Association between hematological profile and serum 25-hydroxyvitamin D levels and FokI polymorphism in individuals with cystic fibrosis
Keywords:
Cystic fibrosis, Hemoglobins, Polymorphism, genetic, Vitamin DAbstract
Objective
The present study aimed at investigating the association between hematological profile and serum 25-hydroxyvitamin D (25[OH]D) levels and Fokl polymorphism of the vitamin D receptor gene in individuals with Cystic Fibrosis.
Methods
A cross-sectional study that involved 18 men and women aged 0-25 years with Cystic Fibrosis. Socio-demographic information and the factors associated with sun exposure were obtained. Weight, height, and arm circumference were also measured. Blood sample was collected for the analysis of biochemical parameters (25[OH]D, parathyroid hormone, and calcium levels and blood count) and for the validation of the presence of FokI polymorphism in the vitamin D receptor gene.
Results
Among the participants, 33.33% (n=6) had vitamin D deficiency (19.60±6.180 ng/mL), and 27.8% (n=5) presented with anemia and low weight for age. In terms of genotype, 5.6% (n=1) presented with the FF genotype, 72.3% (n=13) had the Ff genotype, and 22.2% (n=4) had the ff genotype. Serum 25(OH)D levels were associated with hemoglobin (p=0.008) and hematocrit (p=0.019) levels and leukocyte count (p=0.0114). No association was observed between 25(OH)D levels and the genotypes (FF, Ff, and ff) (p=0.2451). In addition, an association was observed between FokI polymorphism and the total leukocyte count (p=0.01).
Conclusion
An association was observed between serum 25(OH)D levels and hemoglobin and hematocrit levels and leukocyte count in individuals with Cystic Fibrosis. Moreover, FokI polymorphism was associated with total leukocyte count.
References
Haack A, Aragão GG, Novaes MR. Pathophysiology of cystic fibrosis and drugs used in associated digestive tract diseases. World J Gastroenterol. 2013;19(46):8552-61. http://dx.doi.org/10.3748/wjg.v19.i46.8552
Woestenenk JW, Castelijns SJAM, Van der Ent CK, Houwen RHJ. Dietary intake in children and adolescents with cystic fibrosis. Clin Nutr. 2014;33(3):528-32. https://dx.doi.org/10.1016/j.clnu.2013.07.011
Sexauer WP, Hadeh A, Ohman-Strickland PA, Zanni RL, Varlotta L, Holsclaw D, et al. Vitamin D deficiency is associated with pulmonary dysfunction in cystic fibrosis. J Cyst Fibros. 2015;14(4):497-506. http://dx.doi.org/10.1016/j.jcf.2014.12.006
Engelen MPKJ, Schroder R, Van der Hoorn K, Deutz NEP, Com G. Use of body mass index percentile to identify fat-free mass depletion in children with cystic fibrosis. Clin Nutr. 2012;31(6):927-33. http://dx.doi.org/10.1016/j.clnu.2012.04.012
Delgado AFD, Cardoso AL, Zamberlan P. Nutrologia básica e avançada. Barueri: Manole; 2010.
Uijterschout L, Nuijsink M, Hendriks D, Vos R, Brus F. Iron deficiency occurs frequently in children with cystic fibrosis. Pediatr Pulmonol. 2014;49(5):458-62. http://dx.doi.org/10.1002/ppul.22857
Smith EM, Tangpricha V. Vitamin D and anemia: Insights into an emerging association. Curr Opin Endocrinol Diabetes Obes. 2015;22(6):432-38. http://dx.doi.org/10.1097/MED.0000000000000199
Sim JJ, Lac PT, Liu ILA, Meguerditchian SO, Kumar VA, Kujubu DA, et al. Vitamin D deficiency and anemia: A cross-sectional study. Ann Hematol. 2010;89(5):447-52. http://dx.doi.org/10.1007/s00277-009-0850-3
Thomas CE, Guillet R, Queenan RA, Cooper EM, Kent TR, Pressman, et al. Vitamin D status is inversely associated with anemia and serum erythropoietin during pregnancy. Am J Clin Nutr. 2015;102(5):1088-95. http://dx.doi.org/10.3945/ajcn.115.116756
Cabral MA, Borges CN, Maia JMC, Aires CAM, Bandeira F. Prevalence of vitamin D deficiency during the summer and its relationship with sun exposure and skin phototype in elderly men living in the tropics. Clin Interv Aging. 2013;8:1347-51. http://dx.doi.org/10.2147/CIA.S47058
Sezer S, Tutal E, Bilgic A, Ozdemir FN, Haberal M. Possible influence of vitamin D receptor gene polymorphisms on recombinant human erythropoietin requirements in dialysis patients. Transplant Proc. 2007;39(1):40-4. http://dx.doi.org/10.1016/j.transproceed.2006.10.214
Amato M, Pacini S, Aterini S, Punzi T, Gulisano M, Ruggiero M. Iron indices and vitamin D receptor polymorphisms in hemodialysis patients. Adv Chronic Kidney Dis. 2008;15(2):186-90. http://dx.doi.org/10.1053/j.ackd.2008.01.013
Perlstein TS, Pande R, Berliner N, Vanasse GJ. Prevalence of 25-hydroxyvitamin D deficiency in subgroups of elderly persons with anemia: Association with anemia of inflammation. Blood. 2011;117(10):2800-6. http://dx.doi.org/10.1182/blood-2010-09-309708
MacKawy AMH, Badawi MEH. Association of vitamin D and vitamin D receptor gene polymorphisms with chronic inflammation, insulin resistance and metabolic syndrome components in type 2 diabetic Egyptian patients. Meta Gene. 2014;2:540-56.
