The correlation between promoter hypermethylation of VDR, CLDN, and CasR genes and recurrent stone formation

Fatemeh Khatami1, Alireza Gorji1, Mahdi Khoshchehreh2

  • 1Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Insights

Epigenetic changes, specifically promoter hypermethylation in the vitamin D receptor (VDR) and claudin 14 (CLDN14) genes, are significantly associated with recurrent kidney stone formation. These findings highlight methylation

Area of Science:

  • Epigenetics and Molecular Biology
  • Nephrology and Urology
  • Genetics and Genomics

Background:

  • Recurrent kidney stone formation presents a significant global health and economic challenge.
  • Environmental and genetic factors are implicated in the increased risk of developing kidney stones.
  • Epigenetic mechanisms, such as DNA methylation, are increasingly recognized as potential contributors to disease pathogenesis.

Purpose of the Study:

  • To investigate the association between promoter hypermethylation of the vitamin D receptor (VDR), calcium-sensing receptor (CaSR), and claudin 14 (CLDN14) genes in individuals with recurrent kidney stones.
  • To assess the role of DNA methylation as an epigenetic factor in the etiology of recurrent kidney stone disease.

Main Methods:

  • A case-control study involving 30 recurrent kidney stone formers (cases) and 30 age- and gender-matched controls.
  • DNA was extracted from blood samples, and promoter methylation of VDR, CaSR, and CLDN14 genes was analyzed.
  • Methylation quantification was performed using methylation-specific high-resolution melting (MS-HRM) analysis on bisulfite-converted DNA.

Main Results:

  • Significant differences in methylation status across six target regions were observed between stone formers and controls (p < 0.001).
  • Promoter hypermethylation showed a stronger association with recurrent kidney stones in the VDR and CLDN14 genes compared to the CaSR gene (p < 0.005 vs. p < 0.256).
  • Methylation patterns were categorized into unmethylated, methylated, and hypermethylated clusters, revealing distinct profiles between groups.

Conclusions:

  • DNA methylation is an important epigenetic mechanism that warrants consideration in the context of recurrent kidney stone formation.
  • Promoter hypermethylation of the VDR and CLDN14 genes may play a crucial role in the pathogenesis of recurrent kidney stones.
  • These findings suggest potential epigenetic biomarkers for identifying individuals at risk of recurrent kidney stone disease.

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