Department of Endocrinology and Metabolism, the Affiliated Hospital of Kunming University of Science and Technology (the First People’s Hospital of Yunnan Province), Kunming 650000, China
| Abstract: | A total of 124 adults with vitamin D deficiency or deficiency were recruited to investigate the plasma levels of 1, 25-dihydroxyvitamin D3 (1,25(OH)2D3), 25-hydroxyvitamin D3 (25(OH)D3), trace elements (Mg, Fe, Zn, Cu) and blood lipids (TC, TG, LDL-C, HDL-C). This article also explores the relationship among vitamin D, trace elements, and blood lipids. Results: 1. The 25(OH)D3, BMI and TG levels of male patients were higher than those of female patients, while the HDL-C levels were lower, with significant differences (P < 0.01, P=0.026, P < 0.001, P < 0.001). The level of 1,25(OH)2D3 in male patients was higher than that in female patients, and the PTH was lower, but there was no statistical difference (P> 0.05). The concentrations of Mg, Zn and Fe in male patients were higher than those in female patients, with statistical differences (P<0.001, P=0.01, P=0.014), while Cu in female patients was higher, but no statistical difference (P > 0.05). 2. 1,25(OH)2D3 was positively correlated with Fe (r=0.267, P < 0.05). Fe was positively correlated with Mg and Zn (r=0.321, P < 0.001; r=0.341, P<0.001). 1,25(OH)2D3/25(OH)D3 was negatively correlated with TC, TG and LDL-C (P<0.05), but had no correlation with HDL-C (P > 0.05). There was a negative correlation between Fe and TG in male patients (r= -0.377, P=0.033), but no significant correlation between Fe and blood lipid in female patients (P > 0.05). Zn was positively correlated with TC and TG in female patients (r=0.238, P=0.022; r=0.255, P=0.014), and there was no significant correlation between Zn and blood lipid, Mg and Cu (P >0.05). Conclusions: 1. The vitamin D3 and trace elements of female patients are lower than those of male patients, so they need to supplement vitamin D and trace elements more, while male patients need to pay more attention to the management of BMI and blood lipid. 2. The interaction between vitamin D, trace elements and blood lipid. |
| Keywords: | 1,25(OH)2D3; 25(OH)D3; Race Elements; Blood Lipids |
| DOI: | 10.57237/j.mrf.2023.03.002 |
| [1] | THACHER T D, LEVINE M A. CYP2R1 mutations causing vitamin D-deficiency rickets [J]. The Journal of steroid biochemistry and molecular biology, 2017, 173: 333-6. |
| [2] | ROSANOFF A, DAI Q, SHAPSES S A. Essential Nutrient Interactions: Does Low or Suboptimal Magnesium Status Interact with Vitamin D and/or Calcium Status? [J]. Advances in nutrition (Bethesda, Md), 2016, 7 (1): 25-43. |
| [3] | MARTíN GIMéNEZ V M, BERGAM I, REITER R J, et al. Metal ion homeostasis with emphasis on zinc and copper: Potential crucial link to explain the non-classical antioxidative properties of vitamin D and melatonin [J]. Life sciences, 2021, 281: 119770. |
| [4] | ZITTERMANN A. Magnesium deficit ? overlooked cause of low vitamin D status? [J]. BMC medicine, 2013, 11: 229. |
| [5] | WARREN T, MCALLISTER R, MORGAN A, et al. The Interdependency and Co-Regulation of the Vitamin D and Cholesterol Metabolism [J]. Cells, 2021, 10 (8): 2007. |
| [6] | LI S, HE Y, LIN S, et al. Increase of circulating cholesterol in vitamin D deficiency is linked to reduced vitamin D receptor activity via the Insig-2/SREBP-2 pathway [J]. Molecular nutrition & food research, 2016, 60 (4): 798-809. |
| [7] | IMGA N N, KARCI A C, OZTAS D, et al. Effects of vitamin D supplementation on insulin resistance and dyslipidemia in overweight and obese premenopausal women [J]. Archives of medical science: AMS, 2019, 15 (3): 598-606. |
| [8] | JAMILIAN M, SAMIMI M, EBRAHIMI F A, et al. The effects of vitamin D and omega-3 fatty acid co-supplementation on glycemic control and lipid concentrations in patients with gestational diabetes [J]. Journal of clinical lipidology, 2017, 11 (2): 459-68. |
| [9] | AHMED U, LATHAM P S, OATES P S. Interactions between hepatic iron and lipid metabolism with possible relevance to steatohepatitis [J]. World journal of gastroenterology, 2012, 18 (34): 4651-8. |
| [10] | MAYNERIS-PERXACHS J, CARDELLINI M, HOYLES L, et al. Iron status influences non-alcoholic fatty liver disease in obesity through the gut microbiome [J]. Microbiome, 2021, 9 (1): 104. |
| [11] | RODRíGUEZ-ORTIZ M E, CANALEJO A, HERENCIA C, et al. Magnesium modulates parathyroid hormone secretion and upregulates parathyroid receptor expression at moderately low calcium concentration [J]. Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association - European Renal Association, 2014, 29 (2): 282-9. |
| [12] | SAHOTA O, MUNDEY M K, SAN P, et al. Vitamin D insufficiency and the blunted PTH response in established osteoporosis: the role of magnesium deficiency [J]. Osteoporosis international: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2006, 17 (7): 1013-21. |
