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Association of vitamin D gene polymorphisms in children with asthma - A systematic review
Narmada Ashok1,2, Richard Kirubakaran3, Radha Saraswathy4
1School of Biosciences & Technology, VIT University, Vellore.
Insights
Vitamin D gene variations are linked to childhood asthma. Specific polymorphisms in Vitamin D Receptor (VDR) and metabolic genes show significant associations, influencing asthma risk in children.
Area of Science:
- Genetics and immunology
- Pediatric respiratory diseases
- Nutritional genomics
Background:
- The link between Vitamin D and childhood asthma is established.
- Individual studies have explored Vitamin D gene polymorphisms.
- A comprehensive systematic review on these polymorphisms in pediatric asthma is lacking.
Purpose of the Study:
- To systematically review and meta-analyze the association between Vitamin D-associated gene polymorphisms and asthma in children (0-18 years).
- To identify specific gene variants that may confer risk or protection against childhood asthma.
Main Methods:
- Systematic review and meta-analysis of 20 full-text articles.
- Included 15 case-control studies and 5 family-based linkage disequilibrium studies.
- Analyzed data from 2491 cases and 3682 controls, with quantitative and qualitative approaches.
Main Results:
- Significant protective associations found for Apa1 and Taq1 polymorphisms.
- Increased asthma odds linked to Apa1, Bsm1, Fok1, and Taq1 polymorphisms.
- Ethnic variations observed; qualitative analysis also revealed significant associations.
Conclusions:
- Significant associations exist between Vitamin D Receptor (VDR) polymorphisms (Apa1, Bsm1, Fok1, Taq1) and childhood asthma.
- Polymorphisms in Vitamin D metabolic genes (CYP27A1, CYP2R1, CYP24A1, GC) and VDRE genes are also associated with asthma.
- Larger, multi-ethnic studies are needed to confirm findings and guide targeted interventions.
Introduction:
The association of Vitamin D and children with asthma is known and there are several individual studies on Vitamin D polymorphisms. However, systematic reviews on all vitamin D associated gene polymorphisms have not been done in children with asthma.
Objective:
To investigate the association of Vitamin D associated gene polymorphisms and asthma in children (0-18 years) by systematic review and meta-analytic approach.
Methods:
Our search included 20 full text articles of which 15 were case control studies and 5 used family based linkage disequilibrium method. Total of 2491cases and 3682 controls were included in case control studies, with mean age of 9.58 years and 10.16 years respectively. Quantitative and qualitative analysis were done.
Results:
Quantitative analysis revealed significant association with protective effect of Apa1 polymorphism in allele (OR 0.81 (0.71,0.91) and homozygous major form (OR 0.83 (0.70,0.98) and Taq 1 minor allele in homozygous form (OR 0.73 (0.58,0.92) in children with asthma. However, the minor allele of Apa1(OR 1.21 (1.07,1.37), Bsm 1 in heterozygous (OR 1.35 (1.07,1.71) and homozygous minor form (OR 1.95 (1.59,2.39), major allele of Fok1(OR1.34 (1.17,1.52) and Taq1 (OR 1.22 (1.08,1.38) were found to be increasing the odds of asthma. Ethnic variations were noted in subgroup analysis. Qualitative analysis of the polymorphisms of the Vitamin D associated metabolic genes also showed significant associations.
Conclusion:
Our review shows significant associations with VDR polymorphisms - Apa1, Bsm1, Fok 1, Taq 1, polymorphisms of Vitamin D metabolic genes - CYP27A1, CYP 2R1, CYP 24A1, GC and genes related to Vitamin D response element (VDRE) in children with asthma. Conducting large studies involving various ethnic regions will strengthen our knowledge on the association and aid in targeted interventions for control of asthma in children.
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