Skip to main content
Top
Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 1/2024

Open Access 01-12-2024 | Multiple Sclerosis | Research

Investigating the role of VDR gene variants in multiple sclerosis susceptibility: a case–control study in Egypt

Authors: Hala Ashraf Hosni, Amr Mohamed Fouad, Noha Wael Ibrahim, Sahar Abd El-Atty Sharaf

Published in: The Egyptian Journal of Neurology, Psychiatry and Neurosurgery | Issue 1/2024

Login to get access

Abstract

Background

Multiple sclerosis (MS) is a chronic inflammatory disorder. Vitamin D has a major role in preventing inflammatory disorders as well as its role in the pathophysiology of MS. Vitamin D initiates its biological responses by binding to the nuclear vitamin D receptor (VDR). Several studies have been conducted over the last decade to investigate the relationship between VDR gene variants and the risk of MS, but the results have been inconsistent and inconclusive. The objective of this study is to investigate the association between the VDR gene variants (c.1025-49C>A) and (c.1056A>G) and MS susceptibility in a sample of the Egyptian population, and to shed light on its potential role in preventing inflammatory disorders and its impact on clinical outcomes and treatment using TaqMan Real-Time Polymerase Chain Reaction (PCR). This case-control study was conducted on 100 participants, categorized into two groups. The first group included 50 patients diagnosed with relapsing-remitting multiple sclerosis (RRMS) based on the Revised McDonald MS criteria, and the second group included 50 matched healthy participants. After collecting the blood samples, deoxyribonucleic acid (DNA) was extracted and detection of the VDR: c.1025-49C>A and VDR: c.1056A>G gene variants was done using TaqMan Real-Time PCR on all involved individuals.

Results

The distribution of the genotypes and alleles of VDR gene variants (c.1025- 49C>A) and (c.1056A>G) did not differ significantly between MS patients and healthy participants (P>0.05 in both).

