Department of Dermatology (R.S., T.V., J.R.), The Saarland University Hospital, 66424 Homburg, Germany; Department of Epidemiology and Biostatistics (S.P.), EMGO Institute for Health and Care research, Vrije Universiteit Medisch Centrum, 1081 BT Amsterdam, The Netherlands; Department of Internal Medicine (S.P.), Division of Endocrinology and Metabolism, Medical University of Graz, 8036 Graz, Austria; Institute of Medical Biometry, Epidemiology, and Medical Informatics (S.G.), The Saarland University Hospital, Homburg, Germany; and Mannheim Institute of Public Health (M.K., W.M.), Heidelberg University, 68167 Mannheim, Germany.
Endocrinology. 2015 Jan;156(1):39-47. doi: 10.1210/en.2014-1238.
Vitamin D deficiency is common in the Caucasian population and is associated with increased incidence and unfavorable outcome of many diseases, including various types of cancer, infectious, cardiovascular, and autoimmune diseases. Individual factors that predispose for a person's vitamin D status, such as skin type, have been identified, but limited data exist on genetic determinants of serum 25-hydroxyvitamin D (25[OH]D) concentration. We have tested the hypothesis that variants of genes (single nucleotide polymorphisms [SNPs]) involved in skin pigmentation are predictive of serum 25(OH)D levels. Serum 25(OH)D and SNPs (n = 960) related to genes with relevance for skin pigmentation (tyrosinase [TYR], TYR-related protein 1 [TYRP1], dopachrome tautomerase [DCT], oculocutaneous albinism II [OCA2], two pore segment channel 2 [TPCN2], solute carrier family 24 A4 [SLC24A4], solute carrier family 45 A2 [SLC45A2], agouti signalling peptide [ASIP], cyclic AMP-dependent transcription factor [ATF1], microphthalmia-associated transcription factor [MITF], proopiomelanocortin [POMC], cAMP-dependent protein kinase catalytic subunit beta [PRKACB], cAMP-dependent protein kinase catalytic subunit gamma [PRKACG], cAMP-dependent protein kinase type I-alpha regulatory subunit [PRKAR1A], cAMP-dependent protein kinase type II-alpha regulatory subunit [PRKAR2A], cAMP-dependent protein kinase type II-beta regulatory subunit [PRKAR2B], tubulin beta-3 chain/melanocortin receptor 1 [TUBB3/MC1R], Cadherin-1 [CDH1], catenin beta 1 [CTNNB1], Endothelin 1 [EDN1], endothelin 3 [EDN3], endothelin receptor type B [EDNRB], fibroblast growth factor 2 [FGF2], KIT, KIT ligand [KITLG], nerve growth factor [NGF], interferon regulatory factor 4 [IRF4], exocyst complex component 2 [EXOC2], and tumor protein 53 [TP53]) were analyzed in a cohort of participants of the Ludwigshafen Risk and Cardiovascular Health Study (n = 2970). A total of 46 SNPs were associated (P <.05) with lower or higher serum 25(OH)D levels as compared with the total cohort (median, 15.5 ng/mL). Although 1 SNP in the EXOC2 gene reached the aimed significance level after correction for multiple comparisons (false discovery rate) and was associated with a Δ25(OH)D value more than 5.00 ng/mL, 11 SNPs located in the TYR (n = 4), PRKACG (n = 1), EDN1 (n = 3), TYRP1 (n = 1), and microphthalmia-associated transcription factor (n = 2) genes reached the aimed significance level after false discovery rate correction but were not associated with Δ25(OH)D value more than 5.00 ng/mL. We conclude that variants of genes involved in skin pigmentation are predictive of serum 25(OH)D levels in the Caucasian population. Our data indicate that out of the variants in 29 different genes analyzed, variants of 11 genes, including EXOC2, TYR, and TYRP1, have the highest impact on vitamin D status. Our results have a fundamental importance to understand the role of sunlight, skin pigmentation, and vitamin D for the human evolution.
维生素 D 缺乏在白种人群中很常见,与许多疾病(包括各种类型的癌症、传染病、心血管疾病和自身免疫性疾病)的发病率和不良预后增加有关。已经确定了导致个体维生素 D 状态的个体因素,例如皮肤类型,但关于血清 25-羟维生素 D(25[OH]D)浓度的遗传决定因素的有限数据。我们已经检验了这样一个假设,即涉及皮肤色素沉着的基因(单核苷酸多态性[SNP])的变体可预测血清 25(OH)D 水平。我们分析了 2970 名 Ludwigshafen 风险和心血管健康研究参与者队列中的血清 25(OH)D 和与皮肤色素沉着相关的基因(SNP)(n = 960)(酪氨酸酶[TYR]、TYR 相关蛋白 1[TYRPI]、多巴胺色素互变异构酶[DCT]、眼皮肤白化病 II [OCA2]、双孔段通道 2 [TPCN2]、溶质载体家族 24A4 [SLC24A4]、溶质载体家族 45A2 [SLC45A2]、阿黑皮素原 [ASIP]、环腺苷酸依赖性转录因子 [ATF1]、小眼相关转录因子 [MITF]、促黑激素原 [POMC]、cAMP 依赖性蛋白激酶催化亚基β [PRKACB]、cAMP 依赖性蛋白激酶催化亚基γ [PRKACG]、cAMP 依赖性蛋白激酶 I-α 调节亚基 [PRKAR1A]、cAMP 依赖性蛋白激酶 II-α 调节亚基 [PRKAR2A]、cAMP 依赖性蛋白激酶 II-β 调节亚基 [PRKAR2B]、微管蛋白β-3 链/黑素皮质素受体 1 [TUBB3/MC1R]、钙粘蛋白 1 [CDH1]、连环蛋白β 1 [CTNNB1]、内皮素 1 [EDN1]、内皮素 3 [EDN3]、内皮素受体 B [EDNRB]、成纤维细胞生长因子 2 [FGF2]、KIT、KIT 配体 [KITLG]、神经生长因子 [NGF]、干扰素调节因子 4 [IRF4]、外核蛋白复合物成分 2 [EXOC2]和肿瘤蛋白 53 [TP53])。与整个队列(中位数为 15.5ng/mL)相比,共有 46 个 SNP 与血清 25(OH)D 水平较低或较高相关(P <.05)。尽管 EXOC2 基因中的 1 个 SNP 在经过多次比较(错误发现率)校正后达到了预期的显著性水平,并且与超过 5.00ng/mL 的Δ25(OH)D 值相关,但有 11 个 SNP 位于 TYR(n = 4)、PRKACG(n = 1)、EDN1(n = 3)、TYRP1(n = 1)和小眼相关转录因子(n = 2)基因中,在经过错误发现率校正后达到了预期的显著性水平,但与超过 5.00ng/mL 的Δ25(OH)D 值无关。我们得出的结论是,参与皮肤色素沉着的基因的变体可预测白种人群的血清 25(OH)D 水平。我们的数据表明,在分析的 29 个不同基因中,包括 EXOC2、TYR 和 TYRP1 在内的 11 个基因的变体对维生素 D 状态的影响最大。我们的研究结果对于了解阳光、皮肤色素沉着和维生素 D 对人类进化的作用具有重要意义。