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The use of laser Doppler blood flow to assess the effect of acute administration of vitamin D on micro vascular endothelial function in people with diabetes

  • Petrofsky, Jerrold (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Alshammari, Faris (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Khowailed, Iman Akef (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Lodha, Riya (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Deshpande, Pooja (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Rajaram, Praveen (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Gaikwad, Mahendra (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Vadera, Vidhi (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University)
  • Received : 2013.08.08
  • Accepted : 2013.11.29
  • Published : 2013.10.26

Abstract

Objective: To assess the effect of vitamin D administration on the skin blood flow response to occlusion and heat. Design: Cross-sectional study. Methods: Twenty age matched subjects; 10 who had diabetes and 10 who were controls were administered 4,000 IU of vitamin D3 for 3 weeks at breakfast. The function of the endothelial cells was evaluated in 2 ways; first, the response to 4 minutes of vascular occlusion of the skin was measured with a laser Doppler flow meter. Second, the skin blood flow response to local heat at 42 degrees C for 6 minutes was examined. Results: The results of the experiments showed that the blood flow response to heat was reduced after 3 weeks administration of vitamin D in the subjects with diabetes and in the control subjects (p<0.05). The response to occlusion was not significantly different within each group before and after vitamin D administration, but the group with diabetes had a significantly lower blood flow response to occlusion than did the controls (p<0.05). Conclusions: Acute doses of vitamin D may impair nitric oxide production and reduce blood flow to tissue during stressors in people with diabetes.

