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1.
J Phys Chem Lett ; : 11361-11373, 2024 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-39503286

RESUMO

Cryogenic solid para-hydrogen (p-H2) exhibits pronounced quantum effects, enabling unique experiments that are typically not possible in noble-gas matrices. The diminished cage effect facilitates the production of free radicals via in situ photolysis or photoinduced reactions. Electron bombardment during deposition readily produces protonated and hydrogenated species, such as polycyclic aromatic hydrocarbons, that are important in astrochemistry. In addition, quantum diffusion delocalizes hydrogen atoms in solid p-H2, allowing efficient H atom reactions with astrochemical species and introducing new concepts in astrochemical models. Some H atom reactions display anomalous temperature behaviors, highlighting the rich chemistry in p-H2. The investigation on quantum diffusion of heavier atoms and molecules is also important for our understanding of the chemistry in interstellar ice. Additionally, matrix shifts of electronic transitions of polycyclic aromatic hydrocarbons in p-H2 are less divergent than those in solid Ne such that systematic measurements in p-H2 might help in the assignment of diffuse interstellar bands.

2.
J Am Chem Soc ; 146(33): 23306-23320, 2024 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-39121440

RESUMO

Glycolaldehyde [HOCH2C(O)H, GA], the primitive sugar-like molecule detected in the interstellar medium (ISM), is a potential precursor for the synthesis of complex sugars. Despite its importance, the mechanism governing the formation of these higher-order sugars from GA under interstellar circumstances remains elusive. Radical intermediates HOCH2CH2O• (1), HOCH2C•HOH (2), HOCH2C•O (3), HOC•HC(O)H (4), and O•CH2C(O)H (5) derived from GA could be potential precursors for the formation of glyceraldehyde (aldose sugar), dihydroxyacetone (ketose sugar), and ethylene glycol (sugar alcohol) in dark regions of ISM. However, the spectral identification of these intermediates and their roles were little investigated. We conducted reactions involving H atoms and the Cis-cis conformer of GA (Cc-GA) in solid p-H2 at 3.2 K and identified IR spectra of radicals Cc-HOCH2C•O (3) and Cc-HOC•HC(O)H (4) produced from H abstraction as well as closed-shell HOCHCO (6) produced via consecutive H abstraction of GA. In addition, Cc-HOCH2CH2O• (1) and C•H2OH + H2CO (7) were produced through the H addition and the H-induced fragmentation channels, respectively. In darkness, when only H-tunneling reactions occurred, the formation of (3) was major and that of (1) was minor. In contrast, during IR irradiation to produce H atoms with higher energy, the formation of (4) and C•H2OH + H2CO (7) became important. We also successfully converted most Cc-GA to the second-lowest-energy conformer Trans-trans-GA (Tt-GA) by prolonged IR irradiation at 2827 nm to investigate H + Tt-GA; Tt-HOCH2C•O (3'), Tt-HOC•HC(O)H (4'), HOCHCO (6), Tt-HOCH2CH2O• (1'), and C•H2OH + H2CO (7) were observed. We discuss possible routes for the formation of higher-order sugars or related compounds involving (7), (1), (3), and (4), but neither (2), which was proposed previously, nor (5) plays a significant role in H + GA. Such previously unreported rich chemistry in the reaction of H + GA, with four channels of three distinct types, indicates the multiple roles that GA might play in astronomical chemistry.

3.
Chem Rev ; 124(13): 8550-8595, 2024 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-38885177

RESUMO

Biomolecular condensates, formed through phase separation, are upending our understanding in much of molecular, cell, and developmental biology. There is an urgent need to elucidate the physicochemical foundations of the behaviors and properties of biomolecular condensates. Here we aim to fill this need by writing a comprehensive, critical, and accessible review on the fundamental aspects of phase-separated biomolecular condensates. We introduce the relevant theoretical background, present the theoretical basis for the computation and experimental measurement of condensate properties, and give mechanistic interpretations of condensate behaviors and properties in terms of interactions at the molecular and residue levels.


