Association between variants in vitamin D‐binding protein gene and vitamin D deficiency among pregnant women in china

Autor: Jinju Dong, Ting Wang, Yi Mi, Congli Liu, Yangqing Lu, Fei Li, Lingyun Wang, Jun Li, Lijun Wang, Hongmei Zhou, Qinghong Zhou, Wang-Yang Xu, Jinxiu Wang, Peng Meng, Jie Deng, Juan Wang
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Microbiology (medical)
Adult
medicine.medical_specialty
China
Vitamin D-binding protein
Clinical Biochemistry
SNP
Single-nucleotide polymorphism
Polymorphism
Single Nucleotide
vitamin D deficiency
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
Internal medicine
Genotype
medicine
Vitamin D and neurology
Immunology and Allergy
Humans
Vitamin D
Gene
Genotyping
Research Articles
25(OH)D
business.industry
Vitamin D-Binding Protein
Biochemistry (medical)
Public Health
Environmental and Occupational Health
Infant
Hematology
medicine.disease
Vitamin D Deficiency
Pregnancy Complications
Medical Laboratory Technology
030104 developmental biology
Endocrinology
birthweight
030220 oncology & carcinogenesis
Dietary Supplements
Female
business
pregnant women
Research Article
Zdroj: Journal of Clinical Laboratory Analysis
ISSN: 1098-2825
0887-8013
Popis: Background The prevalence of vitamin D deficiency and insufficiency is extremely high in pregnant women worldwide. However, the association between single nucleotide polymorphisms (SNPs) in vitamin D metabolic pathway genes and 25‐hydroxyvitamin D (25(OH)D) concentration among Chinese pregnant women is seldom reported. The risk of adverse neonatal outcomes due to maternal vitamin D deficiency has not been well investigated. Methods A total of 815 pregnant women and 407 infants were enrolled in this study. Serum 25(OH)D concentration was detected. DNA was extracted from the maternal blood for genotyping genetic SNPs in vitamin D pathway. An XGBoost model was established based on SNPs combined with external variables. Results Mean serum 25(OH)D level was 15.67 ± 7.98 ng/mL among the pregnant women. Seventy‐five percent of pregnant women had 25(OH)D deficiency in China. SNPs of GC (rs17467825, rs4588, rs2282679, rs2298850, and rs1155563) were significantly associated with maternal 25(OH)D concentration. The influence of variants of rs17467825, rs4588, rs2282679, and rs2298850 on maternal 25(OH)D might be modified by vitamin D supplementation and sunshine exposure. An XGBoost model was established for monitoring 25(OH)D status in pregnant women and provided clinical advice to reduce the risk of 25(OH)D deficiency. Mothers with 25(OH)D deficiency hinted a risk for macrosomia. Conclusion A high prevalence of vitamin D deficiency in China has been confirmed. A clinical model was established to guide pregnant women to supplement vitamin D according to genotype. Furthermore, we suggest the effect of maternal vitamin D status on the risk of macrosomia.
Databáze: OpenAIRE
Externí odkaz: