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Vitamin D binding protein gene polymorphism as a risk factor for vitamin D deficiency in Thais.

AbstractOBJECTIVE:
Vitamin D deficiency is related to increased risks for a number of diseases. To date, at least 3 candidate genes, vitamin D binding protein (VDBP) gene (GC), 25-hydroxylase (CYP2R1), and 7-dehydrocholesterol reductase/NAD synthetase 1 (DHCR7/NADSYN1), have been associated with serum 25-hydroxyvitamin D (25[OH]D) levels, but their influences on the prevalence of vitamin D deficiency in relation to other known risk factors have not been clearly defined.
METHODS:
The study assessed 4,476 individuals aged 14 to 93 years from the Thailand 4th National Health Examination Survey (2008-2009) and the Electricity Generating Authority of Thailand (EGAT) (2008) cohorts. The GC rs2282679 polymorphism on chromosome 4q12-q13 was genotyped by real-time polymerase chain reaction (PCR). Serum 25(OH)D was measured by liquid chromatography/tandem mass spectrometry. Vitamin D deficiency was defined as a 25(OH)D concentration <20 ng/mL.
RESULTS:
Data were expressed as mean ± SD. There were 2,747 (61.4%) males and 1,729 (38.6%) females in the study, with an average body mass index (BMI) of 23.7 ± 4.2 kg/m2 and a mean total 25(OH)D of 28.9 ± 9.0 ng/mL. Serum 25(OH)D levels decreased progressively with the presence of the C allele. Using multiple logistic regression analysis, vitamin D deficiency was significantly associated with the GC rs2282679 genotype (odds ratio [OR] per C allele 1.80, 95% confidence interval CI 1.57-2.01), independent of established risk factors for vitamin D deficiency including age, sex, and BMI.
CONCLUSION:
A specific GC gene polymorphism is associated with lower 25(OH)D levels independent of age, sex, and adiposity in Thai subjects.
AuthorsPranee Thongthai, La-or Chailurkit, Suwannee Chanprasertyothin, Hataikarn Nimitphong, Piyamitr Sritara, Wichai Aekplakorn, Boonsong Ongphiphadhanakul
JournalEndocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists (Endocr Pract) Vol. 21 Issue 3 Pg. 221-5 (Mar 2015) ISSN: 1530-891X [Print] United States
PMID25370324 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Vitamin D-Binding Protein
  • Vitamin D
  • 25-hydroxyvitamin D
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Asian People (genetics)
  • Female
  • Genotype
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Polymorphism, Genetic
  • Risk Factors
  • Vitamin D (analogs & derivatives, blood)
  • Vitamin D Deficiency (etiology, genetics)
  • Vitamin D-Binding Protein (genetics)

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