Psychiatr Genet. 2021 Dec 01;31(6):230-238. doi: 10.1097/YPG.0000000000000295.
Effects of vitamin D-related gene polymorphisms on attempted suicide.
Psychiatric genetics
Yan-Xin Wei, Bao-Peng Liu, Hui-Min Qiu, Ji-Yu Zhang, Xin-Ting Wang, Cun-Xian Jia
Affiliations
Affiliations
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University.
- Shandong University Center for Suicide Prevention Research.
- Department of Psychology, Shandong Provincial Center for Mental Health.
- Department of Business Management, Shandong Provincial Center for Disease Control and Prevention, Jinan, Shandong, China.
PMID: 34412081
DOI: 10.1097/YPG.0000000000000295
Abstract
OBJECTIVE: Emerging evidence suggests that vitamin D might protect from attempted suicide. The study aimed to investigate the associations between single-nucleotide polymorphisms (SNPs) related to vitamin D levels identified in a large genome-wide association study and attempted suicide in rural China.
METHODS: This 1:1 matched case-control study included altogether 510 suicide attempters and 510 community controls. Genotypes of four target SNPs (DHCR7-rs12785878, CYP2R1-rs10741657, GC-rs2282679, and CYP24A1-rs6013897) were determined, and a genetic risk score (GRS) was constructed to evaluate the combined effect of them. Demographic and psychological information was acquired through face-to-face interviews.
RESULTS: The A allele of CYP24A1-rs6013897 was significantly associated with attempted suicide (OR = 1.27, 95% CI, 1.03-1.58, P = 0.029), even after adjusting for demographic and psychological confounders (adjusted OR = 1.53, 95% CI, 1.01-2.30, P = 0.043). The GRS analyses revealed a significantly higher risk of attempted suicide with a greater number of low vitamin D alleles (adjusted OR = 1.33, 95% CI, 1.13-1.58, P < 0.001). Subgroup analyses stratified by sex indicated that the genetic associations were only significant among males with adjusted ORs of 3.77 (95% CI, 1.56-9.10) for the A allele of rs6013897 and 2.04 (95% CI, 1.32-3.17) for GRS.
CONCLUSIONS: Our findings identity CYP24A1-rs6013897 as a potential biomarker for attempted suicide and indicate that a genetic predisposition to lower vitamin D levels may contribute to attempted suicide. It suggests the possibility that vitamin D may have the preventive potential for attempted suicide.
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
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