FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adults

Summary: Background & aims: The “TT” genotype of the FokI polymorphism (rs2228570; T>C) of the vitamin D receptor has previously been associated with a higher risk of insulin resistance, metabolic syndrome and diabetes. The objective of this study was to compare the insulin sensitivity b...

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Main Authors: Benjamín Armando Núñez-García, Jorge Maldonado-Hernández, Nelson Eduardo Álvarez-Licona, María Elizabeth Tejero-Barrera, Mariela Bernabe-García, Alva Belen Morales-Villar, Leticia Sebastián-Medina, Mónica Ivette Piña-Aguero, Juan Manuel Domínguez-Salgado
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Clinical Nutrition Open Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667268522000493
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author Benjamín Armando Núñez-García
Jorge Maldonado-Hernández
Nelson Eduardo Álvarez-Licona
María Elizabeth Tejero-Barrera
Mariela Bernabe-García
Alva Belen Morales-Villar
Leticia Sebastián-Medina
Mónica Ivette Piña-Aguero
Juan Manuel Domínguez-Salgado
author_facet Benjamín Armando Núñez-García
Jorge Maldonado-Hernández
Nelson Eduardo Álvarez-Licona
María Elizabeth Tejero-Barrera
Mariela Bernabe-García
Alva Belen Morales-Villar
Leticia Sebastián-Medina
Mónica Ivette Piña-Aguero
Juan Manuel Domínguez-Salgado
author_sort Benjamín Armando Núñez-García
collection DOAJ
description Summary: Background & aims: The “TT” genotype of the FokI polymorphism (rs2228570; T>C) of the vitamin D receptor has previously been associated with a higher risk of insulin resistance, metabolic syndrome and diabetes. The objective of this study was to compare the insulin sensitivity between the different genotypes of the FokI polymorphism after an oral glucose tolerance test (OGTT) in healthy adults. Methods: thirty-three previously genotyped subjects were selected randomly. Three groups of eleven participants were formed according to the allelic variants of the FokI polymorphism: “CC”, “CT” and “TT”. An oral glucose tolerance test was administrated and blood samples were drawn at baseline, 10, 20, 30, 60, 90, 120, 150 and 180 minutes. Plasma glucose, insulin and vitamin D concentrations were determined. Two OGTT derived indexes were computed: the Matsuda-DeFronzo insulin sensitivity index and an insulinogenic index. Results: no significant differences among study groups were found in any of the anthropometric and metabolic features, neither in vitamin D concentrations. Carriers of the “TT” genotype showed a substantial significant reduction of insulin sensitivity (≈40%) in contrast with the “CC+CT” group. Additionally, an inverse association was observed between the insulin sensitivity index and the number of copies of the “T” allele at 120 and 180 minutes (rho=-0.359, P=0.040; rho=-0.355, P=0.043, respectively). In contrast, no associations were found between any of the genotype models and the insulinogenic index. Conclusion: our results demonstrate a substantial reduction of insulin sensitivity in the carriers of the “TT” genotype. Since this decrement was observed in young non-obese subjects, the presence of the “TT” genotype suggests a considerable risk of impaired glucose metabolism in the carriers of this allelic variant.
