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Published on: April 1, 2019
The Role of Vitamin D Receptor Gene Polymorphisms in Thyroid-Associated Orbitopathy
Adam Maciejewski1, Michał J Kowalczyk2, Teresa Gasińska3
1Department of Endocrinology, Metabolism and Internal Diseases, Poznan University of Medical Sciences, Poznan, Poland.
Abstract:
Purpose: Thyroid-associated orbitopathy (TAO) is an autoimmune disease that typically occurs in the course of Graves' disease. VDR gene has been tested for its association with autoimmune thyroid diseases, with conflicting results. The study aimed to evaluate the association of selected VDR polymorphisms (rs2228570, rs1544410, rs7975232, rs731236, and rs11568820) with susceptibility to TAO.Methods: 108 TAO patients and 130 control subjects were enrolled. Polymorphisms were studied by PCR-RFLP or TaqMan real-time PCR.Results: Genotype distributions of rs2228570 differed significantly between TAO and controls under a dominant model (OR = 2.05; 95% CI: 1.03-4.08; p = .04). TAO patients also had slightly increased frequency of C allele of rs2228570 comparing to controls (p = .05). However, the study failed to find any associations between VDR polymorphisms and the analyzed clinical features of the disease.Conclusions: These preliminary results have shown that C allele of rs2228570 may contribute to the development of TAO in patients of Caucasian Polish origin.
Insights
The Vitamin D Receptor (VDR) gene
Area of Science:
- Endocrinology
- Genetics
- Ophthalmology
Background:
- Thyroid-associated orbitopathy (TAO) is an autoimmune condition often linked to Graves' disease.
- The Vitamin D Receptor (VDR) gene's role in autoimmune thyroid diseases is debated.
- Previous studies on VDR gene polymorphisms and autoimmune thyroid diseases yielded conflicting results.
Purpose of the Study:
- To investigate the association between specific VDR gene polymorphisms (rs2228570, rs1544410, rs7975232, rs731236, rs11568820) and susceptibility to TAO.
- To determine if VDR polymorphisms correlate with clinical features of TAO.
Main Methods:
- Case-control study involving 108 TAO patients and 130 controls.
- Genotyping of VDR polymorphisms using PCR-RFLP and TaqMan real-time PCR.
Main Results:
- A significant difference in genotype distribution for VDR polymorphism rs2228570 was observed between TAO patients and controls (p=0.04) under a dominant model.
- The C allele of rs2228570 showed a slightly increased frequency in TAO patients compared to controls (p=0.05).
- No significant associations were found between the studied VDR polymorphisms and the clinical manifestations of TAO.
Conclusions:
- The C allele of VDR polymorphism rs2228570 may be a potential contributing factor to TAO development in Caucasian Polish individuals.
- Further research is needed to confirm these preliminary findings and elucidate the role of VDR in TAO pathogenesis.
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