Reham Hammad, Maisa A Abdel Wahab, Nehal Farouk, Mohamed Yahia Zakaria, Mona A Eldosoky, Asmaa A Elmadbouly, Sara A Tahoun, Eman Mahmoud, Seham K Khirala, Amena Rezk Mohammed, Wafaa Abdelaziz Emam, Asmaa A Abo Elqasem, Fatma M Kotb, Rasha Abd Elaziz Abd Elghany
{"title":"非经典单核细胞频率与血清维生素 D3水平与周围动脉疾病相关的糖尿病足溃疡有关","authors":"Reham Hammad, Maisa A Abdel Wahab, Nehal Farouk, Mohamed Yahia Zakaria, Mona A Eldosoky, Asmaa A Elmadbouly, Sara A Tahoun, Eman Mahmoud, Seham K Khirala, Amena Rezk Mohammed, Wafaa Abdelaziz Emam, Asmaa A Abo Elqasem, Fatma M Kotb, Rasha Abd Elaziz Abd Elghany","doi":"10.1111/jdi.14048","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims/Introduction</h3>\n \n <p>Peripheral artery disease (PAD) serves as a risk factor for diabetic foot ulcers (DFUs). PAD pathology involves atherosclerosis and impaired immunity. Non-classical monocytes are believed to have an anti-inflammatory role. 1,25-Dihydroxy vitamin D (vitamin D<sub>3</sub>) is claimed to have immune-modulating and lipid-regulating roles. Vitamin D receptor is expressed on monocytes. We aimed to investigate if circulating non-classical monocytes and vitamin D<sub>3</sub> were implicated in DFUs associated with PAD.</p>\n </section>\n \n <section>\n \n <h3> Materials and Methods</h3>\n \n <p>There were two groups of DFU patients: group 1 (<i>n</i> = 40) included patients with first-degree DFUs not associated with PAD, and group 2 (<i>n</i> = 50) included patients with DFU with PAD. The monocyte phenotypes were detected using flow cytometry. Vitamin D<sub>3</sub> was assessed by enzyme-linked immunosorbent assay.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>DFU patients with PAD showed a significant reduction in the frequency of non-classical monocytes and vitamin D<sub>3</sub> levels, when compared with DFU patients without PAD. The percentage of non-classical monocytes positively correlated with vitamin D<sub>3</sub> level (<i>r</i> = 0.4, <i>P</i> < 0.01) and high-density lipoprotein (<i>r</i> = 0.5, <i>P</i> < 0.001), whereas it was negatively correlated with cholesterol (<i>r</i> = −0.5, <i>P</i> < 0.001). Vitamin D<sub>3</sub> was negatively correlated with triglyceride/high-density lipoprotein (<i>r</i> = −0.4, <i>P</i> < 0.01). Regression analysis showed that a high vitamin D<sub>3</sub> serum level was a protective factor against PAD occurrence.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Non-classical monocytes frequency and vitamin D<sub>3</sub> levels were significantly reduced in DFU patients with PAD. Non-classical monocytes frequency was associated with vitamin D<sub>3</sub> in DFUs patients, and both parameters were linked to lipid profile. Vitamin D<sub>3</sub> upregulation was a risk-reducing factor for PAD occurrence.</p>\n </section>\n </div>","PeriodicalId":190,"journal":{"name":"Journal of Diabetes Investigation","volume":"14 10","pages":"1192-1201"},"PeriodicalIF":3.2000,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jdi.14048","citationCount":"1","resultStr":"{\"title\":\"Non-classical monocytes frequency and serum vitamin D3 levels are linked to diabetic foot ulcer associated with peripheral artery disease\",\"authors\":\"Reham Hammad, Maisa A Abdel Wahab, Nehal Farouk, Mohamed Yahia Zakaria, Mona A Eldosoky, Asmaa A Elmadbouly, Sara A Tahoun, Eman Mahmoud, Seham K Khirala, Amena Rezk Mohammed, Wafaa Abdelaziz Emam, Asmaa A Abo Elqasem, Fatma M Kotb, Rasha Abd Elaziz Abd Elghany\",\"doi\":\"10.1111/jdi.14048\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aims/Introduction</h3>\\n \\n <p>Peripheral artery disease (PAD) serves as a risk factor for diabetic foot ulcers (DFUs). PAD pathology involves atherosclerosis and impaired immunity. Non-classical monocytes are believed to have an anti-inflammatory role. 1,25-Dihydroxy vitamin D (vitamin D<sub>3</sub>) is claimed to have immune-modulating and lipid-regulating roles. Vitamin D receptor is expressed on monocytes. We aimed to investigate if circulating non-classical monocytes and vitamin D<sub>3</sub> were implicated in DFUs associated with PAD.