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[Internal diseases]
Elena Otarievna Demurcheva; Pavel Koroy; Alexandr Yagoda;
The aim of the investigation was to study the relationship of serum vitamin D levels with cardiometabolic risk factors in 171 patients with non-alcoholic fatty liver disease (NAFLD) associated with type 2 diabetes mellitus. In NAFLD, cytolytic, mesenchymal inflammatory and cholestatic syndromes of liver pathology, as well as the characteristics of the unfavorable course of type 2 diabetes mellitus were associated with a decrease in the concentration of vitamin D in the blood. Cardiometabolic risk factors (obesity, dyslipidemia, arterial hypertension, and metabolic syndrome) had no effect on serum vitamin D levels in patients with NAFLD, except for its lower values in cases of decreased high-density lipoproteins.
References:
1. Younossi Z. M., Golabi P., Paik J. M., Henry A., Van Dongen C. [et al.]. The global epidemiology of nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH): a systematic review. Hepatology. 2023;77(4):1335-1447. https://doi.org/10.1097/HEP.0000000000000004
2. Lee S., Jin M. H., Yoon J.-H. The contribution of vitamin D insufficiency to the onset of steatotic liver disease among individuals with metabolic dysfunction. Sci. Rep. 2024;14:6714. https://doi.org/10.1038/s41598-024-57380-9
3. Ravaioli F., Pivetti A., Di Marco L., Chrysanthi C., Frassanito G. [et al.]. Role of vitamin D in liver disease and complications of advanced chronic liver disease. Int. J. Mol. sci. 2022;23:9016. https://doi.org/10.3390/ijms23169016
4. Wang Y., Dan L., Fu T., Sun Y., Chen J. [et al.]. Serum 25-hydroxyvitamin D, type 2 diabetes, and liver-related outcomes: secondary data analysis of a prospective recruited cohort. Hepatol. Commun. 2023;7(11):e0291. https://doi.org/10.1097/HC9.0000000000000291
5. Cui A., Zhang T., Xiao P., Fan Z., Wang H. [et al.]. Global and regional prevalence of vitamin D deficiency in population-based studies from 2000 to 2022: a pooled analysis of 7.9 million participants. Front. Nutr. 2023;10:1070808. https://doi.org/10.3389/fnut.2023.1070808
6. Rihal V., Khan H., Kaur A., Singh T. G. Vitamin D as therapeutic modulator in cerebrovascular diseases: a mechanistic perspectives. Crit. Rev. Food Sci. Nutr. 2023;63(25):7772-7794. https://doi.org/10.1080/10408398.2022.2050349
7. Stepan M. D., Vintilescu S. B., Streată I., Podeanu M. A., Florescu D. N. The role of vitamin D in obese children with non-alcoholic fatty liver disease and associated metabolic syndrome. Nutrients. 2023;15(9):2113. https://doi.org/10.3390/nu15092113
8. Marziou A., Philouze C., Couturier C., Astier J., Obert P. [et al.]. Vitamin D supplementation improves adipose tissue inflammation and reduces hepatic steatosis in obese C57BL/6J mice. Nutrients. 2020;12(2):342. https://doi.org/10.3390/nu1202034
9. Znakharenko E. A., Gerasimenko O. N., Maksimov V. N. Clinical and molecular characteristics and peculiarities of nutritional status in non-alcoholic fatty liver disease. Therapy. 2025;11(5):26-35. (In Russ.). https://doi.org/10.18565/therapy.2025.5.26-35
10. Huang N., Su X., Yu T., Wu X., Lu B. [et al.]. Serum 25-hydroxy vitamin D level is associated with elastogra phy-detected liver fibrosis in patients with type 2 diabetes mellitus in China. Front. Endocrinol. 2024;15:1420088. https://doi.org/10.3389/fendo.2024.1420088
11. Yagoda A. V., Koroy P. V., Demurcheva E. O., Hvatalin N. E., Svetogurova A. D. [et al.]. Vitamin D as a marker of non-alcoholic fatty liver disease in patients with type 2 diabetes mellitus. Medical News of North Caucasus. 2023;18(2):131-135. https://doi.org/10.14300/mnnc.2023.18028
12. Yu H., Su X., Tao W., Sun W., Zhang X. [et al.]. Prevalence and characteristics of liver steatosis and fibrosis in type 2 diabetes mellitus (T2DM) patients: a cross-sectional study in populations of eastern China. BMJ Open. 2024;14:e087550. https://doi.org/10.1136/bmjopen-2024-087550
13. Zhao X., Sun J., Xin S., Xu X., Zhang X. Correlation between serum 25 (OH) D levels with insulin resistance and metabolic associated fatty liver disease – a retrospective study based on hinese patients with newly diagnosed type 2 diabetes mellitus. Curr. Diabetes Rev. 2025;21(7):56-66. https://doi.org/10.2174/0115733998297640240611065605
14. Kim Y., Chang Y., Ryu S., Cho I. Y., Kwon M.-J. [et al.]. Resolution of, and risk of incident nonalcoholic fatty liver disease with changes in serum 25-hydroxyvitamin D status. J. Clin. Endocrinol. Metabol. 2022;107(8):e3437-e3447. https://doi.org/10.1210/clinem/dgac255
15. Ciardullo S., Muraca E., Cannistraci R., Perra S., Lattuada G. [et al.]. Low 25 (OH) vitamin D levels are associated with increased prevalence of nonalcoholic fatty liver disease and significant liver fibrosis. Diabetes Metab. Res. Rev. 2023;39(5):e3628. https://doi.org/10.1002/dmrr.3628
