The Effect of Vitamin-D Supplementation on HDAC2 Levels in Stable COPD Patients

ABSTRACT

Background Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of global mortality, with persistent lung inflammation contributing to disease progression. This inflammation is partly associated with reduced levels of histone deacetylase 2 (HDAC2). Previous studies suggest that Vitamin D may modulate HDAC2 levels. This study aimed to evaluate the effect of Vitamin D supplementation on HDAC2 expression in stable COPD patients. This experimental study aimed to evaluate the effect of vitamin D supplementation on HDAC2 expression in stable COPD patients at Jemursari Islamic Hospital.

Methods Five COPD patients received a daily dose of 5000 IU of Vitamin D for three months. Serum levels of 25(OH)D3 and HDAC2 were measured before and after the intervention.

Results Vitamin D supplementation resulted in a significant increase in both 25(OH)D3 and HDAC2 levels. Pulmonary function parameters showed an increasing trend, however, no statistically significant differences were observed.

Conclusion Vitamin D supplementation was associated with increased HDAC2 levels, suggesting a potential anti-inflammatory effect. However, no significant improvement in pulmonary function was observed. Further studies are needed to determine its clinical impact.

Competing Interest Statement

The authors have declared no competing interest.

Clinical Trial

TCTR20260405002

Funding Statement

This research was supported by Universitas Nahdlatul Ulama Surabaya (UNUSA) under the Letter of Assignment No. 023.92/UNUSA-LPPM/Adm.E/ST-Pen/III/2024

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

This study was approved by the Ethics Committee of Komisi Etik Penelitian Kesehatan Rumah Sakit Islam Surabaya Jemursari, with approval number 052/KEPK-RSISJS/V/2024.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

DATA AVAILABILITY

The data supporting the findings of this study are available from the corresponding author upon reasonable request. All relevant data generated or analyzed during this study are included in this published article.

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