Conclusion

Here we show in this study that there was no association between the risk of MS and the VDR gene variants (c.1025-49C>A) and (c.1056A>G) in a group of the Egyptian population which may have impact on MS therapy and outcome.
Literature
1.
go back to reference Moosavi E, Rafiei A, Yazdani Y, Eslami M, Saeedi M. Association of serum levels and receptor genes BsmI, TaqI and FokI polymorphisms of vitamin D with the severity of multiple sclerosis. J Clin Neurosci. 2021;84:75–81.CrossRefPubMed Moosavi E, Rafiei A, Yazdani Y, Eslami M, Saeedi M. Association of serum levels and receptor genes BsmI, TaqI and FokI polymorphisms of vitamin D with the severity of multiple sclerosis. J Clin Neurosci. 2021;84:75–81.CrossRefPubMed
2.
go back to reference Vaughn CB, Jakimovski D, Kavak KS, Ramanathan M, Benedict RH, Zivadinov R, et al. Epidemiology and treatment of multiple sclerosis in elderly populations. Nat Rev Neurol. 2019;15(6):329–42.CrossRefPubMed Vaughn CB, Jakimovski D, Kavak KS, Ramanathan M, Benedict RH, Zivadinov R, et al. Epidemiology and treatment of multiple sclerosis in elderly populations. Nat Rev Neurol. 2019;15(6):329–42.CrossRefPubMed
3.
go back to reference Polyák H, Galla Z, Nánási N, Cseh EK, Rajda C, Veres G, et al. The tryptophan-kynurenine metabolic system is suppressed in cuprizone-induced model of demyelination simulating progressive multiple sclerosis. Biomed. 2023;11(3):945. Polyák H, Galla Z, Nánási N, Cseh EK, Rajda C, Veres G, et al. The tryptophan-kynurenine metabolic system is suppressed in cuprizone-induced model of demyelination simulating progressive multiple sclerosis. Biomed. 2023;11(3):945.
4.
go back to reference Brownlee WJ, Hardy TA, Fazekas F, Miller DH. Diagnosis of multiple sclerosis: progress and challenges. Lancet. 2017;389(10076):1336–46.CrossRefPubMed Brownlee WJ, Hardy TA, Fazekas F, Miller DH. Diagnosis of multiple sclerosis: progress and challenges. Lancet. 2017;389(10076):1336–46.CrossRefPubMed
5.
go back to reference Bikle DD. Vitamin D regulation of immune function. Vitam Horm. 2011;1(86):1–21. Bikle DD. Vitamin D regulation of immune function. Vitam Horm. 2011;1(86):1–21.
6.
go back to reference Lu M, McComish BJ, Burdon KP, Taylor BV, Körner H. The association between vitamin D and multiple sclerosis risk: 1, 25 (OH) 2D3 induces super-enhancers bound by VDR. Front Immunol. 2019;19(10):488.CrossRef Lu M, McComish BJ, Burdon KP, Taylor BV, Körner H. The association between vitamin D and multiple sclerosis risk: 1, 25 (OH) 2D3 induces super-enhancers bound by VDR. Front Immunol. 2019;19(10):488.CrossRef
7.
go back to reference Ortiz GG, Torres-Mendoza BM, Ramírez-Jirano J, Marquez-Pedroza J, Hernández-Cruz JJ, Mireles-Ramirez MA, et al. Genetic basis of inflammatory demyelinating diseases of the central nervous system: multiple sclerosis and neuromyelitis optica spectrum. Genes. 2023;14(7):1319.CrossRefPubMedPubMedCentral Ortiz GG, Torres-Mendoza BM, Ramírez-Jirano J, Marquez-Pedroza J, Hernández-Cruz JJ, Mireles-Ramirez MA, et al. Genetic basis of inflammatory demyelinating diseases of the central nervous system: multiple sclerosis and neuromyelitis optica spectrum. Genes. 2023;14(7):1319.CrossRefPubMedPubMedCentral
8.
go back to reference Mohammadi A, Azarnezhad A, Khanbabaei H, Izadpanah E, Abdollahzadeh R, Barreto GE, et al. Vitamin D receptor genetic polymorphisms and the risk of multiple sclerosis: a systematic review and meta-analysis. Steroids. 2020;158: 108615.CrossRefPubMed Mohammadi A, Azarnezhad A, Khanbabaei H, Izadpanah E, Abdollahzadeh R, Barreto GE, et al. Vitamin D receptor genetic polymorphisms and the risk of multiple sclerosis: a systematic review and meta-analysis. Steroids. 2020;158: 108615.CrossRefPubMed
9.
go back to reference Pike JW, Meyer MB. Fundamentals of vitamin D hormone-regulated gene expression. J Steroid Biochem. 2014;144:5–11.CrossRef Pike JW, Meyer MB. Fundamentals of vitamin D hormone-regulated gene expression. J Steroid Biochem. 2014;144:5–11.CrossRef
10.
go back to reference Sirajudeen S, Shah I, Al MA. A narrative role of vitamin D and its receptor: with current evidence on the gastric tissues. Int J Mol Sci. 2019;20(15):3832.CrossRefPubMedPubMedCentral Sirajudeen S, Shah I, Al MA. A narrative role of vitamin D and its receptor: with current evidence on the gastric tissues. Int J Mol Sci. 2019;20(15):3832.CrossRefPubMedPubMedCentral
