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The role of vitamin D receptor gene polymorphisms in Turkish infants with urolithiasis
Nilufer Goknar1, Faruk Öktem2, Emel Torun3
1a Department of Pediatric Nephrology, Medical Faculty , Bezmialem Vakif University , Istanbul , Turkey ;
Insights
Vitamin D receptor (VDR) gene polymorphisms, specifically BsmI and TaqI, are linked to infantile urolithiasis in a Turkish population. These VDR genotypes may be candidate genes contributing to kidney stone formation in infants.
Area of Science:
- Genetics
- Pediatric Nephrology
- Molecular Biology
Background:
- Polymorphisms in the vitamin D receptor (VDR) gene are associated with urinary calculi in pediatric and adult populations.
- Limited research exists on the role of VDR gene polymorphisms in infantile urolithiasis.
- This study focuses on a Turkish population to investigate this association in infants.
Purpose of the Study:
- To investigate the role of VDR gene polymorphisms (BsmI and TaqI) in infantile urolithiasis.
- To compare demographic and metabolic risk factors between infants with urolithiasis and a control group.
- To identify potential genetic markers for infantile kidney stone disease.
Main Methods:
- A case-control study involving 104 infants with urolithiasis and 96 healthy infants.
- Demographic and metabolic risk factors were evaluated.
- Polymerase Chain Reaction (PCR)-based restriction fragment length polymorphism (RFLP) analysis was used to genotype VDR gene polymorphisms (BsmI and TaqI).
Main Results:
- Statistically significant differences in VDR gene polymorphisms (BsmI and TaqI) were observed between the study and control groups (p=0.001 and p=0.043, respectively).
- The BsmI genotype prevalence differed significantly between hypercalciuric and normocalciuric stone formers (p=0.007).
- The B allele of BsmI and A allele of ApaI were more common in hypercalciuric stone formers.
Conclusions:
- VDR gene polymorphisms, specifically BsmI and TaqI genotypes, are associated with infantile urolithiasis in the studied Turkish population.
- These VDR genotypes may serve as candidate genes contributing to the development of kidney stones in infants.
- Further research is warranted to elucidate the precise mechanisms linking VDR polymorphisms to infantile urolithiasis.
Abstract:
Polymorphisms in the vitamin D receptor (VDR) gene have recently been reported to be associated with urinary calculi in pediatric and adult cases, but no studies have looked at the youngest period of life. The purpose of this study was to investigate the role of VDR gene polymorphisms in infantile urolithiasis in a Turkish population. We compared a study group of 104 infants (55 girls and 49 boys, mean age 6.94 ± 3.81 months) with a control group of 96 infants (51 girls and 45 boys, mean age 7.51 ± 3.23) to evaluate their demographics and metabolic risk factors. PCR-based restriction analysis of the polymorphisms on the VDR gene (BsmI and TaqI) showed statistically significant differences between study and control groups (p = 0.001 and 0.043, respectively). In addition, the prevalence of the BsmI genotype was significantly different between the hypercalciuric and normocalciuric stone formers (p = 0.007). Allelic frequencies were similar between the urolithiasis and control groups (p > 0.05). The B allele of BsmI and the A allele of ApaI were more prevalent in the hypercalciuric stone formers than in the normocalciuric stone formers (p = 0.018 vs.0.036, respectively). These results suggest that the BsmI and TaqI VDR genotypes could be candidate genes leading to infantile urolithiasis.
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