Ancestry-Adjusted Vitamin D Metabolite Concentrations in Association With Cytochrome P450 3A Polymorphisms

Am J Epidemiol. 2018 Apr 1;187(4):754-766. doi: 10.1093/aje/kwx187.

Abstract

We investigated the association between genetic polymorphisms in cytochrome P450 (CYP2R1, CYP24A1, and the CYP3A family) with nonsummer plasma concentrations of vitamin D metabolites (25-hydroxyvitamin D3 (25(OH)D3) and proportion 24,25-dihydroxyvitamin D3 (24,25(OH)2D3)) among healthy individuals of sub-Saharan African and European ancestry, matched on age (within 5 years; n = 188 in each ancestral group), in central suburban Pennsylvania (2006-2009). Vitamin D metabolites were measured using high-performance liquid chromatography with tandem mass spectrometry. Paired multiple regression and adjusted least-squares mean analyses were used to test for associations between genotype and log-transformed metabolite concentrations, adjusted for age, sex, proportion of West-African genetic ancestry, body mass index, oral contraceptive (OC) use, tanning bed use, vitamin D intake, days from summer solstice, time of day of blood draw, and isoforms of the vitamin D receptor (VDR) and vitamin D binding protein. Polymorphisms in CYP2R1, CYP3A43, vitamin D binding protein, and genetic ancestry proportion remained associated with plasma 25(OH)D3 after adjustment. Only CYP3A43 and VDR polymorphisms were associated with proportion 24,25(OH)2D3. Magnitudes of association with 25(OH)D3 were similar for CYP3A43, tanning bed use, and OC use. Significant least-squares mean interactions (CYP2R1/OC use (P = 0.030) and CYP3A43/VDR (P = 0.013)) were identified. A CYP3A43 genotype, previously implicated in cancer, is strongly associated with biomarkers of vitamin D metabolism. Interactive associations should be further investigated.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • 24,25-Dihydroxyvitamin D 3 / blood*
  • Adolescent
  • Adult
  • Africa South of the Sahara
  • Age Factors
  • Black People / genetics
  • Body Mass Index
  • Calcifediol / blood*
  • Cholestanetriol 26-Monooxygenase / genetics*
  • Cytochrome P-450 CYP3A / genetics*
  • Cytochrome P450 Family 2 / genetics*
  • Diet
  • Female
  • Humans
  • Male
  • Middle Aged
  • Polymorphism, Genetic
  • Receptors, Calcitriol / genetics*
  • Sex Factors
  • Vitamin D / administration & dosage
  • Vitamin D3 24-Hydroxylase / genetics*
  • White People / genetics
  • Young Adult

Substances

  • Receptors, Calcitriol
  • VDR protein, human
  • Vitamin D
  • 24,25-Dihydroxyvitamin D 3
  • CYP3A protein, human
  • Cytochrome P-450 CYP3A
  • Cytochrome P450 Family 2
  • CYP2R1 protein, human
  • Cholestanetriol 26-Monooxygenase
  • CYP24A1 protein, human
  • Vitamin D3 24-Hydroxylase
  • Calcifediol