Skip to main content
Top
Published in: Diabetologia 10/2015

01-10-2015 | Article

Maternal VDR variants rather than 25-hydroxyvitamin D concentration during early pregnancy are associated with type 1 diabetes in the offspring

Authors: Maija E. Miettinen, Melissa C. Smart, Leena Kinnunen, Christopher Mathews, Valma Harjutsalo, Heljä-Marja Surcel, Christel Lamberg-Allardt, Jaakko Tuomilehto, Graham A. Hitman

Published in: Diabetologia | Issue 10/2015

Login to get access

Abstract

Aims/hypothesis

We investigated whether single nucleotide polymorphisms (SNPs) associated with 25-hydroxyvitamin D concentration in the metabolic pathway of vitamin D show different genotype distributions between Finnish families with an offspring with type 1 diabetes (cases) and families with a healthy offspring (controls).

Methods

A total of 31 SNPs in eight genes were studied in case and control mothers and family members (offspring with type 1 diabetes and healthy siblings, healthy control children and fathers) (n = 2,854). The 25-hydroxyvitamin D concentration was studied in 474 case and 348 matched control mothers during pregnancy.

Results

The genotype distributions of 13 SNPs (in the following genes: 7-dehydrocholesterol reductase NADSYN1/DHCR7, vitamin D receptor VDR, group-specific component GC and CYP27A1) that showed a nominal association with 25-hydroxyvitamin D concentration (p < 0.05) were compared between case and control families. SNPs in VDR had different genotype distributions between the case and control mothers (rs1544410, p = 0.007; rs731236, p = 0.003; rs4516035, p = 0.015), two SNPs (rs1544410 and rs731236) remaining significant after correction for multiple testing using a false discovery rate. The mean 25-hydroxyvitamin D concentrations during pregnancy did not differ between the case and control mothers.

