血糖异常个体中的维生素 D、维生素 D 结合蛋白和 VDR 多态性。
Vitamin D, Vitamin D-Binding Proteins, and VDR Polymorphisms in Individuals with Hyperglycaemia.
机构信息
Department of Pathology, Chemical Pathology Division, National Health Laboratory Service (NHLS) and Stellenbosch University, Tygerberg Hospital, Cape Town 7505, South Africa.
SAMRC/CPUT/Cardiometabolic Health Research Unit, Department of Biomedical Science, Faculty of Health & Wellness Sciences, Cape Peninsula University of Technology, Cape Town 7530, South Africa.
出版信息
Nutrients. 2022 Jul 30;14(15):3147. doi: 10.3390/nu14153147.
Vitamin D reportedly plays an important role in the pathogenesis of diabetes mellitus; however, this role is unclear and debated. This study investigated the association between 25(OH) vitamin D, vitamin D-binding proteins, and vitamin D receptor (VDR) polymorphisms in healthy individuals and those with prediabetes and type 2 diabetes mellitus (T2D) from South Africa. A cross-sectional study was conducted involving subjects of mixed ancestry aged ≥20 years. Males presented with higher mean 25(OH) vitamin D levels than females, while females exhibited significantly higher serum vitamin D-binding protein levels. Significant differences in mean 25(OH) vitamin D levels were observed in normo-glycaemic, prediabetes, screen-detected DM, and known DM individuals. Vitamin D receptor SNPs and were not associated with glycaemic status. was not associated with 25(OH) vitamin D deficiency, while was associated with vitamin D insufficiency. This study showed a high prevalence of vitamin D deficiency/insufficiency in this South African population, with decreased vitamin D levels observed in hyperglycaemic individuals, which was not linked to either vitamin D-binding protein or polymorphisms in of the gene. These results may be used as a platform for further research into diagnosis and treatment of hyperglycaemia.
维生素 D 据称在糖尿病的发病机制中发挥着重要作用;然而,其作用尚不清楚,且存在争议。本研究调查了南非健康个体、前驱糖尿病和 2 型糖尿病(T2DM)个体中 25(OH)维生素 D、维生素 D 结合蛋白和维生素 D 受体(VDR)多态性之间的关联。进行了一项横断面研究,纳入了年龄≥20 岁的混合血统受试者。男性的平均 25(OH)维生素 D 水平高于女性,而女性的血清维生素 D 结合蛋白水平显著更高。在血糖正常、前驱糖尿病、筛查发现的糖尿病和已知的糖尿病个体中,观察到平均 25(OH)维生素 D 水平存在显著差异。维生素 D 受体 SNPs 和 与血糖状态无关。 与 25(OH)维生素 D 缺乏无关,而 与维生素 D 不足有关。本研究表明,该南非人群中维生素 D 缺乏/不足的患病率很高,且在高血糖个体中观察到维生素 D 水平降低,但与维生素 D 结合蛋白或 基因的 多态性无关。这些结果可用作进一步研究高血糖症的诊断和治疗的基础。