Siqueira Thais Walverde, Araujo Júnior Edward, Mattar Rosiane, Daher Silvia
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Rev Bras Ginecol Obstet. 2019 Jul;41(7):425-431. doi: 10.1055/s-0039-1693678. Epub 2019 Jul 25.
To evaluate the relationship between vitamin D receptor (VDR) gene polymorphism ( [rs10735810]) and serum vitamin D concentration in gestational diabetes mellitus (GDM).
A prospective case-control study that recruited healthy pregnant women (control group) (78) and women with GDM (GDM group) (79), with no other comorbidities. Peripheral blood samples were collected in the 3 trimester of gestation, and all of the pregnant women were followed-up until the end of the pregnancy and the postpartum period. Serum vitamin D concentrations were measured by high-performance liquid chromatography (HPLC). For genomic polymorphism analysis, the genomic DNA was extracted by the dodecyltrimethylammonium bromide/cetyltrimethylammonium bromide (DTAB/CTAB) method, and genotyping was performed by the polymerase chain reaction - restriction fragment length polymorphism (PCR-RFLP) technique, using the restriction enzyme . The Student-t, Mann-Whitney, chi-squared, and Fischer exact tests were used for the analysis of the results.
There was no significant difference between the pregnant women in the control and GDM groups regarding serum vitamin D levels (17.60 ± 8.89 ng/mL versus 23.60 ± 10.68 ng/mL; = 0.1). Also, no significant difference was detected between the genotypic frequency when the 2 groups were compared with each other ( = 0.41).
There was no association between the polymorphism and the development of GDM, nor was there any change in serum vitamin D levels in patients with GDM.
评估维生素D受体(VDR)基因多态性([rs10735810])与妊娠期糖尿病(GDM)患者血清维生素D浓度之间的关系。
一项前瞻性病例对照研究,招募了无其他合并症的健康孕妇(对照组)(78例)和GDM患者(GDM组)(79例)。在妊娠晚期采集外周血样本,所有孕妇随访至妊娠结束及产后。采用高效液相色谱法(HPLC)测定血清维生素D浓度。对于基因多态性分析,采用十二烷基三甲基溴化铵/十六烷基三甲基溴化铵(DTAB/CTAB)法提取基因组DNA,使用限制性内切酶通过聚合酶链反应-限制性片段长度多态性(PCR-RFLP)技术进行基因分型。结果分析采用Student-t检验、Mann-Whitney检验、卡方检验和Fisher精确检验。
对照组和GDM组孕妇的血清维生素D水平无显著差异(17.60±8.89 ng/mL对23.60±10.68 ng/mL;P = 0.1)。此外,两组之间基因型频率比较也未检测到显著差异(P = 0.41)。
该多态性与GDM的发生无关联,GDM患者血清维生素D水平也无变化。