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Tao R, Xiao S, Wang L, Hu C, Suo H, Long R, Liu H, Luo W, Hong F, Zhao J, Li Q. Association between vitamin D receptor gene polymorphisms and susceptibility to tuberculosis: a systematic review and meta-analysis. Front Genet 2024; 15:1382957. [PMID: 39228416 PMCID: PMC11368754 DOI: 10.3389/fgene.2024.1382957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2024] [Accepted: 07/29/2024] [Indexed: 09/05/2024] Open
Abstract
Objective Tuberculosis (TB) is the leading cause of mortality worldwide. Previous studies have reported that TB susceptibility can be caused by vitamin D deficiency, which is affected by polymorphisms in the vitamin D receptor (VDR) gene. However, these results have been inconsistent. Therefore, we performed a meta-analysis to investigate the association between VDR polymorphisms and TB susceptibility. Methods We systematically searched for relevant literature in PubMed, Embase, and Medline databases through December 31st, 2022. Inclusion and exclusion criteria were made to ensure that HIV-negative population is the targeted subjects. The pooled odds ratio (OR) and 95% confidence interval (CI) were then used to assess the strength of the association, and the quality of the included articles was evaluated using the Newcastle-Ottawa Scale. Potential sources of heterogeneity were evaluated based on subgroup and meta-regression analyses. Results In our meta-analysis, we found that the FokI polymorphism in the VDR gene was associated with increased TB susceptibility in the allele and recessive genotype models (OR f vs. F = 1.235, 95%CI: 1.035-1.475; OR ff vs. Ff + FF = 1.317, 95%CI: 1.005-1.727. Further subgroup analysis based on ethnicity demonstrated the association with the risk of TB in all genotype models of the FokI polymorphism for Han population. Meta-regression analysis also indicated that ethnicity could be a potential source of heterogeneity in the FokI and BsmI polymorphisms in the VDR gene. However, publication year was another source of heterogeneity for the TaqI polymorphism. Conclusion In summary, the FokI polymorphism in the VDR gene was found to increase the risk of TB in the HIV-negative population, both overall and in Asian populations. The findings presented in this paper could provide clues for preventing TB from the perspective of vitamin D supplementation, which is a controversial topic in the field of medicine and health.
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Affiliation(s)
- Rongshan Tao
- The Key Laboratory of Environmental Pollution Monitoring and Disease Control, School of Public Health, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Shujuan Xiao
- Xiangya School of Public Health, Central South University, Changsha, China
| | - Lianping Wang
- School of Traditional Chinese Medicine Jilin Agricultural Science and Technology University, Changchun, China
- School of Life Sciences, Jilin University, Jilin, China
| | - Chunjie Hu
- Anorectal Center, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, China
| | - Huiqin Suo
- School of Pharmacy, Changchun University of Traditional Chinese Medicine, Changchun, China
| | - Ruiyu Long
- The Key Laboratory of Environmental Pollution Monitoring and Disease Control, School of Public Health, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Hangyu Liu
- School of Pharmacy, Changchun University of Traditional Chinese Medicine, Changchun, China
| | - Wei Luo
- Office of Infection Control, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, China
| | - Feng Hong
- The Key Laboratory of Environmental Pollution Monitoring and Disease Control, School of Public Health, Ministry of Education, Guizhou Medical University, Guiyang, China
| | - Jingming Zhao
- Proctology Department, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, China
| | - Qingjie Li
- Research Center of Traditional Chinese Medicine, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, China
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Shah S, Priyanka, Sharma S. An Updated Trial Sequential Meta-analysis of Vitamin D Receptor Gene Polymorphism (Fok1, Bsm1, Taq1 and Apa1) and Risk to Tuberculosis. Indian J Clin Biochem 2024; 39:60-72. [PMID: 38223006 PMCID: PMC10784437 DOI: 10.1007/s12291-022-01091-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 09/14/2022] [Indexed: 01/16/2024]
