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VDBP, CYP27B1, and 25-Hydroxyvitamin D Gene Polymorphism Analyses in a Group of Sicilian Multiple Sclerosis Patients
L Agnello1, C Scazzone1, B Lo Sasso1
1Dipartimento di Biopatologia e Biotecnologie Mediche, Università di Palermo, Palermo, Italy.
Abstract:
Multiple sclerosis (MS) is a chronic demyelinating disease of central nervous system regarded as one of the most common causes of neurological disability in young adults. The exact etiology of MS is not yet known, although epidemiological data indicate that both genetic susceptibility and environmental exposure are involved. A poor vitamin D status has been proposed as the most attractive environmental factor. Several evidence have highlighted the importance of mutations in vitamin D-regulating genes for vitamin D status. The purpose of our study was to assess the genetic variants of VDBP and CYP27B1 in MS patients and in a control group. A total of 192 subjects, including 100 MS patients and 92 healthy controls, were genotyped by polymerase chain reaction followed by restriction fragment length polymorphism analyses. Serum 25-hydroxyvitamin D levels were measured in MS patients and controls by high-performance liquid chromatography. We did not observe any statically significant difference in the distribution of genotypic VDBP variants between the study groups. 25(OH)D plasma levels were significantly higher in the control group versus MS patients; MS patients who carried Gc2 showed lower 25(OH)D plasma levels and those who carried Gc1f showed higher levels. We observed only wild-type allele for CYP27B1 mutations analyzed both in MS patients and in the control group. In conclusion, our findings do not support a role of an independent effect of the investigated vitamin D-related gene variants, VDBP and CYP27B1, in the risk of MS.
Insights
This study investigated vitamin D gene variants in multiple sclerosis (MS) patients. While lower vitamin D levels were found in MS patients, specific VDBP and CYP27B1 gene variants did not appear to increase MS risk.
Area of Science:
- Neurology
- Genetics
- Immunology
Background:
- Multiple sclerosis (MS) is a central nervous system demyelinating disease causing neurological disability in young adults.
- Both genetic and environmental factors, including vitamin D deficiency, are implicated in MS etiology.
- Vitamin D-regulating genes are crucial for maintaining vitamin D status.
Purpose of the Study:
- To investigate the association between genetic variants in vitamin D-binding protein (VDBP) and CYP27B1 genes and the risk of MS.
- To compare vitamin D levels between MS patients and healthy controls.
Main Methods:
- Genotyping of VDBP and CYP27B1 variants using polymerase chain reaction and restriction fragment length polymorphism analysis in 100 MS patients and 92 controls.
- Measurement of serum 25-hydroxyvitamin D levels using high-performance liquid chromatography.
Main Results:
- No significant difference in VDBP genotypic variant distribution was observed between MS patients and controls.
- MS patients exhibited significantly lower serum 25-hydroxyvitamin D levels compared to controls.
- Specific VDBP genotypes (Gc2) were associated with lower vitamin D levels, while others (Gc1f) were associated with higher levels in MS patients.
- Only wild-type alleles for the analyzed CYP27B1 mutations were found in both groups.
Conclusions:
- The investigated VDBP and CYP27B1 gene variants do not appear to independently influence the risk of developing MS.
- Lower vitamin D levels in MS patients may be influenced by VDBP genotype, but not by CYP27B1 mutations.
- Further research is needed to fully elucidate the complex interplay between vitamin D, genetics, and MS pathogenesis.
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