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Published on: December 9, 2015
The vitamin D receptor gene FokI polymorphism and Multiple Sclerosis in a Northern Portuguese population
Andreia Bettencourt1, Daniela Boleixa2, Ana Luísa Guimarães2
1Immunogenetics Laboratory, Abel Salazar Institute of Biomedical Sciences (ICBAS), University of Porto (UP), Porto, Portugal; Unit for Multidisciplinary Research in Biomedicine (UMIB), Abel Salazar Institute of Biomedical Sciences (ICBAS), University of Porto (UP), Porto, Portugal.
Background:
The cause of Multiple Sclerosis (MS) remains poorly understood, but it is widely believed to be an autoimmune disease occurring in genetically susceptible individuals after exposure to as-yet undefined environmental factors. One of these environmental factors is vitamin D, a well-known immune modulator. The biologically active form of vitamin D, 1,25-dihydroxyvitamin D3, has been shown to exert its immune modulatory properties through its nuclear receptor (VDR) namely by inhibiting the proliferation of Th cells. The purpose of this study was to evaluate the influence of FokI VDR polymorphism in MS development and progression.
Methods:
A group of 533 unrelated Portuguese patients with a definitive diagnosis of MS and 446 ethnically matched healthy controls were included in the study. FokI was genotyped using a PCR-based TaqMan Genotyping Assay and serum 25-hydroxyvitamin D [25(OH)D] was also assessed.
Results:
A statistically significant higher frequency of the ff genotype was observed in MS patients (15.6% vs. 10.1%, p=0.012, OR (95% CI)=1.687(1.120-2.541)). No differences were observed in the frequencies of the FokI polymorphism according to disease course or with progression of disability. None of the genotypes was significantly associated with 25(OH)D serum levels.
Conclusions:
An association between FokI ff genotype and MS susceptibility was found, but not with disease form or progression. Additional clinical and experimental studies should take the FokI VDR polymorphism into account, and further clarify the role of vitamin D, its metabolites and its receptor in MS.
Insights
The FokI ff genotype is linked to increased Multiple Sclerosis (MS) risk in Portuguese individuals. This specific vitamin D receptor (VDR) gene variation did not influence MS disease progression or severity.
Area of Science:
- Genetics
- Immunology
- Neurology
Background:
- Multiple Sclerosis (MS) is an autoimmune disease influenced by genetic and environmental factors.
- Vitamin D is an immune modulator, and its active form interacts with the Vitamin D Receptor (VDR).
- The VDR plays a role in immune regulation, potentially impacting T-helper cell proliferation.
Purpose of the Study:
- To investigate the association between the FokI VDR gene polymorphism and the development of MS.
- To determine if the FokI VDR polymorphism correlates with MS disease progression or disability.
Main Methods:
- Genotyping of the FokI VDR polymorphism in 533 Portuguese MS patients and 446 healthy controls.
- Assessment of serum 25-hydroxyvitamin D [25(OH)D] levels in participants.
- Statistical analysis to compare genotype frequencies and their association with MS and vitamin D levels.
Main Results:
- A significantly higher frequency of the FokI ff genotype was found in MS patients compared to controls (15.6% vs. 10.1%).
- No significant association was observed between FokI VDR genotypes and MS disease course, progression, or disability.
- Serum 25(OH)D levels were not significantly associated with any of the studied FokI VDR genotypes.
Conclusions:
- The FokI ff genotype is associated with an increased susceptibility to developing Multiple Sclerosis.
- The FokI VDR polymorphism does not appear to influence the clinical course or progression of MS.
- Further research is warranted to elucidate the role of vitamin D, its metabolites, and VDR in MS pathogenesis.
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