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Published in: Journal of Neural Transmission 12/2015

01-12-2015 | Neurology and Preclinical Neurological Studies - Original Article

Vitamin D deficiency and its relationship with endothelial dysfunction in patients with early Parkinson’s disease

Authors: Jung Han Yoon, Dong Kyu Park, Seok Woo Yong, Ji Man Hong

Published in: Journal of Neural Transmission | Issue 12/2015

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Abstract

Increasing evidence has shown that individuals with Parkinson’s disease (PD) have lower levels of 25-hydroxyvitamin D (25[OH]D) than healthy controls. Low vitamin D has been associated with endothelial dysfunction which may play a role in the pathogenesis and progression of PD. Flow-mediated dilation (FMD) is widely used as a clinical marker of overall endothelial function. We evaluated the relationship between serum 25(OH)D levels and FMD in PD. We enrolled 81 patients with early PD and 52 healthy controls, and we evaluate endothelial function based on vitamin D status and identify the association between FMD and vitamin D status in patients with early PD. The mean serum 25(OH)D levels were significantly lower in the PD patients than in the controls (21.8 ± 9.5 vs. 25.2 ± 9.3 ng/mL, p < 0.05). FMD was significantly lower in the PD patients (7.1 ± 1.8 %) than in the controls (8.1 ± 2.1 %, p < 0.05). The serum 25(OH)D was significantly associated with FMD independently of age, cardiovascular disease risk factors, body mass index, motor Unified PD Rating Scale status and homocysteine levels (adjusted R 2 = 0.331, β = 0.494, p < 0.001). These findings provide evidence of a possible association between endothelial dysfunction as assessed by FMD and low vitamin D status in patients with early PD.
Literature
go back to reference Cai H, Harrison DG (2000) Endothelial dysfunction in cardiovascular diseases: the role of oxidant stress. Circ Res 87(10):840–844CrossRefPubMed Cai H, Harrison DG (2000) Endothelial dysfunction in cardiovascular diseases: the role of oxidant stress. Circ Res 87(10):840–844CrossRefPubMed
go back to reference Codoner-Franch P, Tavarez-Alonso S, Simo-Jorda R, Laporta-Martin P, Carratala-Calvo A, Alonso-Iglesias E (2012) Vitamin D status is linked to biomarkers of oxidative stress, inflammation, and endothelial activation in obese children. J Pediatr 161(5):848–854. doi:10.1016/j.jpeds.2012.04.046 CrossRefPubMed Codoner-Franch P, Tavarez-Alonso S, Simo-Jorda R, Laporta-Martin P, Carratala-Calvo A, Alonso-Iglesias E (2012) Vitamin D status is linked to biomarkers of oxidative stress, inflammation, and endothelial activation in obese children. J Pediatr 161(5):848–854. doi:10.​1016/​j.​jpeds.​2012.​04.​046 CrossRefPubMed
go back to reference Dede DS, Yavuz B, Yavuz BB, Cankurtaran M, Halil M, Ulger Z, Cankurtaran ES, Aytemir K, Kabakci G, Ariogul S (2007) Assessment of endothelial function in Alzheimer’s disease: is Alzheimer’s disease a vascular disease? J Am Geriatr Soc 55(10):1613–1617. doi:10.1111/j.1532-5415.2007.01378.x CrossRefPubMed Dede DS, Yavuz B, Yavuz BB, Cankurtaran M, Halil M, Ulger Z, Cankurtaran ES, Aytemir K, Kabakci G, Ariogul S (2007) Assessment of endothelial function in Alzheimer’s disease: is Alzheimer’s disease a vascular disease? J Am Geriatr Soc 55(10):1613–1617. doi:10.​1111/​j.​1532-5415.​2007.​01378.​x CrossRefPubMed