Keywords

References

  1. Yim J, Petrofsky J, Berk L, Daher N, Lohman E. Differences in endothelial function between Korean-Asians and Caucasians. Med Sci Monit 2012;18:CR337-43.
  2. Petrofsky J, Berk L, Al-Nakhli H. The influence of autonomic dysfunction associated with aging and type 2 diabetes on daily life activities. Exp Diabetes Res 2012;2012:657103.
  3. Petrofsky JS, Alshahmmari F, Lee H, Hamdan A, Yim JE, Shetye G, et al. Reduced endothelial function in the skin in Southeast Asians compared to Caucasians. Med Sci Monit 2012;18:CR1-8.
  4. Bui C, Petrofsky J, Berk L, Shavlik D, Remigio W, Montgomery S. Acute effect of a single high-fat meal on forearm blood flow, blood pressure and heart rate in healthy male Asians and Caucasians: a pilot study. Southeast Asian J Trop Med Public Health 2010;41:490-500.
  5. Forbes SC, Little JP, Candow DG. Exercise and nutritional interventions for improving aging muscle health. Endocrine 2012; 42:29-38. https://doi.org/10.1007/s12020-012-9676-1
  6. Hegde SV, Adhikari P, Kotian S, Pinto VJ, D'Souza S, D'Souza V. Effect of 3-month yoga on oxidative stress in type 2 diabetes with or without complications: a controlled clinical trial. Diabetes Care 2011;34:2208-10. https://doi.org/10.2337/dc10-2430
  7. Hegde KR, Varma SD. Combination of glycemic and oxidative stress in lens: implications in augmentation of cataract formation in diabetes. Free Radic Res 200;39:513-7.
  8. Hegde HR. Diabetes mellitus, acquired immune deficiency syndrome and tuberculosis. Med Hypotheses 2005;64:1065.
  9. Vande Loock K, Ciardelli R, Decordier I, Plas G, Haumont D, Kirsch-Volders M. Preterm newborns show slower repair of oxidative damage and paternal smoking associated DNA damage. Mutagenesis 2012;27:573-80. https://doi.org/10.1093/mutage/ges022
  10. Petrofsky JS. The effect of type-2-diabetes-related vascular endothelial dysfunction on skin physiology and activities of daily living. J Diabetes Sci Technol 2011;5:657-67. https://doi.org/10.1177/193229681100500319
  11. Landberg R, Naidoo N, van Dam RM. Diet and endothelial function: from individual components to dietary patterns. Curr Opin Lipidol 2012;23:147-55. https://doi.org/10.1097/MOL.0b013e328351123a
  12. Hansen L, Skeie G, Landberg R, Lund E, Palmqvist R, Johansson I, et al. Intake of dietary fiber, especially from cereal foods, is associated with lower incidence of colon cancer in the HELGA cohort. Int J Cancer 2012;131:469-78. https://doi.org/10.1002/ijc.26381
  13. Caprio M, Mammi C, Rosano GM. Vitamin D: a novel player in endothelial function and dysfunction. Arch Med Sci 2012;8:4-5.
  14. Zittermann A. Vitamin D in preventive medicine: are we ignoring the evidence? Br J Nutr 2003;89:552-72. https://doi.org/10.1079/BJN2003837
  15. Zittermann A, Schleithoff SS, Tenderich G, Berthold HK, Korfer R, Stehle P. Low vitamin D status: a contributing factor in the pathogenesis of congestive heart failure? J Am Coll Cardiol 2003;41:105-12.
  16. Beveridge LA, Witham MD. Vitamin D and the cardiovascular system. Osteoporos Int 2013;24:2167-80. https://doi.org/10.1007/s00198-013-2281-1
  17. Molinari C, Uberti F, Grossini E, Vacca G, Carda S, Invernizzi M, et al. 1$\alpha$,25-dihydroxycholecalciferol induces nitric oxide production in cultured endothelial cells. Cell Physiol Biochem 2011;27:661-8. https://doi.org/10.1159/000330075
  18. Cardus A, Panizo S, Encinas M, Dolcet X, Gallego C, Aldea M, et al. 1,25-dihydroxyvitamin D3 regulates VEGF production through a vitamin D response element in the VEGF promoter. Atherosclerosis 2009;204:85-9. https://doi.org/10.1016/j.atherosclerosis.2008.08.020
  19. Witham MD, Dove FJ, Khan F, Lang CC, Belch JJ, Struthers AD. Effects of Vitamin D supplementation on markers of vascular function after myocardial infarction--a randomised controlled trial. Int J Cardiol 2013;167:745-9. https://doi.org/10.1016/j.ijcard.2012.03.054
  20. Muscogiuri G, Sorice GP, Ajjan R, Mezza T, Pilz S, Prioletta A, et al. Can vitamin D deficiency cause diabetes and cardiovascular diseases? Present evidence and future perspectives. Nutr Metab Cardiovasc Dis 2012;22:81-7. https://doi.org/10.1016/j.numecd.2011.11.001
  21. Wang HJ, Cao JP, Yu JK, Zhang LC, Jiang ZJ, Gao DS. Calbindin-D28K expression induced by glial cell line-derived neurotrophic factor in substantia nigra neurons dependent on PI3K/Akt/NF-kappaB signaling pathway. Eur J Pharmacol 2008;595:7-12. https://doi.org/10.1016/j.ejphar.2008.07.044
  22. Xu TJ, Liu Y, Yuan B. Effect of insulin in combination with selenium on Irs/PI3K-mediated GLUT4 expression in cardiac muscle of diabetic rats. Eur Rev Med Pharmacol Sci 2011;15:1452-60.
  23. Takiishi T, Gysemans C, Bouillon R, Mathieu C. Vitamin D and diabetes. Rheum Dis Clin North Am 2012;38:179-206. https://doi.org/10.1016/j.rdc.2012.03.015
  24. Petrofsky J, Alshahmmari F, Yim JE, Hamdan A, Lee H, Neupane S, et al. The interrealtionship between locally applied heat, ageing and skin blood flow on heat transfer into and from the skin. J Med Eng Technol 2011;35:262-74. https://doi.org/10.3109/03091902.2011.580039
