Vitamin D status, serum lipid concentrations, and vitamin D receptor (VDR) gene polymorphisms in Familial Mediterranean fever

Turan Turhan; Halef Okan Doğan; Nihal Boğdaycioğlu; Nilnur Eyerci; Ahmet Omma; İsmail Sari; Ahmet Yeşilyurt; Yaşar Karaaslan

doi:10.17305/bjbms.2017.2259

Authors

Turan Turhan Department of Biochemistry, Ankara Numune Training and Research Hospital, Ankara, Turkey
Halef Okan Doğan Department of Biochemistry, Faculty of Medicine, University of Cumhuriyet, Sivas, Turkey https://orcid.org/0000-0001-8738-0760
Nihal Boğdaycioğlu Department of Biochemistry, Samsun Training and Research Hospital, Samsun, Turkey
Nilnur Eyerci Department of Medical Biology, University of Kafkas, Kars, Turkey
Ahmet Omma Department of Rheumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey
İsmail Sari Department of Biochemistry, Faculty of Medicine, University of Niğde Ömer Halis Demir, Niğde, Turkey https://orcid.org/0000-0003-3732-2102
Ahmet Yeşilyurt Department of Genetics, Dıskapı Yıldırım Beyatız Education and Training Hospital, Ankara, Turkey
Yaşar Karaaslan Department of Rheumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey

DOI:

https://doi.org/10.17305/bjbms.2017.2259

Keywords:

25(OH)D3, FMF, Familial Mediterranean fever, serum lipids, VDR polymorphisms

Abstract

Vitamin D (VitD) is critical for the regulation of inflammatory processes, and VitD deficiency has been linked to several chronic inflammatory disorders. We aimed to investigate the concentrations of serum 25(OH)D3, lipid parameters, and three known VDR polymorphisms (BsmI, FokI, and TaqI) in patients with Familial Mediterranean fever (FMF), an autosomal recessive autoinflammatory disease. The study included 123 FMF patients and 105 controls. Seventy patients had no attack (group 1), 30 had 1-2 attacks (group 2), and 23 had 3 or more attacks (group 3) within last three months. Serum 25(OH)D3 concentrations were determined using liquid chromatography–tandem mass spectrometry. BsmI, FokI, and TaqI polymorphisms were analyzed by a competitive allele specific polymerase chain reaction assay (KASPar). Serum lipid parameters were measured with enzymatic colorimetric methods. 25(OH)D3 concentrations were lower in FMF patients compared to controls (p < 0.001). No difference was observed in 25(OH)D3 concentration between groups 1, 2, and 3. The distributions of FokI and TaqI genotypes were not significantly different between FMF patients and controls. There was a significant difference in the distribution of AA BsmI genotype between male FMF patients and male controls. Increased concentrations of triglycerides (p = 0.012) and decreased concentrations of high-density lipoprotein cholesterol [HDL-C] (p = 0.006) were found in FMF patients compared to controls. Although lower 25(OH)D3 concentrations were observed in FMF patients versus controls, no association was determined between FMF attack frequency and 25(OH)D3 concentrations. We showed that the AA genotype of BsmI polymorphism is associated with FMF in males but not in females. The effects of decreased HDL-C and increased triglyceride concentrations on cardiovascular events in FMF patients should be further investigated.

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Author Biographies

Turan Turhan, Department of Biochemistry, Ankara Numune Training and Research Hospital, Ankara, Turkey

Department of Biochemistry
Halef Okan Doğan, Department of Biochemistry, Faculty of Medicine, University of Cumhuriyet, Sivas, Turkey

Department of Biochemistry
Nihal Boğdaycioğlu, Department of Biochemistry, Samsun Training and Research Hospital, Samsun, Turkey

Department of Biochemistry
Nilnur Eyerci, Department of Medical Biology, University of Kafkas, Kars, Turkey

Department of Medical Biology
Ahmet Omma, Department of Rheumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey

Department of Rheumatology
İsmail Sari, Department of Biochemistry, Faculty of Medicine, University of Niğde Ömer Halis Demir, Niğde, Turkey

Department of Biochemistry
Ahmet Yeşilyurt, Department of Genetics, Dıskapı Yıldırım Beyatız Education and Training Hospital, Ankara, Turkey

Department of Genetics
Yaşar Karaaslan, Department of Rheumatology, Ankara Numune Training and Research Hospital, Ankara, Turkey

Department of Rheumatology

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