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一项探索紫外线暴露对维生素D缺乏成年人维生素D合成及炎症反应影响的试点临床试验。

A pilot clinical trial to explore the effects of UV exposure on vitamin D synthesis and inflammatory responses in vitamin D-Deficient adults.

作者信息

Mo Chaodeng, Bajgai Johny, Rahman Md Habibur, Choe Soonchul, Abdul-Nasir Sofian, Ma Hui, He Wenjing, Pham Thu Thao, Zhang Haiyang, Hoon Goh Seong, Bomi Kim, Kim Cheol-Su, Lee Kyu-Jae, Shin Insik

机构信息

Department of Convergence Medicine, Wonju College of Medicine, Yonsei University, Wonju, 26426, Gangwon-do, Republic of Korea.

Department of Global Medical Science, Yonsei University Graduate School, Wonju College of Medicine, Wonju, 26426, Gangwon-do, Republic of Korea.

出版信息

Sci Rep. 2025 Jul 2;15(1):22557. doi: 10.1038/s41598-025-09203-8.

DOI:10.1038/s41598-025-09203-8
PMID:40595199
Abstract

Ultraviolet radiation (UVR) is essential for vitamin D synthesis and influences various biological processes. This study examined the effects of controlled UV exposure on vitamin D synthesis and skin inflammation in healthy adults. In a randomized clinical trial, 24 volunteers received four 5-min standardized UV exposures (UVB: 1.34 mW/cm²; UVA: 27.7 mW/cm²) on representative skin areas. Blood samples were collected before exposure and after every two sessions to assess serum vitamin D, inflammatory markers, vitamin D-related markers, and oxidative stress indicators. Serum vitamin D concentration significantly increased after four exposures (p < 0.001), while calcium, phosphorus, and parathyroid hormone (PTH) significantly decreased (p < 0.05). Reactive oxygen species (ROS) significantly increased (p < 0.001), but no significant changes were observed in nitric oxide (NO) or myeloperoxidase (MPO) levels. Similarly, inflammatory markers such as C-reactive protein (CRP), MPO, and antioxidant enzymes (glutathione peroxidase [GPx] and catalase [CAT], showed no significant alterations. Among the inflammatory cytokines assessed, interleukin (IL)-1β levels showed a slight increase without reaching significance, and the levels of other cytokines such as IL-6, IL-10, tumor necrosis factor-alpha (TNF-α), and interferon-gamma (IFN-γ) showed no marked alterations. In addition, post-exposure skin assessment revealed no adverse effects. Our findings demonstrate that UVR exposure can enhance vitamin D synthesis in healthy adults without significant inflammatory responses or adverse effects, providing a basis for optimizing UV-based interventions to improve vitamin D status through risk management.

摘要

紫外线辐射(UVR)对于维生素D的合成至关重要,并影响各种生物过程。本研究调查了可控紫外线暴露对健康成年人维生素D合成和皮肤炎症的影响。在一项随机临床试验中,24名志愿者在具有代表性的皮肤区域接受了四次每次5分钟的标准化紫外线照射(UVB:1.34 mW/cm²;UVA:27.7 mW/cm²)。在照射前以及每两次照射后采集血样,以评估血清维生素D、炎症标志物、维生素D相关标志物和氧化应激指标。四次照射后血清维生素D浓度显著升高(p < 0.001),而钙、磷和甲状旁腺激素(PTH)显著降低(p < 0.05)。活性氧(ROS)显著增加(p < 0.001),但一氧化氮(NO)或髓过氧化物酶(MPO)水平未观察到显著变化。同样,炎症标志物如C反应蛋白(CRP)、MPO以及抗氧化酶(谷胱甘肽过氧化物酶[GPx]和过氧化氢酶[CAT])也未显示出显著改变。在所评估的炎症细胞因子中,白细胞介素(IL)-1β水平略有升高但未达到显著水平,而其他细胞因子如IL-6、IL-10、肿瘤坏死因子-α(TNF-α)和干扰素-γ(IFN-γ)的水平未显示出明显改变。此外,照射后皮肤评估未发现不良反应。我们的研究结果表明,紫外线暴露可增强健康成年人的维生素D合成,而无明显炎症反应或不良反应,为通过风险管理优化基于紫外线的干预措施以改善维生素D状态提供了依据。

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