Transcobalamin receptor gene polymorphisms and mutation in an elderly population
Andrew McCaddon1, Daniel F Carr2, Hudson Peter3
1Faculty of Social and Life Sciences, Wrexham Glyndwr University, Wrexham, UK.
Clinical Nutrition ESPEN
|May 18, 2023
Summary
Genetic variations in the transcobalamin receptor (TCblR/CD320) influence vitamin B12 status. Specific CD320 haplotypes significantly alter holotranscobalamin levels in elderly individuals.
Area of Science:
- Biochemistry
- Genetics
- Nutritional Science
Background:
- Vitamin B12 (cobalamin) cellular uptake relies on the transcobalamin receptor (TCblR/CD320).
- Genetic variations (polymorphisms) in TCblR/CD320 are known, but their clinical impact on vitamin B12 status remains unclear.
Purpose of the Study:
- To investigate the association between CD320 genetic variants and vitamin B12 status markers.
- To determine the influence of TCblR/CD320 polymorphisms on holotranscobalamin (holo-TC) levels.
Main Methods:
- CD320 genotyping was performed on 377 elderly individuals.
- Analysis of identified polymorphisms and codon deletions in the exon 2 region of CD320.
Main Results:
- Three polymorphisms and a codon deletion in CD320 exon 2 were identified.
- Individuals with specific TCblR/CD320 haplotypes exhibited significantly higher holo-TC levels and a greater holo-TC to total cobalamin ratio.
- TCblR haplotype accounted for 46% of the variability observed in holo-TC values.
Conclusions:
- CD320 genetic variants significantly impact vitamin B12 status indicators, particularly holo-TC levels.
- The findings suggest that current models for assessing B12 status, relying on intracellular flux via the TC-Cbl receptor, may need adjustments to incorporate CD320 haplotype variations.
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