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New Test
Reveals Sun-Diet Deficiencies
From ScienceDaily (6/11) Getting
Enough 'Sunshine Vitamin' May Not Just Be About Catching
Rays, New Blood Test Reveals &emdash; Researchers from
London's Kingston University have developed a new
highly-accurate blood test which can detect how much a
patient's diet could be responsible for a lack of the
so-called 'sunshine vitamin'. Vitamin D deficiencies can
weaken the immune system and increase the risk of cancer and
osteoporosis.
A team headed by Professor Declan
Naughton spent five months developing the new test. For the
first time, the different forms of vitamin D the body
absorbs from diet and sunlight, known as vitamin D2 and
vitamin D3 respectively, can be individually distinguished
from closely related compounds. "Many people know that the
main source of vitamin D is from exposure to sunlight
because humans produce a type of vitamin D naturally from
the action of sun on the skin," Professor Naughton said.
"But what's perhaps less well known is that another type of
the vitamin can be found in foods such as salmon, mackerel,
sardines and egg yolks. Our new test can individually
measure all the forms of vitamin D that matter, and
potentially help us to understand exactly what is causing
any deficiency. Perhaps people just need more sun, or maybe
they should be looking much more closely at their diet
too."
Vitamin D plays a key role in forming
and maintaining strong teeth and bones. Professor Naughton
said vitamin D deficiency remained a major problem in the
Western world, with several studies showing that between 40
and 100 per cent of elderly people in the United States and
Europe do not get enough. Symptoms include fatigue, aching
muscles and bones and in severe cases a deficiency can cause
osteoporosis. GPs in the UK are now routinely administering
vitamin D injections to boost patients' levels.
In future, the new blood test could be
used to help demonstrate the role vitamin D deficiency plays
in illnesses, from diabetes to cancer. Leading cancer expert
Professor Angus Dalgleish from St George's Hospital in
London said he believed the importance of being able to
assess vitamin D levels accurately could not be overstated.
"It's crucial to have a normal vitamin D level and that is
becoming increasingly apparent across a broad range of
diseases, including cardiovascular, neurological and cancer
cases," Professor Dalgleish, a consultant medical oncologist
said. "It is therefore very important to be able to
accurately and reliably measure the different forms of
vitamin D in order to monitor levels and to make sure they
are maintained in the normal range." Many people completely
forgot how the correction of very low levels of vitamin D
completely cured the scourge of rickets, Professor Dalgleish
added. "It would appear that it is not just bone that
requires vitamin D for normal function but nearly all other
tissues as well, particularly blood vessels and the immune
system."
The blood test was devised by
Professor Naughton's team after he identified the need for a
more thorough analysis of the various types of vitamin D.
The team reviewed two decades of research and found that the
exact link between vitamin D deficiency and health and
diseases was unclear, possibly because many forms of the
vitamin are active, but are not always measured rigorously.
"There are also question marks about just what level of
vitamin D is healthy, and it may be that when we talk about
deficiency in future, it should be very clearly broken down
into the different forms of vitamin D arising from diet and
sunlight," Professor Naughton said. The test was developed
using liquid chromatography where a solution is passed
through a column containing beads which are coated with
certain molecules. Different compounds bind to the beads
with varying strength, allowing the vitamin to be separated
from blood constituents. Following chromatography, all
molecules are identified by their size using a term known as
mass spectrometry. This combined method allows separation of
the active forms of vitamin D from inactive related
compounds which can lead to false test results.
Professor Naughton hopes the
development will lead to further trials exploring vitamin D
deficiencies and a range of medical conditions. "We're
already arranging to apply the test to patients in a trial
at a hospital in Saudi Arabia looking at the effects of
vitamin D deficiency in multiple sclerosis patients and
those with other neurological disorders," he
said.
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