Skip to main content
Erschienen in: Acta Diabetologica 4/2011

01.12.2011 | Original Article

Vitamin D receptor gene BsmI, FokI, ApaI, TaqI polymorphisms and bone mineral density in a group of Turkish type 1 diabetic patients

verfasst von: Dilek Gogas Yavuz, Lezan Keskin, Sinem Kıyıcı, Murat Sert, Dilek Yazıcı, İbrahim Şahin, Meral Yüksel, Oğuzhan Deyneli, Hasan Aydın, Ercan Tuncel, Sema Akalın

Erschienen in: Acta Diabetologica | Ausgabe 4/2011

Einloggen, um Zugang zu erhalten

Abstract

Previous studies have suggested an influence of vitamin D receptor alleles on bone metabolism and on susceptibility to type 1 diabetes mellitus in different ethnic populations. We aimed to investigate the distribution of vitamin D receptor (VDR) alleles in relation to biochemical bone turnover parameters and bone densitometry measurements in a group of Turkish type 1 diabetic patients. One hundred and seventeen patients (M/F 57/60, 27.6 ± 7.3 y duration of diabetes 8.1 ± 6.3 y) and 134 healthy controls (M/F 61/73, 26.2 ± 5.3 y) were included in the study. Bone mineral density (BMD) was evaluated by dual-energy X-ray absorptiometry (DEXA). The vitamin D receptor gene (VDR) polymorphisms FokI, Bsm1, Apa1, and Taq1 were examined using a PCR-based restriction analysis. Serum levels of calcium, phosphor osteocalcin, intact parathyroid hormone, and C telopeptide were measured. Vitamin D receptor Bsm1 Fok1, Apa1, and Taq1 genotype distributions were not different between patient with diabetes and control groups. BMD was 0.77 ± 0.2 g/cm2 vs. 0.97 ± 0.2 g/cm2 (P = 0.0001) for the femur, 1.0 ± 0.1 g/cm2 vs. 1.13 ± 0.1 g/cm2 (P = 0.001) for type 1 diabetic patients and controls. Bone turnover markers were significantly lower in type 1 diabetic group. BMD measurements and bone metabolic markers were not different between the genotypes in either the patient with diabetes or the controls. The VDR gene polymorphisms, Bsm1, Fok 1, Apa1, and Taq1 showed no influence on bone metabolism in our group of type 1 diabetic patients.
Literatur
1.
Zurück zum Zitat Lunt H, Florkowski CM, Cundy T, Kendall D, Brown LJ, Elliot JR, Wells JE, Turner JG (1998) A population-based study of bone mineral density in women with longstanding type 1 (insulin dependent) diabetes. Diabetes Res Clin Pract 40:31–38PubMedCrossRef Lunt H, Florkowski CM, Cundy T, Kendall D, Brown LJ, Elliot JR, Wells JE, Turner JG (1998) A population-based study of bone mineral density in women with longstanding type 1 (insulin dependent) diabetes. Diabetes Res Clin Pract 40:31–38PubMedCrossRef
2.
Zurück zum Zitat Hamilton EJ, Rakic V, Davis WA, Chubb SA, Kamber N, Prince RL, Davis TM (2009) Prevalence and predictors of osteopenia and osteoporosis in adults with Type 1 diabetes. Diabet Med 26:45–52PubMedCrossRef Hamilton EJ, Rakic V, Davis WA, Chubb SA, Kamber N, Prince RL, Davis TM (2009) Prevalence and predictors of osteopenia and osteoporosis in adults with Type 1 diabetes. Diabet Med 26:45–52PubMedCrossRef
3.
Zurück zum Zitat Duarte VM, Ramos AM, Rezende LA, Macedo UB, Brandão-Neto J, Almeida MG, Rezende AA (2005) Osteopenia: a bone disorder associated with diabetes mellitus. J Bone Miner Metab 23:58–68PubMedCrossRef Duarte VM, Ramos AM, Rezende LA, Macedo UB, Brandão-Neto J, Almeida MG, Rezende AA (2005) Osteopenia: a bone disorder associated with diabetes mellitus. J Bone Miner Metab 23:58–68PubMedCrossRef
4.
Zurück zum Zitat Danielson KK, Elliott ME, LeCaire T, Binkley N, Palta M (2009) Poor glycemic control is associated with low BMD detected in premenopausal women with type 1 diabetes. Osteoporos Int 20:923–933PubMedCrossRef Danielson KK, Elliott ME, LeCaire T, Binkley N, Palta M (2009) Poor glycemic control is associated with low BMD detected in premenopausal women with type 1 diabetes. Osteoporos Int 20:923–933PubMedCrossRef
