Diabetol Metab Syndr. 2016 Mar 22;8:29. doi: 10.1186/s13098-016-0145-5. eCollection 2016.
High frequency of vitamin D receptor gene polymorphism FokI in Brazilian Type 1 diabetes mellitus patients with clinical autoimmune thyroid disease.
Diabetology & metabolic syndrome
Denise Barreto Mory, Monica Andrade Lima Gabbay, Eloá R Rocco, Teresa Kasamatsu, Felipe Crispim, Walquíria Lopes Miranda, Sérgio Atala Dib
Affiliations
Affiliations
- Endocrinology Division, São Paulo Federal University, Rua Botucatu, 740-Vila Clementino, São Paulo, SP CEP 04034-970 Brazil.
PMID: 27011770
PMCID: PMC4804530 DOI: 10.1186/s13098-016-0145-5
Abstract
BACKGROUND: Polymorphisms of vitamin D receptor (VDR) gene have been studied as genetic markers of type 1 diabetes mellitus (T1DM) and some studies have reported associations with autoimmune thyroid disease. The aim of this study was to evaluate the relationship between VDR FokI polymorphism (rs10735810), thyroid autoimmunity and thyroid dysfunction (TD) in Brazilian T1DM.
METHODS: One-hundred-eighty T1DM patients were evaluated for age, duration of diabetes (DDM), positivity to TPO Antibody (TPOA), GAD Antibody (GADA), IA2 Antibody (IA2A) and fasting serum C-peptide (FCP) according to diagnosis of TD. PCR-RFLP analyses were carried out for VDR polymorphism FokI.
RESULTS: TPOA positivity (80.0 vs. 25.0 %, p < 0.001) and GADA positivity (56.0 vs. 30.3 %, p = 0.01) were higher in T1DM patients with TD with the same age and DDM than the group without TD, with no difference of FCP and IA2A positivity. We observed higher prevalence of VDR FokI in T1DM with TD (ff and Ff 73.9 % with TD vs. 52.7 % without TD, p = 0.05). Positivity to TPOA and presence of FokI polymorphism were significantly associated with the concurrence of TD in T1DM patients (OR 18.1; CI 3.7-87.0; p < 0.001).
CONCLUSIONS: The VDR FokI polymorphism (rs10735810) was associated to persistence of GADA, TPOA positivity and TD in Brazilian T1DM. Positivity to TPOA and VDR polymorphism FokI were strongly associated with concurrence of T1D and TD. These data collaborate to understanding the joint susceptibility genes for TD in T1DM.
Keywords: Autoimmune thyroid disease; Type 1 diabetes; Vitamin D receptor gene polymorphism
References
- Hum Immunol. 2009 Jun;70(6):447-51 - PubMed
- Kidney Int Suppl. 1990 Sep;29:S9-16 - PubMed
- Physiol Res. 2004;53(3):279-86 - PubMed
- Diabetes Care. 2002 Aug;25(8):1346-50 - PubMed
- BMC Med Genet. 2001;2:7 - PubMed
- Clin Endocrinol (Oxf). 2000 May;52(5):575-80 - PubMed
- Arch Dis Child. 2005 Apr;90(4):411-4 - PubMed
- J Clin Endocrinol Metab. 2009 Jan;94(1):231-5 - PubMed
- Thyroid. 2000 Jun;10(6):475-80 - PubMed
- Thyroid. 2009 Feb;19(2):143-8 - PubMed
- Diabetes. 2007 May;56(5):1189-97 - PubMed
- Thyroid. 2010 Jul;20(7):737-43 - PubMed
- Autoimmun Rev. 2003 Oct;2(6):377-86 - PubMed
- Thyroid. 2005 Oct;15(10):1125-30 - PubMed
- Diabetes Care. 2003 Apr;26(4):1181-5 - PubMed
- Clin Endocrinol (Oxf). 2004 May;60(5):618-24 - PubMed
- J Clin Immunol. 2008 Jan;28(1):21-5 - PubMed
- J Clin Endocrinol Metab. 2005 Aug;90(8):4904-11 - PubMed
- Pediatr Diabetes. 2008 Jul 28;9(4 Pt 1):272-6 - PubMed
- J Clin Endocrinol Metab. 1999 Dec;84(12):4371-8 - PubMed
- J Autoimmun. 2015 Jun;60:32-9 - PubMed
- Metabolism. 2011 Jun;60(6):761-6 - PubMed
- Endocrinol Metab Clin North Am. 2009 Jun;38(2):289-301, vii-viii - PubMed
- Mol Endocrinol. 1997 Jul;11(8):1165-79 - PubMed
- Diabetes Care. 1999 Mar;22(3):377-81 - PubMed
- J Clin Endocrinol Metab. 2009 Apr;94(4):1458-66 - PubMed
- Autoimmunity. 2003 May;36(3):177-81 - PubMed
- Thyroid. 2009 Feb;19(2):99-102 - PubMed
- Diabetes. 2007 Feb;56(2):522-6 - PubMed
- Eur J Immunol. 2007 Feb;37(2):395-405 - PubMed
- Diabet Med. 1995 Jul;12(7):622-7 - PubMed
- Rev Assoc Med Bras (1992). 2003 Oct-Dec;49(4):395-400 - PubMed
- Diabetologia. 2007 Apr;50(4):741-6 - PubMed
- Diabetes Res Clin Pract. 2000 Aug;49(2-3):107-11 - PubMed
- J Autoimmun. 1996 Jun;9(3):315-9 - PubMed
- Int J Immunogenet. 2008 Apr;35(2):125-31 - PubMed
- Thyroid. 2001 Jun;11(6):607-8 - PubMed
- Horm Res. 1999;52(3):113-8 - PubMed
- Clin Chim Acta. 2006 Sep;371(1-2):1-12 - PubMed
- Thyroid. 2007 Oct;17(10):949-61 - PubMed
- N Engl J Med. 2004 May 13;350(20):2068-79 - PubMed
- J Clin Endocrinol Metab. 2006 Apr;91(4):1210-7 - PubMed
- Diabetes Care. 2005 Apr;28(4):850-5 - PubMed
- Epidemiol Rev. 2000;22(2):203-17 - PubMed
- Am J Epidemiol. 2006 Oct 15;164(8):711-24 - PubMed
Publication Types