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Effects of Genetic and Nongenetic Factors on Total and Bioavailable 25(OH)D Responses to Vitamin D Supplementation  期刊论文  

  • 编号:
    b32b0e13-728a-41b3-a665-5c18555fa121
  • 作者:
    Yao, Pang[1] Sun, Liang[1] Lu, Ling[1] Ding, Hong[4] Chen, Xiafei[5] Tang, Lixin[5] Xu, Xinming[6] Liu, Gang[1] Hu, Yao[1] Ma, Yiwei[1] Wang, Feijie[1] Jin, Qianlu[1] Zheng, He[1] Yin, Huiyong[1] Zeng, Rong[2,3] Chen, Yan[1] Hu, Frank B.[7,8] Li, Huaixing[1] Lin, Xu[1]
  • 语种:
    English
  • 期刊:
    JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM ISSN:0021-972X 2017 年 102 卷 1 期 (100 - 110) ; JAN
  • 收录:
  • 摘要:

    Context: Little is known about how genetic and nongenetic factors modify responses of vitamin D supplementation in nonwhite populations. Objective: To investigate factorsmodifying 25-hydroxyvitaminD[25(OH) D] and bioavailable 25(OH)D [25(OH)D-Bio] responses after vitamin D3 supplementation. Design, Setting, Participants, and Intervention: In this 20-week, randomized, double-blinded, placebo-controlled trial, 448 Chinese with vitamin D deficiency received 2000 IU/d vitamin D-3 or placebo. Main Outcome Measures: Serum 25(OH) D, vitamin D-binding protein (VDBP), parathyroid hormone (PTH) and calcium were measured, and 25(OH)D-Bio was calculated based on VDBP levels. Six common polymorphisms in vitamin D metabolism genes were genotyped. Results: Between-armnet changeswere + 30.6 +/- 1.7 nmol/L for 25(OH)D, + 2.7 +/- 0.2 nmol/L for 25(OH) D-Bio, and -5.2 +/- 1.2 pg/mL for PTH, corresponding to 70% [95% confidence interval (CI), 62.8% to 77.2%] net reversion rate for vitamin D deficiency atweek 20 (P < 0.001). Only 25(OH) DBio changewas positively associated with calcium change (P < 0.001). Genetic factors (GC-rs4588/GC-rs7041, VDR-rs2228570, and CYP2R1-rs10741657; P # 0.04) showed stronger influences on 25(OH)D or 25(OH)D-Bio responses than nongenetic factors, including baseline value, body mass index, and sex. An inverse association of PTH-25(OH) Dwas demonstrated only at 25(OH)D of, 50.8 (95% CI, 43.6 to 59.0) nmol/L. Conclusions: Supplemented 2000 IU/d vitamin D3 raised 25(OH)D and 25(OH)D-Bio but was unable to correct deficiency in 25% of Chinese participants, which might be partially attributed to the effect of geneticmodification. More studies are needed to elucidate appropriate vitaminDrecommendations for Asians and the potential clinical implications of 25(OH)D-Bio.

  • 推荐引用方式
    GB/T 7714:
    Yao Pang,Sun Liang,Lu Ling, et al. Effects of Genetic and Nongenetic Factors on Total and Bioavailable 25(OH)D Responses to Vitamin D Supplementation [J].JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM,2017,102(1):100-110.
  • APA:
    Yao Pang,Sun Liang,Lu Ling,Ding Hong,&Lin Xu.(2017).Effects of Genetic and Nongenetic Factors on Total and Bioavailable 25(OH)D Responses to Vitamin D Supplementation .JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM,102(1):100-110.
  • MLA:
    Yao Pang, et al. "Effects of Genetic and Nongenetic Factors on Total and Bioavailable 25(OH)D Responses to Vitamin D Supplementation" .JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM 102,1(2017):100-110.
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