Polymorphisms in vitamin D receptor gene, but not vitamin D levels, are associated with polycystic ovary syndrome in Brazilian women

Gynecol Endocrinol. 2019 Feb;35(2):146-149. doi: 10.1080/09513590.2018.1512966. Epub 2018 Sep 5.

Abstract

This study aimed to investigate the association between vitamin D (VitD) levels, polymorphisms in VDR gene (ApaI, BsmI, FokI, and TaqI) and the polycystic ovary syndrome (PCOS) in a group of Brazilian women. A total of 100 patients with PCOS and 100 control women were included. The quantification of 25-hydroxyvitamin D (25(OH)D) was performed in high-performance liquid chromatography (HPLC). Polymorphisms on VDR gene were performed by PCR-RFLP. The BsmI AG genotype was more frequent in PCOS group, while the GG genotype was more frequent in the control group (p = .007). The frequency of the Taql CC genotype was higher in PCOS group, while the CT genotype was the most frequent in the control group (p = .021). Mean serum VitD levels were similar between the groups. However, there was a negative correlation between VitD levels and Ferriman-Gallwey score (p = .031, r = -.260) in the PCOS group. The TaqI and BsmI polymorphisms were associated with PCOS. Moreover, VitD levels are associated with the clinical hyperandrogenism. The data suggest the role of VitD in PCOS development and its complications.

Keywords: Polycystic ovary syndrome; VDR; hyperandrogenism; polymorphism; vitamin D.

MeSH terms

  • Adult
  • Blood Glucose / metabolism
  • Brazil
  • C-Reactive Protein / metabolism
  • Case-Control Studies
  • Chromatography, High Pressure Liquid
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Hyperandrogenism / blood
  • Hyperandrogenism / genetics
  • Insulin / blood
  • Polycystic Ovary Syndrome / blood
  • Polycystic Ovary Syndrome / genetics*
  • Polycystic Ovary Syndrome / metabolism
  • Polymorphism, Genetic
  • Receptors, Calcitriol / genetics*
  • Testosterone / blood
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Young Adult

Substances

  • Blood Glucose
  • Insulin
  • Receptors, Calcitriol
  • VDR protein, human
  • Vitamin D
  • Testosterone
  • C-Reactive Protein
  • 25-hydroxyvitamin D