Abstract
Vitamin D receptor (VDR) is one of the most widely studied genes for the Tuberculosis (TB) susceptibility. Several studies have been conducted to establish some association between them but most of the time they are contradictory and underpowered. So, a trial sequential meta-analysis between VDR gene polymorphisms and TB susceptibility can provide a better understanding of the relationship. A meta-analysis was carried out using a total of 17 case-control studies which includes Fok1 (14 Studies), Bsm1 (8 Studies), Apa1 (8 Studies) and Taq1 (12 Studies) polymorphisms in the VDR gene searched from Pubmed and Google Scholar. Pooled Odds Ratio (OR) and 95% Confidence Interval (CI) were calculated using StatsDirect Version 3, using random effects model. Trial sequential analysis (TSA) was also performed to assess if the statistical significance of the meta-analysis was within monitoring boundaries. It was found that the individuals with BB genotype of Bsm1 polymorphism with OR = 0.713 (95%CI = 0.521, 0.974; p value < 0.05) and FF genotype of Fok1 polymorphism with pooled OR = 0.716 (95%CI = 0.523, 0.979; p value < 0.05) had decreased incidence of TB. Also, the aa genotype of Apa1 gene polymorphism increases susceptibility to TB with pooled OR = 1.997 (95%CI = 1.121, 3.558; p value < 0.05). All these analyses reached the required information size through TSA analysis. No statistically significant result was found for Taq1 polymorphisms and TB susceptibility. VDR polymorphisms in Fok1 and Bsm1 played protective roles against development of TB infection, while Apa1 appeared to have a significant association to TB susceptibility. Supplementary Information The online version contains supplementary material available at 10.1007/s12291-022-01091-3.
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Affiliation(s)
- Srishti Shah
- National Institute of Science Education and Research, Bhubaneswar, India
| | - Priyanka
- Department of Zoology, Miranda House, DS Kothari Central Facility for Interdisciplinary Research (DSKC), University of Delhi, Miranda House, 110007 Delhi, India
| | - Sadhna Sharma
- Department of Zoology, Miranda House, DS Kothari Central Facility for Interdisciplinary Research (DSKC), University of Delhi, Miranda House, 110007 Delhi, India
- Department of Zoology, Miranda House, University of Delhi, 110007 Delhi, India
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Chen R, Wang X, Li Z, Dai Y, Du W, Wu L. Human Toll-like receptor 2 genetic polymorphisms with tuberculosis susceptibility: A systematic review and meta-analysis. Cytokine 2023; 172:156405. [PMID: 37883839 DOI: 10.1016/j.cyto.2023.156405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/16/2023] [Accepted: 10/19/2023] [Indexed: 10/28/2023]
Abstract
BACKGROUND Toll-like receptor 2 (TLR2) is a crucial factor in the development of tuberculosis. However, no studies have explored the association between TLR2 polymorphisms and tuberculosis susceptibility. OBJECTIVES This study aimed to explore the correlation between tuberculosis susceptibility and TLR2 polymorphisms (rs3804099, rs3804100, rs1898830, rs5743708, rs121917864, and (-196-174) del). METHODS All relevant online databases including PubMed, CNKI, WANFANG DATA, and METSTR-FMRS were systematically searched. STATA17.0 (Stata Corp LP, College Station, Texas, USA) was used. RESULTS A total of 37 studies, covering six polymorphisms and comprising 9,474 cases and 10,295 controls, were included in this analysis. rs3804099(C vs T: OR = 1.00, 95 % CI: 0.93-1.08, CC + TC vs TT: OR = 1.04, 95 % CI: 0.98-1.10), rs3804100 (C vs T: OR = 1.19, 95 % CI: 0.93-1.07, CC + TC vs TT: OR = 0.97, 95 % CI: 0.89-1.06), rs1898830(G vs A: OR = 0.90, 95 % CI: 0.81-1.00, GG + AG vs AA: OR = 0.87, 95 % CI: 0.67-1.12), (-196 ∼174) del polymorphism (Del vs Ins: OR = 0.93,95 % CI: 0.76-1.14, DD + DI vs II: OR = 0.92,95 % CI: 0.72-1.17). CONCLUSIONS This study indicated that only the TLR2 rs5743708 polymorphism exhibited a significant association with a higher tuberculosis risk, while TLR2 rs3804099, rs3804100, rs1898830, rs121917864, and (-196-174) del polymorphisms were not associated with tuberculosis susceptibility.
