Genetic Factors Associated with Absolute and Relative Plasma Concentrations of Calcitriol

  • Robin Taylor Wilson
  • , Susan E. Safford
  • , Quinn T. Ostrom
  • , Ming Wang
  • , Alicia C. McDonald
  • , Anna C. Salzberg
  • , Jill S. Barnholtz-Sloan
  • , John P. Richie

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

BACKGROUND: Little is known regarding factors associated with calcitriol and a relative measure of calcitriol, the calcitriol-24,25-dihydroxyvitamin D3-calcifediol proportion ratio (C24CPR).

METHODS: Using a cross-sectional study design, healthy young adults of African and European descent, matched (1:1) on age (±5 years) provided a blood sample in non-summer months (N = 376). Vitamin D metabolites were measured in plasma with HPLC/MS-MS. West African genetic ancestry proportion (WGA) was estimated using STRUCTURE modeling of genetic ancestry-informative markers. Multivariable regression models were used to estimate the association of WGA and vitamin D-pathway gene variants with calcitriol and C24CPR, controlling for days from summer solstice, age, sex, blood pressure, body mass index, dietary vitamin D intake, oral contraceptive/medroxyprogesterone acetate use, smoking, tanning bed use, and time of day.

RESULTS: Calcitriol and C24CPR were not highly correlated (rho = 0.14), although both were significantly, positively, and monotonically associated with WGA (Ptrend 0.025 and <0.001, respectively). In fully adjusted models, genetic factors explained a greater proportion of variability in C24CPR (R2 = 0.121 and 0.310, respectively). Variants in genes with associated with calcitriol (CALB1, CYP27B1, GC, and PPARGC1A) differed from those associated with C24CPR (CYP3A43, FGF23, KL, and VDR).

CONCLUSIONS: Both absolute and relative measures of calcitriol were significantly higher among African Americans. Otherwise, these biomarkers appear to be genetically distinct.

IMPACT: C24CPR may be better suited to personalized medicine, due to a higher proportion of population variability explained by genetic variation and a less skewed distribution.

Original languageEnglish
Pages (from-to)697-707
Number of pages11
JournalCancer Epidemiology Biomarkers and Prevention
Volume32
Issue number5
DOIs
StatePublished - May 1 2023

Keywords

  • Calcifediol/metabolism
  • Calcitriol/metabolism
  • Cross-Sectional Studies
  • Humans
  • Receptors, Calcitriol/genetics
  • Vitamin D
  • Vitamins
  • Young Adult

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