The Association between Serum Levels of 25[OH]D, Body Weight Changes and Body Composition Indices in Patients with Heart Failure
JOURNAL OF CLINICAL MEDICINE
Authors: Stefaniak, Apolonia; Partyka, Robert; Duda, Sylwia; Ostrega, Weronika; Niedziela, Jacek; Nowak, Jolanta; Malinowska-Borowska, Jolanta; Rywik, Tomasz; Leszek, Przemyslaw; Hudzik, Bartosz; Zubelewicz-Szkodzinska, Barbara; Rozentryt, Piotr
Abstract
We try to determine the association between weight changes (WC), both loss or gain, body composition indices (BCI) and serum levels of 25[OH]D during heart failure (HF). WC was determined in 412 patients (14.3% female, aged: 53.6 +/- 10.0 years, NYHA class: 2.5 +/- 0.8). Body fat, fat percentage and fat-free mass determined by dual energy X-rays absorptiometry (DEXA) and serum levels of 25[OH]D were analyzed. Logistic regression was used to calculate odds ratios for 25[OH]D insufficiency (<30 ng/mL) or deficiency (<20 ng/mL) by quintiles of WC, in comparison to weight-stable subgroup. The serum 25[OH]D was lower in weight loosing than weight stable subgroup. In fully adjusted models the risk of either insufficient or deficient 25[OH]D levels was independent of BCI and HF severity markers. The risk was elevated in higher weight loss subgroups but also in weight gain subgroup. In full adjustment, the odds for 25[OH]D deficiency in the top weight loss and weight gain subgroups were 3.30; 95%CI: 1.37-7.93, p = 0.008 and 2.41; 95%CI: 0.91-6.38, p = 0.08, respectively. The risk of 25[OH]D deficiency/insufficiency was also independently associated with potential UVB exposure, but not with nutritional status and BCI. Metabolic instability in HF was reflected by edema-free WC, but not nutritional status. BCI is independently associated with deficiency/insufficiency of serum 25[OH]D.
The Role of Vitamin D Receptor Gene Polymorphisms in Colorectal Cancer Risk
CANCERS
Authors: Messaritakis, Ippokratis; Koulouridi, Asimina; Sfakianaki, Maria; Vogiatzoglou, Konstantinos; Gouvas, Nikolaos; Athanasakis, Elias; Tsiaoussis, John; Xynos, Evangelos; Mavroudis, Dimitris; Tzardi, Maria; Souglakos, John
Abstract
Vitamin D deficiency has been associated with increased colorectal cancer (CRC) incidence risk and mortality. Vitamin D mediates its action through the binding of the vitamin D receptor (VDR), and polymorphisms of the VDR might explain these inverse associations. The aim of the study was the investigation of the relevance of rs731236;Thermus aquaticusI (TaqI), rs7975232;Acetobacter pasteurianussub.pasteurianusI (ApaI), rs2228570;Flavobacterium okeanokoitesI (FokI) and rs1544410,Bacillus stearothermophilus I (BsmI) polymorphisms of the VDR gene to colorectal carcinogenesis (CRC) and progression. Peripheral blood was obtained from 397 patients with early operable stage II/III (n= 202) and stage IV (n= 195) CRC. Moreover, samples from 100 healthy donors and 40 patients with adenomatous polyps were also included as control groups. Genotyping in the samples from patients and controls was performed using polymerase chain reaction-restriction fragment length polymorphisms (PCR-RFLP). A significant association was revealed between all four polymorphisms and cancer. Individuals with homozygous mutant (tt, aa, ff or bb) genotypes were more susceptible to the disease (p< 0.001). All of the mutant genotypes detected were also significantly associated with stage IV (p< 0.001), leading to significantly decreased survival (p< 0.001). Moreover, all four polymorphisms were significantly associated withKRAS(Kirsten ras oncogene) mutations and Toll-like receptor (TLR2, TLR4 and TLR9) genetic variants. In multivariate analysis, tt, aa and ff genotypes emerged as independent factors associated with decreased overall survival (OS) (p= 0.001,p< 0.001 andp= 0.001, respectively). The detection of higher frequencies of the VDR polymorphisms in CRC patients highlights the role of these polymorphisms in cancer development and progression.