Department of Medical Genetics, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Department of Medical Biology, School of Medicine, Mehmet Ali Aydinlar University, Istanbul, Turkey.
PLoS One. 2022 Feb 24;17(2):e0264337. doi: 10.1371/journal.pone.0264337. eCollection 2022.
Vitamin D deficiency is common among postmenopausal women. Telomere length can be a potential protective mechanism for age-related diseases. The objective of our study is to examine the association of vitamin D supplementation on leukocyte telomere length (LTL) in healthy postmenopausal women with vitamin D deficiency. The study was designed as a placebo-controlled study to investigate the short-term effects of vitamin D supplementation and seasonal changes on vitamin D related parameters, including 25(OH)D, 1,25(OH)2D parathormone (PTH), Vitamin D binding protein (VDBP), vitamin D receptor (VDR), and telomere length in a cohort of postmenopausal women (n = 102). The group was divided as supplementation (n = 52) and placebo groups (n = 50). All parameters were measured before and after treatment. Serum VDBP levels were measured by ELISA method and VDR, GC (VDBP) gene expressions and relative telomere lengths were measured in peripheral blood mononuclear cells (PBMC) using a quantitative real-time PCR method. The results demonstrate that baseline levels were similar between the groups. After vitamin D supplementation 25(OH)D, 1,25(OH)2D, PTH and VDBP levels were changed significantly compared to the placebo group. At the end of the study period, LTL levels were significantly increased in both groups and this change was more prominent in placebo group. The change in GC expression was significant between treatment and placebo groups but VDR expression remained unchanged. Even though the study was designed to solely assess the effects of vitamin D supplementation, LTL was significantly increased in the whole study group in summer months suggesting that LTL levels are affected by sun exposure and seasonal changes rather than supplementation. The study displayed the short-term effect of Vitamin D supplementation on vitamin D, PTH levels, LTL and vitamin D associated gene expressions. The relation between Vitamin D and LTL is not linear and could be confounded by several factors such as the population differences, regional and seasonal changes in sun exposure.
维生素 D 缺乏在绝经后妇女中很常见。端粒长度可能是与年龄相关疾病的潜在保护机制。我们的研究目的是研究维生素 D 补充剂对维生素 D 缺乏的健康绝经后妇女白细胞端粒长度 (LTL) 的影响。该研究设计为安慰剂对照研究,旨在研究维生素 D 补充剂和季节性变化对维生素 D 相关参数的短期影响,包括 25(OH)D、1,25(OH)2D 甲状旁腺素 (PTH)、维生素 D 结合蛋白 (VDBP)、维生素 D 受体 (VDR) 和端粒长度在绝经后妇女队列中(n = 102)。该组分为补充组(n = 52)和安慰剂组(n = 50)。所有参数在治疗前后均进行测量。采用 ELISA 法测定血清 VDBP 水平,采用定量实时 PCR 法测定外周血单个核细胞 (PBMC) 中 VDR、GC(VDBP) 基因表达和相对端粒长度。结果表明,两组基线水平相似。维生素 D 补充后,与安慰剂组相比,25(OH)D、1,25(OH)2D、PTH 和 VDBP 水平发生显著变化。研究结束时,两组 LTL 水平均显著升高,安慰剂组变化更为明显。治疗组和安慰剂组之间 GC 表达的变化有统计学意义,但 VDR 表达保持不变。尽管该研究旨在单独评估维生素 D 补充剂的影响,但在整个研究组中,LTL 在夏季明显升高,表明 LTL 水平受阳光照射和季节性变化的影响,而不是补充剂。该研究显示了维生素 D 补充剂对维生素 D、PTH 水平、LTL 和维生素 D 相关基因表达的短期影响。维生素 D 与 LTL 之间的关系不是线性的,可能会受到人口差异、阳光照射的地区和季节性变化等多种因素的影响。