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Sex specific vitamin D effects on blood coagulation among overweight adults

Sex specific vitamin D effects on blood coagulation among overweight adults
Sex specific vitamin D effects on blood coagulation among overweight adults
BACKGROUND: Overweight adults are at increased risk for cardiovascular disease and vitamin D deficiency, whereas an important feature to vitamin D physiology is its sex dependence. The aim of this study was to examine whether vitamin D status improvement exerts a sexually dimorphic effect on serum proteins associated with cardiovascular risk among overweight adults.

METHODS: Unprocessed serum from age- and BMI-matched men (n=26) and pre-menopausal women (n=24) with vitamin D deficiency and after they achieved sufficiency through a 12-month nutritional intervention was analyzed using our previously published depletion-free, quantitative proteomics method. Key findings were verified with ELISA. Differentially expressed proteins were subjected to in silico bioinformatics assessment using Principal Component Analysis, hierarchical clustering and Metacore™ pathway analysis. All mass spectrometry proteomic data are available via ProteomeXchange (identifier: PXD003663).

RESULTS: A total of 282 proteins were differentially expressed after the intervention between men and women (p-value ? 0.05), in which the blood coagulation pathway was significantly enriched. In agreement with the proteomics findings, ELISA measurements showed vitamin-K dependent protein C, von Willebrand factor, fibrinogen gamma chain and multimerin-1 proteins, of relevance to blood coagulation, to be differentially affected (p-value ? 0.05) between sexes after vitamin D status correction.

CONCLUSIONS: This study identified novel protein-level molecular indicators on the sexually dimorphic effect of vitamin D status correction associated with blood coagulation among overweight adults. These sex-mediated vitamin D effects should be factored in the design and interpretation of vitamin D observational and interventional studies testing cardiometabolic outcomes.
0014-2972
1-22
Al-Daghri, Nasser M.
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Alokail, Majed S.
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Manousopoulou, Antigoni
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Heinson, Ashley
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Al-Attas, Oman
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Al-Saleh, Yousef
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Sabico, Shaun
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Yakout, Sobhy
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Woelk, Christopher H.
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Chrousos, Geroge P.
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Garbis, Spiros D.
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Al-Daghri, Nasser M.
0bf1023c-a104-4f74-8b06-87780dfbd8b4
Alokail, Majed S.
9adf2d61-d9f7-4095-bc36-701f0680646a
Manousopoulou, Antigoni
9a5e4e75-cea9-4d0b-91c8-0fa2af02632f
Heinson, Ashley
822775d1-9379-4bde-99c3-3c031c3100fb
Al-Attas, Oman
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Al-Saleh, Yousef
b6a30c8e-441b-418f-9c77-cf61799fd2b1
Sabico, Shaun
dd062ab8-a57c-4b27-a35c-b2d0d6b6b0f8
Yakout, Sobhy
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Woelk, Christopher H.
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Chrousos, Geroge P.
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Garbis, Spiros D.
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Al-Daghri, Nasser M., Alokail, Majed S., Manousopoulou, Antigoni, Heinson, Ashley, Al-Attas, Oman, Al-Saleh, Yousef, Sabico, Shaun, Yakout, Sobhy, Woelk, Christopher H., Chrousos, Geroge P. and Garbis, Spiros D. (2016) Sex specific vitamin D effects on blood coagulation among overweight adults. European Journal of Clinical Investigation, 1-22. (doi:10.1111/eci.12688). (PMID:27727459)

Record type: Article

Abstract

BACKGROUND: Overweight adults are at increased risk for cardiovascular disease and vitamin D deficiency, whereas an important feature to vitamin D physiology is its sex dependence. The aim of this study was to examine whether vitamin D status improvement exerts a sexually dimorphic effect on serum proteins associated with cardiovascular risk among overweight adults.

METHODS: Unprocessed serum from age- and BMI-matched men (n=26) and pre-menopausal women (n=24) with vitamin D deficiency and after they achieved sufficiency through a 12-month nutritional intervention was analyzed using our previously published depletion-free, quantitative proteomics method. Key findings were verified with ELISA. Differentially expressed proteins were subjected to in silico bioinformatics assessment using Principal Component Analysis, hierarchical clustering and Metacore™ pathway analysis. All mass spectrometry proteomic data are available via ProteomeXchange (identifier: PXD003663).

RESULTS: A total of 282 proteins were differentially expressed after the intervention between men and women (p-value ? 0.05), in which the blood coagulation pathway was significantly enriched. In agreement with the proteomics findings, ELISA measurements showed vitamin-K dependent protein C, von Willebrand factor, fibrinogen gamma chain and multimerin-1 proteins, of relevance to blood coagulation, to be differentially affected (p-value ? 0.05) between sexes after vitamin D status correction.

CONCLUSIONS: This study identified novel protein-level molecular indicators on the sexually dimorphic effect of vitamin D status correction associated with blood coagulation among overweight adults. These sex-mediated vitamin D effects should be factored in the design and interpretation of vitamin D observational and interventional studies testing cardiometabolic outcomes.

Text
Al-Daghri_et_al-Sex specific vitamin D effects on blood coagulation among overweight adults_2016-European_Journal_of_Clinical_Investigation.pdf - Accepted Manuscript
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More information

Accepted/In Press date: 6 October 2016
e-pub ahead of print date: 11 October 2016
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 401544
URI: http://eprints.soton.ac.uk/id/eprint/401544
ISSN: 0014-2972
PURE UUID: 1b9dc2e7-82a6-44d4-8d69-8f189382e267
ORCID for Ashley Heinson: ORCID iD orcid.org/0000-0001-8695-6203
ORCID for Spiros D. Garbis: ORCID iD orcid.org/0000-0002-1050-0805

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Date deposited: 18 Oct 2016 12:48
Last modified: 15 Mar 2024 05:58

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Contributors

Author: Nasser M. Al-Daghri
Author: Majed S. Alokail
Author: Antigoni Manousopoulou
Author: Ashley Heinson ORCID iD
Author: Oman Al-Attas
Author: Yousef Al-Saleh
Author: Shaun Sabico
Author: Sobhy Yakout
Author: Christopher H. Woelk
Author: Geroge P. Chrousos
Author: Spiros D. Garbis ORCID iD

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