11.
go back to reference Köstner KI, Denzer N, Mueller CS, Klein R, Tilgen W, Reichrath J. The relevance of vitamin D receptor (VDR) gene polymorphisms for cancer: a review of the literature. Anticancer Res. 2009;29(9):3511–36.PubMed Köstner KI, Denzer N, Mueller CS, Klein R, Tilgen W, Reichrath J. The relevance of vitamin D receptor (VDR) gene polymorphisms for cancer: a review of the literature. Anticancer Res. 2009;29(9):3511–36.PubMed
12.
go back to reference Triantos C, Aggeletopoulou I, Kalafateli M, Spantidea PI, Vourli G, Diamantopoulou G, et al. Prognostic significance of vitamin D receptor (VDR) gene polymorphisms in liver cirrhosis. Sci Rep. 2018;8(1):14065.CrossRefPubMedPubMedCentral Triantos C, Aggeletopoulou I, Kalafateli M, Spantidea PI, Vourli G, Diamantopoulou G, et al. Prognostic significance of vitamin D receptor (VDR) gene polymorphisms in liver cirrhosis. Sci Rep. 2018;8(1):14065.CrossRefPubMedPubMedCentral
13.
go back to reference Morrison NA, Qi JC, Tokita A, Kelly PJ, Crofts L, Nguyen TV, et al. Prediction of bone density from vitamin D receptor alleles. Nature. 1994;367(6460):284–7.CrossRefPubMed Morrison NA, Qi JC, Tokita A, Kelly PJ, Crofts L, Nguyen TV, et al. Prediction of bone density from vitamin D receptor alleles. Nature. 1994;367(6460):284–7.CrossRefPubMed
14.
go back to reference de Souza Freitas R, Fratelli CF, de Souza Silva CM, de Lima LR, Stival MM, da Silva IC, Funghetto SS. Association of Vitamin D with the TaqI Polymorphism of the VDR gene in older women attending the basic health unit of the Federal District, DF (Brazil). J Aging Res. 2020;2020. de Souza Freitas R, Fratelli CF, de Souza Silva CM, de Lima LR, Stival MM, da Silva IC, Funghetto SS. Association of Vitamin D with the TaqI Polymorphism of the VDR gene in older women attending the basic health unit of the Federal District, DF (Brazil). J Aging Res. 2020;2020.
15.
go back to reference Ruiz-Ballesteros AI, Meza-Meza MR, Vizmanos-Lamotte B, Parra-Rojas I, de la Cruz-Mosso U. Association of vitamin D metabolism gene polymorphisms with autoimmunity: evidence in population genetic studies. Int J Mol Sci. 2020;21(24):9626.CrossRefPubMedPubMedCentral Ruiz-Ballesteros AI, Meza-Meza MR, Vizmanos-Lamotte B, Parra-Rojas I, de la Cruz-Mosso U. Association of vitamin D metabolism gene polymorphisms with autoimmunity: evidence in population genetic studies. Int J Mol Sci. 2020;21(24):9626.CrossRefPubMedPubMedCentral
16.
go back to reference Cetinel TT, Gokce SF, Yildirim ME, Bolayir A. Effects of ApaI, FokI, and BsmI gene polymorphisms of the vitamin D receptor on serum vitamin D level in Turkish MS patients with different types and severities of the disease. Ann Med Res. 2019;28:11. Cetinel TT, Gokce SF, Yildirim ME, Bolayir A. Effects of ApaI, FokI, and BsmI gene polymorphisms of the vitamin D receptor on serum vitamin D level in Turkish MS patients with different types and severities of the disease. Ann Med Res. 2019;28:11.
17.
go back to reference Imani D, Razi B, Motallebnezhad M, Rezaei R. Association between vitamin D receptor (VDR) polymorphisms and the risk of multiple sclerosis (MS): an updated meta-analysis. BMC Neurol. 2019;19:1–7.CrossRef Imani D, Razi B, Motallebnezhad M, Rezaei R. Association between vitamin D receptor (VDR) polymorphisms and the risk of multiple sclerosis (MS): an updated meta-analysis. BMC Neurol. 2019;19:1–7.CrossRef
18.
go back to reference Mazrouei-Arani N, Zargar M, Nikoueinejad H. Association between ApaI and TaqI polymorphisms of the vitamin D receptor gene and the multiple sclerosis. Gene Rep. 2022;1(27): 101584.CrossRef Mazrouei-Arani N, Zargar M, Nikoueinejad H. Association between ApaI and TaqI polymorphisms of the vitamin D receptor gene and the multiple sclerosis. Gene Rep. 2022;1(27): 101584.CrossRef
19.
go back to reference Gaebler AJ, Finner-Prével M, Sudar FP, Langer FH, Keskin F, Gebel A, et al. The interplay between vitamin D, exposure of anticholinergic antipsychotics and cognition in schizophrenia. Biomed. 2022;10(5):1096. Gaebler AJ, Finner-Prével M, Sudar FP, Langer FH, Keskin F, Gebel A, et al. The interplay between vitamin D, exposure of anticholinergic antipsychotics and cognition in schizophrenia. Biomed. 2022;10(5):1096.
20.
