Vitamin D in the prevention, prediction and treatment of neurodegenerative and neuroinflammatory diseases

Vitamin D research has gained increased attention in recent times due to its roles beyond bone health and calcium homeostasis, such as immunomodulation. In some parts of the brain and on immune cells, vitamin D hydroxylating enzymes and its receptors are located. Epidemiological evidence demonstrates that deficiency of Vitamin D is relevant for disease risk and course in multiple sclerosis (MS) and presumably also in neuromyelitis optica spectrum disorders (NMOSD), Parkinson's disease (PD), and Alzheimer's disease (AD). Although the exact mechanism underlying vitamin D effects in these diseases remains widely unexplored, human and animal studies continue to provide some hints. While the majority of vitamin D researchers so far speculate that vitamin D may be involved in disease pathogenesis, others could not show any association although none have reported that sufficient vitamin D worsens disease progression. The studies presented in this review suggest that whether vitamin D may have beneficial effects in disease course or not, may be dependent on factors such as ethnicity, gender, diet, vitamin D receptor (VDR) polymorphisms and sunlight exposure. We here review the possible role of vitamin D in the pathogenesis and disease course of MS, NMOSD, PD, and AD and potential therapeutic effects of vitamin D supplementation which may be relevant for predictive, preventive, and personalized medicine. We suggest areas to consider in vitamin D research for future studies and recommend the need to supplement patients with low vitamin D levels below 30 ng/ml to at least reach sufficient levels

S-Matrix Poles Close to Thresholds in Confined Geometries

We have studied the behavior of the S-matrix poles near threshold for quantum waveguides coupled to a cavity with a defect. We emphasize the occurrence of both dominant and shadow poles on the various sheets of the energy Riemann surface, and show that the changes of the total conductivity near threshold as the cavity's width changes can be explained in terms of dominant to shadow pole transitions.Comment: 10 pages, 5 figure

Influence of strain on magnetization and magnetoelectric effect in La0.7A0.3MnO3 / PMN-PT(001) (A = Sr; Ca)

We investigate the influence of a well-defined reversible biaxial strain <=0.12 % on the magnetization (M) of epitaxial ferromagnetic manganite films. M has been recorded depending on temperature, strain and magnetic field in 20 - 50 nm thick films. This is accomplished by reversibly compressing the isotropic in-plane lattice parameter of the rhombohedral piezoelectric 0.72PMN-0.28PT (001) substrates by application of an electric field E <= 12 kV cm-1. The magnitude of the total variable in-plane strain has been derived. Strain-induced shifts of the ferromagnetic Curie temperature (Tc) of up to 19 K were found in La0.7Sr0.3MnO3 (LSMO) and La0.7Ca0.3MnO3 films and are quantitatively analysed for LSMO within a cubic model. The observed large magnetoelectric coupling coefficient alpha=mu0 dM/dE <= 6 10-8 s m-1 at ambient temperature results from the strain-induced M change in the magnetic-film-ferroelectric-substrate system. It corresponds to an enhancement of mu0 DeltaM <= 19 mT upon biaxial compression of 0.1 %. The extraordinary large alpha originates from the combination of three crucial properties: (i) the strong strain dependence of M in the ferromagnetic manganites, (ii) large piezo-strain of the PMN-PT substrates and (iii) effective elastic coupling at the film-substrate interface.Comment: 15 pages, 6 figures, 1 tabl

Phase-field modelling of interface failure in brittle materials

A phase-field approach is proposed for interface failure between two possibly dissimilar materials. The discrete adhesive interface is regularised over a finite width. Due to the use of a regularised crack model for the bulk material, an interaction between the length scales of the crack and the interface can occur. An analytic one-dimensional analysis has been carried out to quantify this effect and a correction is proposed, which compensates influences due to the regularisation in the bulk material. For multi-dimensional analyses this approach cannot be used straightforwardly, as is shown, and a study has been undertaken to numerically quantify the compensation factor due to the interaction. The aim is to obtain reliable and universally applicable results for crack propagation along interfaces between dissimilar materials, such that they are independent from the regularisation width of the interface. The method has been tested and validated on three benchmark problems. The compensation is particularly relevant for phase-field analyses in heterogeneous materials, where cohesive failure in the constituent materials as well as adhesive failure at interfaces play a role

High prevalence of vitamin D insufficiency in professional handball athletes

OBJECTIVES: Vitamin D affects multiple body functions through the regulation of gene expression. In sports medicine, its influence on musculoskeletal health and performance is of particular interest. Vitamin D insufficiency might decrease athletic performance and increase the risk of musculoskeletal injuries. Several studies have demonstrated vitamin D deficiency in professional athletes; however, the prevalence of vitamin D insufficiency in professional handball players is yet unknown. METHODS: The study was planned as a prospective, non-interventional study. We examined 70 male elite handball athletes (first league) in a pre-competition medical assessment in July. Age, height, weight, body mass index, 25-OH vitamin D, calcium, and parathyroid hormone were evaluated, and a sun exposure score was calculated. Players were then divided into two groups of vitamin D levels: insufficient (&lt;30 ng/mL) and sufficient (≥30 ng/mL). RESULTS: The mean 25-OH vitamin D level of the 70 players was 33.5 ± 10.9 ng/mL (median 32.2, IQR 26.5-38.9 ng/mL). Thirty-nine (55.7%) had sufficient and 31 (44.3%) insufficient levels. Athletes with sufficient vitamin D levels had significantly lower parathyroid hormone levels than athletes with insufficiency (24.9 ± 12.1 vs. 33.5 ± 15.1 ng/mL, p = 0.02). All other parameters evaluated demonstrated no significant difference between the two groups. CONCLUSION: Vitamin D insufficiency is a common finding in professional handball athletes even in summer, which might negatively affect physical performance. Furthermore, it might lead to an increased risk of musculoskeletal injuries and infections. This should be evaluated in further studies