| [13] | DAI Q, ZHU X, MANSON J E, et al. Magnesium status and supplementation influence vitamin D status and metabolism: results from a randomized trial [J]. The American journal of clinical nutrition, 2018, 108 (6): 1249-58. |
| [14] | GROENENDIJK I, VAN DELFT M, VERSLOOT P, et al. Impact of magnesium on bone health in older adults: A systematic review and meta-analysis [J]. Bone, 2022, 154: 116233. |
| [15] | MADAR A A, STENE L C, MEYER H E, et al. Effect of vitamin D3 supplementation on iron status: a randomized, double-blind, placebo-controlled trial among ethnic minorities living in Norway [J]. Nutrition journal, 2016, 15 (1): 74. |
| [16] | QIU F, LI R, GU S, et al. The effect of iron dextran on vitamin D(3) metabolism in SD rats [J]. Nutrition & metabolism, 2022, 19 (1): 47. |
| [17] | GHAITH M M, EL-BOSHY M, ALMASMOUM H, et al. Deferasirox and vitamin D(3) co-therapy mitigates iron-induced renal injury by enhanced modulation of cellular anti-inflammatory, anti-oxidative stress, and iron regulatory pathways in rat [J]. Journal of trace elements in medicine and biology: organ of the Society for Minerals and Trace Elements (GMS), 2022, 74: 127085. |
| [18] | BLANCO-ROJO R, PéREZ-GRANADOS A M, TOXQUI L, et al. Relationship between vitamin D deficiency, bone remodelling and iron status in iron-deficient young women consuming an iron-fortified food [J]. European journal of nutrition, 2013, 52 (2): 695-703. |
| [19] | BALOGH E, PARAGH G, JENEY V. Influence of Iron on Bone Homeostasis [J]. Pharmaceuticals (Basel, Switzerland), 2018, 11 (4): 107. |
| [20] | SHAMS B, AFSHARI E, TAJADINI M, et al. The relationship of serum vitamin D and Zinc in a nationally representative sample of Iranian children and adolescents: The CASPIAN-III study [J]. Medical journal of the Islamic Republic of Iran, 2016, 30: 430. |
| [21] | ŞENER G, KOçER Z A, BAYRAK T, et al. Serum Vitamin D, Zinc Levels and the Relationship between them in Children and Adolescents [J]. Clinical laboratory, 2022, 68 (8). |
| [22] | CLARO DA SILVA T, HILLER C, GAI Z, et al. Vitamin D3 transactivates the zinc and manganese transporter SLC30A10 via the Vitamin D receptor [J]. The Journal of steroid biochemistry and molecular biology, 2016, 163: 77-87. |
| [23] | KONDAIAH P, YADUVANSHI P S, SHARP P A, et al. Iron and Zinc Homeostasis and Interactions: Does Enteric Zinc Excretion Cross-Talk with Intestinal Iron Absorption? [J]. Nutrients, 2019, 11 (8): 1885. |
| [24] | KNEZ M, GRAHAM R D, WELCH R M, et al. New perspectives on the regulation of iron absorption via cellular zinc concentrations in humans [J]. Critical reviews in food science and nutrition, 2017, 57 (10): 2128-43. |
| [25] | BEA J W, JURUTKA P W, HIBLER E A, et al. Concentrations of the vitamin D metabolite 1,25(OH)2D and odds of metabolic syndrome and its components [J]. Metabolism: clinical and experimental, 2015, 64 (3): 447-59. |
| [26] | ZHU T, ZHAO J, ZHUO S, et al. High Fat Diet and High Cholesterol Diet Reduce Hepatic Vitamin D-25-Hydroxylase Expression and Serum 25-Hydroxyvitamin D(3) Level through Elevating Circulating Cholesterol, Glucose, and Insulin Levels [J]. Molecular nutrition & food research, 2021, 65 (21): e2100220. |
| [27] | PARK J M, PARK C Y, HAN S N. High fat diet-Induced obesity alters vitamin D metabolizing enzyme expression in mice [J]. BioFactors (Oxford, England), 2015, 41 (3): 175-82. |
| [28] | ROIZEN J D, LONG C, CASELLA A, et al. Obesity Decreases Hepatic 25-Hydroxylase Activity Causing Low Serum 25-Hydroxyvitamin D [J]. Journal of bone and mineral research: the official journal of the American Society for Bone and Mineral Research, 2019, 34 (6): 1068-73. |
| [29] | QUACH H P, DZEKIC T, BUKUROSHI P, et al. Potencies of vitamin D analogs, 1α-hydroxyvitamin D(3), 1α-hydroxyvitamin D(2) and 25-hydroxyvitamin D(3), in lowering cholesterol in hypercholesterolemic mice in vivo [J]. Biopharmaceutics & drug disposition, 2018, 39 (4): 196-204. |
| [30] | XU S, NI R, LV L, et al. Simultaneous determination of vitamin D metabolites 25(OH)D(3) and 1α,25(OH)(2)D(3) in human plasma using liquid chromatography tandem mass spectrometry [J]. Journal of mass spectrometry and advances in the clinical lab, 2022, 24: 65-79. |
| [31] | VALENTINI A, PERRONE M A, CIANFARANI M A, et al. Obesity, vitamin D status and physical activity: 1,25(OH)2D as a potential marker of vitamin D deficiency in obese subjects [J]. Panminerva medica, 2020, 62 (2): 83-92. |
| [32] | MASOUD M S, YAKOUT S M, AL-ATTAS O S, et al. The association between iron and vitamin D status in Arab adolescents [J]. Public health nutrition, 2020, 23 (7): 1208-13. |
| [33] | PALMISANO B T, ZHU L, STAFFORD J M. Role of Estrogens in the Regulation of Liver Lipid Metabolism [J]. Advances in experimental medicine and biology, 2017, 1043: 227-56. |
| [34] | YANG X, XU M M, WANG J, et al. Effect of estrogen on iron metabolism in mammals [J]. Sheng li xue bao: [Acta physiologica Sinica], 2016, 68 (5): 637-43. |
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