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Vitamin D Deficiency Is Associated with Increased Osteocalcin Levels in Acute Aortic Dissection: A Pilot Study on Elderly Patients
An imbalance between degradation and reconstruction of the aortic wall is one of the leading causes of acute aortic dissection (AAD). Vitamin D seems an intriguing molecule to explore in the field of AAD since it improves endothelial function and protects smooth muscle cells from inflammation-induce...
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Published in: | Mediators of inflammation 2017-01, Vol.2017 (2017), p.1-8 |
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description | An imbalance between degradation and reconstruction of the aortic wall is one of the leading causes of acute aortic dissection (AAD). Vitamin D seems an intriguing molecule to explore in the field of AAD since it improves endothelial function and protects smooth muscle cells from inflammation-induced remodeling, calcification, and loss of function, all events which are strongly related to the aging process. We quantified 25-hydroxy vitamin D, calcium, parathormone, bone alkaline phosphatase, and osteocalcin levels in 24 elderly AAD patients to identify a potential pathological implication of these molecules in AAD. Median 25-hydroxy vitamin D (10.75 ng/mL, 25th–75th percentiles: 6.86–19.23 ng/mL) and calcium levels (8.70 mg/dL, 25th–75th percentiles: 7.30–8.80 mg/dL) suggested hypovitaminosis D and a moderate hypocalcemia. Thirty-eight percent of AAD patients had severe ( |
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Vitamin D seems an intriguing molecule to explore in the field of AAD since it improves endothelial function and protects smooth muscle cells from inflammation-induced remodeling, calcification, and loss of function, all events which are strongly related to the aging process. We quantified 25-hydroxy vitamin D, calcium, parathormone, bone alkaline phosphatase, and osteocalcin levels in 24 elderly AAD patients to identify a potential pathological implication of these molecules in AAD. Median 25-hydroxy vitamin D (10.75 ng/mL, 25th–75th percentiles: 6.86–19.23 ng/mL) and calcium levels (8.70 mg/dL, 25th–75th percentiles: 7.30–8.80 mg/dL) suggested hypovitaminosis D and a moderate hypocalcemia. Thirty-eight percent of AAD patients had severe (<10 ng/mL), 38% moderate (10–20 ng/mL), and 24% mild 25-hydroxy vitamin D deficiency (20–30 ng/mL). A significant inverse correlation was observed between 25OHD and osteocalcin levels. All the other molecules were unchanged. A condition of hypovitaminosis D associated to an increase in osteocalcin levels is present in AAD patients. The identification of these molecules as new factors involved in AAD may be helpful to identify individuals at high risk as well to study preventing strategies.</description><identifier>ISSN: 0962-9351</identifier><identifier>EISSN: 1466-1861</identifier><identifier>DOI: 10.1155/2017/6412531</identifier><identifier>PMID: 28751822</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acute Disease ; Aged ; Aged patients ; Alkaline Phosphatase - blood ; Aneurysm, Dissecting - blood ; Calcium - blood ; Dissecting aneurysm ; Female ; Health aspects ; Humans ; Laboratories ; Male ; Measurement ; Middle Aged ; Osteocalcin - blood ; Parathyroid Hormone - blood ; Physiological aspects ; Pilot Projects ; Protein hormones ; Studies ; Vitamin D ; Vitamin D - analogs & derivatives ; Vitamin D - blood ; Vitamin D deficiency ; Vitamin D Deficiency - blood ; Vitamin deficiency</subject><ispartof>Mediators of inflammation, 2017-01, Vol.2017 (2017), p.1-8</ispartof><rights>Copyright © 2017 Elena Vianello et al.</rights><rights>COPYRIGHT 2017 John Wiley & Sons, Inc.</rights><rights>Copyright © 2017 Elena Vianello et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2017 Elena Vianello et al. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c604t-484ab8b26498afa185acf3305bdff4c8de7bdce4d4edde801e85f6550f2c9dbc3</citedby><cites>FETCH-LOGICAL-c604t-484ab8b26498afa185acf3305bdff4c8de7bdce4d4edde801e85f6550f2c9dbc3</cites><orcidid>0000-0002-0404-8357 ; 0000-0002-4863-178X ; 0000-0001-5833-0780 ; 0000-0001-6461-654X ; 0000-0001-7928-7697</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1919513136/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1919513136?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25752,27923,27924,37011,37012,44589,53790,53792,74897</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28751822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Balistreri, Carmela R.