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Grübler, MR; Gaksch, M; Kienreich, K; Verheyen, ND; Schmid, J; Müllner, C; Richtig, G; Scharnagl, H; Trummer, C; Schwetz, V; Meinitzer, A; Pieske, B; März, W; Tomaschitz, A; Pilz, S.
Effects of Vitamin D3 on asymmetric- and symmetric dimethylarginine in arterial hypertension.
J Steroid Biochem Mol Biol. 2018; 175:157-163
Doi: 10.1016/j.jsbmb.2016.12.014
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- Führende Autor*innen der Med Uni Graz
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Grübler Martin
- Co-Autor*innen der Med Uni Graz
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Keppel Martin
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Kienreich Katharina
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März Winfried
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Meinitzer Andreas
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Pieske Burkert Mathias
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Pilz Stefan
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Richtig Georg
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Scharnagl Hubert
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Schmid Johannes
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Theiler-Schwetz Verena
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Tomaschitz Andreas
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Trummer Christian
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Verheyen Nicolas Dominik
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- Abstract:
- BACKGROUND AND AIMS: Accumulating evidence has proposed a correlation between vitamin D (25(OH)D) insufficiency and cardiovascular (CV) disease. Vitamin D associated effects on endothelial function have been suggested to be a possible culprit. The present study investigated the association of vitamin D3 treatment on markers of endothelial dysfunction in patients with arterial hypertension. METHODS AND RESULTS: The Styrian Vitamin D Hypertension Trial is a double-blind, placebo-controlled, single-centre study conducted at the Medical University of Graz, Austria. A total of 200 study participants with arterial hypertension and 25(OH)D levels below 30ng/mL were enrolled. The study participants were randomized to receive 2800 IU of vitamin D3 per day as oily drops (n=100) or placebo (n=100) for a duration of eight weeks. The present study uses an analysis of covariance (ANCOVA) to investigate the effect of vitamin D3 treatment on symmetric (SDMA) and asymmetric dimethylarginine (ADMA). A total of 187 participants (mean [SD] age 60.0 [11.3] years; 47% women; 25(OH)D 21.2 [5.6]ng/mL; mean systolic blood pressure of 131.4 [8.9] mmHg on a median of 2 antihypertensive drugs) completed the trial. Mean treatment effect was -0.004 (95%CI [-0.03 to 0.04]; P=0.819) on ADMA and 0.001 (95%CI [-0.05 to 0.05]; P=0.850) on SDMA. In the subgroup analysis patients with a 25(OH)D concentration <20ng/mL had a significant increase in their log l-arginine/ADMA ratio (mean treatment effect 18.4 95%CI [1.84-34.9]μmol/L/μmol/L; P=0.030). ClinicalTrials.gov Identifier: NCT02136771 EudraCT number: 2009-018125-70 CONCLUSIONS: Vitamin D3 supplementation in hypertensive patients with low 25-hydroxyvitamin D has no significant effect on ADMA and SDMA.
- Find related publications in this database (using NLM MeSH Indexing)
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Aged - administration & dosage
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Analysis of Variance - administration & dosage
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Arginine - analogs & derivatives, blood
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Blood Pressure - drug effects
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Cholecalciferol - administration & dosage
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Dietary Supplements - administration & dosage
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Double-Blind Method - administration & dosage
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Female - administration & dosage
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Humans - administration & dosage
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Hypertension - blood, complications, diet therapy
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Male - administration & dosage
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Middle Aged - administration & dosage
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Vitamin D - analogs & derivatives, blood
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Vitamin D Deficiency - blood, complications, diet therapy
- Find related publications in this database (Keywords)
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Vitamin D deficiency
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Arterial hypertension
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Endocrinology
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Cardiovascular disease
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Endothelial dysfunction
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Vitamin D