Evidence map›Paper›PMID 28665937›Full record

Trial reportPloS one2017

Cholecalciferol decreases inflammation and improves vitamin D regulatory enzymes in lymphocytes in the uremic environment: A randomized controlled pilot trial.

José Tarcisio G Carvalho, Marion Schneider, Lilian Cuppari, Caren C Grabulosa, Danilo T Aoike, Beata Marie Q Redublo, Marcelo C Batista, Miguel Cendoroglo, Rosa Maria Moyses, Maria Aparecida Dalboni

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Oral vitamin DOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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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

10 authors at 3 institutions in 1 country.

José Tarcisio G CarvalhoDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7897-8218
Marion SchneiderDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Lilian CuppariDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Caren C GrabulosaDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Danilo T AoikeDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Beata Marie Q RedubloDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Marcelo C BatistaDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Miguel CendorogloDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Rosa Maria MoysesPost-graduate Program in Medicine, Universidade Nove de Julho/UNINOVE, São Paulo, São Paulo, Brazil.
Maria Aparecida DalboniDivision of Nephrology- Universidade Federal São Paulo, UNIFESP, São Paulo, São Paulo, Brazil.
Universidade Federal de São Paulo · BRHospital Israelita Albert Einstein · BRUniversidade Nove de Julho · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It has been reported that vitamin D regulates the immune system. However, whether vitamin D repletion modulates inflammatory responses in lymphocytes from dialysis patients is unclear. In the clinical trial, thirty-two (32) dialysis patients with 25 vitamin D ≤ 20ng/mL were randomized to receive either supplementation of cholecalciferol 100,000 UI/week/3 months (16 patients) or placebo (16 patients). In the in vitro study, B and T lymphocytes from 12 healthy volunteers (HV) were incubated with or without uremic serum in the presence or absence of 25 or 1,25 vitamin D. We evaluated the intracellular expression of IL-6, IFN-γ TLR7, TLR9, VDR, CYP27b1 and CYP24a1 by flow cytometry. We observed a reduction in the expression of TLR7, TLR9, INF-γ and CYP24a1 and an increase in VDR and CYP27b1 expression in patients which were supplemented with cholecalciferol, whereas no differences were found in the placebo group. Uremic serum increased the intracellular expression of IL-6, IFN-γ, TLR7, TLR9, VDR, CYP27b1 and CYP24a1. Treatment with 25 or 1,25 vitamin D decreased IL-6 and TLR9. CYP24a1 silencing plus treatment with 25 and/or 1,25 vitamin D had an additional reduction effect on IL-6, IFN-γ, TLR7 and TLR9 expression. This is the first study showing that cholecalciferol repletion has an anti-inflammatory effect and improves vitamin D intracellular regulatory enzymes on lymphocytes from dialysis patients.

Indexed as

25-Hydroxyvitamin D3 1-alpha-HydroxylaseCase-Control StudiesCholecalciferolCytokinesDouble-Blind MethodHumansInflammationInflammation MediatorsPilot ProjectsPlacebosReceptors, CalcitriolToll-Like ReceptorsUremiaVitamin DVitamin D3 24-Hydroxylase25-Hydroxyvitamin D3 1-alpha-HydroxylaseCholecalciferolCYP24A1 protein, humanCYP27B1 protein, humanCytokinesInflammation MediatorsPlacebosReceptors, CalcitriolToll-Like ReceptorsVitamin DVitamin D3 24-Hydroxylase

Identifiers

PMID28665937
PMCPMC5493305
OpenAlexW2726505574

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.