go back to reference Quirant-Sánchez B, Mansilla MJ, Navarro-Barriuso J, Presas-Rodríguez S, Teniente-Serra A, Fondelli F, et al. Combined therapy of vitamin D3-tolerogenic dendritic cells and interferon-β in a preclinical model of multiple sclerosis. Biomed. 2021;9(12):1758. Quirant-Sánchez B, Mansilla MJ, Navarro-Barriuso J, Presas-Rodríguez S, Teniente-Serra A, Fondelli F, et al. Combined therapy of vitamin D3-tolerogenic dendritic cells and interferon-β in a preclinical model of multiple sclerosis. Biomed. 2021;9(12):1758.
21.
go back to reference Al-Temaimi RA, Al-Enezi A, Al-Serri A, Al-Roughani R, Al-Mulla F. The association of vitamin D receptor polymorphisms with multiple sclerosis in a case-control study from Kuwait. PLoS ONE. 2015;10(11): e0142265.CrossRefPubMedPubMedCentral Al-Temaimi RA, Al-Enezi A, Al-Serri A, Al-Roughani R, Al-Mulla F. The association of vitamin D receptor polymorphisms with multiple sclerosis in a case-control study from Kuwait. PLoS ONE. 2015;10(11): e0142265.CrossRefPubMedPubMedCentral
22.
go back to reference Hassab AH, Deif AH, Elneely DA, Tawadros IM, Fayad AI. Protective association of VDR gene polymorphisms and haplotypes with multiple sclerosis patients in Egyptian population. Egypt J Med Hum Genet. 2019;20(1):1–9.CrossRef Hassab AH, Deif AH, Elneely DA, Tawadros IM, Fayad AI. Protective association of VDR gene polymorphisms and haplotypes with multiple sclerosis patients in Egyptian population. Egypt J Med Hum Genet. 2019;20(1):1–9.CrossRef
23.
go back to reference Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018;17(2):162–73.CrossRefPubMed Thompson AJ, Banwell BL, Barkhof F, Carroll WM, Coetzee T, Comi G, et al. Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. Lancet Neurol. 2018;17(2):162–73.CrossRefPubMed
24.
go back to reference Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33(11):1444.CrossRefPubMed Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33(11):1444.CrossRefPubMed
25.
go back to reference Albahlol IA, Neamatallah M, Serria MS, El-Gilany AH, Setate YA, Alkasaby NM, et al. Vitamin D receptor gene polymorphism and polycystic ovary syndrome susceptibility. BMC Medical Genom. 2023;16(1):1–9.CrossRef Albahlol IA, Neamatallah M, Serria MS, El-Gilany AH, Setate YA, Alkasaby NM, et al. Vitamin D receptor gene polymorphism and polycystic ovary syndrome susceptibility. BMC Medical Genom. 2023;16(1):1–9.CrossRef
26.
go back to reference Barut D, Akisu M, Koroglu OA, Terek D, Ergin F, Onay H, et al. The role of vitamin D receptor gene polymorphism in the development of necrotizing enterocolitis. Pediatr Res. 2023;3:1–5. Barut D, Akisu M, Koroglu OA, Terek D, Ergin F, Onay H, et al. The role of vitamin D receptor gene polymorphism in the development of necrotizing enterocolitis. Pediatr Res. 2023;3:1–5.
27.
go back to reference Usategui-Martín R, De Luis-Román DA, Fernández-Gómez JM, Ruiz-Mambrilla M, Pérez-Castrillón JL. Vitamin D receptor (VDR) gene polymorphisms modify the response to vitamin D supplementation: a systematic review and meta-analysis. Nutrients. 2022;14(2):360.CrossRefPubMedPubMedCentral Usategui-Martín R, De Luis-Román DA, Fernández-Gómez JM, Ruiz-Mambrilla M, Pérez-Castrillón JL. Vitamin D receptor (VDR) gene polymorphisms modify the response to vitamin D supplementation: a systematic review and meta-analysis. Nutrients. 2022;14(2):360.CrossRefPubMedPubMedCentral
28.
go back to reference Pistono C, Osera C, Monti MC, Boiocchi C, Mallucci G, Cuccia M, Pascale A. Vitamin D receptor and its influence on multiple sclerosis risk and severity: from gene polymorphisms to protein expression. Immuno. 2022;2(3):469–81.CrossRef Pistono C, Osera C, Monti MC, Boiocchi C, Mallucci G, Cuccia M, Pascale A. Vitamin D receptor and its influence on multiple sclerosis risk and severity: from gene polymorphisms to protein expression. Immuno. 2022;2(3):469–81.CrossRef
29.
go back to reference Guerini FR, Agliardi C, Oreni L, Groppo E, Bolognesi E, Zanzottera M, et al. Vitamin D receptor gene polymorphism predicts the outcome of multidisciplinary rehabilitation in multiple sclerosis patients. Int J Mol Sci. 2023;24(17):13379.CrossRefPubMedPubMedCentral Guerini FR, Agliardi C, Oreni L, Groppo E, Bolognesi E, Zanzottera M, et al. Vitamin D receptor gene polymorphism predicts the outcome of multidisciplinary rehabilitation in multiple sclerosis patients. Int J Mol Sci. 2023;24(17):13379.CrossRefPubMedPubMedCentral
30.