Assuntos
Condensados Biomoleculares , Condensados Biomoleculares/química , Condensados Biomoleculares/metabolismo , Proteínas/química , Proteínas/metabolismo , Humanos , Transição de Fase
4.
bioRxiv ; 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38798623

RESUMO

Condensates formed by intrinsically disordered proteins mediate a myriad of cellular processes and are linked to pathological conditions including neurodegeneration. Rules of how different types of amino acids (e.g., π-π pairs) dictate the physical properties of biomolecular condensates are emerging, but our understanding of the roles of different amino acids is far from complete. Here we studied condensates formed by tetrapeptides of the form XXssXX, where X is an amino acid and ss represents a disulfide bond along the backbone. Eight peptides form four types of condensates at different concentrations and pH values: droplets (X = F, L, M, P, V, A); amorphous dense liquids (X = L, M, P, V, A); amorphous aggregates (X = W), and gels (X = I, V, A). The peptides exhibit enormous differences in phase equilibrium and material properties, including a 368-fold range in the threshold concentration for phase separation and a 3856-fold range in viscosity. All-atom molecular dynamics simulations provide physical explanations of these results. The present work also reveals widespread critical behaviors, including critical slowing down manifested by the formation of amorphous dense liquids and critical scaling obeyed by fusion speed, with broad implications for condensate function.

5.
J Orthop Case Rep ; 14(5): 36-41, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38784875

RESUMO

Introduction: Low back pain persisting after spine surgery presents diagnostic and treatment complexities for spine surgeons. Failed back syndrome is a term usually used to characterize chronic back or leg pain following spine surgery. Research has indicated a range of persistent pain occurrences after spine surgery. The sacroiliac joint (SIJ) has been recognized as a potential source of pain for a long time but has not received sufficient attention in subsequent years. Dysfunctions in the SIJ can result in a spectrum of clinical conditions, such as low back pain and lower limb radiculopathy. Traditional treatment approaches for SIJ disorders often involve conservative measures such as physical therapy, medications, intra-articular injections, and surgical options. In the past decade, endoscopic SIJ ablation has emerged as a minimally invasive alternative for managing SIJ pain and dysfunction. This approach combines minimal invasiveness with precise targeting, potentially reducing morbidity and enabling quicker recovery compared to open surgical procedures. Case Report: A 60-year-old female patient with grade 2 L5-S1 lytic listhesis initially underwent lumbar interbody fusion to address chronic low back pain and radiculopathy, resulting in significant symptom resolution for a brief period. The patient experienced a resurgence of symptoms within a short duration that proved refractory to conventional medical management and interventional pain management procedures. Ultimately, the patient achieved sustained relief after undergoing endoscopic SIJ ablation. Conclusion: This case report highlights the importance of endoscopic SIJ ablation as an innovative treatment for recurrent lower limb radiculopathy. Focusing on the SIJ, often neglected in lumbar spine surgery, this minimally invasive procedure shows promise in alleviating symptoms and enhancing patient outcomes.

6.
J Am Chem Soc ; 146(2): 1326-1336, 2024 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-38174879

RESUMO

Adenosine triphosphate (ATP) is an abundant molecule with crucial cellular roles as the energy currency and a building block of nucleic acids and for protein phosphorylation. Here we show that ATP mediates the phase separation of basic intrinsically disordered proteins (bIDPs). In the resulting condensates, ATP is highly concentrated (apparent partition coefficients up to 7700) and serves as bridges between bIDP chains. These liquid-like droplets have some of the lowest interfacial tension (∼25 pN/µm) but high zero-shear viscosities (1-15 Pa s) due to the bridged protein networks, and yet their fusion has some of the highest speeds (∼1 µm/ms). The rapid fusion manifests extreme shear thinning, where the apparent viscosity is lower than zero-shear viscosity by over 100-fold, made possible by fast reformation of the ATP bridges. At still higher concentrations, ATP does not dissolve bIDP droplets but results in aggregates and fibrils.