Conclusions/interpretation

Our preliminary results suggest that the maternal genotypes of SNPs in VDR may influence the in utero environment and thus contribute to the early programming of type 1 diabetes in the fetus. It is possible that the effects are only relevant in the presence of vitamin D insufficiency.
Literature
2.
go back to reference The EURODIAB Substudy 2 Study Group (1999) Vitamin D supplement in early childhood and risk for type I (insulin-dependent) diabetes mellitus. Diabetologia 42:51–54CrossRef The EURODIAB Substudy 2 Study Group (1999) Vitamin D supplement in early childhood and risk for type I (insulin-dependent) diabetes mellitus. Diabetologia 42:51–54CrossRef
3.
go back to reference Hyppönen E, Läärä E, Reunanen A, Järvelin MR, Virtanen SM (2001) Intake of vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet 358:1500–1503CrossRefPubMed Hyppönen E, Läärä E, Reunanen A, Järvelin MR, Virtanen SM (2001) Intake of vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet 358:1500–1503CrossRefPubMed
4.
go back to reference Stene LC, Joner G, Norwegian Childhood Diabetes Study Group (2003) Use of cod liver oil during the first year of life is associated with lower risk of childhood-onset type 1 diabetes: a large, population-based, case-control study. Am J Clin Nutr 78(6):1128–1134PubMed Stene LC, Joner G, Norwegian Childhood Diabetes Study Group (2003) Use of cod liver oil during the first year of life is associated with lower risk of childhood-onset type 1 diabetes: a large, population-based, case-control study. Am J Clin Nutr 78(6):1128–1134PubMed
5.
go back to reference Brekke HK, Ludvigsson J (2007) Vitamin D supplementation and diabetes-related autoimmunity in the ABIS study. Pediatr Diabetes 8(1):11–14CrossRefPubMed Brekke HK, Ludvigsson J (2007) Vitamin D supplementation and diabetes-related autoimmunity in the ABIS study. Pediatr Diabetes 8(1):11–14CrossRefPubMed
6.
go back to reference Stene LC, Ulriksen J, Magnus P, Joner G (2000) Use of cod-liver oil during pregnancy associated with lower risk of type 1 diabetes in the offspring. Diabetologia 43:1093–1098CrossRefPubMed Stene LC, Ulriksen J, Magnus P, Joner G (2000) Use of cod-liver oil during pregnancy associated with lower risk of type 1 diabetes in the offspring. Diabetologia 43:1093–1098CrossRefPubMed
7.
go back to reference Sørensen IM, Joner G, Jenum PA, Eskild A, Torjesen PA, Stene LC (2012) Maternal serum levels of 25-hydroxy-vitamin D during pregnancy and risk of type 1 diabetes in the offspring. Diabetes 61:175–178PubMedCentralCrossRefPubMed Sørensen IM, Joner G, Jenum PA, Eskild A, Torjesen PA, Stene LC (2012) Maternal serum levels of 25-hydroxy-vitamin D during pregnancy and risk of type 1 diabetes in the offspring. Diabetes 61:175–178PubMedCentralCrossRefPubMed
8.
go back to reference Miettinen ME, Reinert L, Kinnunen L et al (2012) Serum 25-hydroxyvitamin D level during early pregnancy and type 1 diabetes risk in the offspring. Diabetologia 55:1291–1294CrossRefPubMed Miettinen ME, Reinert L, Kinnunen L et al (2012) Serum 25-hydroxyvitamin D level during early pregnancy and type 1 diabetes risk in the offspring. Diabetologia 55:1291–1294CrossRefPubMed
9.
go back to reference Marjamäki L, Niinistö S, Kenward MG et al (2010) Maternal intake of vitamin D during pregnancy and risk of advanced beta cell autoimmunity and type 1 diabetes in offspring. Diabetologia 53:1599–1607CrossRefPubMed Marjamäki L, Niinistö S, Kenward MG et al (2010) Maternal intake of vitamin D during pregnancy and risk of advanced beta cell autoimmunity and type 1 diabetes in offspring. Diabetologia 53:1599–1607CrossRefPubMed
10.
go back to reference Raab J, Giannopoulou EZ, Schneider S et al (2014) Prevalence of vitamin D deficiency in pre-type 1 diabetes and its association with disease progression. Diabetologia 57:902–908CrossRefPubMed Raab J, Giannopoulou EZ, Schneider S et al (2014) Prevalence of vitamin D deficiency in pre-type 1 diabetes and its association with disease progression. Diabetologia 57:902–908CrossRefPubMed
11.
go back to reference Simpson M, Brady H, Yin X et al (2011) No association of vitamin D intake or 25-hydroxyvitamin D levels in childhood with risk of islet autoimmunity and type 1 diabetes: the Diabetes Autoimmunity Study in the Young (DAISY). Diabetologia 54:2779–2788PubMedCentralCrossRefPubMed Simpson M, Brady H, Yin X et al (2011) No association of vitamin D intake or 25-hydroxyvitamin D levels in childhood with risk of islet autoimmunity and type 1 diabetes: the Diabetes Autoimmunity Study in the Young (DAISY). Diabetologia 54:2779–2788PubMedCentralCrossRefPubMed
12.
go back to reference Orton SM, Morris AP, Herrera BM et al (2008) Evidence for genetic regulation of vitamin D status in twins with multiple sclerosis. Am J Clin Nutr 88:441–447PubMedCentralPubMed Orton SM, Morris AP, Herrera BM et al (2008) Evidence for genetic regulation of vitamin D status in twins with multiple sclerosis. Am J Clin Nutr 88:441–447PubMedCentralPubMed
13.