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and Methods</h3>\\n \\n <p>There were two groups of DFU patients: group 1 (<i>n</i> = 40) included patients with first-degree DFUs not associated with PAD, and group 2 (<i>n</i> = 50) included patients with DFU with PAD. The monocyte phenotypes were detected using flow cytometry. Vitamin D<sub>3</sub> was assessed by enzyme-linked immunosorbent assay.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>DFU patients with PAD showed a significant reduction in the frequency of non-classical monocytes and vitamin D<sub>3</sub> levels, when compared with DFU patients without PAD. The percentage of non-classical monocytes positively correlated with vitamin D<sub>3</sub> level (<i>r</i> = 0.4, <i>P</i> < 0.01) and high-density lipoprotein (<i>r</i> = 0.5, <i>P</i> < 0.001), whereas it was negatively correlated with cholesterol (<i>r</i> = −0.5, <i>P</i> < 0.001). Vitamin D<sub>3</sub> was negatively correlated with triglyceride/high-density lipoprotein (<i>r</i> = −0.4, <i>P</i> < 0.01). Regression analysis showed that a high vitamin D<sub>3</sub> serum level was a protective factor against PAD occurrence.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Non-classical monocytes frequency and vitamin D<sub>3</sub> levels were significantly reduced in DFU patients with PAD. Non-classical monocytes frequency was associated with vitamin D<sub>3</sub> in DFUs patients, and both parameters were linked to lipid profile. Vitamin D<sub>3</sub> upregulation was a risk-reducing factor for PAD occurrence.</p>\\n </section>\\n </div>\",\"PeriodicalId\":190,\"journal\":{\"name\":\"Journal of Diabetes Investigation\",\"volume\":\"14 10\",\"pages\":\"1192-1201\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2023-07-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jdi.14048\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Diabetes Investigation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jdi.14048\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Diabetes Investigation","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jdi.14048","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Non-classical monocytes frequency and serum vitamin D3 levels are linked to diabetic foot ulcer associated with peripheral artery disease
Aims/Introduction
Peripheral artery disease (PAD) serves as a risk factor for diabetic foot ulcers (DFUs). PAD pathology involves atherosclerosis and impaired immunity. Non-classical monocytes are believed to have an anti-inflammatory role. 1,25-Dihydroxy vitamin D (vitamin D3) is claimed to have immune-modulating and lipid-regulating roles. Vitamin D receptor is expressed on monocytes. We aimed to investigate if circulating non-classical monocytes and vitamin D3 were implicated in DFUs associated with PAD.
Materials and Methods
There were two groups of DFU patients: group 1 (n = 40) included patients with first-degree DFUs not associated with PAD, and group 2 (n = 50) included patients with DFU with PAD. The monocyte phenotypes were detected using flow cytometry. Vitamin D3 was assessed by enzyme-linked immunosorbent assay.
Results
DFU patients with PAD showed a significant reduction in the frequency of non-classical monocytes and vitamin D3 levels, when compared with DFU patients without PAD. The percentage of non-classical monocytes positively correlated with vitamin D3 level (r = 0.4, P < 0.01) and high-density lipoprotein (r = 0.5, P < 0.001), whereas it was negatively correlated with cholesterol (r = −0.5, P < 0.001). Vitamin D3 was negatively correlated with triglyceride/high-density lipoprotein (r = −0.4, P < 0.01). Regression analysis showed that a high vitamin D3 serum level was a protective factor against PAD occurrence.
Conclusions
Non-classical monocytes frequency and vitamin D3 levels were significantly reduced in DFU patients with PAD. Non-classical monocytes frequency was associated with vitamin D3 in DFUs patients, and both parameters were linked to lipid profile. Vitamin D3 upregulation was a risk-reducing factor for PAD occurrence.
期刊介绍：
Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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