Schuch NJ, Garcia VC, Vívolo SR, Martini LA. Relationship between vitamin D receptor gene polymorphisms and the components of metabolic syndrome. Nutr J. 2013;12(96):1-7. http://dx.doi.org/10.1186/1475-2891-12-96
Cuppari L, Schor N. Guia de nutrição: nutrição clínica no adulto. Barueri: Manole; 2002.
Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientações para a coleta e análise de dados antropométricos em serviços de saúde: Norma Técnica do Sistema de Vigilância Alimentar e Nutricional – SISVAN. Brasília: Ministério da Saúde; 2011 [acesso 2018 abr 13]. Disponível em: http://189.28.128.100/dab/docs/portaldab/publicacoes/orientacoes_coleta_analise_dados_antropometricos.pdf
World Health Organization. Physical status: The use and interpretation of anthropometry. Geneva: WHO; 1995 [cited 2018 Apr 13]. Available from: http://apps.who.int/iris/bitstream/handle/10665/37003/WHO_TRS_854.pdf;jsessionid=5ADBB0B78B37ACB361472CC2458313CO?sequence=
Frisancho AR. Anthropometric standards for the assessment of growth and nutritional status. Ann Arbor: University of Michigan Press; 1990.
Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: An Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(7):1911-30. http://dx.doi.org/10.1210/jc.2011-0385
Miller AS, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res. 1988;16(3):1215.
Chiu KC, Chuang LM, Yoon C. The vitamin D receptor polymorphism in the translation initiation codon is a risk factor for insulin resistance in glucose tolerant Caucasians. BMC Med Genet. 2001;2(1):2. http://dx.doi.org/10.1186/1471-2350-2-2
Sakka ASE, Imam SS, Amer HA, Moustafa AS. Vitamin D deficiency and low hemoglobin level as risk factors for severity of acute lower respiratory tract infections in Egyptian children: A case-control study. Gaz Egypt Paediatr Assoc. 2014;62(1):1-7.
Thomas CE, Guillet R, Queenan RA, Cooper EM, Kent TR, Pressman EK, et al. Vitamin D status is inversely associated with anemia and serum erythropoietin during pregnancy. Am J Clin Nutr. 2015;102(2):1088-95.
Silva AS, Issa CTM, Queiroz DJM, Persuhn DC, Araújo EPS, Gonçalves MCR. Association of hematology profile with serum 25-hydroxy vitamin D and Bsml polimorphism in community-dwelling older adults. Rev Nutr. 2016;29(5):655-64. http://dx.doi.org/10.159011678-98652016 000500004
Angel B, Lera L, Sánchez H, Oyarzún A, Albala C. FokI polymorphism in vitamin D receptor gene: Differential expression of TNFα in peripheral mononuclear cells of type 2 diabetic subjects. Meta Gene. 2016;7:1-6.
Codoñer-Franch P, Tavarez-Alonso S, SimoJorda R, Laporta-Martın P, Carratala-Calvo A, Alonso-Iglesias E. Vitamin D status is linked to biomarkers of oxidative stress, inflammation, and endothelial activation in obese children. J Pediatr. 2012;161(5):848-54.
Xu H, Li S, Qiu JQ, Gao XL, Zhang P, Yang YX. The VDR gene FokI polymorphism and ovarian cancer risk. Tumour Biol. 2013;34(6):3309-16. http://dx.doi.org/10.1007/s13277-013-0826-8
Cong L, Wang W, Liu Qi, Du J. FokI polymorphism of the vitamin D receptor ene is associated with susceptibility to gastric cancer: A case-control study. Tohoku J Exp Med. 2015;236(3):219-24. http://dx.doi.org/10.1620/tjem.236.219
Falleti E, Bitetto D, Fabris C, Cussigh A, Fontanini E, Fornasiere E, et al. Vitamin D receptor gene polymorphisms and hepatocellular carcinoma in alcoholic cirrhosis. World J Gastroenterol. 2010;16(24):3016-24. http://dx.doi.org/10.3748/wjg.v16.i24.3016
McKay JD, McCullough ML, Ziegler RG, Kraft P, Saltzman BS, Riboli E, et al. Vitamin D receptor polymorphisms and breast cancer risk: Results from the National Cancer Institute Breast and Prostate Cancer Cohort Consortium. Cancer Epidemiol Biomarkers Prev. 2009;18(1):297-305. http://dx.doi.org/10.3748/wjg.v16.i24.301610.1158/1055-9 965.EPI-08-0539
Li H, Stampfer MJ, Hollis JB, Mucci LA, Gaziano JM, Hunter D, et al. A prospective study of plasma vitamin D metabolites, vitamin D receptor polymorphisms, and prostate cancer. PLoS Med. 2007;4(3):e103. http://dx.doi.org/10.1371/journal.pmed.0040103
Falchetti A, Sferrazza C, Cepollaro C, Gozzini A, Del Monte F, Masi L, et al. FokI polymorphism of the vitamin D receptor gene correlates with parameters of bone mass and turnover in a female population of the Italian Island of Lampedusa. Calcif Tissue Int. 2007;80(1):15-20. http://dx.doi.org/10.1007/s00223-005-0295-1
Bhanushali A, Lajpal N, Kulkarni S, Chavan S, Bagadi S, Das B. Frequency of fokI and taqI polymorphism of vitamin D receptor gene in Indian population and its association with 25-hydroxyvitamin D levels. Indian J Hum Genet. 2009;15(3):108-13.
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Copyright (c) 2023 Milena Luana Coelho de ASSIS, Constantino Giovanni Braga CARTAXO, Maria José de Carvalho COSTA, Dayanna Joyce Marques QUEIROZ, Darlene Carmati PERSUHN, Maria da Conceição Rodrigues GONÇALVES
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