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Affiliation(s)
- Ruifeng Chen
- Department of Medical Microbiology and Immunology, School of Basic Medical Sciences, Dali University, Dali, Yunnan 671000, China
| | - Xuan Wang
- Nanchang University Queen Mary School, Nanchang, Jiangxi 330031, China
| | - Zilin Li
- School of Basic Medical Sciences, Dali University, Dali, Yunnan 671000, China
| | - Yumei Dai
- Department of Medical Microbiology and Immunology, School of Basic Medical Sciences, Dali University, Dali, Yunnan 671000, China
| | - Wenya Du
- Department of Medical Microbiology and Immunology, School of Basic Medical Sciences, Dali University, Dali, Yunnan 671000, China
| | - Lixian Wu
- Department of Medical Microbiology and Immunology, School of Basic Medical Sciences, Dali University, Dali, Yunnan 671000, China.
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Li B, Wen F, Wang Z. Correlation between polymorphism of vitamin D receptor TaqI and susceptibility to tuberculosis: An update meta-analysis. Medicine (Baltimore) 2022; 101:e29127. [PMID: 35482984 PMCID: PMC9276446 DOI: 10.1097/md.0000000000029127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Accepted: 03/03/2022] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND To investigate the association between TaqI polymorphism of the vitamin D receptor gene and tuberculosis (TB). METHODS A systematic search was performed in PubMed, Embase, Web of Science, Elsevier Science Direct, Cochrane Library, Chinese National Knowledge Infrastructure, Wanfang, and Chongqing VIP databases for case-control study on TaqI gene polymorphism and TB susceptivity. Quality assessment of studies was performed using the Newcastle-Ottawa Scale for the methodological assessment of case-control studies, and R 4.0.5 software was used for the meta-analysis. RESULTS Among the 243 selected articles, 27 in the meta-analysis. The meta-analysis showed that the TaqI gene polymorphism allene gene model (t vs T, odds ratio [OR]: 1.12, 95% confidence interval [CI]: 0.99-1.27); dominant model (tt + tT vs TT, OR: 1.12, 95% CI: 0.98-1.29); recessive model (tt vs tT + TT, OR: 1.25, 95% CI: 1.03-1.51); codominant A (tt vs TT, OR: 1.37, 95% CI: 1.00-1.87); codominant B (tT vs TT, OR: 1.09, 95% CI: 0.99-1.19). And subgroup dominant model (tt + tT vs TT, OR: 1.27, 95% CI: 1.03-1.55) in Indianas, recessive model (tt vs tT + TT, OR: 1.49, 95% CI: 1.05-2.11) in Iranians, co-dominant B (tT vs TT, OR: 1.28, 95% CI: 1.03-1.59; OR: 1.42, 95% CI: 1.05-1.93) in Indianas and Iranians. CONCLUSION This meta-analysis suggests a significant association between TB and the risk of TaqI in Iranians and Indians, but the vitamin D receptor polymorphism TaqI was not associated with Chinese. Thus, validation studies will be required to confirm these findings.
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Affiliation(s)
- Bin Li
- Department of Public Health, Medical School of Qinghai University, Xining, China
| | - Fei Wen
- Xining First People's Hospital Xining, China
| | - Zhaofen Wang
- Department of Public Health, Medical School of Qinghai University, Xining, China
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Yadav U, Kumar P, Rai V. FokI polymorphism of the vitamin D receptor (VDR) gene and susceptibility to tuberculosis: Evidence through a meta-analysis. INFECTION GENETICS AND EVOLUTION 2021; 92:104871. [PMID: 33901685 DOI: 10.1016/j.meegid.2021.104871] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 04/15/2021] [Accepted: 04/20/2021] [Indexed: 12/14/2022]
Abstract
BACKGROUND Tuberculosis is one of the top ten causes of deaths worldwide. The deficiency of vitamin D was reported to be associated with the increased susceptibility of tuberculosis. Various previous reports were published to check the association of FokI polymorphism of the vitamin D receptor gene with tuberculosis risk. But their results were inconsistent so, we performed a meta-analysis to know the exact relation of the two. METHODS Different databases were screened up to November 2020 with the keywords "Vitamin D receptor", "VDR", and "FokI", along with "Tuberculosis" and "TB" to find the suitable articles. All the statistical analyses were performed by the Open Meta-Analyst program and all p-values were two-tailed with a significance level of 0.05. RESULTS No statistically significant association was observed in the allele contrast model (ORfvs.F = 1.11, 95%CI = 0.99-1.24, p = 0.05, I2 = 73.46%), in the dominant model (ORff+Ffvs.FF = 1.11, 95%CI = 0.96-1.28, p = 0.14, I2 = 71.39%), and in the co-dominant model (ORFfvs.FF = 1.05, 95%CI = 0.92-1.21, p = 0.41, I2 = 65.97%). However, a significant association was found in the homozygote model (ORffvs.FF = 1.32, 95%CI = 1.03-1.69, p = 0.02, I2 = 67.02%) and in the recessive model (ORFF+Ff vs.ff = 1.26, 95%CI = 1.03-1.54, p = 0.02, I2 = 58.01%). Further analysis was performed on the bases of the ethnicity. In Asian population a significant association was found in the homozygote model (ORffvs.FF = 1.57, 95%CI = 1.12-2.21, p = 0.008, I2 = 70.37%) and in the recessive model (ORFF+Ff vs.ff = 1.43, 95%CI = 1.08-1.89, p = 0.01, I2 = 63.13%). CONCLUSION In conclusion, a significant association of FokI with tuberculosis susceptibility was found in the overall analysis and in the Asian population.
