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Cholecalciferol supplementation improves suppressive capacity of regulatory T-cells in young patients with new-onset type 1 diabetes mellitus - A randomized clinical trial

机译:补充胆钙化固醇可改善年轻1型糖尿病年轻患者调节性T细胞的抑制能力-一项随机临床试验

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摘要

It is unknown if cholecalciferol is able to modify defects in regulatory T cells (Tregs) in type 1 diabetes (T1D). In this randomized, double-blind, placebo controlled trial 30 young patients with new-onset T1D were assigned to cholecalciferol (70 IU/kg bodyweight/day) or placebo for 12 months. Tregs were determined by FACS-analysis and functional tests were assessed with ex vivo suppression co-cultures at months 0,3, 6 and 12. Suppressive capacity of Tregs increased (p < 0.001) with cholecalciferol from baseline (-1.59 +/- 25.6%) to 3 (30.5 +/- 39.4%), 6 (44.6 +/- 23.8%) and 12 months (37.2 +/- 25.0%) and change of suppression capacity from baseline to 12 months was significantly higher (p < 0.05) with cholecalciferol (22.2 +/- 472%) than placebo (-16.6 +/- 21.1%). Serum calcium and parathormone stayed within normal range.
机译:尚不清楚胆钙化固醇是否能够改变1型糖尿病(T1D)的调节性T细胞(Tregs)中的缺陷。在这项随机,双盲,安慰剂对照试验中,将30例新发T1D的年轻患者分配为胆钙化固醇(70 IU / kg体重/天)或安慰剂,为期12个月。通过FACS分析确定Treg,并在离体第0、3、6和12个月用离体抑制共培养物评估功能测试,胆钙化醇从基线水平(-1.59 +/- 25.6)升高Tregs的抑制能力(p <0.001)。 %)增至3(30.5 +/- 39.4%),6(44.6 +/- 23.8%)和12个月(37.2 +/- 25.0%),抑制能力从基线到12个月的变化显着更高(p <0.05 )的胆碱钙化醇(22.2 +/- 472%)比安慰剂(-16.6 +/- 21.1%)。血清钙和副激素保持在正常范围内。

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