Assuntos
Trifosfato de Adenosina , Proteínas Intrinsicamente Desordenadas , Trifosfato de Adenosina/metabolismo , Separação de Fases
7.
Commun Biol ; 6(1): 1109, 2023 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-37914906

RESUMO

The SARS-CoV-2 E protein is a transmembrane (TM) protein with its N-terminus exposed on the external surface of the virus. At debate is its oligomeric state, let alone its function. Here, the TM structure of the E protein is characterized by oriented sample and magic angle spinning solid-state NMR in lipid bilayers and refined by molecular dynamics simulations. This protein was previously found to be a pentamer, with a hydrophobic pore that appears to function as an ion channel. We identify only a front-to-front, symmetric helix-helix interface, leading to a dimeric structure that does not support channel activity. The two helices have a tilt angle of only 6°, resulting in an extended interface dominated by Leu and Val sidechains. While residues Val14-Thr35 are almost all buried in the hydrophobic region of the membrane, Asn15 lines a water-filled pocket that potentially serves as a drug-binding site. The E and other viral proteins may adopt different oligomeric states to help perform multiple functions.


Assuntos
COVID-19 , SARS-CoV-2 , Humanos , Sequência de Aminoácidos , Estrutura Secundária de Proteína , Ressonância Magnética Nuclear Biomolecular , Proteínas de Membrana/química
8.
Commun Biol ; 6(1): 1184, 2023 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-37989804

RESUMO

Amyloid beta (Aß) aggregation is a slow process without seeding or assisted nucleation. Sodium dodecyl sulfate (SDS) micelles stabilize Aß42 small oligomers (in the dimer to tetramer range); subsequent SDS removal leads to a 150-kD Aß42 oligomer. Dodecylphosphorylcholine (DPC) micelles also stabilize an Aß42 tetramer. Here we investigate the detergent-assisted oligomerization pathway by solid-state NMR spectroscopy and molecular dynamics simulations. SDS- and DPC-induced oligomers have the same structure, implying a common oligomerization pathway. An antiparallel ß-sheet formed by the C-terminal region, the only stable structure in SDS and DPC micelles, is directly incorporated into the 150-kD oligomer. Three Gly residues (at positions 33, 37, and 38) create holes that are filled by the SDS and DPC hydrocarbon tails, thereby turning a potentially destabilizing feature into a stabilizing factor. These observations have implications for endogenous Aß aggregation at cellular interfaces.


Assuntos
Peptídeos beta-Amiloides , Detergentes , Peptídeos beta-Amiloides/metabolismo , Micelas , Estrutura Secundária de Proteína
9.
bioRxiv ; 2023 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-37645809

RESUMO

ATP is an abundant molecule with crucial cellular roles as the energy currency and a building block of nucleic acids and for protein phosphorylation. Here we show that ATP mediates the phase separation of basic intrinsically disordered proteins (bIDPs). In the resulting condensates, ATP is highly concentrated (apparent partition coefficients at 200-5000) and serves as bridges between bIDP chains. These liquid-like droplets have some of the lowest interfacial tension (~25 pN/µm) but high zero-shear viscosities (1-15 Pa s) due to the bridged protein networks, and yet their fusion has some of the highest speeds (~1 µm/ms). The rapid fusion manifests extreme shear thinning, where the apparent viscosity is lower than zero-shear viscosity by over 100-fold, made possible by fast reformation of the ATP bridges. At still higher concentrations, ATP does not dissolve bIDP droplets but results in aggregates and fibrils.

10.
bioRxiv ; 2023 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-37214926

RESUMO

The SARS-CoV-2 E protein is a transmembrane (TM) protein with its N-terminus exposed on the external surface of the virus. Here, the TM structure of the E protein is characterized by oriented sample and magic angle spinning solid-state NMR in lipid bilayers and refined by molecular dynamics simulations. This protein has been found to be a pentamer, with a hydrophobic pore that appears to function as an ion channel. We identified only a symmetric helix-helix interface, leading to a dimeric structure that does not support channel activity. The two helices have a tilt angle of only 6°, resulting in an extended interface dominated by Leu and Val sidechains. While residues Val14-Thr35 are almost all buried in the hydrophobic region of the membrane, Asn15 lines a water-filled pocket that potentially serves as a drug-binding site. The E and other viral proteins may adopt different oligomeric states to help perform multiple functions.

