Beketova N A, Kodentsova V M, Vrzhesinskaya O A, Kosheleva O V, Sokolnikov A A, Guseva G V, Leonenko S N, Zorin S N, Zhilinskaya N V
Federal Research Centre of Nutrition, Biotechnology and Food Safety, 109240, Moscow, Russian Federation.
Vopr Pitan. 2022;91(6):37-49. doi: 10.33029/0042-8833-2022-91-6-37-49. Epub 2022 Sep 10.
The lack of vitamins D, B group, calcium and magnesium is common for the diet of the Russian population. It has been previously demonstrated that that the elimination of B vitamin deficiency is a necessary condition for the implementation of vitamin D biological functions. of the research was to assess the effect of a combined deficiency of vitamins D and B group, calcium and magnesium in the diet of rats on biomarkers of micronutrient sufficiency and plasma biochemical indicators. . Male Wistar rats with an initial body weight of 66±1 g were randomly assigned to one of five groups. The rats of the 1st group (Control) were fed a standard semi-synthetic diet (SD) for 28 days. The combined deficit of vitamins D and B group, calcium and magnesium in rats of four experimental groups was caused by a 5-fold decrease in their content in the vitamin mixture and 2-fold decrease in their content in mineral mixture of the SD for 23 days. Over the next 5 days, the rats of 2nd group (+В+D+Ca+Mg) were fed a diet replenished for all missing vitamins and minerals, the rats of 3rd group (-В+D+Ca+Mg) were fed a diet with continued deficiency of B group vitamins, the rats of the 4th group (+В+D-Ca-Mg) were fed a diet with continued lack of calcium and magnesium, the diet of the 5th group (-B-D-Ca-Mg) was not replenished. Vitamins B1 and B2 in lyophilized liver and brain and urine, riboflavin in plasma and 4-pyridoxic acid in urine were determined by fluorimetric methods, 25(OH)D in plasma was determined by ELISA, the level of vitamins A and E in blood plasma and lyophilized liver, of vitamin E in whole brain - by HPLC. Biochemical parameters of blood plasma were determined using a biochemical analyzer. . In rats of the 5th group (-B-D-Ca-Mg), there were 3.4-fold increase (p<0.05) in iron plasma level, 1.7-fold elevation (p<0.10) in alkaline phosphatase activity, and 1.8-fold decrease (p<0.05) in alanine aminotransferase (ALT) activity on the background of the increase in α-tocopherol blood plasma level by 26.7% (p<0.05) and liver content by 2.0 fold (p<0.05) relative to the indicators in animals who hadn't passed the deficiency of micronutrients (Control) and / or from the 2nd group (+B+D+Ca+Mg). The lack of B group vitamins in the diet, which persisted during the correction of vitamin D, calcium and magnesium deficiency in rats of the 3rd group (-B+D+Ca+Mg), inhibited the recovery of diagnostically significant biochemical parameters of blood plasma (namely, an increased level of glucose, iron, triglycerides, cholesterol, α-tocopherol, increased alkaline phosphatase activity and reduced ALT activity) to the level in animals of the control group and/or rats fed the diet replenished for all missing micronutrients (+B+D+Ca+Mg). . Combined deficiency of several micronutrients led to changes in biochemical blood parameters. Reduced intake of calcium and magnesium during the correction of the lack of vitamins D and B group in the diet can have a negative impact on vitamin B2 status. Even under normal dietary vitamin E intake the combined deficiency of several other micronutrients affected the metabolism of this vitamin (increased levels of vitamin E in the liver and blood plasma of animals). Chronic combined alimentary deficit of B vitamins, calcium and magnesium, which is characteristic in the diet of the Russian population, reduces vitamin D bioavailability, which justifies the expediency of using vitamin-mineral complexes.
俄罗斯人群的饮食中普遍缺乏维生素D、B族维生素、钙和镁。先前已经证明,消除B族维生素缺乏是维生素D发挥生物学功能的必要条件。本研究的目的是评估大鼠饮食中维生素D和B族维生素、钙和镁联合缺乏对微量营养素充足生物标志物和血浆生化指标的影响。初始体重为66±1 g的雄性Wistar大鼠被随机分为五组。第1组(对照组)的大鼠喂食标准半合成饮食(SD)28天。四个实验组大鼠中维生素D和B族维生素、钙和镁的联合缺乏是通过将SD的维生素混合物中它们的含量降低5倍以及矿物质混合物中它们的含量降低2倍,持续23天造成的。在接下来的5天里,第2组(+В+D+Ca+Mg)的大鼠喂食补充了所有缺失维生素和矿物质的饮食,第3组(-В+D+Ca+Mg)的大鼠喂食持续缺乏B族维生素的饮食,第4组(+В+D-Ca-Mg)的大鼠喂食持续缺乏钙和镁的饮食,第5组(-B-D-Ca-Mg)的饮食未补充。通过荧光法测定冻干肝脏、大脑和尿液中的维生素B1和B2、血浆中的核黄素以及尿液中的4-吡哆酸,通过ELISA测定血浆中的25(OH)D,通过HPLC测定血浆和冻干肝脏中的维生素A和E水平以及全脑中的维生素E水平。使用生化分析仪测定血浆的生化参数。在第5组(-B-D-Ca-Mg)的大鼠中,相对于未经历微量营养素缺乏的动物(对照组)和/或第2组(+B+D+Ca+Mg)的指标,血浆铁水平增加了3.4倍(p<0.05),碱性磷酸酶活性升高了1.7倍(p<0.10),丙氨酸转氨酶(ALT)活性降低了1.8倍(p<0.05),同时血浆α-生育酚水平增加了26.7%(p<0.05),肝脏含量增加了2.0倍(p<0.05)。第3组(-B+D+Ca+Mg)的大鼠在纠正维生素D、钙和镁缺乏期间饮食中持续缺乏B族维生素,抑制了血浆诊断性显著生化参数(即葡萄糖、铁、甘油三酯、胆固醇、α-生育酚水平升高,碱性磷酸酶活性增加,ALT活性降低)恢复到对照组动物和/或喂食补充了所有缺失微量营养素饮食(+B+D+Ca+Mg)的大鼠的水平。几种微量营养素的联合缺乏导致血液生化参数发生变化。在纠正饮食中维生素D和B族维生素缺乏期间钙和镁摄入量减少,可能会对维生素B2状态产生负面影响。即使在正常饮食维生素E摄入量的情况下,几种其他微量营养素的联合缺乏也会影响该维生素的代谢(动物肝脏和血浆中维生素E水平升高)。俄罗斯人群饮食中典型的B族维生素、钙和镁慢性联合营养缺乏会降低维生素D的生物利用度,这证明了使用维生素-矿物质复合物的合理性。