5.
Zurück zum Zitat McCabe LR (2007) Understanding the pathology and mechanisms of type I diabetic bone loss. J Cell Biochem 102:1343–1357PubMedCrossRef McCabe LR (2007) Understanding the pathology and mechanisms of type I diabetic bone loss. J Cell Biochem 102:1343–1357PubMedCrossRef
7.
8.
Zurück zum Zitat Guo SW, Magnuson VL, Schiller JJ, Wang X, Yan W, Ghosh S (2006) Meta-analysis of vitamin D receptor polymorphisms and type 1 diabetes: A HuGE review of genetic association studies. Am J Epidemiol 164:711–724PubMedCrossRef Guo SW, Magnuson VL, Schiller JJ, Wang X, Yan W, Ghosh S (2006) Meta-analysis of vitamin D receptor polymorphisms and type 1 diabetes: A HuGE review of genetic association studies. Am J Epidemiol 164:711–724PubMedCrossRef
9.
Zurück zum Zitat Fassbender WJ, Goertz B, Weismüller K, Steinhauer B, Stracke H, Auch D, Linn T, Bretzel RG (2002) VDR gene polymorphisms are overrepresented in German patients with type 1 diabetes compared to healthy controls without effect on biochemical parameters of bone metabolism. Horm Metab Res 34:330–337PubMedCrossRef Fassbender WJ, Goertz B, Weismüller K, Steinhauer B, Stracke H, Auch D, Linn T, Bretzel RG (2002) VDR gene polymorphisms are overrepresented in German patients with type 1 diabetes compared to healthy controls without effect on biochemical parameters of bone metabolism. Horm Metab Res 34:330–337PubMedCrossRef
10.
Zurück zum Zitat Hauache OM, Lazaretti-Castro M, Andreoni S, Gimeno SG, Brandão C, Ramalho AC, Kasamatsu TS, Kunii I, Hayashi LF, Dib SA, Vieira JG (1998) Vitamin D receptor gene polymorphism: correlation with bone mineral density in a Brazilian population with insulin-dependent diabetes mellitus. Osteoporosis Int 8:204–210CrossRef Hauache OM, Lazaretti-Castro M, Andreoni S, Gimeno SG, Brandão C, Ramalho AC, Kasamatsu TS, Kunii I, Hayashi LF, Dib SA, Vieira JG (1998) Vitamin D receptor gene polymorphism: correlation with bone mineral density in a Brazilian population with insulin-dependent diabetes mellitus. Osteoporosis Int 8:204–210CrossRef
11.
Zurück zum Zitat Kung WC, Yeung SSC, Lau KS (1998) Vitamin D receptor gene polymorphisms and peak bone mass in southern Chinese women. Bone 22:389–393PubMedCrossRef Kung WC, Yeung SSC, Lau KS (1998) Vitamin D receptor gene polymorphisms and peak bone mass in southern Chinese women. Bone 22:389–393PubMedCrossRef
12.
Zurück zum Zitat Dimitrios J, Hadjidakis DJ, Raptis AE, Sfakianakis M, Mylonakis A, Raptis SA (2006) Bone mineral density of both genders in Type 1 diabetes according to bone composition. J Diabetes Complications 20:302–307CrossRef Dimitrios J, Hadjidakis DJ, Raptis AE, Sfakianakis M, Mylonakis A, Raptis SA (2006) Bone mineral density of both genders in Type 1 diabetes according to bone composition. J Diabetes Complications 20:302–307CrossRef
13.
Zurück zum Zitat Rakic V, Davis WAS, Chubb AP, Islam FMA, Prince RL, Davis TME (2006) Bone mineral density and its determinants in diabetes: the Fremantle diabetes study. Diabetologia 49:863–871PubMedCrossRef Rakic V, Davis WAS, Chubb AP, Islam FMA, Prince RL, Davis TME (2006) Bone mineral density and its determinants in diabetes: the Fremantle diabetes study. Diabetologia 49:863–871PubMedCrossRef
15.
Zurück zum Zitat Katayama Y, Akatsu T, Yamamoto M, Kugai N, Nagata N (1996) Role of nonenzymatic glycosylation of type I collagen in diabetic osteopenia. Bone Miner Res 11:931–937CrossRef Katayama Y, Akatsu T, Yamamoto M, Kugai N, Nagata N (1996) Role of nonenzymatic glycosylation of type I collagen in diabetic osteopenia. Bone Miner Res 11:931–937CrossRef
16.
