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Erschienen in: Journal of Bone and Mineral Metabolism 1/2023

16.11.2022 | Original Article

Effect of vitamin D3 vs. calcifediol on VDR concentration and fiber size in skeletal muscle

verfasst von: Lisa Ceglia, Donato A. Rivas, Mathias Schlögl, Grace B. Fielding, Andreas Egli, Heike A. Bischoff-Ferrari, Bess Dawson-Hughes

Erschienen in: Journal of Bone and Mineral Metabolism | Ausgabe 1/2023

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Abstract

Introduction

This study sought to examine the effect of vitamin D3 (VD3) 3200 IU/d, calcifediol (HyD) 20mcg/d, or placebo on intramyonuclear vitamin D receptor (VDR) concentration, muscle fiber cross-sectional area (FCSA), and muscle satellite cell activation.

Materials and methods

It was conducted on a subset of the VD3 (n = 12), HyD (n = 11), and placebo (n = 13) groups who participated in the 6-month randomized controlled HyD Osteopenia Study in postmenopausal women. Baseline and 6-month vastus lateralis muscle cross sections were probed for VDR, fiber type I and II, and PAX7 (satellite cell marker) using immunofluorescence.

Results

Baseline mean ± SD age was 61 ± 4 years and serum 25-hydroxyvitamin D (25OHD) level was 55.1 ± 22.8 nmol/L. Baseline characteristics did not differ significantly by group. Six-month mean ± SD 25OHD levels were 138.7 ± 22.2 nmol/L (VD3), 206.8 ± 68.8 nmol/L (HyD), and 82.7 ± 36.1 nmol/L (placebo), ANOVA P < 0.001. There were no significant group differences in 6-month change in VDR concentration (ANOVA P = 0.227). Mean ± SD percent 6-month changes in type I FCSA were 20.5 ± 32.7% (VD3), − 6.6 ± 20.4% (HyD), and − 0.3 ± 14.0% (placebo, ANOVA P = 0.022). Type II FCSA or PAX7 concentration did not change significantly by group (all P > 0.358).

Conclusion

This study demonstrated no significant change in intramyonuclear VDR in response to either form of vitamin D vs. placebo. Type I FCSA significantly increased with VD3, but not with HyD at 6 months. As type I fibers are more fatigue resistant than type II, enlargement in type I suggests potential for improved muscle endurance. Although HyD resulted in the highest 25OHD levels, no skeletal muscle benefits were noted at these high levels.

Clinical trial

NCT02527668.
Anhänge
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Metadaten
Titel
Effect of vitamin D3 vs. calcifediol on VDR concentration and fiber size in skeletal muscle
verfasst von
Lisa Ceglia
Donato A. Rivas
Mathias Schlögl
Grace B. Fielding
Andreas Egli
Heike A. Bischoff-Ferrari
Bess Dawson-Hughes
Publikationsdatum
16.11.2022
Verlag
Springer Nature Singapore
Erschienen in
Journal of Bone and Mineral Metabolism / Ausgabe 1/2023
Print ISSN: 0914-8779
Elektronische ISSN: 1435-5604
DOI
https://doi.org/10.1007/s00774-022-01374-y

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