go back to reference Frederiksen B, Liu E, Romanos J et al (2013) Investigation of the vitamin D receptor gene (VDR) and its interaction with protein tyrosine phosphatase, non-receptor type 2 gene (PTPN2) on risk of islet autoimmunity and type 1 diabetes: the Diabetes Autoimmunity Study in the Young (DAISY). J Steroid Biochem Mol Biol 133:51–57PubMedCentralCrossRefPubMed Frederiksen B, Liu E, Romanos J et al (2013) Investigation of the vitamin D receptor gene (VDR) and its interaction with protein tyrosine phosphatase, non-receptor type 2 gene (PTPN2) on risk of islet autoimmunity and type 1 diabetes: the Diabetes Autoimmunity Study in the Young (DAISY). J Steroid Biochem Mol Biol 133:51–57PubMedCentralCrossRefPubMed
14.
go back to reference Frederiksen BN, Kroehl M, Fingerlin TE et al (2013) Association between vitamin D metabolism gene polymorphisms and risk of islet autoimmunity and progression to type 1 diabetes: the diabetes autoimmunity study in the young (DAISY). J Clin Endocrinol Metab 98:E1845–E1851PubMedCentralCrossRefPubMed Frederiksen BN, Kroehl M, Fingerlin TE et al (2013) Association between vitamin D metabolism gene polymorphisms and risk of islet autoimmunity and progression to type 1 diabetes: the diabetes autoimmunity study in the young (DAISY). J Clin Endocrinol Metab 98:E1845–E1851PubMedCentralCrossRefPubMed
15.
go back to reference Barry EL, Rees JR, Peacock JL et al (2014) Genetic variants in CYP2R1, CYP24A1, and VDR modify the efficacy of vitamin D3 supplementation for increasing serum 25-hydroxyvitamin D levels in a randomized controlled trial. J Clin Endocrinol Metab 99:E2133–E2137CrossRefPubMed Barry EL, Rees JR, Peacock JL et al (2014) Genetic variants in CYP2R1, CYP24A1, and VDR modify the efficacy of vitamin D3 supplementation for increasing serum 25-hydroxyvitamin D levels in a randomized controlled trial. J Clin Endocrinol Metab 99:E2133–E2137CrossRefPubMed
16.
go back to reference Cooper JD, Smyth DJ, Walker NM et al (2011) Inherited variation in vitamin D genes is associated with predisposition to autoimmune disease type 1 diabetes. Diabetes 60:1624–1631PubMedCentralCrossRefPubMed Cooper JD, Smyth DJ, Walker NM et al (2011) Inherited variation in vitamin D genes is associated with predisposition to autoimmune disease type 1 diabetes. Diabetes 60:1624–1631PubMedCentralCrossRefPubMed
17.
go back to reference Wang TJ, Zhang F, Richards JB et al (2010) Common genetic determinants of vitamin D insufficiency: a genome-wide association study. Lancet 376:180–188PubMedCentralCrossRefPubMed Wang TJ, Zhang F, Richards JB et al (2010) Common genetic determinants of vitamin D insufficiency: a genome-wide association study. Lancet 376:180–188PubMedCentralCrossRefPubMed
18.
go back to reference Saccone D, Asani F, Bornman L (2015) Regulation of the vitamin D receptor gene by environment, genetics and epigenetics. Gene 561:171–180CrossRefPubMed Saccone D, Asani F, Bornman L (2015) Regulation of the vitamin D receptor gene by environment, genetics and epigenetics. Gene 561:171–180CrossRefPubMed
19.
go back to reference Norman AW (2008) From vitamin D to hormone D: fundamentals of the vitamin D endocrine system essential for good health. Am J Clin Nutr 88:491S–499SCrossRefPubMed Norman AW (2008) From vitamin D to hormone D: fundamentals of the vitamin D endocrine system essential for good health. Am J Clin Nutr 88:491S–499SCrossRefPubMed
20.
go back to reference Uitterlinden AG, Fang Y, Van Meurs JBJ, Pols HA, Van Leeuwen JPTM (2004) Genetics and biology of vitamin D receptor polymorphisms. Gene 338:143–156CrossRefPubMed Uitterlinden AG, Fang Y, Van Meurs JBJ, Pols HA, Van Leeuwen JPTM (2004) Genetics and biology of vitamin D receptor polymorphisms. Gene 338:143–156CrossRefPubMed
21.
go back to reference Nejentsev S, Cooper JD, Godfrey L et al (2004) Analysis of the vitamin D receptor gene sequence variants in type 1 diabetes. Diabetes 53:2709–2712CrossRefPubMed Nejentsev S, Cooper JD, Godfrey L et al (2004) Analysis of the vitamin D receptor gene sequence variants in type 1 diabetes. Diabetes 53:2709–2712CrossRefPubMed
22.
23.
go back to reference Ramos-Lopez E, Brück P, Jansen T, Herwig J, Badenhoop K (2007) CYP2R1 (vitamin D 25-hydroxylase) gene is associated with susceptibility to type 1 diabetes and vitamin D levels in Germans. Diabetes Metab Res Rev 23:631–636CrossRefPubMed Ramos-Lopez E, Brück P, Jansen T, Herwig J, Badenhoop K (2007) CYP2R1 (vitamin D 25-hydroxylase) gene is associated with susceptibility to type 1 diabetes and vitamin D levels in Germans. Diabetes Metab Res Rev 23:631–636CrossRefPubMed
24.
25.
26.
go back to reference McGrath JJ, Saha S, Burne THJ, Eyles DW (2010) A systematic review of the association between common single nucleotide polymorphisms and 25-hydroxyvitamin D concentrations. J Steroid Biochem Mol Biol 121:471–477CrossRefPubMed McGrath JJ, Saha S, Burne THJ, Eyles DW (2010) A systematic review of the association between common single nucleotide polymorphisms and 25-hydroxyvitamin D concentrations. J Steroid Biochem Mol Biol 121:471–477CrossRefPubMed