go back to reference Tanaka M, Vécsei L. Editorial of special issue ‘dissecting neurological and neuropsychiatric diseases: neurodegeneration and neuroprotection.’ Int J Mol Sci. 2022;23(13):6991.CrossRefPubMedPubMedCentral Tanaka M, Vécsei L. Editorial of special issue ‘dissecting neurological and neuropsychiatric diseases: neurodegeneration and neuroprotection.’ Int J Mol Sci. 2022;23(13):6991.CrossRefPubMedPubMedCentral
31.
go back to reference Török N, Tanaka M, Vécsei L. Searching for peripheral biomarkers in neurodegenerative diseases: the tryptophan-kynurenine metabolic pathway. Int J Mol Sci. 2020;21(24):9338.CrossRefPubMedPubMedCentral Török N, Tanaka M, Vécsei L. Searching for peripheral biomarkers in neurodegenerative diseases: the tryptophan-kynurenine metabolic pathway. Int J Mol Sci. 2020;21(24):9338.CrossRefPubMedPubMedCentral
32.
go back to reference Zayed AM, Shehata AE, Gouda TA, Abd Elnour HM. Association of vitamin D receptor, interleukin7 receptor alpha gene polymorphisms with the risk of multiple sclerosis. ZUMJ. 2021;27(1):122–31. Zayed AM, Shehata AE, Gouda TA, Abd Elnour HM. Association of vitamin D receptor, interleukin7 receptor alpha gene polymorphisms with the risk of multiple sclerosis. ZUMJ. 2021;27(1):122–31.
33.
go back to reference Cakina S, Ocak O, Ozkan A, Yucel S, Karaman HIO. Vitamin D receptor gene polymorphisms in multiple sclerosis disease: a case-control study. RJLabM. 2018;26(4):489–96. Cakina S, Ocak O, Ozkan A, Yucel S, Karaman HIO. Vitamin D receptor gene polymorphisms in multiple sclerosis disease: a case-control study. RJLabM. 2018;26(4):489–96.
34.
go back to reference Kamisli O, Acar C, Sozen M, Tecellioglu M, Yücel FE, Vaizoglu D, et al. The association between vitamin D receptor polymorphisms and multiple sclerosis in a Turkish population. Mult Scler Relat Disord. 2018;1(20):78–81.CrossRef Kamisli O, Acar C, Sozen M, Tecellioglu M, Yücel FE, Vaizoglu D, et al. The association between vitamin D receptor polymorphisms and multiple sclerosis in a Turkish population. Mult Scler Relat Disord. 2018;1(20):78–81.CrossRef
35.
go back to reference Zhang YJ, Zhang L, Chen SY, Yang GJ, Huang XL, Duan Y, et al. Association between VDR polymorphisms and multiple sclerosis: systematic review and updated meta-analysis of case-control studies. J Neurol Sci. 2018;39:225–34.CrossRef Zhang YJ, Zhang L, Chen SY, Yang GJ, Huang XL, Duan Y, et al. Association between VDR polymorphisms and multiple sclerosis: systematic review and updated meta-analysis of case-control studies. J Neurol Sci. 2018;39:225–34.CrossRef
36.
go back to reference Mohammadi A, Azarnezhad A, Khanbabaei H, Izadpanah E, Abdollahzadeh R, Barreto GE, et al. Vitamin D receptor genetic polymorphisms and the risk of multiple sclerosis: a systematic review and meta-analysis. Steroids. 2020;1(158): 108615.CrossRef Mohammadi A, Azarnezhad A, Khanbabaei H, Izadpanah E, Abdollahzadeh R, Barreto GE, et al. Vitamin D receptor genetic polymorphisms and the risk of multiple sclerosis: a systematic review and meta-analysis. Steroids. 2020;1(158): 108615.CrossRef
37.
go back to reference Abdollahzadeh R, Moradi Pordanjani P, Rahmani F, Mashayekhi F, Azarnezhad A, Mansoori Y. Association of VDR gene polymorphisms with risk of relapsing-remitting multiple sclerosis in an Iranian Kurdish population. Int J Neurosci. 2018;128(6):505–11.CrossRefPubMed Abdollahzadeh R, Moradi Pordanjani P, Rahmani F, Mashayekhi F, Azarnezhad A, Mansoori Y. Association of VDR gene polymorphisms with risk of relapsing-remitting multiple sclerosis in an Iranian Kurdish population. Int J Neurosci. 2018;128(6):505–11.CrossRefPubMed
38.
go back to reference Zhang D, Wang L, Zhang R, Li S. Association of vitamin D receptor gene polymorphisms and the risk of multiple sclerosis: a meta analysis. Arch Med Res. 2019;50(6):350–61.CrossRefPubMed Zhang D, Wang L, Zhang R, Li S. Association of vitamin D receptor gene polymorphisms and the risk of multiple sclerosis: a meta analysis. Arch Med Res. 2019;50(6):350–61.CrossRefPubMed
39.
Metadata
Title
Investigating the role of VDR gene variants in multiple sclerosis susceptibility: a case–control study in Egypt
Authors
Hala Ashraf Hosni
Amr Mohamed Fouad
Noha Wael Ibrahim
Sahar Abd El-Atty Sharaf
Publication date
01-12-2024
Publisher
Springer Berlin Heidelberg
DOI
https://doi.org/10.1186/s41983-024-00794-z

Other articles of this Issue 1/2024

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery 1/2024 Go to the issue