Vitamin D Status, Cardiovascular Risk Profile, and miRNA-21 Levels in Hypertensive Patients: Results of the HYPODD Study

The vitamin D and microRNA (miR) systems may play a role in the pathogenesis of cardiometabolic disorders, including hypertension. The HYPODD study was a double-blind placebo-controlled trial aiming to assess the effects of cholecalciferol treatment in patients with well-controlled hypertension and...

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Veröffentlicht in:Nutrients 2022-06, Vol.14 (13), p.2683
Hauptverfasser: Rendina, Domenico, D Elia, Lanfranco, Abate, Veronica, Rebellato, Andrea, Buondonno, Ilaria, Succoio, Mariangela, Martinelli, Fabio, Muscariello, Riccardo, De Filippo, Gianpaolo, D Amelio, Patrizia, Fallo, Francesco, Strazzullo, Pasquale, Faraonio, Raffaella
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container_issue 13
container_start_page 2683
container_title Nutrients
container_volume 14
creator Rendina, Domenico
D Elia, Lanfranco
Abate, Veronica
Rebellato, Andrea
Buondonno, Ilaria
Succoio, Mariangela
Martinelli, Fabio
Muscariello, Riccardo
De Filippo, Gianpaolo
D Amelio, Patrizia
Fallo, Francesco
Strazzullo, Pasquale
Faraonio, Raffaella
description The vitamin D and microRNA (miR) systems may play a role in the pathogenesis of cardiometabolic disorders, including hypertension. The HYPODD study was a double-blind placebo-controlled trial aiming to assess the effects of cholecalciferol treatment in patients with well-controlled hypertension and hypovitaminosis D (25OHD levels < 50 nmol/L). In addition to this clinical trial, we also evaluated the effects of cholecalciferol and calcitriol treatment on miR-21 expression in vivo and in vitro, respectively. Changes in the cardiovascular risk profiles were evaluated in HYPODD patients treated with cholecalciferol (C-cohort) or with placebo (P-cohort). The miR-21circulating levels were measured in four C-cohort patients and five P-cohort patients. In vitro, the miR-21 levels were measured in HEK-293 cells treated with calcitriol or with ethanol vehicle control. Cholecalciferol treatment increased 25OHD levels and reduced parathormone, total cholesterol, and low-density lipoprotein cholesterol levels in C-cohort patients, whereas no significant changes in these parameters were observed in P-cohort patients. The miR-21 circulating levels did not change in the C- or the P-cohort patients upon treatment. Calcitriol treatment did not affect miR-21 levels in HEK-293 cells. In conclusion, hypovitaminosis D correction ameliorated the cardiovascular risk profiles in hypertensive patients treated with cholecalciferol but did not influence the miR-21 expression.
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The HYPODD study was a double-blind placebo-controlled trial aiming to assess the effects of cholecalciferol treatment in patients with well-controlled hypertension and hypovitaminosis D (25OHD levels &lt; 50 nmol/L). In addition to this clinical trial, we also evaluated the effects of cholecalciferol and calcitriol treatment on miR-21 expression in vivo and in vitro, respectively. Changes in the cardiovascular risk profiles were evaluated in HYPODD patients treated with cholecalciferol (C-cohort) or with placebo (P-cohort). The miR-21circulating levels were measured in four C-cohort patients and five P-cohort patients. In vitro, the miR-21 levels were measured in HEK-293 cells treated with calcitriol or with ethanol vehicle control. Cholecalciferol treatment increased 25OHD levels and reduced parathormone, total cholesterol, and low-density lipoprotein cholesterol levels in C-cohort patients, whereas no significant changes in these parameters were observed in P-cohort patients. The miR-21 circulating levels did not change in the C- or the P-cohort patients upon treatment. Calcitriol treatment did not affect miR-21 levels in HEK-293 cells. In conclusion, hypovitaminosis D correction ameliorated the cardiovascular risk profiles in hypertensive patients treated with cholecalciferol but did not influence the miR-21 expression.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu14132683</identifier><identifier>PMID: 35807864</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Calciferol ; Calcitriol ; Calcitriol - therapeutic use ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - drug therapy ; Cholecalciferol - pharmacology ; Cholecalciferol - therapeutic use ; Cholesterol ; Clinical trials ; Coronary vessels ; Dietary Supplements ; Double-Blind Method ; Ethanol ; Evaluation ; Gene expression ; Health risks ; Heart Disease Risk Factors ; Heart failure ; HEK293 Cells ; Humans ; Hypertension ; Hypertension - drug therapy ; MicroRNAs ; miRNA ; Pathogenesis ; Patients ; Placebos ; Risk assessment ; Risk Factors ; Vein &amp; artery diseases ; Vitamin D ; Vitamin D - therapeutic use ; Vitamin D Deficiency - drug therapy ; Vitamin deficiency ; Vitamins</subject><ispartof>Nutrients, 2022-06, Vol.14 (13), p.2683</ispartof><rights>2022 by the authors. 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The miR-21 circulating levels did not change in the C- or the P-cohort patients upon treatment. Calcitriol treatment did not affect miR-21 levels in HEK-293 cells. 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subjects Calciferol
Calcitriol
Calcitriol - therapeutic use
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - drug therapy
Cholecalciferol - pharmacology
Cholecalciferol - therapeutic use
Cholesterol
Clinical trials
Coronary vessels
Dietary Supplements
Double-Blind Method
Ethanol
Evaluation
Gene expression
Health risks
Heart Disease Risk Factors
Heart failure
HEK293 Cells
Humans
Hypertension
Hypertension - drug therapy
MicroRNAs
miRNA
Pathogenesis
Patients
Placebos
Risk assessment
Risk Factors
Vein & artery diseases
Vitamin D
Vitamin D - therapeutic use
Vitamin D Deficiency - drug therapy
Vitamin deficiency
Vitamins
title Vitamin D Status, Cardiovascular Risk Profile, and miRNA-21 Levels in Hypertensive Patients: Results of the HYPODD Study
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