Vitamin D3 on Oxidative Stress Markers and Blood Pressure in a UUO Rat Model of Chronic Kidney Disease

Authors

  • Yogo Pardi Wibowo Residen Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia
  • Agung Susanto Divisi Penyakit Ginjal dan Hipertensi Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia
  • Bayu Basuki Wijaya Divisi Geriatri Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia
  • Eti Poncorini Pamungkasari Staf Pengajar, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta, Indonesia
  • Triyanta Yuli Pramana Divisi Gastroentero Hepatologi Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret – RSUD Dr. Moewardi, Surakarta, Indonesia

DOI:

https://doi.org/10.36590/jika.v7i3.1431

Keywords:

chronic kidney disease, oxidative stress, vitamin D3

Abstract

Chronic kidney disease (CKD) is a major global health burden, with oxidative stress and hypertension contributing significantly to its progression. Although vitamin D3 is known for its pleiotropic effects, its influence on oxidative stress markers in obstructive nephropathy remains unclear. This study evaluated the effect of vitamin D3 supplementation on blood pressure, malondialdehyde (MDA) levels, and superoxide dismutase (SOD) activity in a rat model of CKD induced by Unilateral Ureteral Obstruction (UUO). In this experimental post-test-only control group study, 30 male white rats (Rattus norvegicus) were randomly assigned to five groups (n = 6 per group) following UUO induction: one control group (placebo) and four treatment groups receiving graded oral doses of vitamin D3 (36, 72, and 108 IU/rat) daily for 14 days. Blood pressure was measured using the tail-cuff method, and serum MDA levels and SOD activity were analyzed at the end of the treatment period. Vitamin D3 supplementation produced significant, dose-dependent improvements in all parameters (p-value < 0,01). Compared with controls, treated groups showed lower blood pressure, reduced MDA levels, and increased SOD activity. The highest dose (108 IU/rat) demonstrated the greatest reduction in oxidative stress and blood pressure. This study aimed to evaluate whether vitamin D3 supplementation ameliorates hypertension and oxidative stress in UUO-induced CKD in rats, supporting its potential as an adjunctive strategy to slow CKD progression. Further studies are required to confirm clinical applicability.

Downloads

Download data is not yet available.

Author Biographies

Yogo Pardi Wibowo, Residen Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia

Residen Ilmu Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia

Agung Susanto, Divisi Penyakit Ginjal dan Hipertensi Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia

Divisi Penyakit Ginjal dan Hipertensi Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia

https://scholar.google.com

Bayu Basuki Wijaya, Divisi Geriatri Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia

Divisi Geriatri Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret - RSUD Dr. Moewardi, Surakarta, Indonesia

Eti Poncorini Pamungkasari, Staf Pengajar, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta, Indonesia

Staf Pengajar, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta, Indonesia

https://scholar.google.com

Triyanta Yuli Pramana, Divisi Gastroentero Hepatologi Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret – RSUD Dr. Moewardi, Surakarta, Indonesia

Divisi Gastroentero Hepatologi Penyakit Dalam, Fakultas Kedokteran, Universitas Sebelas Maret – RSUD Dr. Moewardi, Surakarta, Indonesia

https://scholar.google.com

References

Agnesia, Y., Sari, S.W., Nu’man, N., Ramadhani, D.W., Nopianto, N., 2023. Buku Ajar Metode Penelitian Kesehatan. PT Nasya Expanding Management, Pekalongan.

Anwar, S., Sarwar, T., Khan, A.A., Rahmani, A.H., 2025. Therapeutic Applications and Mechanisms of Superoxide Dismutase (SOD) in Different Pathogenesis. Biomolecules 15(8), 1-51. https://doi.org/10.3390/biom15081130

Arendshorst, W.J., Vendrov, A.E., Kumar, N., Ganesh, S.K., Madamanchi, N.R., 2024. Oxidative Stress in Kidney Injury and Hypertension. Antioxidants 13(12), 1-47. https://doi.org/10.3390/antiox13121454

Backston, K., Morgan, J., Patel, S., Koka, R., Hu, J., Raina, R., 2025. Oxidative Stress and Endothelial Dysfunction: The Pathogenesis of Pediatric Hypertension. International Journal of Molecular Sciences 26(11), 1-25. https://doi.org/10.3390/ijms26115355

Chakhtoura, M., Alam, S., 2025. Vitamin D and Hypertension in The Elderly; Closer to Implementation! American Heart Journal Plus: Cardiology Research and Practice 56, 1-2. https://doi.org/10.1016/j.ahjo.2025.100570

Cojic, M., Kocic, R., Klisic, A., Kocic, G., 2021. The Effects of Vitamin D Supplementation on Metabolic and Oxidative Stress Markers in Patients with Type 2 Diabetes: A 6-Month Follow Up Randomized Controlled Study. Frontiers in Endocrinology 12, 1–10. https://doi.org/10.3389/fendo.2021.610893

Cordiano, R., Di Gioacchino, M., Mangifesta, R., Panzera, C., Gangemi, S., Minciullo, P.L., 2023. Malondialdehyde as a Potential Oxidative Stress Marker for Allergy-Oriented Diseases: An Update. Molecules 28(16), 1-22. https://doi.org/10.3390/molecules28165979

Daenen, K., Andries, A., Mekahli, D., Van Schepdael, A., Jouret, F., Bammens, B., 2019. Oxidative Stress in Chronic Kidney Disease. Pediatric Nephrology 34, 975–991. https://doi.org/10.1007/s00467-018-4005-4

Darma, B., 2021. Statistika Penelitian Menggunakan SPSS (Uji Validitas, Uji Reliabilitas, Regresi Linier Sederhana, Regresi Linier Berganda, Uji t, Uji F, R2). Guepedia, Bogor.

Ding, C.K.C., Rose, J., Sun, T., Wu, J., Chen, P.H., Lin, C.C., Chi, J.T., 2020. MESH1 is A Cytosolic NADPH Phosphatase That Regulates Ferroptosis. Nature Metabolism 2(3), 270-277. https://doi.org/10.1038/s42255-020-0181-1

Festing, M.F.W., Altman, D.G., 2002. Guidelines for The Design and Statistical Analysis of Experiments Using Laboratory Animals. ILAR Journal 43(4), 244-258. https://doi.org/10.1093/ilar.43.4.244

Fountain, J.H., Kaur, J., Lappin, S.L., 2023. Physiology, Renin Angiotensin System. StatPearls Publishing, New York.

Gois, P.H.F., Wolley, M., Ranganathan, D., Seguro, A.C., 2018. Vitamin D Deficiency in Chronic Kidney Disease: Recent Evidence and Controversies. International Journal of Environmental Research and Public Health 15(8), 1-16. https://doi.org/10.3390/ijerph15081773

Hardani, H., Andriani, H., Ustiawaty, J., Utami, E.F., Istiqomah, R.R., Fardani, R.A., Sukmana, D.J., Auliya, N.H., 2020. Buku Metode Penelitian Kualitatif dan Kuantitatif. CV. Pustaka Ilmu Group, Yogyakarta.

Hustrini, N.M., 2023. Chronic Kidney Disease Care in Indonesia: Challenges and Opportunities. Acta Medica Indonesiana 55(1), 1-3. https://pubmed.ncbi.nlm.nih.gov/36999266/

Jensen, N.S., Wehland, M., Wise, P.M., Grimm, D., 2023. Latest Knowledge on the Role of Vitamin D in Hypertension. International Journal of Molecular Sciences 24(5), 1-22. https://doi.org/10.3390/ijms24054679

Kamel, A.A., Elnaggar, M.G., Hamad, D.A., Zakhary, M.M., Bakkar, S.M., 2022. The Role of Vitamin D, DKK1, Hepcidin and Oxidative Stress Biomarkers in Type 2 Diabetes Mellitus Patients with and without Diabetic Nephropathy. Egyptian Journal of Hospital Medicine 89(2), 7137–7146. https://doi.org/10.21608/ejhm.2022.273057

Klimova, B., Pikhart, M., Polakova, P., Cerna, M., Yayilgan, S.Y., Shaikh, S., 2023. A Systematic Review on the Use of Emerging Technologies in Teaching English as an Applied Language at the University Level. Systems 11(1), 1–15. https://doi.org/10.3390/systems11010042

Kovesdy, C.P., 2022. Epidemiology of Chronic Kidney Disease: An Update 2022. Kidney International Supplements 12(1), 7–11. https://doi.org/10.1016/j.kisu.2021.11.003

Liberty, I.A., 2024. Metode Penelitian Kesehatan. PT Nasya Expanding Management, Pekalongan.

Lu, M., Li, H., Liu, W., Zhang, X., Li, L., Zhou, H., 2021. Curcumin Attenuates Renal Interstitial Fibrosis by Regulating Autophagy and Retaining Mitochondrial Function in Unilateral Ureteral Obstruction Rats. Basic & Clinical Pharmacology & Toxicology 128(4), 594-604. https://doi.org/10.1111/bcpt.13550

Martínez, V., Furlano, M., Sans, L., Pulido, L., García, Rebeca, Pérez-Gómez, M.V., Sánchez-Rodríguez, J., Blasco, M., Castro-Alonso, C., Fernández-Fresnedo, G., Robles, N.R., Valenzuela, M.P., Naranjo, J., Martín, N., Pilco, M., Agraz-Pamplona, I., González-Rodríguez, J.D., Panizo, N., Fraga, G., Fernández, L., López, M.T., Dall’Anese, C., Ortiz, A., Torra, R., Marcas, L., Rius, A., Tomás, P., García, L., Luna, E., Adoración Martín, M., Íñigo, P., Martins, J., Ramos, F., García, Rosa, del Río García, L., del Carmen Merino, M., Fernández-Reyes, M.J., Madariaga, L., Canal, C., Martínez, A.M., Echarri, R., Bouarich, H., Cabezas, A., 2023. Autosomal Dominant Polycystic Kidney Disease in Young Adults. Clinical Kidney Journal 16(6), 985–995. https://doi.org/10.1093/ckj/sfac251

Mehta, V., Agarwal, S., 2017. Does Vitamin D Deficiency Lead to Hypertension? Cureus 9, 1–8. https://doi.org/10.7759/cureus.1038

Morales, M., Munné-Bosch, S., 2019. Malondialdehyde: Facts and Artifacts. Plant Physiology 180(3), 1246–1250. https://doi.org/10.1104/pp.19.00405

Omar, S.M.M.H., Ahmed, M.M.A.E., Khalil, O.A.E.S.M., Mady, M.M., 2022. Effects of Vitamin D on Cisplatin Induced Heart and Lung Toxicity in Albino Rat. International Journal of Anatomy and Research 10(4), 8512–8522. https://doi.org/10.16965/ijar.2022.252

Sanuade, O.A., Jacobson, T.A., Quintana, A., Flowers, F.M., Abbasi, H., Vu, M.H., Baldridge, A.S., Mejia, J., Lazar, D., Ciolino, J.D., Huffman, M.D., Kandula, N.R., 2023. Process Evaluation of a Double‐Blind Randomized Controlled Trial to Assess the Efficacy and Safety of a Quadruple Ultra‐Low‐Dose Treatment for Hypertension Within a Federally Qualified Health Center Network (QUARTET USA). Journal of The American Heart Association 13(1), 1–13. https://doi.org/10.1161/JAHA.123.032236

Sheikh, V., Mozaianimonfared, A., Gharakhani, M., Poorolajal, J., 2020. Effect of Vitamin D Supplementation Versus Placebo on Essential Hypertension in Patients With Vitamin D Deficiency: A Double‐Blind Randomized Clinical Trial. Journal Clinical of Hypertension 22(10), 1867–1873. https://doi.org/10.1111/jch.13926

Verma, S., Singh, P., Khurana, S., Ganguly, N.K., Kukreti, R., Saso, L., Rana, D.S., Taneja, V., Bhargava, V., 2021. Implications of Oxidative Stress in Chronic Kidney Disease: A Review on Current Concepts and Therapies. Kidney Research and Clinical Practice 40(2), 183–193. https://doi.org/10.23876/j.krcp.20.163

Wee, C.L., Mokhtar, S.S., Singh, K.K.B., Yahaya, S., Leung, S.W.S., Rasool, A.H.G., 2021. Calcitriol Supplementation Ameliorates Microvascular Endothelial Dysfunction in Vitamin D‐Deficient Diabetic Rats by Upregulating the Vascular eNOS Protein Expression and Reducing Oxidative Stress. Oxidative Medicine and Cellular Longevity 2021(1), 1–11. https://doi.org/10.1155/2021/3109294

Downloads

Published

2025-12-31

How to Cite

Wibowo, Y. P., Susanto, A., Wijaya, B. B., Pamungkasari, E. P., & Pramana, T. Y. (2025). Vitamin D3 on Oxidative Stress Markers and Blood Pressure in a UUO Rat Model of Chronic Kidney Disease. Jurnal Ilmiah Kesehatan (JIKA), 7(3). https://doi.org/10.36590/jika.v7i3.1431