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Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study

BACKGROUND: It has been demonstrated that vitamin D receptor (VDR), a key gene in the metabolism of vitamin D (VD), may affect the development of Non-alcoholic fatty liver disease (NAFLD) by regulating VD level and its biological effects. OBJECTIVES: To investigate the effects of serum VD level, VDR...

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Autores principales: Zhang, Ru, Wang, Minxian, Wang, Min, Zhang, Liuxin, Ding, Yajie, Tang, Zongzhe, Fu, Zuqiang, Fan, Haozhi, Zhang, Wei, Wang, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377425/
https://www.ncbi.nlm.nih.gov/pubmed/34421816
http://dx.doi.org/10.3389/fendo.2021.648844
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author Zhang, Ru
Wang, Minxian
Wang, Min
Zhang, Liuxin
Ding, Yajie
Tang, Zongzhe
Fu, Zuqiang
Fan, Haozhi
Zhang, Wei
Wang, Jie
author_facet Zhang, Ru
Wang, Minxian
Wang, Min
Zhang, Liuxin
Ding, Yajie
Tang, Zongzhe
Fu, Zuqiang
Fan, Haozhi
Zhang, Wei
Wang, Jie
author_sort Zhang, Ru
collection PubMed
description BACKGROUND: It has been demonstrated that vitamin D receptor (VDR), a key gene in the metabolism of vitamin D (VD), may affect the development of Non-alcoholic fatty liver disease (NAFLD) by regulating VD level and its biological effects. OBJECTIVES: To investigate the effects of serum VD level, VDR variation, and a combination of VDR SNP and environmental behavior factor on the risk of NAFLD. METHODS: A total of 3023 subjects from a community in Nanjing were enrolled, including 1120 NAFLD cases and 1903 controls. Serum 25(OH)D(3) levels were measured and eight single nucleotide polymorphisms (SNPs) in VDR gene were genotyped. RESULTS: Logistic regression analyses indicated that VD sufficiency and VD insufficiency were significantly associated with a low risk of NAFLD (all P<0.05; all P (trend) <0.05, in a locus-dosage manner). After adjusting for gender and age, VDR rs2228570-A and rs11168287-A alleles were all reduced the risk of NAFLD (all P (FDR)=0.136, in dominant model; P (trend) =0.039, combined effects in a locus-dosage manner). The protective effects of two favorable alleles were more evident among subjects ≤40 years, non-hypertension, non-hyperglycemia and non-low high density lipoprotein-cholesterol (all P<0.05). The area under the receiver operating curve of the combination of VDR SNP and exercise time for assessing NAFLD risk was slightly higher than that of only including exercise time or neither (all P<0.05). CONCLUSION: High serum VD levels and VDR variants (rs2228570-A and rs11168287-A) might contribute to a low risk of NAFLD in Chinese Han population. The inclusion of VDR SNP and exercise time could improve the efficiency in assessment of NAFLD risk, which might provide a novel perspective for early screening and preventing NAFLD.
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spelling pubmed-83774252021-08-21 Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study Zhang, Ru Wang, Minxian Wang, Min Zhang, Liuxin Ding, Yajie Tang, Zongzhe Fu, Zuqiang Fan, Haozhi Zhang, Wei Wang, Jie Front Endocrinol (Lausanne) Endocrinology BACKGROUND: It has been demonstrated that vitamin D receptor (VDR), a key gene in the metabolism of vitamin D (VD), may affect the development of Non-alcoholic fatty liver disease (NAFLD) by regulating VD level and its biological effects. OBJECTIVES: To investigate the effects of serum VD level, VDR variation, and a combination of VDR SNP and environmental behavior factor on the risk of NAFLD. METHODS: A total of 3023 subjects from a community in Nanjing were enrolled, including 1120 NAFLD cases and 1903 controls. Serum 25(OH)D(3) levels were measured and eight single nucleotide polymorphisms (SNPs) in VDR gene were genotyped. RESULTS: Logistic regression analyses indicated that VD sufficiency and VD insufficiency were significantly associated with a low risk of NAFLD (all P<0.05; all P (trend) <0.05, in a locus-dosage manner). After adjusting for gender and age, VDR rs2228570-A and rs11168287-A alleles were all reduced the risk of NAFLD (all P (FDR)=0.136, in dominant model; P (trend) =0.039, combined effects in a locus-dosage manner). The protective effects of two favorable alleles were more evident among subjects ≤40 years, non-hypertension, non-hyperglycemia and non-low high density lipoprotein-cholesterol (all P<0.05). The area under the receiver operating curve of the combination of VDR SNP and exercise time for assessing NAFLD risk was slightly higher than that of only including exercise time or neither (all P<0.05). CONCLUSION: High serum VD levels and VDR variants (rs2228570-A and rs11168287-A) might contribute to a low risk of NAFLD in Chinese Han population. The inclusion of VDR SNP and exercise time could improve the efficiency in assessment of NAFLD risk, which might provide a novel perspective for early screening and preventing NAFLD. Frontiers Media S.A. 2021-08-06 /pmc/articles/PMC8377425/ /pubmed/34421816 http://dx.doi.org/10.3389/fendo.2021.648844 Text en Copyright © 2021 Zhang, Wang, Wang, Zhang, Ding, Tang, Fu, Fan, Zhang and Wang https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Zhang, Ru
Wang, Minxian
Wang, Min
Zhang, Liuxin
Ding, Yajie
Tang, Zongzhe
Fu, Zuqiang
Fan, Haozhi
Zhang, Wei
Wang, Jie
Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study
title Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study
title_full Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study
title_fullStr Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study
title_full_unstemmed Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study
title_short Vitamin D Level and Vitamin D Receptor Genetic Variation Were Involved in the Risk of Non-Alcoholic Fatty Liver Disease: A Case-Control Study
title_sort vitamin d level and vitamin d receptor genetic variation were involved in the risk of non-alcoholic fatty liver disease: a case-control study
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8377425/
https://www.ncbi.nlm.nih.gov/pubmed/34421816
http://dx.doi.org/10.3389/fendo.2021.648844
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