Polymorphisms in the Vitamin D receptor gene and chronic kidney disease susceptibility and progression
DOI:
https://doi.org/10.18593/evid.34487Keywords:
Chronic Kidney Disease, Polymorphism, Gene VDRAbstract
Chronic non-communicable diseases (NCD) are considered one of the biggest public health problems. Among them, chronic kidney disease (CKD) stands out, which is characterized by the alteration of renal function. As with CKD, hypovitaminosis D has also become an increasing public health problem in the population. Many factors can explain the low levels of this vitamin and its supplementation is commonly used as an auxiliary therapy in patients with CKD. However, the nephroprotective effects of vitamin D are mediated by the vitamin D receptor gene – VDR, and a genetic alteration in this receptor can reduce the effectiveness of treatments, worsening the disease prognosis. This work aimed to review studies that investigated the association between VDR gene polymorphisms and CKD susceptibility and progression in the last 10 years (between 2013 and 2023). Based on a search in the PUBMED, LILACS and COCHRANE databases, nine articles that investigated this association were included. Cardiometabolic effects, followed by end-stage renal disease, and osteodystrophy were the most frequently observed clinical outcomes. These outcomes are associated with the different polymorphisms of the VDR. Furthermore, studies of genetic associations to describe the effects of VDR gene polymorphism on CKD are needed.
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Aguiar, L.K., Prado, R.R., Grazzinelli, A., & Malta, D.C. (2020). Factors associated with chronic kidney disease: epidemiological survey of the National Health Survey. Rev Bras Epidemiol, 23. https://doi.org/10.1590/1980-549720200044.
Barreto, F.C., & Stinghen, A.E.M. (2020). Vitamin D and chronic kidney disease: an uneasy relationship. Braz J Nephrol, 42(4). https://doi.org/10.1590/2175-8239-JBN-2020-E002.
Bouksila, M., Kaabachi, W., Mrad, M., Smaoui, W., El Kateb, E. C., Zouaghi, M. K., Hamzaoui, K., & Bahlous, A. (2018). FGF 23, PTH and vitamin D status in end stage renal disease patients affected by VDR FokI and BsmI variants. Clinical biochemistry, 54, 42–50. https://doi.org/10.1016/j.clinbiochem.2018.02.009.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância de Doenças e Agravos não Transmissíveis e Promoção da Saúde. (2020). Vigitel Brasil 2019: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: MS.
CEBM – CENTRE FOR EVIDENCE-BASED MEDICINE. (2009, Jun). Oxford Centre for Evidence-Based Medicine: Levels of Evidence. https://www.cebm.ox.ac.uk/
resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009.
Elshamaa, M. F., Eryan, E., Hamed, H., Khalifa, I., Kamel, S., Ibrahim, M. H., Kandil, D., Farouk, H., Raafat, M., Abd-El Haleem, D. A., Mahmoud, E., El-Saeed, G., Abo Hashish, M., Abd Elhamid, E., & Sayed, S. (2022). Vitamin D receptor gene polymorphisms in chronic kidney disease Egyptian children: effect on biochemical markers of bone mineral disorders. Pediatric endocrinology, diabetes, and metabolism, 28(3), 188–196. https://doi.org/10.5114/pedm.2022.118316.
Ghorbanihaghjo, A., Argani, H., Samadi, N., Valizadeh, S., Halajzadeh, J., Yousefi, B., & Rashtchizadeh, N. (2014). Relationship between vitamin D receptor gene FokI and ApaI polymorphisms and serum levels of fetuin-A, vitamin D, and parathyroid hormone in patients on hemodialysis. Iranian journal of kidney diseases, 8(5), 394–400.
Grzegorzewska, A. E., Ostromecki, G., Zielińska, P., Mostowska, A., & Jagodziński, P. P. (2014). T-cell cytokine gene polymorphisms and vitamin D pathway gene polymorphisms in end-stage renal disease due to type 2 diabetes mellitus nephropathy: comparisons with health status and other main causes of end-stage renal disease. Journal of diabetes research, 2014, 120317. https://doi.org/10.1155/
/120317.
Li, L., Wan, Q., Yang, S., & Zhao, S. (2018). Impact of Vitamin D Receptor Gene Polymorphism on Chronic Renal Failure Susceptibility. Therapeutic apheresis and dialysis: official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, 22(6), 575–587. https://doi.org/10.1111/1744-9987.12714
Nugroho, P., Lydia, A., Suhardjono, S., & Harimurti, K. (2021). Association of BsmI Polymorphisms in the Vitamin D Receptor Gene Among Indonesian Population with Diabetic Kidney Disease. Acta medica Indonesiana, 53(2), 149–155.
Obi, Y., Hamano, T., & Isaka, Y. (2015). Prevalence and prognostic implications of vitamin D deficiency in chronic kidney disease. Disease markers, 2015, 868961. https://doi.org/10.1155/2015/868961.
Pilz, S., Verheyen, N., Grübler, M. R., Tomaschitz, A., & März, W. (2016). Vitamin D and cardiovascular disease prevention. Nature reviews. Cardiology, 13(7), 404–417. https://doi.org/10.1038/nrcardio.2016.73.
Ruscalleda, R.M.I. (2023). Vitamin D – Physiological, Nutritional, Immunological, Genetic aspects. Actions in autoimmune, tumor, and infectious diseases. Musculoskeletal and cognitive functions. Rev Med (São Paulo), 102(3). http://dx.doi.
org/10.11606/issn.1679-9836.v102i3e-210547.
Santoro, D., Buemi, M., Gagliostro, G., Vecchio, M., Currò, M., Ientile, R., & Caccamo, D. (2015). Association of VDR gene polymorphisms with heart disease in chronic kidney disease patients. Clinical biochemistry, 48(16-17), 1028–1032. https://doi.org/10.1016/j.clinbiochem.2015.05.009.
Santos, V.B. (2022). Associação entre o polimorfismo do gene VDR e rejeição do enxerto renal: uma revisão narrativa. Trabalho de Conclusão de Curso (Graduação em Farmácia). Universidade Federal do Rio Grande do Sul, Porto Alegre.
Wang, L. Y., Zhang, P., Wang, H. F., Qin, Z. W., Wei, K. B., & Lv, X. A. (2016). Association of vitamin D receptor gene polymorphisms with end-stage renal disease and the development of high-turnover renal osteodystrophy in a Chinese population. Genetics and molecular research: GMR, 15(2), 10.4238/gmr.15026825. https://doi.org/10.4238/gmr.15026825.
Waziri, B., Dix-Peek, T., Dickens, C., Duarte, R., & Naicker, S. (2018). Influence of vitamin D receptor polymorphisms on biochemical markers of mineral bone disorders in South African patients with chronic kidney disease. BMC Nephrology, 19(30). https://doi.org/10.1186/s12882-018-0831-7
Who – WORLD HEALTH ORGANIZATION. (2018). World Health Statistics 2018: monitoring health for the SDGs, Sustainable Development Goals. Geneva: WHO.
Yoshihara, A., Kaneko, N., Iwasaki, M., Nohno, K., & Miyazaki, H. (2018). Relationship between vitamin D receptor gene polymorphism and susceptibility to chronic kidney disease and periodontal disease in community-dwelling elderly. Journal of clinical periodontology, 45(6), 672–679. https://doi.org/10.1111/ jcpe.12896.
Zittermann, A., Trummer, C., Theiler-Schwetz, V., Lerchbaum, E., März, W., & Pilz, S. (2021). Vitamin D and Cardiovascular Disease: An Updated Narrative Review. International journal of molecular sciences, 22(6), 2896. https://doi.org/10. 3390/ijms22062896.
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