1. Vitamin D and L-cysteine levels correlate positively with GSH and negatively with insulin resistance levels in the blood of type 2 diabetic patients
- Author
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Jain, S.K., Micinski, D., Huning, L., Kahlon, G., Bass, P.F., and Levine, S.N.
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Alfacalcidol -- Health aspects ,Calcifediol -- Health aspects ,Vitamin D -- Health aspects ,Insulin resistance -- Physiological aspects ,Type 2 diabetes -- Physiological aspects ,Cysteine -- Health aspects ,Glutathione -- Health aspects ,Food/cooking/nutrition ,Health - Abstract
BACKGROUND/OBJECTIVES: Vitamin D, L-cysteine (LC) and glutathione (GSH) levels are lower in the blood of diabetic patients. This study examined the hypothesis that the levels of vitamin D and LC correlate with those of GSH in the blood of type 2 diabetic patients (T2D), and that vitamin D and LC upregulate glutamate-cysteine ligase (GCLC), which catalyzes GSH biosynthesis, in cultured monocytes. SUBJECTS/METHODS: Fasting blood was obtained after written informed consent from T2D (n = 79) and healthy controls (n = 22). U937 monocytes were pretreated with 1,25 [(OH).sub.2] vitamin D (0-25 nM) or LC (0-500 µM) for 24 h and then exposed to control or high glucose (25 mM) for 4 h. RESULTS: Plasma levels of vitamin D, LC, GSH and GCLC protein were significantly lower in T2D versus those in age-matched healthy controls. Multiple linear regression analyses and adjustment for body weight showed a significant positive correlation between plasma levels of vitamin D (r = 0.26, P = 0.05) and LC (r = 0.81, P = 0.001) and that of GSH, and between LC and vitamin D (r = 0.27, P = 0.045) levels. Plasma levels of GSH (r = -0.34, P = 0.01) and LC (r = -0.33, r = 0.01) showed a negative correlation with triglyceride levels. Vitamin D correlated inversely with [HbA.sub.1C] (-0.30, P = 0.01) and homeostatic model assessment insulin resistance (r = -0.31, P = 0.03), which showed a significant positive correlation with triglycerides (r = 0.44, P = 0.001) in T2D. Cell culture studies demonstrate that supplementation with vitamin D and LC significantly increased GCLC expression and GSH formation in control and high-glucose-treated monocytes. CONCLUSIONS: This study suggests a positive relationship between the concentrations of the micronutrients vitamin D and LC and that of GSH. Some of the beneficial effects of vitamin D and LC supplementation may be mediated by an increase in the levels of GSH and a decrease in triglyceride levels in T2D patients. European Journal of Clinical Nutrition (2014) 68, 1148-1153; doi: 10.1038/ejcn.2014.114; published online 25 June 2014, INTRODUCTION Reduced glutathione (GSH) is the most prevalent non-protein thiol found in mammalian cells. (1,2) GSH has a major role in the detoxification of a variety of electrophilic compounds, including [...]
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- 2014
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