Centro de Investigación en Políticas, Población y Salud de la Facultad de Medicina de la Universidad Nacional Autónoma de México (UNAM), Mexico City, México.
Departamento de Genética, Instituto Nacional de Rehabilitación, Mexico City, México.
J Endocrinol Invest. 2023 Sep;46(9):1911-1921. doi: 10.1007/s40618-023-02051-1. Epub 2023 Mar 2.
Vitamin D (VD) deficiency and osteoporosis have become a global public health problem. A variant in the Histidine Ammonia-Lyase (HAL) gene has been associated with VD levels and bone mineral density (BMD). However, whether this variant has an influence on VD levels and BMD in Mexican adults remain unclear.
This cross-sectional analysis included 1,905 adults participating in the Health Worker Cohort Study and 164 indigenous postmenopausal women from the Metabolic Analysis in an Indigenous Sample (MAIS) cohort. The rs3819817 variant was genotyped by TaqMan probe assay. Total 25 hydroxyvitamin D levels were measured by DiaSorin Liaison. BMD at the different sites was assessed through dual-energy X-ray absorptiometry. Linear and logistic regression models were performed to evaluate the associations of interest.
The prevalence of VD deficiency was 41%, showing differences between sexes. Obesity and skin pigmentation were associated with lower levels of VD in males and females. rs3819817-T allele was associated with low levels of 25-hydroxyvitamin D, VD deficiency, and hip and femoral neck BMD values (g/cm). We found two interactions with VD levels, one between adiposity and rs3819817-T allele (P = 0.017) and another between skin pigmentation and rs3819817-T allele (P = 0.019). In indigenous postmenopausal women, we observed higher VD levels in the southern region compared to the northern region (P < 0.001); however, we did not observe differences by genotype.
Our findings confirm that the genetic variant rs3819817 has an essential function in VD levels and BMD and suggests a role in skin pigmentation in the Mexican population.
维生素 D(VD)缺乏和骨质疏松症已成为全球性公共卫生问题。组氨酸氨裂解酶(HAL)基因中的一个变异与 VD 水平和骨矿物质密度(BMD)有关。然而,这种变异是否会影响墨西哥成年人的 VD 水平和 BMD 尚不清楚。
本横断面分析纳入了参加卫生工作者队列研究的 1905 名成年人和代谢分析在印第安人样本(MAIS)队列中的 164 名绝经后印第安妇女。rs3819817 变异通过 TaqMan 探针检测进行基因分型。通过 DiaSorin Liaison 测定总 25 羟维生素 D 水平。通过双能 X 射线吸收法评估不同部位的 BMD。采用线性和逻辑回归模型评估相关关联。
VD 缺乏的患病率为 41%,存在性别差异。肥胖和皮肤色素沉着与男性和女性 VD 水平降低有关。rs3819817-T 等位基因与 25-羟维生素 D、VD 缺乏以及髋部和股骨颈 BMD 值(g/cm)降低有关。我们发现了两个与 VD 水平相关的相互作用,一个是肥胖与 rs3819817-T 等位基因之间(P=0.017),另一个是皮肤色素沉着与 rs3819817-T 等位基因之间(P=0.019)。在绝经后印第安妇女中,我们观察到南部地区的 VD 水平高于北部地区(P<0.001);然而,我们没有观察到基因型差异。
我们的研究结果证实,遗传变异 rs3819817 在 VD 水平和 BMD 中具有重要作用,并提示其在墨西哥人群中在皮肤色素沉着中发挥作用。