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Daily Vitamin D increased HDAC2 and 25(OH)D levels in stable COPD patients without improving pulmonary functionVitamin D supplement increased a protein marker in five COPD patients

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Key Takeaway
Note that Vitamin D increased HDAC2 and 25(OH)D levels in stable COPD without improving pulmonary function in this small study.

This experimental study investigated the effects of Vitamin D supplementation in a small cohort of five stable COPD patients treated at Jemursari Islamic Hospital. Participants received a daily dose of 5000 IU of Vitamin D for a follow-up period of three months. No comparator group was reported in this study.

Regarding primary and secondary outcomes, the intervention was associated with a significant increase in serum 25(OH)D levels. Concurrently, HDAC2 expression levels also demonstrated a significant increase. However, analysis of pulmonary function parameters revealed only an increasing trend, with no statistically significant differences observed between baseline and follow-up measurements.

Safety and tolerability data were not reported, as no adverse events, serious adverse events, discontinuations, or specific tolerability metrics were documented in the available information. The study authors note that while Vitamin D supplementation was associated with increased HDAC2 levels, the lack of significant improvement in pulmonary function limits immediate clinical application.

Key limitations include the very small sample size of five patients and the absence of a control group. The practice relevance suggests a potential anti-inflammatory effect based on molecular markers, but the clinical impact needs further studies to determine if these molecular changes translate to meaningful patient outcomes.

Researchers conducted a small experimental study to see if Vitamin D could affect a specific protein in people with chronic obstructive pulmonary disease (COPD). They gave five stable COPD patients at a single hospital a daily dose of 5000 IU of Vitamin D for three months. They measured levels of Vitamin D in the blood, a protein called HDAC2 (which is involved in inflammation), and standard tests of lung function.

After three months, the patients' Vitamin D levels and their HDAC2 levels both increased significantly. However, the tests of lung function, like how much air they could exhale, only showed a slight increasing trend. This change in lung function was not large enough to be considered statistically significant, meaning it could have happened by chance.

The main reason to be careful with these results is that the study was very small, with only five patients. A study this small cannot tell us if Vitamin D is safe or helpful for most people with COPD. The increase in HDAC2 suggests Vitamin D might have an anti-inflammatory effect, but we do not know if that translates to any real-world benefit like easier breathing or fewer flare-ups. Readers should realistically take from this that early research is exploring a possible biological link, but much larger and longer studies are needed before any conclusions can be drawn about using Vitamin D for COPD.

What this means for you:
A tiny study found Vitamin D changed a lab marker in COPD patients, but it's too soon to know if this matters for health.

Study Details

EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
Background: Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of global mortality, with persistent lung inflammation contributing to disease progression. This inflammation is partly associated with reduced levels of histone deacetylase 2 (HDAC2). Previous studies suggest that Vitamin D may modulate HDAC2 levels. This study aimed to evaluate the effect of Vitamin D supplementation on HDAC2 expression in stable COPD patients. This experimental study aimed to evaluate the effect of vitamin D supplementation on HDAC2 expression in stable COPD patients at Jemursari Islamic Hospital. Methods: Five COPD patients received a daily dose of 5000 IU of Vitamin D for three months. Serum levels of 25(OH)D3 and HDAC2 were measured before and after the intervention. Results: Vitamin D supplementation resulted in a significant increase in both 25(OH)D and HDAC2 levels. Pulmonary function parameters showed an increasing trend, however, no statistically significant differences were observed. Conclusion: Vitamin D supplementation was associated with increased HDAC2 levels, suggesting a potential anti-inflammatory effect. However, no significant improvement in pulmonary function was observed. Further studies are needed to determine its clinical impact.
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