Details

Autor(en) / Beteiligte

• BLANTON, Dustin
• ZHAO HAN
• WASSERFALL, Clive
• ATKINSON, Mark
• BIERSCHENK, Lindsey
• PRASAD LINGA-REDDY, M. V
• HONGJIE WANG
• CLARE-SALZLER, Michael
• HALLER, Michael
• SCHATZ, Desmond
• MYHR, Courtney
• SHE, Jin-Xiong

Titel

Reduced Serum Vitamin D-Binding Protein Levels Are Associated With Type 1 Diabetes

Ist Teil von

• Diabetes (New York, N.Y.), 2011-10, Vol.60 (10), p.2566-2570

Ort / Verlag

Alexandria, VA: American Diabetes Association

Erscheinungsjahr

2011

Quelle

MEDLINE

Beschreibungen/Notizen

• Previous studies have noted a specific association between type 1 diabetes and insufficient levels of vitamin D, as well as polymorphisms within genes related to vitamin D pathways. Here, we examined whether serum levels or genotypes of the vitamin D-binding protein (VDBP), a molecule key to the biologic actions of vitamin D, specifically associate with the disorder. A retrospective, cross-sectional analysis of VDBP levels used samples from 472 individuals of similar age and sex distribution, including 153 control subjects, 203 patients with type 1 diabetes, and 116 first-degree relatives of type 1 diabetic patients. Single nucleotide polymorphism (SNP) typing for VDBP polymorphisms (SNP rs4588 and rs7041) was performed on this cohort to determine potential genetic correlations. In addition, SNP analysis of a second sample set of banked DNA samples from 1,502 type 1 diabetic patients and 1,880 control subjects also was used to determine genotype frequencies. Serum VDBP levels were highest in healthy control subjects (median 423.5 µg/mL [range 193.5-4,345.0; interquartile range 354.1-]586), intermediate in first-degree relatives (402.9 µg/mL [204.7-4,850.0; 329.6-492.4]), and lowest in type 1 diabetic patients (385.3 µg/mL [99.3-1,305.0; 328.3-473.0]; P = 0.003 vs. control subjects). VDBP levels did not associate with serum vitamin D levels, age, or disease duration. However, VDBP levels were, overall, lower in male subjects (374.7 µg/mL [188.9-1,602.0; 326.9-449.9]) than female subjects (433.4 µg/mL [99.3-4,850.0; 359.4-567.8]; P < 0.0001). It is noteworthy that no differences in genotype frequencies of the VDBP polymorphisms were associated with serum VDBP levels or between type 1 diabetic patients and control subjects. Serum VDBP levels are decreased in those with type 1 diabetes. These studies suggest that multiple components in the metabolic pathway of vitamin D may be altered in type 1 diabetes and, collectively, have the potential to influence disease pathogenesis.