go back to reference Ding H, Dhima K, Lockhart KC, Locascio JJ, Hoesing AN, Duong K, Trisini-Lipsanopoulos A, Hayes MT, Sohur US, Wills AM, Mollenhauer B, Flaherty AW, Hung AY, Mejia N, Khurana V, Gomperts SN, Selkoe DJ, Schwarzschild MA, Schlossmacher MG, Hyman BT, Sudarsky LR, Growdon JH, Scherzer CR (2013) Unrecognized vitamin D3 deficiency is common in Parkinson disease: Harvard Biomarker Study. Neurology 81(17):1531–1537. doi:10.1212/WNL.0b013e3182a95818 PubMedCentralCrossRefPubMed Ding H, Dhima K, Lockhart KC, Locascio JJ, Hoesing AN, Duong K, Trisini-Lipsanopoulos A, Hayes MT, Sohur US, Wills AM, Mollenhauer B, Flaherty AW, Hung AY, Mejia N, Khurana V, Gomperts SN, Selkoe DJ, Schwarzschild MA, Schlossmacher MG, Hyman BT, Sudarsky LR, Growdon JH, Scherzer CR (2013) Unrecognized vitamin D3 deficiency is common in Parkinson disease: Harvard Biomarker Study. Neurology 81(17):1531–1537. doi:10.​1212/​WNL.​0b013e3182a95818​ PubMedCentralCrossRefPubMed
go back to reference Farid K, Volpe-Gillot L, Petras S, Plou C, Caillat-Vigneron N, Blacher J (2012) Correlation between serum 25-hydroxyvitamin D concentrations and regional cerebral blood flow in degenerative dementia. Nucl Med Commun 33(10):1048–1052. doi:10.1097/MNM.0b013e32835674c4 CrossRefPubMed Farid K, Volpe-Gillot L, Petras S, Plou C, Caillat-Vigneron N, Blacher J (2012) Correlation between serum 25-hydroxyvitamin D concentrations and regional cerebral blood flow in degenerative dementia. Nucl Med Commun 33(10):1048–1052. doi:10.​1097/​MNM.​0b013e32835674c4​ CrossRefPubMed
go back to reference Gurses KM, Tokgozoglu L, Yalcin MU, Kocyigit D, Dural M, Canpinar H, Yorgun H, Sahiner ML, Kaya EB, Akin S, Gurlek A, Guc D, Aytemir K (2014) Markers of subclinical atherosclerosis in premenopausal women with vitamin D deficiency and effect of vitamin D replacement. Atherosclerosis 237(2):784–789. doi:10.1016/j.atherosclerosis.2014.10.096 CrossRefPubMed Gurses KM, Tokgozoglu L, Yalcin MU, Kocyigit D, Dural M, Canpinar H, Yorgun H, Sahiner ML, Kaya EB, Akin S, Gurlek A, Guc D, Aytemir K (2014) Markers of subclinical atherosclerosis in premenopausal women with vitamin D deficiency and effect of vitamin D replacement. Atherosclerosis 237(2):784–789. doi:10.​1016/​j.​atherosclerosis.​2014.​10.​096 CrossRefPubMed
go back to reference Hoth KF, Tate DF, Poppas A, Forman DE, Gunstad J, Moser DJ, Paul RH, Jefferson AL, Haley AP, Cohen RA (2007) Endothelial function and white matter hyperintensities in older adults with cardiovascular disease. Stroke J Cereb Circ 38(2):308–312. doi:10.1161/01.STR.0000254517.04275.3f CrossRef Hoth KF, Tate DF, Poppas A, Forman DE, Gunstad J, Moser DJ, Paul RH, Jefferson AL, Haley AP, Cohen RA (2007) Endothelial function and white matter hyperintensities in older adults with cardiovascular disease. Stroke J Cereb Circ 38(2):308–312. doi:10.​1161/​01.​STR.​0000254517.​04275.​3f CrossRef
go back to reference Jang W, Park J, Kim JS, Youn J, Oh E, Kwon KY, Jo KD, Lee MK, Kim HT (2015) Vitamin D deficiency in Parkinson’s disease patients with orthostatic hypotension. Acta Neurol Scand. doi:10.1111/ane.12390 PubMed Jang W, Park J, Kim JS, Youn J, Oh E, Kwon KY, Jo KD, Lee MK, Kim HT (2015) Vitamin D deficiency in Parkinson’s disease patients with orthostatic hypotension. Acta Neurol Scand. doi:10.​1111/​ane.​12390 PubMed
go back to reference Liu Y, Zhang BS (2014) Serum 25-hydroxyvitamin D predicts severity in Parkinson’s disease patients. Neurol Sci Off J Ital Neurol Soc Ital Soc Clin Neurophysiol 35(1):67–71. doi:10.1007/s10072-013-1539-x Liu Y, Zhang BS (2014) Serum 25-hydroxyvitamin D predicts severity in Parkinson’s disease patients. Neurol Sci Off J Ital Neurol Soc Ital Soc Clin Neurophysiol 35(1):67–71. doi:10.​1007/​s10072-013-1539-x
go back to reference Peterson AL, Mancini M, Horak FB (2013a) The relationship between balance control and vitamin D in Parkinson’s disease—a pilot study. Move Disord Off J Move Disord Soc 28(8):1133–1137. doi:10.1002/mds.25405 CrossRef Peterson AL, Mancini M, Horak FB (2013a) The relationship between balance control and vitamin D in Parkinson’s disease—a pilot study. Move Disord Off J Move Disord Soc 28(8):1133–1137. doi:10.​1002/​mds.​25405 CrossRef
