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Vitamin D level and gene polymorphisms in Korean children with type 1 diabetes
Hyo-Kyoung Nam1, Young-Jun Rhie2, Kee-Hyoung Lee3
1Department of Pediatrics, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Insights
Vitamin D levels are lower in children with type 1 diabetes. Specific gene variations in CYP2R1 are linked to increased type 1 diabetes risk and vitamin D deficiency in Korean children.
Area of Science:
- Endocrinology
- Genetics
- Pediatrics
Background:
- Vitamin D metabolism is implicated in type 1 diabetes pathogenesis.
- Understanding genetic factors influencing vitamin D levels is crucial for diabetes research.
Purpose of the Study:
- To investigate the association between vitamin D metabolism genes (CYP2R1 and CYP27B1) and type 1 diabetes risk in Korean children.
- To analyze the relationship between specific gene polymorphisms and vitamin D levels in children with and without type 1 diabetes.
Main Methods:
- A case-control study involving 252 Korean children (96 with type 1 diabetes, 156 healthy controls).
- Measurement of serum 25-hydroxyvitamin D (25OHD) and 1α,25-dihydroxyvitamin D [1α,25(OH)2D] levels.
- Genotyping of CYP2R1 and CYP27B1 polymorphisms, including CYP2R1 rs12794714 and rs10766196.
Main Results:
- Children with type 1 diabetes exhibited lower mean vitamin D levels and higher prevalence of vitamin D deficiency compared to controls.
- Specific CYP2R1 genotypes (rs12794714 GG and rs10766196 AA) were significantly associated with an increased risk of type 1 diabetes.
- These CYP2R1 genotypes were also linked to a higher prevalence of vitamin D deficiency in children with type 1 diabetes.
Conclusions:
- Lower serum 25OHD and 1α,25(OH)2D levels are observed in Korean children with type 1 diabetes.
- CYP2R1 gene polymorphisms (rs12794714 and rs10766196) are associated with increased susceptibility to type 1 diabetes.
- Genetic variations in vitamin D metabolism may play a role in the development of type 1 diabetes in this population.
Background:
Vitamin D metabolism has been associated with type 1 diabetes.
Objective:
We aimed to clarify the association of 25-hydroxylase (CYP2R1) and 1α-hydroxylase (CYP27B1) with risk of developing type 1 diabetes in Korean children.
Methods:
In total, 252 children (96 type 1 diabetes and 156 healthy controls) under the age of 20 years were recruited. Serum 25-hydroxyvitamin D (25OHD) and 1α,25-dihydroxyvitamin D [1α,25(OH)2 D] levels were determined. Allelic, genotypic, and haplotypic distribution of CYP2R1 (rs12794714, rs10766196, rs10741657, rs2060793, and rs10766197) and CYP27B1 (rs4646536, rs10877012, and rs3782130) polymorphisms were determined. Clinical and biochemical data were analyzed according to genotype.
Results:
Mean vitamin D level was considerably lower, and vitamin D deficiency was more prevalent in children with type 1 diabetes than in healthy controls. The GG genotype of CYP2R1 rs12794714 and AA genotype of CYP2R1 rs10766196 were significantly associated with risk of developing type 1 diabetes (odds ratio 2.00, 95% confidence interval 1.176-3.413 and odds ratio 1.88, 95% confidence interval 1.103-3.195, respectively). The GG+GA genotype of CYP2R1 rs12794714 and AA+AG genotype of CYP2R1 rs10766196 were associated with prevalent vitamin D deficiency in children with type 1 diabetes. These genotypes did not differ with respect to glycosylated hemoglobin and daily insulin requirement.
Conclusions:
Serum 25OHD and 1α,25(OH)2 D levels were lower in children with type 1 diabetes than in healthy controls. CYP2R1 rs12794714 and rs10766196 polymorphisms were associated with a higher risk of type 1 diabetes. Thus, polymorphisms in vitamin D metabolism may contribute to susceptibility to type 1 diabetes in Korean children.
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