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ABSTRACT: Background
Vitamin D is crucial for maintenance of musculoskeletal health, and might also have a role in extraskeletal tissues. Determinants of circulating 25-hydroxyvitamin D concentrations include sun exposure and diet, but high heritability suggests that genetic factors could also play a part. We aimed to identify common genetic variants affecting vitamin D concentrations and risk of insufficiency.Methods
We undertook a genome-wide association study of 25-hydroxyvitamin D concentrations in 33 996 individuals of European descent from 15 cohorts. Five epidemiological cohorts were designated as discovery cohorts (n=16 125), five as in-silico replication cohorts (n=9367), and five as de-novo replication cohorts (n=8504). 25-hydroxyvitamin D concentrations were measured by radioimmunoassay, chemiluminescent assay, ELISA, or mass spectrometry. Vitamin D insufficiency was defined as concentrations lower than 75 nmol/L or 50 nmol/L. We combined results of genome-wide analyses across cohorts using Z-score-weighted meta-analysis. Genotype scores were constructed for confirmed variants.Findings
Variants at three loci reached genome-wide significance in discovery cohorts for association with 25-hydroxyvitamin D concentrations, and were confirmed in replication cohorts: 4p12 (overall p=1.9x10(-109) for rs2282679, in GC); 11q12 (p=2.1x10(-27) for rs12785878, near DHCR7); and 11p15 (p=3.3x10(-20) for rs10741657, near CYP2R1). Variants at an additional locus (20q13, CYP24A1) were genome-wide significant in the pooled sample (p=6.0x10(-10) for rs6013897). Participants with a genotype score (combining the three confirmed variants) in the highest quartile were at increased risk of having 25-hydroxyvitamin D concentrations lower than 75 nmol/L (OR 2.47, 95% CI 2.20-2.78, p=2.3x10(-48)) or lower than 50 nmol/L (1.92, 1.70-2.16, p=1.0x10(-26)) compared with those in the lowest quartile.Interpretation
Variants near genes involved in cholesterol synthesis, hydroxylation, and vitamin D transport affect vitamin D status. Genetic variation at these loci identifies individuals who have substantially raised risk of vitamin D insufficiency.Funding
Full funding sources listed at end of paper (see Acknowledgments).
SUBMITTER: Wang TJ
PROVIDER: S-EPMC3086761 | biostudies-literature | 2010 Jul
REPOSITORIES: biostudies-literature
Wang Thomas J TJ Zhang Feng F Richards J Brent JB Kestenbaum Bryan B van Meurs Joyce B JB Berry Diane D Kiel Douglas P DP Streeten Elizabeth A EA Ohlsson Claes C Koller Daniel L DL Peltonen Leena L Cooper Jason D JD O'Reilly Paul F PF Houston Denise K DK Glazer Nicole L NL Vandenput Liesbeth L Peacock Munro M Shi Julia J Rivadeneira Fernando F McCarthy Mark I MI Anneli Pouta P de Boer Ian H IH Mangino Massimo M Kato Bernet B Smyth Deborah J DJ Booth Sarah L SL Jacques Paul F PF Burke Greg L GL Goodarzi Mark M Cheung Ching-Lung CL Wolf Myles M Rice Kenneth K Goltzman David D Hidiroglou Nick N Ladouceur Martin M Wareham Nicholas J NJ Hocking Lynne J LJ Hart Deborah D Arden Nigel K NK Cooper Cyrus C Malik Suneil S Fraser William D WD Hartikainen Anna-Liisa AL Zhai Guangju G Macdonald Helen M HM Forouhi Nita G NG Loos Ruth J F RJ Reid David M DM Hakim Alan A Dennison Elaine E Liu Yongmei Y Power Chris C Stevens Helen E HE Jaana Laitinen L Vasan Ramachandran S RS Soranzo Nicole N Bojunga Jörg J Psaty Bruce M BM Lorentzon Mattias M Foroud Tatiana T Harris Tamara B TB Hofman Albert A Jansson John-Olov JO Cauley Jane A JA Uitterlinden Andre G AG Gibson Quince Q Järvelin Marjo-Riitta MR Karasik David D Siscovick David S DS Econs Michael J MJ Kritchevsky Stephen B SB Florez Jose C JC Todd John A JA Dupuis Josee J Hyppönen Elina E Spector Timothy D TD
Lancet (London, England) 20100610 9736
<h4>Background</h4>Vitamin D is crucial for maintenance of musculoskeletal health, and might also have a role in extraskeletal tissues. Determinants of circulating 25-hydroxyvitamin D concentrations include sun exposure and diet, but high heritability suggests that genetic factors could also play a part. We aimed to identify common genetic variants affecting vitamin D concentrations and risk of insufficiency.<h4>Methods</h4>We undertook a genome-wide association study of 25-hydroxyvitamin D conc ...[more]