PMID- 36936550 OWN - NLM STAT- MEDLINE DCOM- 20230327 LR - 20230327 IS - 1178-2048 (Electronic) IS - 1176-6344 (Print) IS - 1176-6344 (Linking) VI - 19 DP - 2023 TI - Ascorbic Acid vs Calcitriol in Influencing Monocyte Chemoattractant Protein-1, Nitric Oxide, Superoxide Dismutase, as Markers of Endothelial Dysfunction: In Vivo Study in Atherosclerosis Rat Model. PG - 139-144 LID - 10.2147/VHRM.S401521 [doi] AB - INTRODUCTION: Ascorbic acid and calcitriol were frequently utilized in conjunction as therapy during the COVID-19 pandemic, and individuals with minor symptoms had notable improvements. There have been a few studies, often with conflicting findings, that examine the use of them for endothelium restoration and numerous clinical trial studies that failed to establish the efficacy. The aim of this study was to find the efficacy of ascorbic acid compared to calcitriol on the inflammatory markers monocyte chemoattractant protein-1 (MCP-1), nitric oxide (NO), and superoxide dismutase (SOD), as protective agents which play an important role in the early stages of atherosclerosis formation. This study was an experimental in vivo study. METHODS: The total of 24 male Rattus norvegicus strain Wistar rats were divided into 4 groups, namely: control/normal group (N), atherosclerosis group (DL) given atherogenic diet, atherosclerosis group given atherogenic diet and ascorbic acid (DLC), and atherosclerosis group given atherogenic diet and calcitriol (DLD) treatment for 30 days. RESULTS: Ascorbic acid and calcitriol treatment was significantly effective (P<0.05) in lowering expression of MCP-1 and increasing NO and SOD level. Calcitriol was superior to ascorbic acid in increasing SOD (P<0.05). There was no significant difference between ascorbic acid and calcitriol in decreasing MCP-1 and increasing NO (P>0.05). DISCUSSION: Both treatments could reduce MCP-1, and increase NO and SOD by increasing antioxidants. In this study calcitriol was superior to ascorbic acid in increasing SOD, but not NO and decreasing MCP-1. According to the theory, it was found that calcitriol through nuclear factor erythroid 2-related factor 2 (Nrf2) causes a direct increase in the amount of SOD. Nrf2 is an emerging regulator of cellular resistance to oxidants. CONCLUSION: Ascorbic acid and calcitriol treatment was able to reduce MCP-1 and increase NO and SOD in atherosclerosis rat. Calcitriol was significantly superior in increasing SOD levels compared to ascorbic acid. CI - (c) 2023 Heriansyah et al. FAU - Heriansyah, Teuku AU - Heriansyah T AUID- ORCID: 0000-0002-0363-1997 AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia. FAU - Dimiati, Herlina AU - Dimiati H AUID- ORCID: 0000-0002-3553-2301 AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia. FAU - Hadi, Tjut Farahiya AU - Hadi TF AUID- ORCID: 0000-0002-2199-7757 AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia. FAU - Umara, Dimas Arya AU - Umara DA AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia. FAU - Riandi, Lian Varis AU - Riandi LV AD - Department of Parasitology, Faculty of Veterinary Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia. FAU - Fajri, Fauzan AU - Fajri F AD - Department of Animal Model, Faculty of Veterinary Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia. FAU - Santosa, Sukmawan Fajar AU - Santosa SF AD - Integrated Research Laboratory, Faculty of Veterinary Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia. FAU - Wihastuti, Titin Andri AU - Wihastuti TA AD - Department of Basic Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Jawa Timur, Indonesia. FAU - Kumboyono, Kumboyono AU - Kumboyono K AUID- ORCID: 0000-0003-2124-8673 AD - Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia. LA - eng PT - Journal Article DEP - 20230312 PL - New Zealand TA - Vasc Health Risk Manag JT - Vascular health and risk management JID - 101273479 RN - PQ6CK8PD0R (Ascorbic Acid) RN - FXC9231JVH (Calcitriol) RN - 0 (Chemokine CCL2) RN - 0 (NF-E2-Related Factor 2) RN - 31C4KY9ESH (Nitric Oxide) RN - EC 1.15.1.1 (Superoxide Dismutase) SB - IM MH - Animals MH - Male MH - Rats MH - *Ascorbic Acid/pharmacology MH - *Atherosclerosis/drug therapy/prevention & control MH - *Calcitriol/pharmacology MH - Chemokine CCL2/metabolism MH - NF-E2-Related Factor 2/metabolism MH - Nitric Oxide MH - Oxidative Stress MH - Rats, Wistar MH - Superoxide Dismutase PMC - PMC10019521 OTO - NOTNLM OT - ascorbic acid OT - atherosclerosis OT - calcitriol OT - monocyte chemoattractant protein-1 OT - nitric oxide OT - superoxide dismutase COIS- The authors declare no conflicts of interest in this work. EDAT- 2023/03/21 06:00 MHDA- 2023/03/22 06:00 PMCR- 2023/03/12 CRDT- 2023/03/20 03:49 PHST- 2022/12/19 00:00 [received] PHST- 2023/02/21 00:00 [accepted] PHST- 2023/03/20 03:49 [entrez] PHST- 2023/03/21 06:00 [pubmed] PHST- 2023/03/22 06:00 [medline] PHST- 2023/03/12 00:00 [pmc-release] AID - 401521 [pii] AID - 10.2147/VHRM.S401521 [doi] PST - epublish SO - Vasc Health Risk Manag. 2023 Mar 12;19:139-144. doi: 10.2147/VHRM.S401521. eCollection 2023.