Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish Population

Primary biliary cirrhosis (PBC) is a chronic cholestatic liver condition characterized by the immune-mediated damage of the intrahepatic bile ducts. Polymorphisms of vitamin D receptor (VDR) are considered to contribute to its pathogenesis however their incidence varies in different populations and...

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Main Authors: Agnieszka Kempińska-Podhorecka, Ewa Wunsch, Tomasz Jarowicz, Joanna Raszeja-Wyszomirska, Beata Loniewska, Mariusz Kaczmarczyk, Małgorzata Milkiewicz, Piotr Milkiewicz
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/408723
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author Agnieszka Kempińska-Podhorecka
Ewa Wunsch
Tomasz Jarowicz
Joanna Raszeja-Wyszomirska
Beata Loniewska
Mariusz Kaczmarczyk
Małgorzata Milkiewicz
Piotr Milkiewicz
author_facet Agnieszka Kempińska-Podhorecka
Ewa Wunsch
Tomasz Jarowicz
Joanna Raszeja-Wyszomirska
Beata Loniewska
Mariusz Kaczmarczyk
Małgorzata Milkiewicz
Piotr Milkiewicz
author_sort Agnieszka Kempińska-Podhorecka
collection DOAJ
description Primary biliary cirrhosis (PBC) is a chronic cholestatic liver condition characterized by the immune-mediated damage of the intrahepatic bile ducts. Polymorphisms of vitamin D receptor (VDR) are considered to contribute to its pathogenesis however their incidence varies in different populations and their potential association with the course of the disease has not been studied. In this paper we investigated the incidence and correlation of three VDR polymorphisms (BsmI, ApaI or TaqI) with various clinical, biochemical, and serological factors in a homogenous group of 143 Caucasian patients with PBC. Control group comprises 306 DNA samples from umbilical cord blood of healthy newborn children. When compared to controls, we observed a significant dominance of the b allele in the BsmI (OR = 1.69 [1.27–2.24]; P=0.0003) and t allele in the TaqI (OR = 0.62 [0.47–0.82], P=0.0001) in patients with PBC. Moreover the BsmI and TaqI polymorphisms were associated with the presence of advanced fibrosis/liver cirrhosis at the diagnosis of PBC. Pairwise linkage disequilibrium (LD) calculations proved that the analyzed SNPs are within an LD block (100% of LDs were D’>0.9). Our study showed, for the first time, that the analyzed polymorphisms of VRD may exert an effect on a natural history of PBC.
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spelling doaj-art-ee855e4b3f9c42b280fc858b7161bb042025-02-03T01:23:58ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/408723408723Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish PopulationAgnieszka Kempińska-Podhorecka0Ewa Wunsch1Tomasz Jarowicz2Joanna Raszeja-Wyszomirska3Beata Loniewska4Mariusz Kaczmarczyk5Małgorzata Milkiewicz6Piotr Milkiewicz7Medical Biology Laboratory, Pomeranian Medical University, Szczecin, PolandLiver Unit and Liver Research Laboratories, Pomeranian Medical University, Szczecin, PolandLiver Unit and Liver Research Laboratories, Pomeranian Medical University, Szczecin, PolandLiver Unit and Liver Research Laboratories, Pomeranian Medical University, Szczecin, PolandDepartment of Neonatal Diseases, Pomeranian Medical University, Szczecin, PolandDepartment of Clinical and Molecular Biochemistry, Pomeranian Medical University, Szczecin, PolandMedical Biology Laboratory, Pomeranian Medical University, Szczecin, PolandLiver Unit and Liver Research Laboratories, Pomeranian Medical University, Szczecin, PolandPrimary biliary cirrhosis (PBC) is a chronic cholestatic liver condition characterized by the immune-mediated damage of the intrahepatic bile ducts. Polymorphisms of vitamin D receptor (VDR) are considered to contribute to its pathogenesis however their incidence varies in different populations and their potential association with the course of the disease has not been studied. In this paper we investigated the incidence and correlation of three VDR polymorphisms (BsmI, ApaI or TaqI) with various clinical, biochemical, and serological factors in a homogenous group of 143 Caucasian patients with PBC. Control group comprises 306 DNA samples from umbilical cord blood of healthy newborn children. When compared to controls, we observed a significant dominance of the b allele in the BsmI (OR = 1.69 [1.27–2.24]; P=0.0003) and t allele in the TaqI (OR = 0.62 [0.47–0.82], P=0.0001) in patients with PBC. Moreover the BsmI and TaqI polymorphisms were associated with the presence of advanced fibrosis/liver cirrhosis at the diagnosis of PBC. Pairwise linkage disequilibrium (LD) calculations proved that the analyzed SNPs are within an LD block (100% of LDs were D’>0.9). Our study showed, for the first time, that the analyzed polymorphisms of VRD may exert an effect on a natural history of PBC.http://dx.doi.org/10.1155/2012/408723
spellingShingle Agnieszka Kempińska-Podhorecka
Ewa Wunsch
Tomasz Jarowicz
Joanna Raszeja-Wyszomirska
Beata Loniewska
Mariusz Kaczmarczyk
Małgorzata Milkiewicz
Piotr Milkiewicz
Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish Population
Gastroenterology Research and Practice
title Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish Population
title_full Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish Population
title_fullStr Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish Population
title_full_unstemmed Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish Population
title_short Vitamin D Receptor Polymorphisms Predispose to Primary Biliary Cirrhosis and Severity of the Disease in Polish Population
title_sort vitamin d receptor polymorphisms predispose to primary biliary cirrhosis and severity of the disease in polish population
url http://dx.doi.org/10.1155/2012/408723
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