Zurück zum Zitat Motohashi Y, Yamada S, Yanagawa T, Maruyama T, Suzuki R, Niino M, Fukazawa T, Kasuga A, Hirose H, Matsubara K, Shimada A, Saruta T (2003) Vitamin D receptor gene polymorphism affects onset pattern of type 1 diabetes. J Clin Endocrinol Metab 88:3137–3140PubMedCrossRef Motohashi Y, Yamada S, Yanagawa T, Maruyama T, Suzuki R, Niino M, Fukazawa T, Kasuga A, Hirose H, Matsubara K, Shimada A, Saruta T (2003) Vitamin D receptor gene polymorphism affects onset pattern of type 1 diabetes. J Clin Endocrinol Metab 88:3137–3140PubMedCrossRef
17.
Zurück zum Zitat Skrabic V, Zemunik T, Situm M, Terzic J (2003) Vitamin D receptor polymorphism and susceptibility to type 1 diabetes in the Dalmatian population. Diabetes Res Clin Pract 59:31–35PubMedCrossRef Skrabic V, Zemunik T, Situm M, Terzic J (2003) Vitamin D receptor polymorphism and susceptibility to type 1 diabetes in the Dalmatian population. Diabetes Res Clin Pract 59:31–35PubMedCrossRef
18.
Zurück zum Zitat Capoluongo E, Pitocco D, Concolino P, Santonocito C, Di Stasio E, d’Onofrio G, Manto A, Giardina B, Ghirlanda G, Ameglio F, Zuppi G (2006) Slight association between type 1 diabetes and “ff” VDR FokI genotype in patients from the Italian Lazio Region. Lack of association with diabetes complications. Clinical Biochem 39:888–892CrossRef Capoluongo E, Pitocco D, Concolino P, Santonocito C, Di Stasio E, d’Onofrio G, Manto A, Giardina B, Ghirlanda G, Ameglio F, Zuppi G (2006) Slight association between type 1 diabetes and “ff” VDR FokI genotype in patients from the Italian Lazio Region. Lack of association with diabetes complications. Clinical Biochem 39:888–892CrossRef
19.
Zurück zum Zitat Mimbacas A, Trujillo J, Gascue C, Javiel G, Cardoso H (2007) Prevalence of vitamin D receptor gene polymorphism in a Uruguayan population and its relation to type 1 diabetes mellitus. Genet Mol Res 6:534–542PubMed Mimbacas A, Trujillo J, Gascue C, Javiel G, Cardoso H (2007) Prevalence of vitamin D receptor gene polymorphism in a Uruguayan population and its relation to type 1 diabetes mellitus. Genet Mol Res 6:534–542PubMed
20.
Zurück zum Zitat Ponsonby AL, Pezic A, Ellis J, Morley R, Cameron F, Carlin J, Dwyer T (2008) Variation in associations between allelic variants of the vitamin D receptor gene and onset of type 1 diabetes mellitus by ambient winter ultraviolet radiation levels: a meta-regression analysis. Am J Epidemiol 168:358–365PubMedCrossRef Ponsonby AL, Pezic A, Ellis J, Morley R, Cameron F, Carlin J, Dwyer T (2008) Variation in associations between allelic variants of the vitamin D receptor gene and onset of type 1 diabetes mellitus by ambient winter ultraviolet radiation levels: a meta-regression analysis. Am J Epidemiol 168:358–365PubMedCrossRef
21.
Zurück zum Zitat Lemos MC, Fagulha A, Coutinho E, Gomes L, Bastos M, Barros L, Carrilho F, Geraldes E, Regateiro FJ, Carvalheiro M (2008) Lack of association of vitamin D receptor gene polymorphisms with susceptibility to type 1 diabetes mellitus in the Portuguese population. Human Immunol 69:134–138CrossRef Lemos MC, Fagulha A, Coutinho E, Gomes L, Bastos M, Barros L, Carrilho F, Geraldes E, Regateiro FJ, Carvalheiro M (2008) Lack of association of vitamin D receptor gene polymorphisms with susceptibility to type 1 diabetes mellitus in the Portuguese population. Human Immunol 69:134–138CrossRef
22.
Zurück zum Zitat Turpeinen H, Hermann R, Vaara S, Laine AP, Simell O, Knip M, Veijola R, Ilonen J (2003) Vitamin D receptor polymorphisms: no association with type 1 diabetes in the Finnish population. Eur J Endocrinol 149:591–596PubMedCrossRef Turpeinen H, Hermann R, Vaara S, Laine AP, Simell O, Knip M, Veijola R, Ilonen J (2003) Vitamin D receptor polymorphisms: no association with type 1 diabetes in the Finnish population. Eur J Endocrinol 149:591–596PubMedCrossRef
23.
