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.

Abstract

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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