天造成的。在接下来的7天里,为了纠正维生素缺乏,12只大鼠(“-B+D”组)喂食的饲料中维生素D补充至100%,但B族维生素仍持续缺乏,12只大鼠(“+B+D”组)喂食的饲料中补充了所有缺失的维生素。对照组(n=9)的动物在整个实验期间接受完全的半合成饲料。通过高效液相色谱法测定血浆、冻干肝脏和全脑中维生素A和E的浓度,通过荧光法测定肝脏、脑和尿液中维生素B1和B2、血浆中核黄素和尿液中4-吡哆酸的浓度,通过酶联免疫吸附测定法测定血浆中25(OH)D的浓度。通过原子吸收法测定冻干肝脏和脑中钙、镁、铁、锰、锌和铜的含量,使用生化分析仪测定血液和尿液的生化参数。仅在持续缺乏B族维生素的饲料中添加维生素D,未能将25(OH)D和骨钙素的浓度恢复到所有维生素供应充足的对照组动物的水平。在“-B+D”组动物中,血浆25(OH)D水平降低了17.3%(p<0.10),骨钙素降低了11.7%(p<0.05),天冬氨酸转氨酶活性降低了1.5倍,丙氨酸转氨酶降低了2.3倍(p<0.05),乳酸脱氢酶降低了14.9%(p<0.10),而铁的浓度超过2.7倍,葡萄糖升高了15.0%,钙升高了8.0%,肌酐升高了8.7%(p<0.05),尿素升高了32.1%,直接胆红素升高了24.2%(p<0.1),与对照组大鼠的相应指标相比。胆固醇和高密度脂蛋白胆固醇水平比“+B+D”组动物分别高14.7%和15.9%(p<0.10)。B族维生素缺乏会抑制维生素D充足供应的恢复。在大鼠存在B族维生素缺乏的情况下,维生素D缺乏及其后果无法完全消除。维生素D和B族维生素的充足供应是维持血浆葡萄糖、胆固醇水平及其他诊断重要参数的协同因素。