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spelling doaj.art-eda1f77574c54a3bb95a68dad9efd3972022-12-22T03:33:05ZengElsevierClinical Nutrition Open Science2667-26852022-10-0145103111FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adultsBenjamín Armando Núñez-García0Jorge Maldonado-Hernández1Nelson Eduardo Álvarez-Licona2María Elizabeth Tejero-Barrera3Mariela Bernabe-García4Alva Belen Morales-Villar5Leticia Sebastián-Medina6Mónica Ivette Piña-Aguero7Juan Manuel Domínguez-Salgado8Unit of Research in Medical Nutrition, Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social. Av. Cuauhtémoc No. 330, Col. Doctores, Mexico City, MexicoUnit of Research in Medical Nutrition, Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social. Av. Cuauhtémoc No. 330, Col. Doctores, Mexico City, Mexico; Corresponding author. Av. Cuauhtémoc No. 330, Col. Doctores, Mexico City, ZIP 06720, Mexico. Tel./fax: +52 55 56 27 69 44.Graduate Department, Escuela Superior de Medicina, Instituto Politécnico Nacional. Salvador Díaz Mirón esq. Plan de San Luis S/N, Col. Casco de Santo Tomas, Mexico City, MexicoNutrigenomics and Nutrigenetics Laboratory, Instituto Nacional de Medicina Genómica, Periférico Sur No. 4809, Col. Arenal Tepepan, Mexico City, MexicoUnit of Research in Medical Nutrition, Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social. Av. Cuauhtémoc No. 330, Col. Doctores, Mexico City, MexicoUnit of Research in Medical Nutrition, Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social. Av. Cuauhtémoc No. 330, Col. Doctores, Mexico City, MexicoNutrigenomics and Nutrigenetics Laboratory, Instituto Nacional de Medicina Genómica, Periférico Sur No. 4809, Col. Arenal Tepepan, Mexico City, MexicoUnit of Research in Medical Nutrition, Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social. Av. Cuauhtémoc No. 330, Col. Doctores, Mexico City, MexicoUnit of Research in Medical Nutrition, Centro Médico Nacional “Siglo XXI”, Instituto Mexicano del Seguro Social. Av. Cuauhtémoc No. 330, Col. Doctores, Mexico City, MexicoSummary: Background & aims: The “TT” genotype of the FokI polymorphism (rs2228570; T>C) of the vitamin D receptor has previously been associated with a higher risk of insulin resistance, metabolic syndrome and diabetes. The objective of this study was to compare the insulin sensitivity between the different genotypes of the FokI polymorphism after an oral glucose tolerance test (OGTT) in healthy adults. Methods: thirty-three previously genotyped subjects were selected randomly. Three groups of eleven participants were formed according to the allelic variants of the FokI polymorphism: “CC”, “CT” and “TT”. An oral glucose tolerance test was administrated and blood samples were drawn at baseline, 10, 20, 30, 60, 90, 120, 150 and 180 minutes. Plasma glucose, insulin and vitamin D concentrations were determined. Two OGTT derived indexes were computed: the Matsuda-DeFronzo insulin sensitivity index and an insulinogenic index. Results: no significant differences among study groups were found in any of the anthropometric and metabolic features, neither in vitamin D concentrations. Carriers of the “TT” genotype showed a substantial significant reduction of insulin sensitivity (≈40%) in contrast with the “CC+CT” group. Additionally, an inverse association was observed between the insulin sensitivity index and the number of copies of the “T” allele at 120 and 180 minutes (rho=-0.359, P=0.040; rho=-0.355, P=0.043, respectively). In contrast, no associations were found between any of the genotype models and the insulinogenic index. Conclusion: our results demonstrate a substantial reduction of insulin sensitivity in the carriers of the “TT” genotype. Since this decrement was observed in young non-obese subjects, the presence of the “TT” genotype suggests a considerable risk of impaired glucose metabolism in the carriers of this allelic variant.http://www.sciencedirect.com/science/article/pii/S2667268522000493VDRInsulin sensitivityFokI polymorphismOGTTISI-Composite
spellingShingle Benjamín Armando Núñez-García
Jorge Maldonado-Hernández
Nelson Eduardo Álvarez-Licona
María Elizabeth Tejero-Barrera
Mariela Bernabe-García
Alva Belen Morales-Villar
Leticia Sebastián-Medina
Mónica Ivette Piña-Aguero
Juan Manuel Domínguez-Salgado
FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adults
Clinical Nutrition Open Science
VDR
Insulin sensitivity
FokI polymorphism
OGTT
ISI-Composite
title FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adults
title_full FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adults
title_fullStr FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adults
title_full_unstemmed FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adults
title_short FokI polymorphism of the vitamin D receptor is closely related to a reduced insulin sensitivity in healthy adults
title_sort foki polymorphism of the vitamin d receptor is closely related to a reduced insulin sensitivity in healthy adults
topic VDR
Insulin sensitivity
FokI polymorphism
OGTT
ISI-Composite
url http://www.sciencedirect.com/science/article/pii/S2667268522000493
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