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GENETIC FEATURES OF CHILDREN WITH IDIOPATHIC SHORT STATURE
Mariana Ryznychuk1, Olena Bolshova2, Dmytro Kvachenyuk2
1BUKOVINIAN STATE MEDICAL UNIVERSITY, CHERNIVTSI, UKRAINE.
Insights
Genetic variations in the vitamin D receptor (VDR) BsmI gene are linked to idiopathic short stature in children. Specific VDR genotypes increase the risk and are associated with vitamin D deficiency or insufficiency.
Area of Science:
- Pediatric Endocrinology
- Human Genetics
- Molecular Biology
Background:
- Idiopathic short stature (ISS) affects children's growth and development.
- The vitamin D receptor (VDR) plays a crucial role in calcium homeostasis and bone metabolism.
- Genetic variations, specifically VDR gene polymorphism, may influence the risk of ISS.
Purpose of the Study:
- To investigate the clinical and genetic factors of children with ISS.
- To analyze the association between VDR gene BsmI polymorphism and ISS.
- To evaluate vitamin D levels in relation to VDR genotypes in these children.
Main Methods:
- Study included 18 children diagnosed with ISS.
- Collected data on patient demographics, anthropometry, bone age, and hormone levels (GH, IGF-1).
- Analyzed VDR gene BsmI (rs1544410) polymorphism and blood vitamin D, calcium levels.
Main Results:
- Carriers of the VDR BsmI A allele showed a significantly increased risk of ISS (OR=4.47).
- The G/A genotype of VDR BsmI was associated with a substantially higher risk (OR=9.33).
- Vitamin D deficiency was observed in G/G genotype, while insufficiency was noted in G/A and A/A genotypes.
Conclusions:
- The VDR BsmI polymorphic locus (rs1544410) may be involved in the pathogenesis of ISS.
- Genetic variations in VDR could contribute to the development of short stature in children.
- Further research is warranted to elucidate the precise role of VDR gene polymorphisms in ISS.
Objective:
The aim: To investigate the clinical and genetic characteristics of children with idiopathic short stature, taking into account the polymorphism of the vitamin D receptor (VDR) BsmI gene.
Patients And Methods:
Materials and methods: Eighteen children diagnosed with of idiopathic short stature who were treated at the State Institution «V.P. Komisarenko Institute of Endocrinology and Metabolism of the National Academy of Medical Sciences of Ukraine» were examined. The following values were taken into account: the patient's sex and age, anthropometric data, vitamin D level in the blood (excluding summer months of patient recruitment), bone age, basal growth hormone (GH) level and its level after stimulation tests (clonidine, insulin), IGF-1 levels, blood levels of total and ionized calcium and VDR gene polymorphism.
Results:
Results: The A allele carriers of the polymorphic locus BsmI (rs1544410) of the VDR gene are significantly associated with the risk of developing idiopathic short stature OR = 4.47 (95% CI 2.11-9.48; p <0.05). The risk of idiopathic short stature is significantly higher OR = 9.33 (95% CI 3.09-28.16; p <0.05) in children with the presence of the G/A genotype. Vitamin D deficiency (43.83 ± 6.47 nmol/l) was found in children with the BsmI polymorphic variant G/G VDR, and vitamin D insufficiency was found in children with BsmI polymorphic variants G/A and A/A VDR (58.14 ± 20.05 and 51.58 ± 22.84 nmol/l, respectively).
Conclusion:
Conclusions: The data obtained regarding the polymorphic locus BsmI (rs1544410) of the of VDR gene cannot exclude it's the involvement in the pathogenesis of idiopathic short stature.
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