维生素 D 摄入量对多囊卵巢综合征不孕妇女炎症和氧化应激的有益影响

Reza Asemi, Sahar Ahmadi Asouri, E. Aghadavod, M. Jamilian
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摘要

氧化应激和炎症在多囊卵巢综合症(PCOS)和不孕症的病理生理学中起着至关重要的作用。这项研究旨在控制维生素 D 摄入量对多囊卵巢综合征不孕症患者代谢特征的影响。 这项随机、双盲、安慰剂对照临床试验在 40 名患有多囊卵巢综合症的不孕妇女中进行。受试者被随机分为两个干预组,每周服用 50,000 IU 维生素 D(20 人)或安慰剂(20 人),为期八周。采用 RT-PCR 方法对受试者外周血单核细胞(PBMCs)的代谢概况和几种炎症细胞因子的表达进行了评估。 与安慰剂相比,维生素 D 摄入量降低了高敏 C 反应蛋白(hs-CRP)(-0.9±1.1 vs. 0.3±0.9 mg/L,P=0.002),提高了总抗氧化能力(TAC)水平(49.2±60.2 vs. -50.6±161.8 mmol/L,P=0.02);但对其他代谢参数没有观察到显著影响。此外,与安慰剂相比,服用维生素 D 后观察到肿瘤坏死因子α(TNF-α)表达明显下调(P=0.03)。 总之,在患有多囊卵巢综合症的不孕妇女中,连续八周摄入维生素D对hs-CRP、TAC和TNF-α有有益的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The beneficial influences of vitamin D intake on inflammation and oxidative stress in infertile women with polycystic ovary syndrome
Oxidative stress and inflammation play a vital function in the pathophysiology of polycystic ovary syndrome (PCOS) and infertility. The aim of this work was to control the impacts of vitamin D intake on metabolic profiles in infertile subjects with PCOS. This randomized, double-blinded, placebo-controlled clinical trial was carried out among 40 infertile women with PCOS. Subjects were randomly divided into two intervention groups to take either 50,000 IU vitamin D (n=20) or placebo (n=20) weekly for eight weeks. Metabolic profiles and few inflammatory cytokines expression evaluated on peripheral blood mononuclear cells (PBMCs) of participants, using RT-PCR method. Vitamin D intake decreased high-sensitivity C-reactive protein (hs-CRP) (−0.9±1.1 vs. 0.3±0.9 mg/L, P=0.002) and elevated total antioxidant capacity (TAC) levels (49.2±60.2 vs. −50.6±161.8 mmol/L, P=0.02) compared with placebo; but no significant effects on other metabolic parameters were observed. Moreover, a significant downregulation of tumor necrosis factor alpha (TNF-α) expression (P=0.03) was observed after taking vitamin D compared with the placebo. Overall, vitamin D intake for eight weeks had beneficial impacts on hs-CRP, TAC, and TNF-α among infertile women with PCOS.
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