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Low-Frequency Synonymous Coding Variation in CYP2R1 Has Large Effects on Vitamin D Levels and Risk of Multiple Sclerosis.


ABSTRACT: Vitamin D insufficiency is common, correctable, and influenced by genetic factors, and it has been associated with risk of several diseases. We sought to identify low-frequency genetic variants that strongly increase the risk of vitamin D insufficiency and tested their effect on risk of multiple sclerosis, a disease influenced by low vitamin D concentrations. We used whole-genome sequencing data from 2,619 individuals through the UK10K program and deep-imputation data from 39,655 individuals genotyped genome-wide. Meta-analysis of the summary statistics from 19 cohorts identified in CYP2R1 the low-frequency (minor allele frequency = 2.5%) synonymous coding variant g.14900931G>A (p.Asp120Asp) (rs117913124[A]), which conferred a large effect on 25-hydroxyvitamin D (25OHD) levels (-0.43 SD of standardized natural log-transformed 25OHD per A allele; p value = 1.5 × 10-88). The effect on 25OHD was four times larger and independent of the effect of a previously described common variant near CYP2R1. By analyzing 8,711 individuals, we showed that heterozygote carriers of this low-frequency variant have an increased risk of vitamin D insufficiency (odds ratio [OR] = 2.2, 95% confidence interval [CI] = 1.78-2.78, p = 1.26 × 10-12). Individuals carrying one copy of this variant also had increased odds of multiple sclerosis (OR = 1.4, 95% CI = 1.19-1.64, p = 2.63 × 10-5) in a sample of 5,927 case and 5,599 control subjects. In conclusion, we describe a low-frequency CYP2R1 coding variant that exerts the largest effect upon 25OHD levels identified to date in the general European population and implicates vitamin D in the etiology of multiple sclerosis.

SUBMITTER: Manousaki D 

PROVIDER: S-EPMC5544392 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Low-Frequency Synonymous Coding Variation in CYP2R1 Has Large Effects on Vitamin D Levels and Risk of Multiple Sclerosis.

Manousaki Despoina D   Dudding Tom T   Haworth Simon S   Hsu Yi-Hsiang YH   Liu Ching-Ti CT   Medina-Gómez Carolina C   Voortman Trudy T   van der Velde Nathalie N   Melhus Håkan H   Robinson-Cohen Cassianne C   Cousminer Diana L DL   Nethander Maria M   Vandenput Liesbeth L   Noordam Raymond R   Forgetta Vincenzo V   Greenwood Celia M T CMT   Biggs Mary L ML   Psaty Bruce M BM   Rotter Jerome I JI   Zemel Babette S BS   Mitchell Jonathan A JA   Taylor Bruce B   Lorentzon Mattias M   Karlsson Magnus M   Jaddoe Vincent V W VVW   Tiemeier Henning H   Campos-Obando Natalia N   Franco Oscar H OH   Utterlinden Andre G AG   Broer Linda L   van Schoor Natasja M NM   Ham Annelies C AC   Ikram M Arfan MA   Karasik David D   de Mutsert Renée R   Rosendaal Frits R FR   den Heijer Martin M   Wang Thomas J TJ   Lind Lars L   Orwoll Eric S ES   Mook-Kanamori Dennis O DO   Michaëlsson Karl K   Kestenbaum Bryan B   Ohlsson Claes C   Mellström Dan D   de Groot Lisette C P G M LCPGM   Grant Struan F A SFA   Kiel Douglas P DP   Zillikens M Carola MC   Rivadeneira Fernando F   Sawcer Stephen S   Timpson Nicholas J NJ   Richards J Brent JB  

American journal of human genetics 20170727 2


Vitamin D insufficiency is common, correctable, and influenced by genetic factors, and it has been associated with risk of several diseases. We sought to identify low-frequency genetic variants that strongly increase the risk of vitamin D insufficiency and tested their effect on risk of multiple sclerosis, a disease influenced by low vitamin D concentrations. We used whole-genome sequencing data from 2,619 individuals through the UK10K program and deep-imputation data from 39,655 individuals gen  ...[more]

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