go back to reference Peterson AL, Murchison C, Zabetian C, Leverenz JB, Watson GS, Montine T, Carney N, Bowman GL, Edwards K, Quinn JF (2013b) Memory, mood, and vitamin D in persons with Parkinson’s disease. J Parkinson’s Dis 3(4):547–555. doi:10.3233/JPD-130206 Peterson AL, Murchison C, Zabetian C, Leverenz JB, Watson GS, Montine T, Carney N, Bowman GL, Edwards K, Quinn JF (2013b) Memory, mood, and vitamin D in persons with Parkinson’s disease. J Parkinson’s Dis 3(4):547–555. doi:10.​3233/​JPD-130206
go back to reference Price JM, Sutton ET, Hellermann A, Thomas T (1997) beta-Amyloid induces cerebrovascular endothelial dysfunction in the rat brain. Neurol Res 19(5):534–538PubMed Price JM, Sutton ET, Hellermann A, Thomas T (1997) beta-Amyloid induces cerebrovascular endothelial dysfunction in the rat brain. Neurol Res 19(5):534–538PubMed
go back to reference Sato Y, Honda Y, Iwamoto J, Kanoko T, Satoh K (2005) Abnormal bone and calcium metabolism in immobilized Parkinson’s disease patients. Move Disord Off J Move Disord Soc 20(12):1598–1603. doi:10.1002/mds.20658 CrossRef Sato Y, Honda Y, Iwamoto J, Kanoko T, Satoh K (2005) Abnormal bone and calcium metabolism in immobilized Parkinson’s disease patients. Move Disord Off J Move Disord Soc 20(12):1598–1603. doi:10.​1002/​mds.​20658 CrossRef
go back to reference Suzuki M, Yoshioka M, Hashimoto M, Murakami M, Kawasaki K, Noya M, Takahashi D, Urashima M (2012) 25-Hydroxyvitamin D, vitamin D receptor gene polymorphisms, and severity of Parkinson’s disease. Move Disord Off J Move Disord Soc 27(2):264–271. doi:10.1002/mds.24016 CrossRef Suzuki M, Yoshioka M, Hashimoto M, Murakami M, Kawasaki K, Noya M, Takahashi D, Urashima M (2012) 25-Hydroxyvitamin D, vitamin D receptor gene polymorphisms, and severity of Parkinson’s disease. Move Disord Off J Move Disord Soc 27(2):264–271. doi:10.​1002/​mds.​24016 CrossRef
go back to reference Suzuki M, Yoshioka M, Hashimoto M, Murakami M, Noya M, Takahashi D, Urashima M (2013) Randomized, double-blind, placebo-controlled trial of vitamin D supplementation in Parkinson disease. Am J Clin Nutr 97(5):1004–1013. doi:10.3945/ajcn.112.051664 CrossRefPubMed Suzuki M, Yoshioka M, Hashimoto M, Murakami M, Noya M, Takahashi D, Urashima M (2013) Randomized, double-blind, placebo-controlled trial of vitamin D supplementation in Parkinson disease. Am J Clin Nutr 97(5):1004–1013. doi:10.​3945/​ajcn.​112.​051664 CrossRefPubMed
go back to reference Toffanello ED, Coin A, Perissinotto E, Zambon S, Sarti S, Veronese N, De Rui M, Bolzetta F, Corti MC, Crepaldi G, Manzato E, Sergi G (2014) Vitamin D deficiency predicts cognitive decline in older men and women: The Pro.V.A. Study. Neurology 83(24):2292–2298. doi:10.1212/wnl.0000000000001080 CrossRefPubMed Toffanello ED, Coin A, Perissinotto E, Zambon S, Sarti S, Veronese N, De Rui M, Bolzetta F, Corti MC, Crepaldi G, Manzato E, Sergi G (2014) Vitamin D deficiency predicts cognitive decline in older men and women: The Pro.V.A. Study. Neurology 83(24):2292–2298. doi:10.​1212/​wnl.​0000000000001080​ CrossRefPubMed
go back to reference Uberti F, Lattuada D, Morsanuto V, Nava U, Bolis G, Vacca G, Squarzanti DF, Cisari C, Molinari C (2014) Vitamin D protects human endothelial cells from oxidative stress through the autophagic and survival pathways. J Clin Endocrinol Metab 99(4):1367–1374. doi:10.1210/jc.2013-2103 CrossRefPubMed Uberti F, Lattuada D, Morsanuto V, Nava U, Bolis G, Vacca G, Squarzanti DF, Cisari C, Molinari C (2014) Vitamin D protects human endothelial cells from oxidative stress through the autophagic and survival pathways. J Clin Endocrinol Metab 99(4):1367–1374. doi:10.​1210/​jc.​2013-2103 CrossRefPubMed