16. Ji Y., Wei C.-B., Gu W., Hou L.-L. Relevance of vitamin D on NAFLD and liver fibrosis detected by vibration controlled transient elastography in US adults: a cross-sectional analysis of NHANES 2017-2018. Ann. Med. 2023;55(1):2209335. https://doi.org/10.1080/07853890.2023.2209335
17. Barchetta I., Cimini F. A., Cavallo M. G. Vitamin D and metabolic dysfunction-associated fatty liver disease (MAFLD): an update. Nutrients. 2020;12:3302. https://doi.org/10.3390/nu12113302
18. Ionica M., Aburel O. M., Vaduva A., Petrus A., Rațiu S. [et al.]. Vitamin D alleviates oxidative stress in adipose tissue and mesenteric vessels from obese patients with subclinical inflammation. Can. J. Physiol. Pharmacol. 2020;98:85-92. https://doi.org/10.1139/cjpp-2019-0340
19. Liu Y., Wang M., Xu W., Zhang H., Qian W. [et al.]. Active vitamin D supplementation alleviates initiation and progression of nonalcoholic fatty liver disease by repressing the p53 pathway. Life Sci. 2020;241:117086. https://doi.org/10.1016/j.lfs.2019.117086
20. Izadi A., Aliasghari F., Gargari B. P., Ebrahimi S. Strong association between serum vitamin D and vaspin levels, AIP, VAI and liver enzymes in NAFLD patients. Int. J. Vitam. Nutr. Res. 2020;90:59-66. https://doi.org/10.1024/0300-9831/a000443
21. Kumar M., Parchani A., Kant R., Das A. Relationship between vitamin D deficiency and non-alcoholic fatty liver disease: a cross-sectional study from a tertiary care center in Northern India. Cureus. 2023;15(2):e34921. https://doi.org/10.7759/cureus.34921
22. Ebrahimpour-Koujan S., Sohrabpour A. A., Giovannucci E., Vatannejad A., Esmaillzadeh A. Effects of vitamin D supplementation on liver fibrogenic factors, vitamin D receptor and liver fibrogenic microRNAs in metabolic dysfunction-associated steatotic liver disease (MASLD) patients: an exploratory randomized clinical trial. Nutrition J. 2024;23:24. https://doi.org/10.1186/s12937-024-00911-x
23. Park D., Kwon H., Oh S.-W., Joh H. K., Hwang S. S. [et al.]. Is vitamin D an independent risk factor of nonalcoholic fatty liver disease?: a cross-sectional study of the healthy population. J. Korean Med. Sci. 2017;32:95-101. https://doi.org/10.3346/jkms.2017.32.1.95
24. Wan B., Gao Y., Zheng Y., Chen R. Association between serum 25-hydroxy vitamin D level and metabolic associated fatty liver disease (MAFLD) – a population-based study. Endocrine J. 2021;68(6):631-637.
25. Xing Y., Cheng T., Zhou F., Ma H. The association between vitamin D and type 2 diabetes mellitus complicated with non-alcoholic fatty liver disease: an observational cross-sectional study. Diabetes Metab. Syndr. Obes. 2022;15:269-280. https://doi.org/10.2147/DMSO.S348870
26. Adolph T. E., Grander C., Grabherr F., Tilg H. Adipokines and non-alcoholic fatty liver disease: multiple interactions. Int. J. Mol. Sci. 2017;18:E1649. https://doi.org/10.3390/ijms18081649
27. Pop T. L., Sîrbe C., Benta G., Mititelu A., Grama A. The role of vitamin D and vitamin D binding protein in chronic liver diseases. Int. J. Mol. Sci. 2022;23:10705. https://doi.org/10.3390/ijms231810705
28. Taderegew M. M., Woldeamanuel G. G., Wondie A., Getawey A., Abegaz A. N. [et al.]. Vitamin D deficiency and its associated factors among patients with type 2 diabetes mellitus: a systematic review and meta-analysis. BMJ Open. 2023;13:e075607. https://doi.org/10.1136/bmjopen-2023-075607
29. Chen X., Wan Z., Geng T., Zhu K., Li R. [et al.]. Vitamin D status, vitamin D receptor polymorphisms, and risk of microvascular complications among individuals with type 2 diabetes: a prospective study. Diabetes. Care. 2023;46(2):270-277. https://doi.org/10.2337/dc22-0513
30. Cai J., Zhang Z., Liu J., Xiao X., Wang C. [et al.]. Correlation between serum 25-OH vitamin D expression and non-alcoholic fatty liver disease. Exp. Ther. Med. 2020;19(3):1681-1686. https://doi.org/10.3892/etm.2020.8411
31. Wang M., Wang M., Zhang R., Shen C., Zhang L. [et al.]. Influences of vitamin D levels and vitamin D-binding protein polymorphisms on nonalcoholic fatty liver disease risk in a Chinese Population. Ann. Nutr. Metab. 2022;78:61-72. https://doi.org/10.1159/000522193
32. Taban L., Stoian D., Timar B., Amzar D., Adela C. [et al.]. Vitamin D status and steatohepatitis in obese diabetic and non-diabetic patients. J. Clin. Med. 2022;11:5482. https://doi.org/10.3390/jcm11185482
33. Bouillon R., Schuit F., Antonio L., Rastinejad F. Vitamin D binding protein: a historic overview. Front. Endocrinol. 2020;10:910. https://doi.org/10.3389/fendo.2019.00910
Keywords: non-alcoholic fatty liver disease, vitamin D, cardiometabolic risk factors