Vitamin D status, vitamin D receptor polymorphisms, and risk of cardiometabolic multimorbidity

Jianhua Ma1,2, Pingan Li1,2, Jinqi Wang1,2

  • 1School of Public Health, Capital Medical University, No.10 Xitoutiao, Youanmen Street, Beijing, 100069, China.

Nutrition Journal
|May 11, 2025
PubMed

Insights

Adequate vitamin D levels and specific vitamin D receptor (VDR) gene variants can reduce cardiometabolic disease (CMD) risk and slow progression to cardiometabolic multimorbidity (CMM) or death. VDR polymorphisms may personalize prevention strategies for CMM.

Area of Science:

  • Endocrinology
  • Genetics
  • Public Health

Background:

  • Cardiometabolic multimorbidity (CMM) prevalence is rising.
  • Vitamin D and VDR polymorphisms are linked to individual cardiometabolic diseases (CMD).
  • The role of vitamin D and VDR in CMM progression and mortality is not well understood.

Purpose of the Study:

  • To investigate associations between vitamin D, VDR polymorphisms, and CMM progression dynamics.
  • To explore how VDR polymorphisms modify the effects of vitamin D on CMM progression.

Main Methods:

  • Utilized UK Biobank data from 396,192 participants.
  • Defined CMM as co-occurrence of at least two CMDs (T2D, CHD, stroke).
  • Employed a multi-state model to analyze serum 25(OH)D and VDR polymorphism associations with CMM progression.

Main Results:

  • Higher serum 25(OH)D (≥75 nmol/L) correlated with reduced risk for baseline to first CMD, first CMD to CMM, and baseline to death.
  • L-shaped associations observed, with a potential threshold around 45 nmol/L for vitamin D.
  • Specific VDR polymorphisms (rs1544410 T alleles detrimental; rs11568820 T alleles protective) and their interaction with vitamin D levels were identified.

Conclusions:

  • Maintaining adequate vitamin D levels is crucial for reducing CMD risk and delaying CMM or death.
  • VDR polymorphisms can modify vitamin D's effects, enabling risk stratification.
  • Personalized prevention strategies for CMM can be developed based on VDR genotype and vitamin D status.
Abstract

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