Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspects

Juvenile idiopathic arthritis (JIA) is a chronic inflammatory joint disease associated with impaired immune system performance. The specific features of JIA may be genetically determined.Objective: to assess JIA activity in children with vitamin D receptor (VDR) gene ApaI and BsmI polymorphism genot...

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Main Authors: M. M. Kostik, L. A. Sheplyagina, V. I. Larionova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2014-09-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/557
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author M. M. Kostik
L. A. Sheplyagina
V. I. Larionova
author_facet M. M. Kostik
L. A. Sheplyagina
V. I. Larionova
author_sort M. M. Kostik
collection DOAJ
description Juvenile idiopathic arthritis (JIA) is a chronic inflammatory joint disease associated with impaired immune system performance. The specific features of JIA may be genetically determined.Objective: to assess JIA activity in children with vitamin D receptor (VDR) gene ApaI and BsmI polymorphism genotypes.Subjects and methods. The investigation enrolled 71 patients with JIA. When included in the investigation, all the patients were in an active state of disease. JIA activity was assessed using the most commonly used clinical and laboratory indicators, including the Ritchie articular index (RAI), JADAS10, JADAS27, JADAS71, CDAI, DAS, and DAS28. Molecular genetic studies determined VDR gene ApaI and BsmI polymorphisms by polymerase chain reaction, followed by restriction analysis.Results. The boys who were carriers of a bb BsmI polymorphic marker in the VDR gene had a significantly higher activity of JIA measured by RAI (p=0.03), DAS (p<0.05), JADAS10 (p=0.04), JADAS27 (p=0.04), and JADAS71 (p=0.04) than those who were carriers of B allele (BB + Bb genotypes).Conclusion. The carriage of the VDR gene bb BsmI genotype of the polymorphic marker is associated with high JIA activity, which may be regarded as a marker of poor prognosis in boys with JIA.
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spelling doaj.art-012da262d7db4a6bb0c650e1c29a4fe32023-03-13T08:39:23ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2014-09-0183283310.14412/1996-7012-2014-3-28-331858Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspectsM. M. Kostik0L. A. Sheplyagina1V. I. Larionova2ГБОУ ВПО «Санкт-Петербургский государственный педиатрический медицинский университет», Санкт-Петербург, Россия 1194100, Санкт-Петербург, Литовская ул., 2ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского», Москва, Россия 129110, Москва, ул. Щепкина, 61/2;ФГБНУ «Научно-исследовательский детский ортопедический институт имени Г.И. Турнера», Санкт-Петербург, Россия 196603, Санкт-Петербург, Пушкин, Парковая ул., 64–68Juvenile idiopathic arthritis (JIA) is a chronic inflammatory joint disease associated with impaired immune system performance. The specific features of JIA may be genetically determined.Objective: to assess JIA activity in children with vitamin D receptor (VDR) gene ApaI and BsmI polymorphism genotypes.Subjects and methods. The investigation enrolled 71 patients with JIA. When included in the investigation, all the patients were in an active state of disease. JIA activity was assessed using the most commonly used clinical and laboratory indicators, including the Ritchie articular index (RAI), JADAS10, JADAS27, JADAS71, CDAI, DAS, and DAS28. Molecular genetic studies determined VDR gene ApaI and BsmI polymorphisms by polymerase chain reaction, followed by restriction analysis.Results. The boys who were carriers of a bb BsmI polymorphic marker in the VDR gene had a significantly higher activity of JIA measured by RAI (p=0.03), DAS (p<0.05), JADAS10 (p=0.04), JADAS27 (p=0.04), and JADAS71 (p=0.04) than those who were carriers of B allele (BB + Bb genotypes).Conclusion. The carriage of the VDR gene bb BsmI genotype of the polymorphic marker is associated with high JIA activity, which may be regarded as a marker of poor prognosis in boys with JIA.https://mrj.ima-press.net/mrj/article/view/557ювенильный идиопатический артритвоспалениеген рецептора витамина d.
spellingShingle M. M. Kostik
L. A. Sheplyagina
V. I. Larionova
Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspects
Современная ревматология
ювенильный идиопатический артрит
воспаление
ген рецептора витамина d.
title Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspects
title_full Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspects
title_fullStr Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspects
title_full_unstemmed Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspects
title_short Role of vitamin D receptor (VDR) gene polymorphism in the pathogenesis of juvenile idiopathic arthritis: Theoretical and practical aspects
title_sort role of vitamin d receptor vdr gene polymorphism in the pathogenesis of juvenile idiopathic arthritis theoretical and practical aspects
topic ювенильный идиопатический артрит
воспаление
ген рецептора витамина d.
url https://mrj.ima-press.net/mrj/article/view/557
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AT lasheplyagina roleofvitamindreceptorvdrgenepolymorphisminthepathogenesisofjuvenileidiopathicarthritistheoreticalandpracticalaspects
AT vilarionova roleofvitamindreceptorvdrgenepolymorphisminthepathogenesisofjuvenileidiopathicarthritistheoreticalandpracticalaspects