27.
go back to reference Ramos-Lopez E, Lange B, Penna-Martinez M et al (2010) The role of cubilin gene polymorphisms and their influence on 25OHD3 and 1,25(OH)2D3 plasma levels in type 1 diabetes patients. J Steroid Biochem Mol Biol 121:442–444CrossRefPubMed Ramos-Lopez E, Lange B, Penna-Martinez M et al (2010) The role of cubilin gene polymorphisms and their influence on 25OHD3 and 1,25(OH)2D3 plasma levels in type 1 diabetes patients. J Steroid Biochem Mol Biol 121:442–444CrossRefPubMed
28.
go back to reference Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate—a practical and powerful approach to multiple testing. J R Stat Soc B57:289–300 Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate—a practical and powerful approach to multiple testing. J R Stat Soc B57:289–300
29.
go back to reference Ogunkolade B-W, Boucher BJ, Prahl JM et al (2002) Vitamin D receptor (VDR) mRNA and VDR protein levels in relation to vitamin D status, insulin secretory capacity, and VDR genotype in Bangladeshi Asians. Diabetes 51:2294–2300CrossRefPubMed Ogunkolade B-W, Boucher BJ, Prahl JM et al (2002) Vitamin D receptor (VDR) mRNA and VDR protein levels in relation to vitamin D status, insulin secretory capacity, and VDR genotype in Bangladeshi Asians. Diabetes 51:2294–2300CrossRefPubMed
30.
go back to reference Shahbazi M, Jeddi-Tehrani M, Zareie M et al (2011) Expression profiling of vitamin D receptor in placenta, decidua and ovary of pregnant mice. Placenta 32:657–664CrossRefPubMed Shahbazi M, Jeddi-Tehrani M, Zareie M et al (2011) Expression profiling of vitamin D receptor in placenta, decidua and ovary of pregnant mice. Placenta 32:657–664CrossRefPubMed
31.
go back to reference Guillot X, Semerano L, Saidenberg-Kermanac'h N, Falgarone G, Boissier MC (2010) Vitamin D and inflammation. Joint Bone Spine 77:552–557CrossRefPubMed Guillot X, Semerano L, Saidenberg-Kermanac'h N, Falgarone G, Boissier MC (2010) Vitamin D and inflammation. Joint Bone Spine 77:552–557CrossRefPubMed
32.
go back to reference van der Knaap NJ, El Marroun H, Klumpers F et al (2014) Beyond classical inheritance: the influence of maternal genotype upon child’s brain morphology and behavior. J Neurosci 16(34):9516–9521CrossRef van der Knaap NJ, El Marroun H, Klumpers F et al (2014) Beyond classical inheritance: the influence of maternal genotype upon child’s brain morphology and behavior. J Neurosci 16(34):9516–9521CrossRef
33.
go back to reference Pilsner JR, Hu H, Wright RO et al (2010) Maternal MTHFR genotype and haplotype predict deficits in early cognitive development in a lead-exposed birth cohort in Mexico City. Am J Clin Nutr 92:226–234PubMedCentralCrossRefPubMed Pilsner JR, Hu H, Wright RO et al (2010) Maternal MTHFR genotype and haplotype predict deficits in early cognitive development in a lead-exposed birth cohort in Mexico City. Am J Clin Nutr 92:226–234PubMedCentralCrossRefPubMed
34.
go back to reference James SJ, Melnyk S, Jernigan S et al (2010) A functional polymorphism in the reduced folate carrier gene and DNA hypomethylation in mothers of children with autism. Am J Med Genet B Neuropsychiatr Genet 153B:1209–1220PubMedCentralPubMed James SJ, Melnyk S, Jernigan S et al (2010) A functional polymorphism in the reduced folate carrier gene and DNA hypomethylation in mothers of children with autism. Am J Med Genet B Neuropsychiatr Genet 153B:1209–1220PubMedCentralPubMed
35.
go back to reference Esparza-Gordillo J, Matanovic A, Marenholz I et al (2015) Maternal filaggrin mutations increase the risk of atopic dermatitis in children: an effect independent of mutation inheritance. PLoS Genet 11: e1005076PubMedCentralCrossRefPubMed Esparza-Gordillo J, Matanovic A, Marenholz I et al (2015) Maternal filaggrin mutations increase the risk of atopic dermatitis in children: an effect independent of mutation inheritance. PLoS Genet 11: e1005076PubMedCentralCrossRefPubMed
36.
go back to reference Siljander HT, Simell S, Hekkala A et al (2009) Predictive characteristics of diabetes-associated autoantibodies among children with HLA-conferred disease susceptibility in the general population. Diabetes 58:2835–2842PubMedCentralCrossRefPubMed Siljander HT, Simell S, Hekkala A et al (2009) Predictive characteristics of diabetes-associated autoantibodies among children with HLA-conferred disease susceptibility in the general population. Diabetes 58:2835–2842PubMedCentralCrossRefPubMed
Metadata
Title
Maternal VDR variants rather than 25-hydroxyvitamin D concentration during early pregnancy are associated with type 1 diabetes in the offspring
Authors
Maija E. Miettinen
Melissa C. Smart
Leena Kinnunen
Christopher Mathews
Valma Harjutsalo
Heljä-Marja Surcel
Christel Lamberg-Allardt
Jaakko Tuomilehto
Graham A. Hitman
Publication date
01-10-2015
Publisher
Springer Berlin Heidelberg
Published in
Diabetologia / Issue 10/2015
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-015-3675-8

Other articles of this Issue 10/2015

Diabetologia 10/2015 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine