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      <abstractText>Background and aims: Low vitamin D3 levels are common in cancer patients, and these patients might benefit from vitamin D3 level normalization in parallel with the conventional oncology treatment. This study aimed to examine the molecular effects of moderate–high-dose vitamin D3 supplementation in vitamin D-deficient cancer patients. Methods: Eight patients under oncological treatment (5 lung cancer, 2 colorectal cancer, and 1 urothelial carcinoma) received 30,000 IU of vitamin D3 per week for two months. Blood samples were collected before and after supplementation, and peripheral blood mononuclear cells (PBMCs) were isolated. With the aim of assessing further potential epigenetic alterations, global DNA methylation level was estimated on the basis of LINE-1 bisulfite-sequencing experiments on cfDNA and PBMC cells. In order to explore the chromatin accessibility alterations after the treatment in PBMCs, an assay for transposase-accessible chromatin with sequencing (ATAC-Seq) was performed using the (10x Genomics, Pleasanton, CA, USA) on a NextSeq 550 instrument using High Output Sequencing kit (Illumina, San Diego, CA, USA). DNA integrity was assessed by the alkaline Comet-assay and telomere qPCR was also performed. Results: After serum 25-hydroxy-vitamin D levels were normalized, DNA integrity in mononuclear cells improved significantly (p = 0.01), while no significant changes were found in granulocytes. Vitamin D3 supplementation also led to significant changes in telomere length in mononuclear cells (p = 0.007). No significant differences were observed in cfDNA levels or DNA methylation in PBMCs and cfDNA after supplementation. ATAC-Seq revealed changes in PBMC composition, including an increased number of NK, pDC cells, and monocytes, especially in patients treated with Pembrolizumab in parallel with vitamin D supplementation. Conclusions: These exploratory findings suggest that the observed immune cell and chromatin changes after vitamin D3 level normalization are compatible with immunomodulatory effects and warrant confirmation in larger, controlled cohorts.</abstractText>
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      <link>/api/publication/36790594</link>
      <label>Kalmar Alexandra et al. Modulation of Peripheral Immune Cells Following Vitamin D3 Supplementation in Vitamin D-Insufficient Cancer Patients. (2026) NUTRIENTS 2072-6643 18 1</label><template>&lt;div class=&quot;JournalArticle Publication short-list&quot;&gt; &lt;div class=&quot;authors&quot;&gt; &lt;span class=&quot;author-name&quot; mtid=&quot;10035287&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10035287&quot; target=&quot;_blank&quot;&gt;Kalmar, Alexandra&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10038783&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10038783&quot; target=&quot;_blank&quot;&gt;Nagy, Zsofia Brigitta&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; mtid=&quot;10078682&quot;&gt; &lt;a href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10078682&quot; target=&quot;_blank&quot;&gt;Sumegi, Liza Dalma&lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;author-type&quot;&gt; &lt;/span&gt; ; &lt;span class=&quot;author-name&quot; 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																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10035287&quot; target=&quot;_blank&quot;&gt;Kalmar Alexandra
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Kalmár Alexandra&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10038783&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10038783&quot; target=&quot;_blank&quot;&gt;Nagy Zsofia Brigitta
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Nagy Zsófia Brigitta&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10078682&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10078682&quot; target=&quot;_blank&quot;&gt;Sumegi Liza Dalma
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Sümegi Liza Dalma&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10038772&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10038772&quot; target=&quot;_blank&quot;&gt;Bartak Barbara Kinga
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Barták Barbara Kinga&lt;/span&gt;
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																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10088008&quot; target=&quot;_blank&quot;&gt;Kiss Csaba
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Kiss Csaba&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
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																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10038807&quot; target=&quot;_blank&quot;&gt;Spisak Sandor
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Spisák Sándor&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
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																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10000768&quot; target=&quot;_blank&quot;&gt;Molnar Bela
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Molnár Béla&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10024031&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10024031&quot; target=&quot;_blank&quot;&gt;Takacs Istvan ✉
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Takács István&lt;/span&gt;
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&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;36790594&quot; target=&quot;_blank&quot;&gt;Modulation of Peripheral Immune Cells Following Vitamin D3 Supplementation in Vitamin D-Insufficient Cancer Patients&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;NUTRIENTS&lt;/span&gt;

        &lt;span class=&quot;journal-issn&quot;&gt;( &lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/2072-6643&quot;&gt;2072-6643&lt;/a&gt;)&lt;/span&gt;:
		&lt;span class=&quot;journal-volume&quot;&gt;18&lt;/span&gt; &lt;span class=&quot;journal-issue&quot;&gt;1&lt;/span&gt;
&lt;span class=&quot;page&quot;&gt;
		Paper 116.
	 21 p. 
&lt;/span&gt;		 &lt;span class=&quot;year&quot;&gt;(2026)&lt;/span&gt;  
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&lt;div class=&quot;pub-footer&quot;&gt;
    

	&lt;span class=&quot;language&quot; xmlns=&quot;http://www.w3.org/1999/html&quot;&gt;Nyelv:
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									PubMed
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						&lt;span class=&quot;id identifier oa_NONE&quot; title=&quot;	Nincs
&quot;&gt;
							
							&lt;a style=&quot;color:blue&quot; title=&quot;https://www.scopus.com/inward/record.uri?eid=2-s2.0-105026966979&amp;doi=10.3390%2Fnu18010116&amp;partnerID=40&amp;md5=5ad98a96907e63aa70010c77e93c200a&quot; target=&quot;_blank&quot; href=&quot;https://www.scopus.com/inward/record.uri?eid=2-s2.0-105026966979&amp;doi=10.3390%2Fnu18010116&amp;partnerID=40&amp;md5=5ad98a96907e63aa70010c77e93c200a&quot;&gt;
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	&lt;OnlyViewableByAuthor&gt;&lt;div class=&quot;ratings&quot;&gt;
				&lt;div class=&quot;journal-subject&quot;&gt;Folyóirat szakterülete: Scopus - Food Science&amp;nbsp;&amp;nbsp;&amp;nbsp;SJR indikátor:&amp;nbsp;D1&lt;/div&gt;
				&lt;div class=&quot;journal-subject&quot;&gt;Folyóirat szakterülete: Scopus - Nutrition and Dietetics&amp;nbsp;&amp;nbsp;&amp;nbsp;SJR indikátor:&amp;nbsp;Q1&lt;/div&gt;
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	&lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt;
		&lt;span title=&quot;Nyilvános idézőközlemények összesen, említések nélkül&quot; class=&quot;citingPub-count&quot;&gt;Nyilvános idéző összesen: 1&lt;/span&gt;
		| Független: 1
		| Függő: 0
		| Nem jelölt: 0
		| WoS jelölt: 1 
		|  Scopus jelölt:&amp;nbsp;1 
		|  WoS/Scopus jelölt:&amp;nbsp;1 
		|  DOI jelölt:&amp;nbsp;1 
		
	&lt;/div&gt;
    
    
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		&lt;a target=&quot;_blank&quot; href=&quot;/api/publication?cond=citations.related;eq;36790594&amp;sort=publishedYear,desc&amp;sort=title&quot;&gt;
			Idézett közlemények száma: 5
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    &lt;div class=&quot;mtid&quot;&gt;&lt;span class=&quot;long-pub-mtid&quot;&gt;Közlemény: 36790594&lt;/span&gt;
    | &lt;span class=&quot;status-data status-VALIDATED&quot;&gt; 	Egyeztetett
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Forrás	 Idéző
	
	
    | &lt;span class=&quot;type-subtype&quot;&gt;Folyóiratcikk
			( Szakcikk
			
			)
		&lt;/span&gt;
      		| &lt;span class=&quot;pub-category&quot;&gt;Tudományos&lt;/span&gt;
	| &lt;span class=&quot;publication-sourceOfData&quot;&gt;WOS TAGGED&lt;/span&gt;
&lt;/div&gt;

&lt;div class=&quot;funder&quot;&gt; Nemzeti Kardiovaszkuláris Laboratórium(RRF-2.3.1-21-2022-00003) Támogató: NKFIH,    (DKOP-23_03) Támogató: NKFIH,    (FK142835),    (EXCELLENCE_24 151330),    (HUN-REN KSZF-160/2024)   &lt;/div&gt;
&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2026.04.15. 18:22 Molnár-Taga Márta (SE 4-es admin)
&lt;/div&gt;




	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Összes idézések száma a WoS-ban: 0&lt;/pre&gt;

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