Prevalence of vitamin D receptor gene polymorphisms FokI and BsmI in Brazilian individuals with type 1 diabetes and their relation to beta-cell autoimmunity and to remaining beta-cell function

Hum Immunol. 2009 Jun;70(6):447-51. doi: 10.1016/j.humimm.2009.03.007. Epub 2009 Mar 12.

Abstract

The effect of the vitamin D receptor (VDR) gene polymorphisms on susceptibility to type 1 diabetes (T1DM) is heterogeneous. Genetic factors may also influence the residual beta-cell function. We studied the frequency of VDR FokI (rs10735810) and BsmI (rs154410) polymorphisms in T1DM and their relationship to beta-cell autoimmunity and residual beta-cell function. We genotyped 189 T1DM (diabetes duration, 7.1 +/- 5.4 years) and 194 controls (C) by restriction length polymorphism-polymerase chain reaction. GAD65Ab, IA2Ab, ionized calcium (iCa), HbA(1c)and fasting C-peptide (FCP) were evaluated. FCP values greater than 0.6 ng/ml were considered as residual beta-cell function. The BsmI was more frequent in the C (bb plus Bb 79.1 C vs. 66.1% T1DM, p = 0.006), and the FokI polymorphism frequencies were similar between T1DM and C. We did not observe differences in pancreatic autoantibody profiles according to VDR genotypes. We observed that T1DM with f allele tended to have lower residual pancreatic beta-cell function (5.8% ff and Ff vs. 14.3% FF, p = 0.074) with similar age, diabetes duration, AAb positivity, HbA(1c), and iCa. Age at diagnosis of T1DM with BsmI polymorphism tended to be greater (10.7 +/- 4.9 bb and Bb vs. 9.3 +/- 4.5 years BB, p = 0.06). In conclusion, the results of this study showed no relationship between VDR polymorphisms and beta-cell autoimmunity; however we observed a relationship with age and remaining beta-cell function in Brazilian individuals with T1DM. These data may contribute to understanding the heterogeneous relationship between genetic markers and clinical features observed in this disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Autoimmunity*
  • Brazil
  • Child
  • Diabetes Mellitus, Type 1 / genetics*
  • Diabetes Mellitus, Type 1 / immunology
  • Female
  • Genetic Predisposition to Disease*
  • Humans
  • Insulin-Secreting Cells / immunology*
  • Male
  • Polymorphism, Single Nucleotide
  • Receptors, Calcitriol / genetics*
  • Young Adult

Substances

  • Receptors, Calcitriol