Vitamin D receptor gene polymorphism and bone mineral density in 0-6-year-old Han children

Xiao-Dan Yu1, Xiao-Ming Shen, Ming-Bao Xue

  • 1Shanghai Institute of Pediatric Research, Xinhua Hospital, Medical School of Shanghai Jiaotong University, Shanghai, China.

Insights

Certain vitamin D receptor (VDR) gene variants, specifically BsmI (Bb) and FokI (ff), are linked to lower bone mineral density (BMD) in young Chinese children. Other VDR gene variants showed no significant association with BMD in this pediatric cohort.

Area of Science:

  • Genetics
  • Pediatrics
  • Bone Metabolism

Background:

  • Bone mineral density (BMD) is crucial for skeletal health in children.
  • Genetic factors, including vitamin D receptor (VDR) gene polymorphisms, may influence BMD.
  • Understanding these genetic associations is important for early identification of children at risk for bone health issues.

Purpose of the Study:

  • To investigate the association between four single nucleotide polymorphisms (SNPs) in the VDR gene and BMD in Chinese children aged 0-6 years.
  • To determine if VDR gene variants (ApaI, BsmI, TaqI, FokI) are related to BMD in this pediatric population.
  • To identify specific VDR genotypes associated with altered bone mineral density in early childhood.

Main Methods:

  • Recruited 204 Han Chinese children aged 0-6 years without metabolic bone disease.
  • Measured bone mineral density (BMD) of the middle tibia using an ultrasonic bone density instrument.
  • Determined VDR genotypes (ApaI, BsmI, TaqI, FokI) using polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP).

Main Results:

  • The VDR BsmI (Bb genotype) and FokI (ff genotype) variants were significantly associated with decreased BMD.
  • Children with the VDR BsmI Bb genotype had significantly lower BMD compared to bb carriers (P < 0.05).
  • Children with the VDR FokI ff genotype exhibited significantly lower BMD than Ff or FF carriers (P < 0.001).
  • VDR ApaI and TaqI polymorphisms showed no significant association with BMD in this cohort.
  • Predominant alleles were a, T, b, and F, with frequencies of 70.6%, 95.8%, 95.3%, and 57.6%, respectively.

Conclusions:

  • The VDR BsmI (Bb) and FokI (ff) genotypes are significantly associated with reduced bone mineral density in young Chinese Han children.
  • VDR ApaI and TaqI polymorphisms do not appear to influence BMD in this specific pediatric group.
  • These findings highlight the role of specific VDR gene variants in early childhood bone health and may inform targeted interventions.

Related Concept Videos

Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Bone Disorders01:29

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Role of Skin in Vitamin D Synthesis01:23

Role of Skin in Vitamin D Synthesis

The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin D3(cholecalciferol).
Bone Remodeling01:40

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Hormones and Bone Tissue01:17

Hormones and Bone Tissue

The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu01:29

Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...