11.
Nat Commun ; 14(1): 1623, 2023 03 23.
Artigo em Inglês | MEDLINE | ID: mdl-36959168

RESUMO

Kinetics of NMDA receptor (NMDAR) ion channel opening and closing contribute to their unique role in synaptic signaling. Agonist binding generates free energy to open a canonical gate at the M3 helix bundle crossing. Single channel activity is characterized by clusters, or periods of rapid opening and closing, that are separated by long silent periods. A conserved glycine in the outer most transmembrane helices, the M4 helices, regulates NMDAR function. Here we find that the GluN1 glycine mainly regulates single channel events within a cluster, whereas the GluN2 glycine mainly regulates entry and exit from clusters. Molecular dynamics simulations suggest that, whereas the GluN2 M4 (along with GluN2 pre-M1) regulates the gate at the M3 helix bundle crossing, the GluN1 glycine regulates a 'gate' at the M2 loop. Subsequent functional experiments support this interpretation. Thus, the distinct kinetics of NMDARs are mediated by two gates that are under subunit-specific regulation.


Assuntos
N-Metilaspartato , Receptores de N-Metil-D-Aspartato , Receptores de N-Metil-D-Aspartato/química , Ativação do Canal Iônico/fisiologia , Simulação de Dinâmica Molecular , Glicina/metabolismo
12.
Phys Chem Chem Phys ; 25(17): 11934-11950, 2023 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-36916330

RESUMO

Protonated polycyclic aromatic nitrogen heterocycles (H+PANH) are prospective candidates that may contribute to interstellar unidentified infrared (UIR) emission bands because protonation enhances the relative intensities of the bands near 6.2, 7.7 and 8.6 µm, and the presence of the N atom induces a blue shift of the ring-stretching modes so that the spectra of H+PANH match better with the 6.2 µm feature in class-A UIR spectra. We report the infrared (IR) spectra of protonated isoquinoline (the 2-isoquinolinium cation, iso-C9H7NH+), its neutral counterpart (the 2-isoquinolinyl radical, iso-C9H7NH), and another mono-hydrogenated product (the 6-isoquinolinyl radical, 6-iso-HC9H7N), produced on the electron-bombardment of a mixture of isoquinoline (iso-C9H7N) with excess para-hydrogen (p-H2) during matrix deposition at 3.2 K. To generate additional isomers of hydrogenated isoquinoline, we irradiated iso-C9H7N/Cl2/p-H2 matrices at 365 nm to generate Cl atoms, followed by IR irradiation to generate H atoms via Cl + H2 (v = 1) → HCl + H; the H atoms thus generated reacted with iso-C9H7N. In addition to iso-C9H7NH and 6-iso-HC9H7N observed in the electron-bombardment experiments, we identified six additional hydrogenated isoquinoline species, 1-, 3-, 4-, 5-, 7- and 8-iso-HC9H7N, via their IR spectra; hydrogenation on the N atom and all available carbon atoms except for the two sharing carbon atoms on the fused ring was observed. Spectral groupings were achieved according to their behaviors after maintenance of the matrix in darkness and on secondary photolysis at various wavelengths. The assignments were supported via comparison of the experimental results with the vibrational wavenumbers and IR intensities of possible isomers predicted using the B3LYP/6-311++G(d,p) method. The implications in the identification of the UIR band are discussed.

13.
J Phys Chem Lett ; 14(2): 460-467, 2023 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-36622967

RESUMO

Whether the structure of C6H6X (X = halogen), an intermediate in the halogenation of benzene, is an open or a bridged form has been debated. We produced Br to react with C6H6 upon photolysis in situ of a Br2/C6H6/p-H2 matrix at 3.2 K. In contrast to the C6H6Cl σ-complex reported previously, the observed infrared spectrum indicates that C6H6Br is an open-form π-complex. Furthermore, lines of the two CH out-of-plane bending modes associated mainly with even- and odd-numbered carbons, predicted near 672 and 719 cm-1, merged into a broad line at 697.3 cm-1, indicating that these modes become nearly equivalent as Br migrates from one carbon atom to another. Quantum-chemical calculations support that the benzene ring performs a bevel-gear-type rotation with respect to Br. Observation of only trans-ortho- and trans-para-C6H6Br2 suggests that this gear-type motion allows the additional Br atom to attack C6H6Br only from the opposite side of the Br atom in C6H6Br.