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Affiliation(s)
- Upendra Yadav
- Human Molecular Genetics Laboratory, Department of Biotechnology, VBS Purvanchal University, Jaunpur, UP, India
| | - Pradeep Kumar
- Human Molecular Genetics Laboratory, Department of Biotechnology, VBS Purvanchal University, Jaunpur, UP, India
| | - Vandana Rai
- Human Molecular Genetics Laboratory, Department of Biotechnology, VBS Purvanchal University, Jaunpur, UP, India.
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Kim SS, Lee SI, Jin HS, Park S. Tuberculosis risk is associated with genetic polymorphisms in the LRP2, CUBN, and VDR genes. Genes Genomics 2020; 42:1189-1196. [PMID: 32803705 DOI: 10.1007/s13258-020-00971-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Accepted: 07/13/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Vitamin D (Vit. D) is used extensively during tuberculosis treatment. Low levels of serum Vit. D increase the risk of active tuberculosis development. Altered expression of the proteins involved in Vit. D metabolism impairs cathelicidin production, thereby increasing the host susceptibility to tuberculosis. OBJECTIVE We are trying to investigate whether single nucleotide polymorphisms (SNPs) in LRP2, CUBN, and VDR genes could affect tuberculosis development. METHODS We included participants of the Korean Association Resource (KARE), part of the Korean Genome and Epidemiology Study (KoGES), and used their recorded data. A total of 8840 people (4182 men and 4658 women) were eligible subjects. The 5-kb regions from the ends of transcripts of GC, LRP2, CUBN, and VDR genes were amplified to select 13, 47, 70, and 15 SNPs, respectively. For association analysis and statistical analysis, PLINK version 1.07 and PASW Statistics version 18.0 were used. RESULTS Significant correlation was observed in 11, 2, and 1 SNPs in LRP2, CUBN, and VDR genes. The effect of rs6747692 of LRP2 on transcription factor binding was confirmed using RegulomeDB. We confirmed that rs2239182 of VDR is located in the genomic eQTL region and can affect transcription factor binding and gene expression. CONCLUSIONS Genetic polymorphisms in genes encoding proteins involved in Vit. D metabolism influence immune system components. Therefore, such polymorphisms may influence the susceptibility to Mycobacterium tuberculosis invasion and alter the defense mechanisms against Mycobacterium tuberculosis infection. The correlation between genetic variation and tuberculosis development can provide new guidelines for the management of tuberculosis.
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Affiliation(s)
- Sung-Soo Kim
- Department of Biomedical Laboratory Science, College of Life and Health Sciences, Hoseo University, Asan, 31499, Chungnam, Korea
| | - Sang In Lee
- Department of Biomedical Laboratory Science, College of Life and Health Sciences, Hoseo University, Asan, 31499, Chungnam, Korea
| | - Hyun-Seok Jin
- Department of Biomedical Laboratory Science, College of Life and Health Sciences, Hoseo University, Asan, 31499, Chungnam, Korea
| | - Sangjung Park
- Department of Biomedical Laboratory Science, College of Life and Health Sciences, Hoseo University, Asan, 31499, Chungnam, Korea.
