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妊娠期糖尿病患者维生素D受体基因多态性与血清维生素D值的评估

Assessment of Polymorphism of the VDR Gene and Serum Vitamin D Values in Gestational Diabetes Mellitus.

作者信息

Siqueira Thais Walverde, Araujo Júnior Edward, Mattar Rosiane, Daher Silvia

机构信息

Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2019 Jul;41(7):425-431. doi: 10.1055/s-0039-1693678. Epub 2019 Jul 25.

Abstract

OBJECTIVE

To evaluate the relationship between vitamin D receptor (VDR) gene polymorphism ( [rs10735810]) and serum vitamin D concentration in gestational diabetes mellitus (GDM).

METHODS

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.

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).

CONCLUSION

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.

摘要

目的

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。

方法

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。

结果

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)。

结论

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。

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