  25. Duprez D, de Buyzere M, de Backer T, Clement D. Relationship between vitamin D3 and the peripheral circulation in moderate arterial primary hypertension. Blood Press 1994;3:389-93. https://doi.org/10.3109/08037059409102292
  26. Zawada ET Jr, TerWee JA, McClung DE. Systemic and renal vascular responses to dietary calcium and vitamin D. Hypertension 1986;8:975-82. https://doi.org/10.1161/01.HYP.8.11.975
  27. Holick MF. Vitamin D deficiency. N Engl J Med 2007;357: 266-81. https://doi.org/10.1056/NEJMra070553
  28. Holick MF, Chen TC, Lu Z, Sauter E. Vitamin D and skin physiology: a D-lightful story. J Bone Miner Res 2007;22(Suppl 2):V28-33. https://doi.org/10.1359/jbmr.07s211
  29. Charkoudian N, Eisenach JH, Atkinson JL, Fealey RD, Joyner MJ. Effects of chronic sympathectomy on locally mediated cutaneous vasodilation in humans. J Appl Physiol (1985) 2002;92: 685-90. https://doi.org/10.1152/japplphysiol.00758.2001
  30. Minson CT, Berry LT, Joyner MJ. Nitric oxide and neurally mediated regulation of skin blood flow during local heating. J Appl Physiol (1985) 2001;91:1619-26. https://doi.org/10.1152/jappl.2001.91.4.1619
  31. Kellogg DL Jr, Liu Y, Kosiba IF, O'Donnell D. Role of nitric oxide in the vascular effects of local warming of the skin in humans. J Appl Physiol (1985) 1999;86:1185-90. https://doi.org/10.1152/jappl.1999.86.4.1185
  32. Minson JB, Llewellyn-Smith IJ, Arnolda LF. Neuropeptide Y mRNA expression in interneurons in rat spinal cord. Auton Neurosci 2001;93:14-20. https://doi.org/10.1016/S1566-0702(01)00324-1
  33. Petrofsky J, Bains G, Prowse M, Gunda S, Berk L, Raju C, et al. Dry heat, moist heat and body fat: are heating modalities really effective in people who are overweight? J Med Eng Technol 2009;33:361-9. https://doi.org/10.1080/03091900802355508
  34. Petrofsky J, Goraksh N, Alshammari F, Mohanan M, Soni J, Trivedi M, et al. The ability of the skin to absorb heat; the effect of repeated exposure and age. Med Sci Monit 2011;17:CR1-8.
  35. Petrofsky JS, Laymon M. Heat transfer to deep tissue: the effect of body fat and heating modality. J Med Eng Technol 2009;33: 337-48. https://doi.org/10.1080/03091900802069547
  36. Witham MD. Should we be giving enhanced vitamin D intakes to all? J R Coll Physicians Edinb 2012;42:189.
  37. Petrofsky JS. Resting blood flow in the skin: does it exist, and what is the influence of temperature, aging, and diabetes? J Diabetes Sci Technol 2012;6:674-85. https://doi.org/10.1177/193229681200600324
  38. Petrofsky J, Paluso D, Anderson D, Swan K, Alshammari F, Katrak V, et al. The ability of different areas of the skin to absorb heat from a locally applied heat source: the impact of diabetes. Diabetes Technol Ther 2011;13:365-72. https://doi.org/10.1089/dia.2010.0161
  39. McLellan K, Petrofsky JS, Zimmerman G, Prowse M, Bains G, Lee S. Multiple stressors and the response of vascular endothelial cells: the effect of aging and diabetes. Diabetes Technol Ther 2009;11:73-9. https://doi.org/10.1089/dia.2008.0026
  40. Petrofsky JS, McLellan K, Bains GS, Prowse M, Ethiraju G, Lee S, et al. Skin heat dissipation: the influence of diabetes, skin thickness, and subcutaneous fat thickness. Diabetes Technol Ther 2008;10:487-93. https://doi.org/10.1089/dia.2008.0009
  41. Hellsten Y, Nyberg M, Jensen LG, Mortensen SP. Vasodilator interactions in skeletal muscle blood flow regulation. J Physiol 2012;590:6297-305. https://doi.org/10.1113/jphysiol.2012.240762
  42. Nyberg M, Jensen LG, Thaning P, Hellsten Y, Mortensen SP. Role of nitric oxide and prostanoids in the regulation of leg blood flow and blood pressure in humans with essential hypertension: effect of high-intensity aerobic training. J Physiol 2012;590: 1481-94. https://doi.org/10.1113/jphysiol.2011.225136
  43. Duprez D, De Buyzere M, De Backer T, Clement D. Relationship between vitamin D and the regional blood flow and vascular resistance in moderate arterial hypertension. J Hypertens Suppl 1993;11:S304-5.
  44. Tarcin O, Yavuz DG, Ozben B, Telli A, Ogunc AV, Yuksel M, et al. Effect of vitamin D deficiency and replacement on endothelial function in asymptomatic subjects. J Clin Endocrinol Metab 2009;94:4023-30. https://doi.org/10.1210/jc.2008-1212
  45. Rossini M, Adami S, Viapiana O, Fracassi E, Idolazzi L, Povino MR, et al. Dose-dependent short-term effects of single high doses of oral vitamin D(3) on bone turnover markers. Calcif Tissue Int 2012;91:365-9. https://doi.org/10.1007/s00223-012-9637-y
  46. Rossini M, Gatti D, Viapiana O, Fracassi E, Idolazzi L, Zanoni S, et al. Short-term effects on bone turnover markers of a single high dose of oral vitamin $D_{3}$. J Clin Endocrinol Metab 2012;97: E622-6. https://doi.org/10.1210/jc.2011-2448
  47. Arabi A, Zahed L, Mahfoud Z, El-Onsi L, Nabulsi M, Maalouf J, et al. Vitamin D receptor gene polymorphisms modulate the skeletal response to vitamin D supplementation in healthy girls. Bone 2009;45:1091-7. https://doi.org/10.1016/j.bone.2009.07.074
  48. Lopez MG, Silva BM, Joyner MJ, Casey DP. Roles of nitric oxide and prostaglandins in the hyperemic response to a maximal metabolic stimulus: redundancy prevails. Eur J Appl Physiol 2013;113:1449-56. https://doi.org/10.1007/s00421-012-2570-y

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