PMID- 22069289 OWN - NLM STAT- MEDLINE DCOM- 20120325 LR - 20131121 IS - 1520-7560 (Electronic) IS - 1520-7552 (Linking) VI - 27 IP - 8 DP - 2011 Nov TI - The effect of vitamin D supplementation on peripheral regulatory T cells and beta cell function in healthy humans: a randomized controlled trial. PG - 942-5 LID - 10.1002/dmrr.1276 [doi] AB - BACKGROUND: Increasing evidence supports the role of vitamin D (vitD) in modifying the risk to develop type 1 diabetes (T1D) and other autoimmune diseases. VitD3 might stimulate regulatory T cells (Tregs), a central player in the maintenance of self-tolerance. In addition, direct effects of vitD on beta-cell function are postulated. The aim of our study was to evaluate the effect of a high dose vitD supplementation on Tregs frequency (%Tregs) and beta-cell function assessed by a mixed meal tolerance test (MMTT) in healthy humans. METHODS: A double-blind, placebo controlled trial was performed in 59 healthy adult subjects (49% females). Subjects received oral vitD3 (140,000 IU monthly) or placebo for 3 months. %Tregs within 20,000 CD4+ T cells of peripheral blood was determined by multi-parametric FACS-analysis. A liquid MMTT was carried out before and after treatment. RESULTS: %Tregs increased significantly in the vitD group, but remained unchanged in the placebo group. Fasting C-peptide concentrations did not change significantly in either group. Similarly, the mean AUC for C-peptide after 3 months and the change in mean values from baseline to the end of the treatment were comparable in both groups. CONCLUSIONS: A short time high dose vitD3 supplementation significantly increased the frequency of Tregs, but did not further improve beta-cell function in apparently healthy subjects. The immunomodulatory potential of vitD might be an important mechanistic link for the association of vitD and T1D. CI - Copyright (c) 2011 John Wiley & Sons, Ltd. FAU - Bock, Gerlies AU - Bock G AD - Department of Endocrinology and Metabolism, Medical University of Graz, Graz, Austria. gerlies.bock@medunigraz.at FAU - Prietl, Barbara AU - Prietl B FAU - Mader, Julia K AU - Mader JK FAU - Holler, Evelyne AU - Holler E FAU - Wolf, Michael AU - Wolf M FAU - Pilz, Stefan AU - Pilz S FAU - Graninger, Winfried B AU - Graninger WB FAU - Obermayer-Pietsch, Barbara M AU - Obermayer-Pietsch BM FAU - Pieber, Thomas R AU - Pieber TR LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (C-Peptide) RN - 1C6V77QF41 (Cholecalciferol) SB - IM MH - Adult MH - C-Peptide/blood MH - Cholecalciferol/administration & dosage/*therapeutic use MH - Dietary Supplements MH - Double-Blind Method MH - Female MH - Humans MH - Immunomodulation/drug effects/physiology MH - Insulin-Secreting Cells/drug effects/*physiology MH - T-Lymphocytes, Regulatory/*drug effects EDAT- 2011/11/10 06:00 MHDA- 2012/03/27 06:00 CRDT- 2011/11/10 06:00 PHST- 2011/11/10 06:00 [entrez] PHST- 2011/11/10 06:00 [pubmed] PHST- 2012/03/27 06:00 [medline] AID - 10.1002/dmrr.1276 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2011 Nov;27(8):942-5. doi: 10.1002/dmrr.1276.