1,25-Dihydroxyvitamin D3 reduces early mortality post severe burn injury via alleviating endotoxemia, oxidative stress and inflammation

Burns. 2024 Sep;50(7):1790-1798. doi: 10.1016/j.burns.2024.05.009. Epub 2024 May 8.

Abstract

Severe burn patients frequently suffer from 1,25-Dihydroxyvitamin D3 (1,25-[OH]2-D3) deficiency. In this study, we investigated the effect of 1,25-[OH]2-D3 on early mortality post severe burn and potential underlying mechanisms. Our results indicate that 1,25-[OH]2-D3 significantly reduced early mortality in mice post severe burn injury. A decrease in serum lipopolysaccharide levels and an increase in serum superoxide dismutase activity were found after administration of 1,25-[OH]2-D3. Furthermore, 1,25-[OH]2-D3 demonstrated protective effects on both intestinal and lung histology and ameliorated lung inflammation. Its anti-inflammatory effect was further confirmed in airway epithelial cells. In conclusion, our study provides evidence that 1,25-[OH]2-D3 has a significant impact on the reduction of early mortality post severe burn injury, possibly through its ability to alleviate endotoxemia, oxidative stress, and inflammation. Our findings highlight the potential of 1,25-[OH]2-D3 to protect the intestinal mucosal barrier in the early stage following major burn injury and opens up new avenues for clinical application of 1,25-[OH]2-D3 in burn patients.

Keywords: 1; 25-Dihydroxyvitamin D3; Inflammation; LPS; Oxidative stress; Severe burn injury.

MeSH terms

  • Animals
  • Burns* / complications
  • Burns* / metabolism
  • Burns* / mortality
  • Calcitriol / pharmacology
  • Calcitriol / therapeutic use
  • Disease Models, Animal
  • Endotoxemia* / drug therapy
  • Endotoxemia* / mortality
  • Inflammation*
  • Intestinal Mucosa* / drug effects
  • Intestinal Mucosa* / metabolism
  • Intestinal Mucosa* / pathology
  • Lipopolysaccharides / pharmacology
  • Lung / drug effects
  • Lung / metabolism
  • Lung / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Oxidative Stress* / drug effects
  • Pneumonia / prevention & control
  • Superoxide Dismutase / metabolism
  • Vitamins / pharmacology
  • Vitamins / therapeutic use

Substances

  • Calcitriol
  • Superoxide Dismutase
  • Lipopolysaccharides
  • Vitamins