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Selected vitamin D metabolic gene variants and risk for autism spectrum disorder in the CHARGE Study
Rebecca J Schmidt1, Robin L Hansen2, Jaana Hartiala3
1Department of Public Health Sciences, University of California Davis School of Medicine, Davis, CA, USA; Medical Investigation of Neurodevelopmental Disorders (M.I.N.D.) Institute, University of California Davis, Sacramento, CA, USA.
Insights
Paternal and child vitamin D metabolism may influence autism spectrum disorder (ASD) risk. Genetic variations in vitamin D pathways, particularly in fathers, show associations with ASD development.
Area of Science:
- Genetics
- Neuroscience
- Endocrinology
Background:
- Vitamin D is crucial for neurodevelopment, cognitive, and behavioral functions.
- Autism spectrum disorder (ASD) is a neurodevelopmental condition with complex etiology.
- Functional polymorphisms in vitamin D pathways are investigated for their potential role in ASD.
Purpose of the Study:
- To examine the association between autism spectrum disorder (ASD) and common, functional polymorphisms in vitamin D pathways.
- To investigate the role of genetic variations in vitamin D metabolism in the etiology of ASD.
- To analyze the influence of paternal and child vitamin D-related genotypes on ASD risk.
Main Methods:
- Case-control study (CHARGE) involving children aged 24-60 months with ASD (n=474) and typical development (TD, n=281).
- Genotyping of vitamin D receptor (VDR) gene polymorphisms (TaqI, BsmI, FokI, Cdx2) and other vitamin D pathway genes (CYP27B1, GC, CYP2R1) in maternal, paternal, and child DNA.
- Application of case-control logistic regression, family-based log-linear, and hybrid log-linear analyses to assess genetic associations and risk estimates.
Main Results:
- Paternal VDR TaqI homozygous variant genotype significantly associated with increased ASD risk (OR [CI]: 6.3 [1.9-20.7]).
- A trend towards increased ASD risk was observed with paternal VDR BsmI genotype (OR [CI]: 4.7 [1.6-13.4]).
- Child GC AA-genotype/A-allele associated with ASD; child CYP2R1 AA-genotype associated with decreased ASD risk. Parental imprinting effects noted for VDR alleles.
Conclusions:
- Preliminary evidence suggests paternal and child vitamin D metabolism may contribute to the etiology of ASD.
- Genetic variations in vitamin D pathways, particularly those inherited paternally, warrant further investigation in ASD.
- Larger study populations are needed to confirm these findings and explore the role of vitamin D in ASD development.
Background:
Vitamin D is essential for proper neurodevelopment and cognitive and behavioral function. We examined associations between autism spectrum disorder (ASD) and common, functional polymorphisms in vitamin D pathways.
Methods:
Children aged 24-60 months enrolled from 2003 to 2009 in the population-based CHARGE case-control study were evaluated clinically and confirmed to have ASD (n=474) or typical development (TD, n=281). Maternal, paternal, and child DNA samples for 384 (81%) families of children with ASD and 234 (83%) families of TD children were genotyped for: TaqI, BsmI, FokI, and Cdx2 in the vitamin D receptor (VDR) gene, and CYP27B1 rs4646536, GC rs4588, and CYP2R1 rs10741657. Case-control logistic regression, family-based log-linear, and hybrid log-linear analyses were conducted to produce risk estimates and 95% confidence intervals (CI) for each allelic variant.
Results:
Paternal VDR TaqI homozygous variant genotype was significantly associated with ASD in case-control analysis (odds ratio [OR] [CI]: 6.3 [1.9-20.7]) and there was a trend towards increased risk associated with VDR BsmI (OR [CI]: 4.7 [1.6-13.4]). Log-linear triad analyses detected parental imprinting, with greater effects of paternally-derived VDR alleles. Child GC AA-genotype/A-allele was associated with ASD in log-linear and ETDT analyses. A significant association between decreased ASD risk and child CYP2R1 AA-genotype was found in hybrid log-linear analysis. There were limitations of low statistical power for less common alleles due to missing paternal genotypes.
Conclusions:
This study provides preliminary evidence that paternal and child vitamin D metabolism could play a role in the etiology of ASD; further research in larger study populations is warranted.
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