Summary
Intense effort has been devoted to understanding predisposition to chronic
systemic inflammation as this contributes to cardiometabolic disease. We demonstrate that
deletion of the macrophage vitamin D receptor (VDR) in mice (KODMAC) is sufficient to
induce insulin resistance by promoting M2 macrophage accumulation in the liver, as well as
increase cytokine secretion and hepatic glucose production. Moreover, VDR deletion
increases atherosclerosis by enabling lipid-laden M2 monocytes to adhere, migrate, and
carry cholesterol into the atherosclerotic plaque, and by increasing macrophage
cholesterol uptake and esterification. Increased foam cell formation results from lack of
VDR-SERCA2b interaction, causing SERCA dysfunction, activation of ER
stress-CaMKII-JNKp-PPARγ signaling, and induction of the scavenger receptors CD36
and SR-A1. BM transplant of VDR-expressing cells into KODMAC mice improved insulin
sensitivity, suppressed atherosclerosis, and decreased foam cell formation. The
immunomodulatory effects of vitamin D in macrophages are thus critical in diet-induced
insulin resistance and atherosclerosis in mice.
Graphical Abstract
Multiple epidemiological studies link vitamin D deficiency to increased cardiovascular disease (CVD), but causality and possible mechanisms underlying these associations are not established. To clarify the role of vitamin D-deficiency in CVD in vivo, we generated mouse models of diet-induced vitamin D deficiency in two backgrounds (LDL receptor- and ApoE-null mice) that resemble humans with diet-induced hypertension and atherosclerosis. Mice were fed vitamin D-deficient or -sufficient chow for 6 weeks and then switched to high fat (HF) vitamin D-deficient or –sufficient diet for 8–10 weeks. Mice with diet-induced vitamin D deficiency showed increased systolic and diastolic blood pressure, high plasma renin, and decreased urinary sodium excretion. Hypertension was reversed and renin was suppressed by returning chow-fed vitamin D-deficient mice to vitamin D-sufficient chow diet for 6 weeks. On a HF diet, vitamin D-deficient mice had ∼2-fold greater atherosclerosis in the aortic arch and ∼2–8-fold greater atherosclerosis in the thoracic and abdominal aorta compared to vitamin D-sufficient mice. In the aortic root, HF-fed vitamin D-deficient mice had increased macrophage infiltration with increased fat accumulation and endoplasmic reticulum (ER) stress activation, but a lower prevalence of the M1 macrophage phenotype within atherosclerotic plaques. Similarly, peritoneal macrophages from vitamin D-deficient mice displayed an M2-predominant phenotype with increased foam cell formation and ER stress. Treatment of vitamin D-deficient mice with the ER stress reliever PBA during HF feeding suppressed atherosclerosis, decreased peritoneal macrophage foam cell formation, and downregulated ER stress proteins without changing blood pressure. Thus, we suggest that vitamin D deficiency activates both the renin angiotensin system and macrophage ER stress to contribute to the development of hypertension and accelerated atherosclerosis, highlighting vitamin D replacement as a potential therapy to reduce blood pressure and atherosclerosis.
An important assumption in interpersonal attraction research asking participants about their ideal partner preferences is that these preferences play a role in actual mate choice and relationship formation. Existing research investigating the possible predictive validity of ideal partner preference, however, is limited by the fact that none of it has focused on the actual process of relationship formation. The current research recruited participants when single, assessed ideal partner preferences across 38 traits and attributes, tracked participants' relationship status over 5 months, and successfully recruited the new partners of 38 original participants to assess their self-evaluations across the same 38 traits and attributes. Using multilevel modeling to assess the correspondence between ideal partner preferences and self-evaluations within couple, the results showed a positive within-couple association that was not accounted for by personality similarity or stereotype accuracy. We discuss these results with respect to the current literature on the predictive validity of ideal partner preferences in relationship formation.
Our study examines attachment-related differences in the use of dating applications (dating apps). We collected online survey data regarding people’s attachment orientation and dating app preferences. People with a more anxious attachment orientation were more likely to report using dating apps than people lower in anxious attachment; people with a more avoidant attachment orientation were less likely to report using dating apps than people lower in avoidant attachment. Participants who used dating apps cited Tinder, OkCupid, and Plenty of Fish as those most commonly used. The most common reason people reported for using apps was to meet others, and the most common reason people reported for not using apps was difficulty trusting people online. Our findings suggest that individual differences in attachment may be relevant for understanding online behavior, and that dating apps might be a fruitful avenue for future research on attachment-related differences.
published minimally important differences (MID) for utilities; thus, both would be considered preferred strategies. Multiple one-way sensitivity analyses confirmed robustness of results. The probability of having R1 preoperative event was lowest for No MBP (1%) vs. any MBPs [MgCit (40%), Fleets (70%), NaPhos (55%), and PEG (75%)]. The probability of having R1 intra-or postoperative complication was lowest with MgCit (6%) compared to No MBP (16%) and other MBPs [Fleets (12%), NaPhos (30%), and PEG (40%)]. Conclusion: The highest utilities were seen with No MBP and MgCit with the absolute difference less than the MID thus making both the preferred strategies. Not surprisingly, No MBP had by far the lowest incidence of preoperative events and complications while MgCit had the lowest intraor postoperative complications. Both had higher overall utility values compared to other MBP options. With similar overall utilities between these two, our model raises serious questions as to whether MBP is a necessary step prior to laparoscopic gynecologic surgery. However, if a surgeon prefers a bowel preparation, MgCit would be the preferred option.
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