Vitamin D and polymorphisms of VDR gene in patients with systemic lupus erythematosus

Clin Rheumatol. 2012 Oct;31(10):1411-21. doi: 10.1007/s10067-012-2021-5. Epub 2012 Jun 13.

Abstract

The susceptibility for the development of systemic lupus erythematosus (SLE) is related to environmental, hormonal, genetic, and immunological factors. Numerous genes have been linked to the emergence of SLE, including vitamin D receptor (VDR) gene that synthesizes the receptor of vitamin D. Several polymorphisms have been described since the discovery of this gene, and their effects on VDR activity are still poorly understood. Vitamin D's biological functions are mediated by VDR. Vitamin D exerts many actions on the immune system, and several studies have suggested its role in the pathogenesis of autoimmune diseases. SLE patients have low blood levels of vitamin D, which raises the possibility of association between the deficiency of this vitamin and the onset of the disease. BsmI and FokI polymorphic variants seem to be related to the onset of the disease in Asian patients. In this article, we review the aspects related to the metabolism and immunoregulatory effects of vitamin D, VDR, and main polymorphisms involving the VDR gene and the relationship between vitamin D levels and its receptor with SLE.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Autoimmune Diseases / physiopathology
  • Genetic Predisposition to Disease / genetics
  • Humans
  • Lupus Erythematosus, Systemic / epidemiology
  • Lupus Erythematosus, Systemic / genetics*
  • Lupus Erythematosus, Systemic / physiopathology*
  • Polymorphism, Genetic / genetics*
  • Polymorphism, Genetic / physiology
  • Receptors, Calcitriol / genetics*
  • Receptors, Calcitriol / physiology
  • Risk Factors
  • Vitamin D / blood
  • Vitamin D / physiology*
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / physiopathology

Substances

  • Receptors, Calcitriol
  • Vitamin D