go back to reference van den Bos F, Speelman AD, van Nimwegen M, van der Schouw YT, Backx FJ, Bloem BR, Munneke M, Verhaar HJ (2013) Bone mineral density and vitamin D status in Parkinson’s disease patients. J Neurol 260(3):754–760. doi:10.1007/s00415-012-6697-x CrossRefPubMed van den Bos F, Speelman AD, van Nimwegen M, van der Schouw YT, Backx FJ, Bloem BR, Munneke M, Verhaar HJ (2013) Bone mineral density and vitamin D status in Parkinson’s disease patients. J Neurol 260(3):754–760. doi:10.​1007/​s00415-012-6697-x CrossRefPubMed
go back to reference Vita JA, Keaney JF Jr (2002) Endothelial function: a barometer for cardiovascular risk? Circulation 106(6):640–642CrossRefPubMed Vita JA, Keaney JF Jr (2002) Endothelial function: a barometer for cardiovascular risk? Circulation 106(6):640–642CrossRefPubMed
go back to reference Wang L, Evatt ML, Maldonado LG, Perry WR, Ritchie JC, Beecham GW, Martin ER, Haines JL, Pericak-Vance MA, Vance JM, Scott WK (2015) Vitamin D from different sources is inversely associated with Parkinson disease. Move Disord Off J Move Disord Soc 30(4):560–566. doi:10.1002/mds.26117 CrossRef Wang L, Evatt ML, Maldonado LG, Perry WR, Ritchie JC, Beecham GW, Martin ER, Haines JL, Pericak-Vance MA, Vance JM, Scott WK (2015) Vitamin D from different sources is inversely associated with Parkinson disease. Move Disord Off J Move Disord Soc 30(4):560–566. doi:10.​1002/​mds.​26117 CrossRef
go back to reference White RP, Deane C, Vallance P, Markus HS (1998) Nitric oxide synthase inhibition in humans reduces cerebral blood flow but not the hyperemic response to hypercapnia. Stroke J Cereb Circ 29(2):467–472CrossRef White RP, Deane C, Vallance P, Markus HS (1998) Nitric oxide synthase inhibition in humans reduces cerebral blood flow but not the hyperemic response to hypercapnia. Stroke J Cereb Circ 29(2):467–472CrossRef
go back to reference White RP, Vallance P, Markus HS (2000) Effect of inhibition of nitric oxide synthase on dynamic cerebral autoregulation in humans. Clin Sci 99(6):555–560CrossRefPubMed White RP, Vallance P, Markus HS (2000) Effect of inhibition of nitric oxide synthase on dynamic cerebral autoregulation in humans. Clin Sci 99(6):555–560CrossRefPubMed
go back to reference Yiu YF, Chan YH, Yiu KH, Siu CW, Li SW, Wong LY, Lee SW, Tam S, Wong EW, Cheung BM, Tse HF (2011) Vitamin D deficiency is associated with depletion of circulating endothelial progenitor cells and endothelial dysfunction in patients with type 2 diabetes. J Clin Endocrinol Metab 96(5):E830–E835. doi:10.1210/jc.2010-2212 CrossRefPubMed Yiu YF, Chan YH, Yiu KH, Siu CW, Li SW, Wong LY, Lee SW, Tam S, Wong EW, Cheung BM, Tse HF (2011) Vitamin D deficiency is associated with depletion of circulating endothelial progenitor cells and endothelial dysfunction in patients with type 2 diabetes. J Clin Endocrinol Metab 96(5):E830–E835. doi:10.​1210/​jc.​2010-2212 CrossRefPubMed
go back to reference Yoon JH, Lee JS, Yong SW, Hong JM, Lee PH (2014) Endothelial dysfunction and hyperhomocysteinemia in Parkinson’s disease: flow-mediated dilation study. Move Disord Off J Move Disord Soc 29(12):1551–1555. doi:10.1002/mds.26005 CrossRef Yoon JH, Lee JS, Yong SW, Hong JM, Lee PH (2014) Endothelial dysfunction and hyperhomocysteinemia in Parkinson’s disease: flow-mediated dilation study. Move Disord Off J Move Disord Soc 29(12):1551–1555. doi:10.​1002/​mds.​26005 CrossRef
Metadata
Title
Vitamin D deficiency and its relationship with endothelial dysfunction in patients with early Parkinson’s disease
Authors
Jung Han Yoon
Dong Kyu Park
Seok Woo Yong
Ji Man Hong
Publication date
01-12-2015
Publisher
Springer Vienna
Published in
Journal of Neural Transmission / Issue 12/2015
Print ISSN: 0300-9564
Electronic ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-015-1452-y

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