Lima Gabriella Oliveira, Menezes da Silva Alex Luiz, Azevedo Julianne Elba Cunha, Nascimento Chirlene Pinheiro, Vieira Luana Rodrigues, Hamoy Akira Otake, Oliveira Ferreira Luan, Bahia Verônica Regina Lobato Oliveira, Muto Nilton Akio, Lopes Dielly Catrina Favacho, Hamoy Moisés
Laboratory of Pharmacology and Toxicology of Natural Products, Institute of Biological Sciences, Federal University of Pará, Belém, Pará, Brazil.
Laboratory of Experimental Neuropathology, Institute of Biological Sciences, Federal University of Pará, Belém, Pará, Brazil.
Endocr Connect. 2022 Mar 14;11(3):e210457. doi: 10.1530/EC-21-0457.
Low plasma levels of vitamin D causes bone mineral change that can precipitate osteopenia and osteoporosis and could aggravate autoimmune diseases, hypertension and diabetes. The demand for vitamin D supplementation becomes necessary; however, the consumption of vitamin D is not without risks, which its toxicity could have potentially serious consequences related to hypervitaminosis D, such as hypercalcemia and cerebral alterations. Thus, the present study describes the electroencephalographic changes caused by supraphysiological doses of vitamin D in the brain electrical dynamics and the electrocardiographic changes. After 4 days of treatment with vitamin D at a dose of 25,000 IU/kg, the serum calcium levels found were increased in comparison with the control group. The electrocorticogram analysis found a reduction in wave activity in the delta, theta, alpha and beta frequency bands. For ECG was observed changes with shortened QT follow-up, which could be related to serum calcium concentration. This study presented important evidence about the cerebral and cardiac alterations caused by high doses of vitamin D, indicating valuable parameters in the screening and decision-making process for diagnosing patients with symptoms suggestive of intoxication.
血浆维生素D水平低会导致骨矿物质变化,进而引发骨质减少和骨质疏松,并可能加重自身免疫性疾病、高血压和糖尿病。补充维生素D变得很有必要;然而,服用维生素D并非没有风险,其毒性可能会导致与维生素D过量相关的严重后果,如高钙血症和脑部病变。因此,本研究描述了超生理剂量的维生素D对脑电动力学和心电图变化所引起的脑电图变化。用25000 IU/kg剂量的维生素D治疗4天后,发现血清钙水平与对照组相比有所升高。皮层电图分析发现δ、θ、α和β频段的波活动减少。对于心电图,观察到QT间期缩短的变化,这可能与血清钙浓度有关。本研究提供了关于高剂量维生素D引起的脑部和心脏改变的重要证据,为诊断有中毒症状患者的筛查和决策过程指明了有价值的参数。