Evidence map›Paper›PMID 22539586›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2012

Vitamin D3 therapy corrects the tissue sensitivity to angiotensin ii akin to the action of a converting enzyme inhibitor in obese hypertensives: an interventional study.

Anand Vaidya, Bei Sun, Carol Larson, John P Forman, Jonathan S Williams

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Trial
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  7. Trial
  8. Trial
  9. Observational
  10. Review
  11. Article
  12. Adverse pregnancy outcomes and renal-vascular function in the early years after delivery.American journal of physiology. Heart and circulatory physiology · 2024
    Article
  13. Latest Knowledge on the Role of Vitamin D in Hypertension.International journal of molecular sciences · 2023
    Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Vitamin D and cardiovascular health.Clinical nutrition (Edinburgh, Scotland) · 2021
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anand VaidyaBrigham and Women's Hospital, Division of Endocrinology, Diabetes, and Hypertension, 221 Longwood Avenue, RFB, Boston, Massachusetts 02115,USA. avaidya1@partners.org
Bei Sun
Carol Larson
John P Forman
Jonathan S Williams
Brigham and Women's Hospital · USHarvard University · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Zoledronic Acid in Treatment of Osteoporosis in PostmenoM01RR002635 · NCRR · BRIGHAM AND WOMEN'S HOSPITAL · PI WILLIAMS, GORDON H · 1985 to 2008
$48.4M
Informatics for Integrating Biology/ the Bedside (RMI)U54LM008748 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI KOHANE, ISAAC S. · 2004 to 2013
$39.0M
SCOR MOLECULAR GENETICS OF HYPERTENSIONP50HL055000 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SEELY, ELLEN W · 1996 to 2005
$13.5M
TRAINING PROGRAM IN HYPERTENSIONT32HL007609 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ADLER, GAIL KURR · 1985 to 2022
$10.2M
Vitamin D and Hormonal Mechanisms of Cardiovascular Disease in ObesityK23HL111771 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI VAIDYA, ANAND · 2012 to 2016
$805k
Vitamin D Deficiency Augments Renin-Angiotensin System Activity in ObesityF32HL104776 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI VAIDYA, ANAND · 2010 to 2011
$98k
THE ENANTIOSPECIFIC TOTAL SYNYHESIS OF FORSKOLINF32HL008236 · NHLBI · YALE UNIVERSITY · PI GERVAY-HAGUE, JACQUELYN · 1990 to 1991
–
NCRR NIH HHS M01 RR002635NCRR NIH HHS M01-RR02635NCRR NIH HHS UL1 RR025758NHLBI NIH HHS F32 HL104776NHLBI NIH HHS F32 HL104776-02NHLBI NIH HHS K23 HL08236-03NHLBI NIH HHS K23 HL111771NHLBI NIH HHS K23 HL111771-01NHLBI NIH HHS P50 HL055000NHLBI NIH HHS P50HL055000NHLBI NIH HHS T32 HL007609NLM NIH HHS U54 LM008748NLM NIH HHS U54LM008748
6 · The paper itself

Abstract

contextVitamin D deficiency and obesity are associated with increased tissue renin-angiotensin system (RAS) activity.

objectiveThe objective of the study was to evaluate whether vitamin D(3) therapy in obesity reduces tissue-RAS activity, as indicated by an increase in tissue sensitivity to angiotensin II (AngII).

participantsParticipants included obese subjects with hypertension and 25-hydroxyvitamin D less than 25 ng/ml.

designSubjects were studied before and after 1 month of vitamin D(3) 15,000 IU/d, while in dietary sodium balance, and off all interfering medications. Fourteen subjects successfully completed all study procedures.

settingThe study was conducted at a clinical research center. OUTCOME MEASURES: At each study visit, tissue sensitivity to AngII was assessed by measuring renal plasma flow (RPF), mean arterial pressure (MAP), and adrenal secretion of aldosterone during an infusion of AngII. Subjects were then given captopril, and a second AngII infusion to evaluate the effect of captopril on tissue-RAS activity.

resultsVitamin D(3) therapy increased 25-hydroxyvitamin D (18 to 52 ng/ml) and basal RPF (+5%) and lowered supine MAP (-3%) (all P < 0.01). There was a greater decline in RPF and higher stimulation of aldosterone with AngII infusion after vitamin D(3) therapy (both P < 0.05). As anticipated, captopril increased the renal-vascular, MAP, and adrenal sensitivity to AngII, but this effect was much smaller after vitamin D(3) therapy, indicating that vitamin D(3) therapy corrected the tissue sensitivity to AngII akin to captopril.

conclusionsVitamin D(3) therapy in obese hypertensives modified RPF, MAP, and tissue sensitivity to AngII similar to converting enzyme inhibition. Whether chronic vitamin D(3) therapy abrogates the development of diseases associated with excess RAS activity warrants investigation.

Indexed as

AdultAngiotensin-Converting Enzyme InhibitorsAngiotensin IIAntihypertensive AgentsCaptoprilCholecalciferolDrug ResistanceDrug SynergismFemaleHumansHypertensionMaleMiddle AgedObesityRenal Plasma FlowVitamin D DeficiencyAngiotensin-Converting Enzyme InhibitorsAngiotensin IIAntihypertensive AgentsCaptoprilCholecalciferol

Identifiers

PMID22539586
PMCPMC3387405
OpenAlexW2061737727

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.