The Effect of Vitamin-D Supplementation on HDAC2 Levels in Stable COPD Patients
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Abstract
Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of global
mortality, with persistent lung inflammation contributing to its progression. This
inflammation is partially due to reduced levels of the Histone deacetylase 2 (HDAC2)
protein. Research shows that Vitamin D can modulate HDAC2 levels and slow the
advancement of COPD. This experimental study aimed to evaluate the effect of vitamin
D supplementation on HDAC2 expression in stable COPD patients at Jemursari Islamic
Hospital. Five randomly selected COPD patients received a daily dosage of 5000 IU of
Vitamin D for three months. Serum levels of 25(OH) D and HDAC2 were measured
before and after the intervention. The results showed a significant increase in both
Vitamin D and HDAC2 levels, with a notable, though not statistically significant,
improvement in lung function. The findings suggest that consistent Vitamin D
supplementation can reduce inflammation by raising HDAC2 levels, potentially slowing
lung damage in COPD patients. Therefore, Vitamin D treatment is beneficial in
managing COPD by improving lung health and preventing disease progression.
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Copyright (c) 2026 Adyan Donastin, Danny Irawan, Effendy, Rifky Dwi Aditya Iryawan, Nuzlan Nuari, Betta Mega Oktaviana, Devy Yahya, Akbar Reza Muhammad

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References
Camargo, C. A., Toop, L., Sluyter, J., Lawes, C. M. M., Waayer, D., Khaw, K. T., et al. (2021). Effect of monthly vitamin d supplementation on preventing exacerbations of asthma or chronic obstructive pulmonary disease in older adults: Post hoc analysis of a randomized controlled trial. Nutrients, 13(2), 1–12. https://doi.org/10.3390/nu13020521
Global Initiative for Chronic Obstructive Lung Disease (GOLD). (2021). Global Strategy for the Diagnosis, Management, and Prevention of COPD.
Janssens, W., Lehouck, A., Decramer, M., & Gayan-Ramirez, G. (2012). Vitamin D and Chronic Obstructive Pulmonary Disease. In Vitamin D and the Lung (pp. 239–260). Humana Press. https://doi.org/10.1007/978-1-61779-888-7_11
Janssens W, Lehouck A, Decramer M, & Gayan-Ramirez G. (2012). Vitamin D and Chronic Obstructive Pulmonary Disease. https://doi.org/https://doi.org/10.1007%2F978-1-61779-888-7_11
Jarhyan, P., Hutchinson, A., Khaw, D., Prabhakaran, D., & Mohan, S. (2022). Prevalence of chronic obstructive pulmonary disease and chronic bronchitis in eight countries: a systematic review and meta-analysis. Bulletin of the World Health Organization, 100(03), 216–230. https://doi.org/10.2471/BLT.21.286870
Jolliffe, D.A., Greenberg, L., Hooper, R.L., Mathyssen, C., Rafiq, R., de Jongh, R.T., et al. (2019). Vitamin D to prevent exacerbations of COPD: systematic review and meta-analysis of individual participant data from randomised controlled trials. Thorax, 74(4), pp.337-345. https://doi.org/10.1136/thoraxjnl-2018-212092
Kerkhof, M., Voorham, J., Dorinsky, P., Cabrera, C., Darken, P., Kocks, J. W. H., et al. (2020). Association between COPD exacerbations and lung function decline during maintenance therapy. Thorax, 75(9), 744–753. https://doi.org/10.1136/thoraxjnl-2019-214457
Khan, D. M., Ullah, A., Randhawa, F. A., Iqtadar, S., Butt, N. F., & Waheed, K. (2017). Role of Vitamin D in reducing number of acute exacerbations in Chronic Obstructive Pulmonary Disease (COPD) patients. Pakistan Journal of Medical Sciences, 33(3). https://doi.org/10.12669/pjms.333.12397
Li, X., He, J., Yu, M., & Sun, J. (2020). The efficacy of vitamin D therapy for patients with COPD: a meta-analysis of randomized controlled trials. Annals of Palliative Medicine, 9(2), 286–297. https://doi.org/10.21037/apm.2020.02.26
Liao, W., Lim, A.Y., Tan, W.D., Abisheganaden, J. and Wong, W.F. (2020). Restoration of HDAC2 and Nrf2 by andrographolide overcomes corticosteroid resistance in chronic obstructive pulmonary disease. British Journal of Pharmacology, 177(16), pp.3662-3673. https://doi.org/10.1111/bph.15080
Mastaglia, S., Mautalen, C., Parisi, M., & Oliveri, B. (2006). Vitamin D2 dose required to rapidly increase 25OHD levels in osteoporotic women. European Journal of Clinical Nutrition, 60, pp. 681-687. https://doi.org/10.1038/sj.ejcn.1602369.
Mullin, M. L. L., & Milne, S. (2023). Vitamin D deficiency in chronic obstructive pulmonary disease. Current Opinion in Pulmonary Medicine, 29(2), 96–103. https://doi.org/10.1097/MCP.0000000000000935
Navarro, A. M. H. ;, Hermosa, J. L. R., Rubio, M. C., Luis Álvarez-Sala, J., Vargas Centanaro, G., María, A., et al. (2022). Citation: Calle Rubio Testing for Vitamin D in High-Risk COPD in Outpatient Clinics in Spain: Clinical Medicine Testing for Vitamin D in High-Risk COPD in Outpatient Clinics in Spain: A Cross-Sectional Analysis of the VITADEPOC Study. J. Clin. Med, 2022, 1347. https://doi.org/10.3390/jcm11051347
Nur Aini, V. F., Widajati, E., & Mustafa, A. (2023). Pengaruh Suplementasi Vitamin D terhadap Fungsi Paru pada Pasien Penyakit Paru Obstruktif Kronik (PPOK). NUTRITURE JOURNAL, 2(2), 78. https://doi.org/10.31290/nj.v2i2.3862
Sultana, N., Ali, T., Bennoor, K. S., Hossain, M. A., Mahmud, M. B., Hassan, S., et al. (2022). Vitamin D3 supplementation on lung functions and exercise tolerance in D3 deficient asthma COPD overlap syndrome patients - A randomized controlled trial. Journal of Bangladesh Society of Physiologist, 17(1), 21–33. https://doi.org/10.3329/jbsp.v17i1.63213
Zwinderman, M.R., de Weerd, S. and Dekker, F.J. (2019). Targeting HDAC complexes in asthma and COPD. Epigenomes, 3(3), p.19. https://doi.org/10.3390/epigenomes3030019
Adyan Donastin