14.
Front Mol Biosci ; 9: 1021939, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36353733

RESUMO

Phase separation of intrinsically disordered proteins (IDPs) is a phenomenon associated with many essential cellular processes, but a robust method to compute the binodal from molecular dynamics simulations of IDPs modeled at the all-atom level in explicit solvent is still elusive, due to the difficulty in preparing a suitable initial dense configuration and in achieving phase equilibration. Here we present SpiDec as such a method, based on spontaneous phase separation via spinodal decomposition that produces a dense slab when the system is initiated at a homogeneous, low density. After illustrating the method on four model systems, we apply SpiDec to a tetrapeptide modeled at the all-atom level and solvated in TIP3P water. The concentrations in the dense and dilute phases agree qualitatively with experimental results and point to binodals as a sensitive property for force-field parameterization. SpiDec may prove useful for the accurate determination of the phase equilibrium of IDPs.

15.
Membranes (Basel) ; 12(8)2022 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-36005688

RESUMO

The functional processes of many proteins involve the association of their intrinsically disordered regions (IDRs) with acidic membranes. We have identified the membrane-association characteristics of IDRs using extensive molecular dynamics (MD) simulations and validated them with NMR spectroscopy. These studies have led to not only deep insight into functional mechanisms of IDRs but also to intimate knowledge regarding the sequence determinants of membrane-association propensities. Here we turned this knowledge into a web server called ReSMAP, for predicting the residue-specific membrane-association propensities from IDR sequences. The membrane-association propensities are calculated from a sequence-based partition function, trained on the MD simulation results of seven IDRs. Robustness of the prediction is demonstrated by leaving one IDR out of the training set. We anticipate there will be many applications for the ReSMAP web server, including rapid screening of IDR sequences for membrane association.

16.
J Biomol Struct Dyn ; 40(15): 7129-7142, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-34060418

RESUMO

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causative agent for the COVID-19. The Sulfonamides groups have been widely introduced in several drugs, especially for their antibacterial activities and generally prescribed for respiratory infections. On the other hand, imidazole groups have the multipotency to act as drugs, including antiviral activity. We have used a structure-based drug design approach to design some imidazole derivatives of sulfonamide, which can efficiently bind to the active site of SARS-CoV-2 main protease and thus may have the potential to inhibit its proteases activity. We conducted molecular docking and molecular dynamics simulation to observe the stability and flexibility of inhibitor complexes. We have checked ADMET (absorption, distribution, metabolism, excretion and toxicity) and drug-likeness rules to scrutinize toxicity and then designed the most potent compound based on computational chemistry. Our small predicted molecule non-peptide protease inhibitors could provide a useful model in the further search for novel compounds since it has many advantages over peptidic drugs, like lower side effects, toxicity and less chance of drug resistance. Further, we confirmed the stability of our inhibitor-complex and interaction profile through the Molecular dynamics simulation study. Our small predicted moleculeCommunicated by Ramaswamy H. Sarma.


Assuntos
Tratamento Farmacológico da COVID-19 , Antivirais/química , Antivirais/farmacologia , Humanos , Imidazóis , Simulação de Acoplamento Molecular , Simulação de Dinâmica Molecular , Inibidores de Proteases/química , Inibidores de Proteases/farmacologia , SARS-CoV-2 , Sulfonamidas/farmacologia
17.
Commun Chem ; 5(1): 62, 2022 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-36697745

RESUMO

Methylamine CH3NH2 is considered to be an important precursor of interstellar amino acid because hydrogen abstraction might lead to the aminomethyl radical •CH2NH2 that can react with •HOCO to form glycine, but direct evidence of the formation and spectral identification of •CH2NH2 remains unreported. We performed the reaction H + CH3NH2 in solid p-H2 at 3.2 K and observed IR spectra of •CH2NH2 and CH2NH upon irradiation and when the matrix was maintained in darkness. Previously unidentified IR spectrum of •CH2NH2 clearly indicates that •CH2NH2 can be formed from the reaction H + CH3NH2 in dark interstellar clouds. The observed dual-cycle mechanism containing two consecutive H-abstraction and two H-addition steps chemically connects CH3NH2 and CH2NH in interstellar media and explains their quasi-equilibrium. Experiments on CD3NH2 produced CD2HNH2, in addition to •CD2NH2 and CD2NH, confirming the occurrence of H addition to •CD2NH2.

