Ulla María, Pérez Adriana, Elías Vanina, Binci Miriam, Pretel Esteban, Castro María, Talamoni Juan, Costero Beatriz, Mammana Mónica, Babini Silvana, Díaz de Barboza Gabriela, Tolosa de Talamoni Nori
Centro de Endocrinología, Osteologia y Metabolismo, Universidad Nacional de Córdoba, Córdoba, Argentina.
Medicina (B Aires). 2007;67(1):32-8.
The aim of this study was to determine the frequency of vitamin D receptor and estrogen receptor genotypes and their relationship with the lumbar spine or femoral neck bone mineral density in healthy pre and perimenopausal women from Córdoba (Argentina) and adjacent areas. Genotypes were assessed by restriction fragment length polymorphism-polymerase chain reaction technique. Bsm I and Fok I for vitamin D receptor gene and Xbal and Pvull for estrogen receptor gene were used as restrictases. Two hundred and ten healthy pre and perimenopausal women were recruited and analyzed by age. Calcemia and serum parathyroid hormone did not change, but serum P and beta-CrossLaps decreased with age. Femoral neck bone mineral density decreased significantly after 30 years old. Vitamin D receptor and estrogen receptor genotype frequencies were similar to those from other Caucasian women. No association between vitamin D receptor and estrogen receptor genotypes with the lumbar spine or femoral neck bone mineral density has been detected. Analysis of interaction between vitamin D receptor and estrogen receptor genes using covariates such as age, height and body mass index did not show any influence of the combination of those genotypes on bone mineral density. Lifestyle, smoking and alcohol intake had no effect on lumbar spine and femoral neck bone mineral density. To conclude, these data do not support the hypothesis that vitamin D receptor and estrogen receptor genotypes influence on lumbar spine and femoral neck bone mineral density in healthy pre and perimenopausal women from this area of Argentina.
本研究的目的是确定来自科尔多瓦(阿根廷)及周边地区的健康绝经前和围绝经期妇女维生素D受体和雌激素受体基因型的频率,以及它们与腰椎或股骨颈骨密度的关系。通过限制性片段长度多态性-聚合酶链反应技术评估基因型。维生素D受体基因使用Bsm I和Fok I,雌激素受体基因使用Xbal和Pvull作为限制性内切酶。招募了210名健康的绝经前和围绝经期妇女,并按年龄进行分析。血钙和血清甲状旁腺激素没有变化,但血清磷和β-交联C端随着年龄的增长而下降。30岁后股骨颈骨密度显著下降。维生素D受体和雌激素受体基因型频率与其他白种女性相似。未检测到维生素D受体和雌激素受体基因型与腰椎或股骨颈骨密度之间存在关联。使用年龄、身高和体重指数等协变量分析维生素D受体和雌激素受体基因之间的相互作用,未显示这些基因型组合对骨密度有任何影响。生活方式、吸烟和饮酒对腰椎和股骨颈骨密度没有影响。总之,这些数据不支持维生素D受体和雌激素受体基因型影响阿根廷该地区健康绝经前和围绝经期妇女腰椎和股骨颈骨密度这一假设。