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Common genetic determinants of vitamin D insufficiency: a genome-wide association study.


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

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Publications

Common genetic determinants of vitamin D insufficiency: a genome-wide association study.

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]

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