18.
Nephrology (Carlton) ; 27(4): 371-375, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-34939711

RESUMO

Although kidney transplantation (KT) has been shown to ameliorate adverse left ventricular (LV) remodelling associated with end stage kidney disease, its effects on the right ventricle have not been well studied. Recently, strain imaging has been shown to be a sensitive measure of early subclinical myocardial dysfunction. Using cardiac magnetic resonance imaging (MRI), we examined the effects of KT on right ventricular (RV) strain parameters. In a cohort of 81 patients (39 patients underwent KT and 42 patients remained on dialysis as control group), cardiac MRI studies were obtained at baseline and at 1 year follow-up. There were no significant differences in RV strain values between the groups at baseline. After 1 year, RV strain values did not significantly change in patients who received KT, and changes in RV strain over 1 year were not significantly different between the KT and the dialysis groups. Given the previously demonstrated improvement in LV strain post-KT, the current study suggests that RV and LV remodelling post-KT may have different mechanisms. Further studies elucidating the effects of KT on RV remodelling are needed.


Assuntos
Ventrículos do Coração , Transplante de Rim , Ventrículos do Coração/diagnóstico por imagem , Humanos , Transplante de Rim/efeitos adversos , Imageamento por Ressonância Magnética , Diálise Renal , Remodelação Ventricular
19.
J Phys Chem Lett ; 12(28): 6744-6751, 2021 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-34264091

RESUMO

The reaction of H atoms with glycine was investigated at 3.1 K in para-H2, a quantum-solid host. The reaction was followed by IR spectroscopy, with the spectral analysis aided by quantum chemical computations. Comparison of the experimental IR spectrum with computed anharmonic frequencies and intensities proved that, regardless of the reactant glycine conformation, Cα-glycyl radical is formed in an H-atom-abstraction process with great selectivity. The product of the second H-atom abstraction, iminoacetic acid, was also observed in a smaller amount. The Cα-glycyl radical is sensitive to UV light and decomposes to iminoacetic acid and H atom upon 280 nm radiation. Since the reactive radical center is located on the Cα-atom, it is suggested that natural α-amino acids can be formed from glycine via the Cα-glycyl radical by non-energetic mechanisms in the solid phase of the interstellar medium.


Assuntos
Glicina/química , Temperatura , Hidrogênio/química , Modelos Moleculares , Conformação Molecular , Processos Fotoquímicos , Teoria Quântica
20.
Prog Transplant ; 31(2): 133-141, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33789542

RESUMO

INTRODUCTION: Given the burden of posttransplant diabetes mellitus and the high prevalence of low vitamin D levels in kidney transplant recipients, it is reasonable to consider vitamin D as a novel and potentially modifiable risk factor in this patient population. RESEARCH QUESTION: To determine the association between 25- hydroxyvitamin D (25(OH)D) level and posttransplant diabetes among kidney transplant recipients. Design: In a multi-center cohort study of 442 patients who received a kidney transplant between January 1, 2005 and December 31, 2010, serum samples within one-year before transplant were analyzed for 25(OH)D levels. The association between 25(OH)D and posttransplant diabetes were examined in Cox proportional hazard models. RESULTS: The median 25(OH)D level was 66 nmol/L. The cumulative probability of diabetes at 12-months by quartiles of 25(OH)D (< 42, 42 to 64.9, 65 to 94.9, and > 95 nmol/L) were 23.4%, 26.9%, 21.4%, and 15.6%, respectively. Compared to the highest 25(OH)D quartile, hazard ratios (95% CI) for the risk were 1.85 (1.03, 3.32), 2.01 (1.12, 3.60), 1.77 (0.96, 3.25) across the first to third quartiles, respectively. The associations were accentuated in a model restricted to patients on tacrolimus. When modeled as a continuous variable, 25(OH)D levels were significantly associated with a higher risk of diabetes (hazard ratio 1.06, 95% CI: 1.01, 1.13 per 10 nmol/L decrease). DISCUSSION: Serum 25(OH)D was an independent predictor of posttransplant diabetes in kidney transplant recipients. These results may inform the design of trials using vitamin D to reduce the risk in kidney transplant recipients.


Assuntos
Diabetes Mellitus , Transplante de Rim , Estudos de Coortes , Diabetes Mellitus/epidemiologia , Humanos , Transplante de Rim/efeitos adversos , Fatores de Risco , Vitamina D , Vitaminas
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