</contributor><creatorcontrib>Corsi Romanelli, Massimiliano M.</creatorcontrib><creatorcontrib>Trimarchi, Santi</creatorcontrib><creatorcontrib>Lamont, John</creatorcontrib><creatorcontrib>Tacchini, Lorenza</creatorcontrib><creatorcontrib>Barassi, A.</creatorcontrib><creatorcontrib>Dozio, Elena</creatorcontrib><creatorcontrib>Vianello, Elena</creatorcontrib><creatorcontrib>Marrocco-Trischitta, Massimiliano M.</creatorcontrib><title>Vitamin D Deficiency Is Associated with Increased Osteocalcin Levels in Acute Aortic Dissection: A Pilot Study on Elderly Patients</title><title>Mediators of inflammation</title><addtitle>Mediators Inflamm</addtitle><description>An imbalance between degradation and reconstruction of the aortic wall is one of the leading causes of acute aortic dissection (AAD). Vitamin D seems an intriguing molecule to explore in the field of AAD since it improves endothelial function and protects smooth muscle cells from inflammation-induced remodeling, calcification, and loss of function, all events which are strongly related to the aging process. We quantified 25-hydroxy vitamin D, calcium, parathormone, bone alkaline phosphatase, and osteocalcin levels in 24 elderly AAD patients to identify a potential pathological implication of these molecules in AAD. Median 25-hydroxy vitamin D (10.75 ng/mL, 25th–75th percentiles: 6.86–19.23 ng/mL) and calcium levels (8.70 mg/dL, 25th–75th percentiles: 7.30–8.80 mg/dL) suggested hypovitaminosis D and a moderate hypocalcemia. Thirty-eight percent of AAD patients had severe (<10 ng/mL), 38% moderate (10–20 ng/mL), and 24% mild 25-hydroxy vitamin D deficiency (20–30 ng/mL). A significant inverse correlation was observed between 25OHD and osteocalcin levels. All the other molecules were unchanged. A condition of hypovitaminosis D associated to an increase in osteocalcin levels is present in AAD patients. The identification of these molecules as new factors involved in AAD may be helpful to identify individuals at high risk as well to study preventing strategies.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Aged patients</subject><subject>Alkaline Phosphatase - blood</subject><subject>Aneurysm, Dissecting - blood</subject><subject>Calcium - blood</subject><subject>Dissecting aneurysm</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Laboratories</subject><subject>Male</subject><subject>Measurement</subject><subject>Middle Aged</subject><subject>Osteocalcin - blood</subject><subject>Parathyroid Hormone - blood</subject><subject>Physiological aspects</subject><subject>Pilot Projects</subject><subject>Protein hormones</subject><subject>Studies</subject><subject>Vitamin D</subject><subject>Vitamin D - analogs & derivatives</subject><subject>Vitamin D - blood</subject><subject>Vitamin D deficiency</subject><subject>Vitamin D Deficiency - 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Vitamin D seems an intriguing molecule to explore in the field of AAD since it improves endothelial function and protects smooth muscle cells from inflammation-induced remodeling, calcification, and loss of function, all events which are strongly related to the aging process. We quantified 25-hydroxy vitamin D, calcium, parathormone, bone alkaline phosphatase, and osteocalcin levels in 24 elderly AAD patients to identify a potential pathological implication of these molecules in AAD. Median 25-hydroxy vitamin D (10.75 ng/mL, 25th–75th percentiles: 6.86–19.23 ng/mL) and calcium levels (8.70 mg/dL, 25th–75th percentiles: 7.30–8.80 mg/dL) suggested hypovitaminosis D and a moderate hypocalcemia. Thirty-eight percent of AAD patients had severe (<10 ng/mL), 38% moderate (10–20 ng/mL), and 24% mild 25-hydroxy vitamin D deficiency (20–30 ng/mL). A significant inverse correlation was observed between 25OHD and osteocalcin levels. All the other molecules were unchanged. 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subjects | Acute Disease Aged Aged patients Alkaline Phosphatase - blood Aneurysm, Dissecting - blood Calcium - blood Dissecting aneurysm Female Health aspects Humans Laboratories Male Measurement Middle Aged Osteocalcin - blood Parathyroid Hormone - blood Physiological aspects Pilot Projects Protein hormones Studies Vitamin D Vitamin D - analogs & derivatives Vitamin D - blood Vitamin D deficiency Vitamin D Deficiency - blood Vitamin deficiency |
title | Vitamin D Deficiency Is Associated with Increased Osteocalcin Levels in Acute Aortic Dissection: A Pilot Study on Elderly Patients |
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