Zurück zum Zitat Ponsonby AL, Pezic A, Ellis J, Morley R, Cameron F (2008) Variation in associations between allelic variants of the vitamin D receptorgene and onset of type 1 diabetes mellitus by ambient winter ultraviolet radiation levels: a meta-regression analysis. Am J Epidemiol 168:358–365PubMedCrossRef Ponsonby AL, Pezic A, Ellis J, Morley R, Cameron F (2008) Variation in associations between allelic variants of the vitamin D receptorgene and onset of type 1 diabetes mellitus by ambient winter ultraviolet radiation levels: a meta-regression analysis. Am J Epidemiol 168:358–365PubMedCrossRef
24.
Zurück zum Zitat Gennari L, Bexherini L, Falchetti A, Masi L, Masart F, Brandi ML (2002) Genetics of osteoporosis: role of steroid hormone receptor gene polymorphisms. J Steroid Biochem Mol Biol 81:1–24PubMedCrossRef Gennari L, Bexherini L, Falchetti A, Masi L, Masart F, Brandi ML (2002) Genetics of osteoporosis: role of steroid hormone receptor gene polymorphisms. J Steroid Biochem Mol Biol 81:1–24PubMedCrossRef
25.
Zurück zum Zitat Uitterlinden AG, Pols HA, Burger H, Huang Q, Van Daele PL, Van Duijn CM, Hofman A, Birkenhäger JC, Van Leeuwen JP (1996) A large-scale population-based study of the association of vitamin D receptor gene polymorphisms with bone mineral density. J Bone Miner Res 11:1241–1248PubMedCrossRef Uitterlinden AG, Pols HA, Burger H, Huang Q, Van Daele PL, Van Duijn CM, Hofman A, Birkenhäger JC, Van Leeuwen JP (1996) A large-scale population-based study of the association of vitamin D receptor gene polymorphisms with bone mineral density. J Bone Miner Res 11:1241–1248PubMedCrossRef
26.
Zurück zum Zitat Ferrari S, Rizzoli R, Bonjour JP (1999) Genetic aspects of osteoporosis. Curr Opin Rheumatol 11:294–300PubMedCrossRef Ferrari S, Rizzoli R, Bonjour JP (1999) Genetic aspects of osteoporosis. Curr Opin Rheumatol 11:294–300PubMedCrossRef
27.
Zurück zum Zitat Ferrari S, Bonjour JP, Rizzoli R (1999) The vitamin D receptor gene and calcium metabolism. TEM 89:259–264 Ferrari S, Bonjour JP, Rizzoli R (1999) The vitamin D receptor gene and calcium metabolism. TEM 89:259–264
28.
Zurück zum Zitat Hamilton EJ, Rakic V, Davis WA, Chubb SA, Kamber N, Prince RL, Davis TM (2009) Prevalence and predictors of osteopenia and osteoporosis in adults with Type 1 diabetes. Diabet Med 26(1):45–52PubMedCrossRef Hamilton EJ, Rakic V, Davis WA, Chubb SA, Kamber N, Prince RL, Davis TM (2009) Prevalence and predictors of osteopenia and osteoporosis in adults with Type 1 diabetes. Diabet Med 26(1):45–52PubMedCrossRef
29.
Zurück zum Zitat Bener A, Alsaied A, Al-Ali M, Al-Kubaisi A, Basha B, Abraham A, Guiter G, Mian M (2009) High prevalence of vitamin D deficiency in type 1 diabetes mellitus and healthy children. Acta Diabetol 46(3):183–189PubMedCrossRef Bener A, Alsaied A, Al-Ali M, Al-Kubaisi A, Basha B, Abraham A, Guiter G, Mian M (2009) High prevalence of vitamin D deficiency in type 1 diabetes mellitus and healthy children. Acta Diabetol 46(3):183–189PubMedCrossRef
30.
Zurück zum Zitat Bischoff-Ferrari HA, Giovannucci E, Willett WC, Dietrich T, Dawson-Hughes B (2006) Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr 84(1):18–28PubMed Bischoff-Ferrari HA, Giovannucci E, Willett WC, Dietrich T, Dawson-Hughes B (2006) Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes. Am J Clin Nutr 84(1):18–28PubMed
Metadaten
Titel
Vitamin D receptor gene BsmI, FokI, ApaI, TaqI polymorphisms and bone mineral density in a group of Turkish type 1 diabetic patients
verfasst von
Dilek Gogas Yavuz
Lezan Keskin
Sinem Kıyıcı
Murat Sert
Dilek Yazıcı
İbrahim Şahin
Meral Yüksel
Oğuzhan Deyneli
Hasan Aydın
Ercan Tuncel
Sema Akalın
Publikationsdatum
01.12.2011
Verlag
Springer Milan
Erschienen in
Acta Diabetologica / Ausgabe 4/2011
Print ISSN: 0940-5429
Elektronische ISSN: 1432-5233
DOI
https://doi.org/10.1007/s00592-011-0284-y

Weitere Artikel der Ausgabe 4/2011

Acta Diabetologica 4/2011 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.