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Xu X, Shen M. Associations between vitamin D receptor genetic variants and tuberculosis: a meta-analysis. Innate Immun 2019; 25:305-313. [PMID: 30987490 PMCID: PMC6830906 DOI: 10.1177/1753425919842643] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
We performed a meta-analysis to evaluate potential associations between
vitamin D receptor (VDR) genetic variants and
tuberculosis (TB). Systematic literature research was conducted in
PubMed, Web of Science, and Embase. We calculated odds ratios (ORs)
and 95% confidence intervals (CIs) to estimate strength of
associations in all possible genetic models, and P
values ≤ 0.05 were considered to be statistically significant. In
total, 42 studies were enrolled for analyses. Pooled overall analyses
suggested that VDR rs1544410 (dominant model:
P = 0.02; allele model:
P = 0.03) and rs731236 (dominant model:
P = 0.04; recessive model:
P = 0.02; allele model: P = 0.01)
variants were significantly associated with TB. Further subgroup
analyses by ethnicity revealed that rs1544410 (dominant and allele
models) and rs731236 (dominant, recessive, and allele models) variants
were both significantly associated with TB in South Asians. When we
stratified data by type of disease, positive results were detected for
rs7975232 variant in EPTB (dominant, recessive, over-dominant, and
allele models) subgroup, and for rs2228570 variant in PTB (dominant,
recessive, and allele models) and EPTB (dominant, recessive,
over-dominant, and allele models) subgroups. Our meta-analysis
supported that rs7975232, rs1544410, rs2228570, and rs731236 variants
might serve as genetic biomarkers of certain types of TB.
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Affiliation(s)
- Xun Xu
- Department of Infectious Diseases, Yu Yao People's Hospital, Yuyao, China
| | - Minghao Shen
- Department of Infectious Diseases, Yu Yao People's Hospital, Yuyao, China
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Devi KR, Mukherjee K, Chelleng PK, Kalita S, Das U, Narain K. Association of VDR gene polymorphisms and 22 bp deletions in the promoter region of TLR2Δ22 (-196-174) with increased risk of pulmonary tuberculosis: A case-control study in tea garden communities of Assam. J Clin Lab Anal 2018; 32:e22562. [PMID: 29727015 DOI: 10.1002/jcla.22562] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 04/09/2018] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND A high number of pulmonary tuberculosis (PTB) cases have been reported from tea garden communities of Assam. Till date, no molecular epidemiological study was performed to investigate the association of candidate gene(s) with the risk PTB in this region. The present case-control study was aimed to investigate the association of vitamin D receptor (VDR) gene polymorphisms and 22 bp deletion in the promoter region of toll-like receptor 2 (TLR2) gene with the risk of PTB in tea garden communities of Assam. METHODS Genotyping of VDR polymorphisms and TLR2Δ22 (-196-174) gene was carried out for 169 PTB cases and 227 apparently healthy community controls using blood samples by PCR-RFLP followed by DNA sequencing. For association study, both univariate and multivariate logistic regression analyses were performed. RESULTS This study has shown that BsmI and FokI polymorphisms of VDR gene significantly associated with an increased risk of PTB (AOR = 3.58, 95% CI = 1.64-7.80, P < .01 for B/b genotype of BsmI and AOR = 2.44, 95% CI = 1.40-4.24, P < .01 for F/f genotype of FokI polymorphism). No significant association of TaqI and ApaI polymorphism of VDR gene was found with the risk of PTB. Moreover, this study has revealed that person carrying deletion allele in their TLR2Δ22 (-196-174) gene is significantly associated with an increased risk of PTB having b/b or F/f genotypes in BsmI or FokI polymorphisms of VDR gene. CONCLUSION This study has revealed that BsmI and FokI polymorphisms of VDR gene significantly associated with an increased risk of PTB.
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Affiliation(s)
| | | | | | - Simanta Kalita
- ICMR-Regional Medical Research Centre, Dibrugarh, Assam, India
| | - Upasana Das
- ICMR-Regional Medical Research Centre, Dibrugarh, Assam, India
| | - Kanwar Narain
- ICMR-Regional Medical Research Centre, Dibrugarh, Assam, India
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