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Published on: December 9, 2015
Does environmental confounding mask pleiotropic effects of a multiple sclerosis susceptibility variant on vitamin D
Conrad O Iyegbe1, Anita Acharya2, John Lally3
1Department of Psychosis Studies, Institute of Psychiatry, King's College London , London, UK.
Background:
This work addresses the existing and emerging evidence of overlap within the environmental and genetic profiles of multiple sclerosis (MS) and schizophrenia.
Aims:
To investigate whether a genetic risk factor for MS (rs703842), whose variation is indicative of vitamin D status in the disorder, could also be a determinant of vitamin D status in chronic psychosis patients.
Methods:
A cohort of 224 chronic psychosis cases was phenotyped and biologically profiled. The relationship between rs703842 and physiological vitamin D status in the blood plasma was assessed by logistic regression. Deficiency was defined as a blood plasma concentration below 10 ng/µl. Potential environmental confounders of the vitamin D status were considered as part of the analysis.
Results:
We report suggestive evidence of an association with vitamin D status in established psychosis (ß standardized=0.51, P=0.04). The logistic model fit significantly benefited from controlling for body mass index, depression and ethnicity (χ (2)=91.7; 2 degrees of freedom (df); P=1.2×10(20)).
Conclusions:
The results suggest that, in addition to lifestyle changes that accompany the onset of illness, vitamin D dysregulation in psychosis has a genetic component that links into MS. Further, comprehensive studies are needed to evaluate this prospect.
Insights
A genetic marker for multiple sclerosis (MS) may also influence vitamin D levels in individuals with psychosis. This suggests a potential genetic link between MS and psychosis, mediated by vitamin D status.
Area of Science:
- Neuroscience
- Genetics
- Nutritional Psychiatry
Background:
- Growing evidence suggests shared environmental and genetic factors between multiple sclerosis (MS) and schizophrenia.
- Vitamin D deficiency is implicated in both MS and various psychiatric disorders.
Purpose of the Study:
- To examine if a known MS genetic risk factor (rs703842), linked to vitamin D status in MS, also determines vitamin D status in chronic psychosis patients.
- Investigate the genetic underpinnings of vitamin D dysregulation in psychosis.
Main Methods:
- A cohort of 224 individuals with chronic psychosis underwent phenotyping and biological profiling.
- Logistic regression analyzed the association between the rs703842 gene variant and plasma vitamin D levels.
- Environmental factors like body mass index, depression, and ethnicity were controlled for.
Main Results:
- Suggestive evidence indicates an association between rs703842 and vitamin D status in psychosis (standardized ß=0.51, P=0.04).
- The statistical model showed significant improvement when accounting for body mass index, depression, and ethnicity (χ²=91.7, df=2, P=1.2×10⁻²⁰).
Conclusions:
- Vitamin D dysregulation in psychosis appears to have a genetic component potentially linking to MS, beyond lifestyle factors.
- Further research is warranted to fully elucidate this genetic connection and its implications for treatment.
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