Polymorphisms of the vitamin D receptor gene (FOKI, CDX2, and GATA) and susceptibility to chronic periodontitis in diabetic and non-diabetic individuals: A case-control study

J Investig Clin Dent. 2019 Feb;10(1):e12370. doi: 10.1111/jicd.12370. Epub 2018 Oct 18.

Abstract

Aim: The aim of the present study was to evaluate the distribution of single-nucleotide polymorphisms (SNP) (variants FOKI [rs2228570], CDX2 [rs47908762], and GATA [rs4516035]) in the vitamin D receptor in individuals with type 2 diabetes mellitus and chronic periodontitis (DM2 + CP), CP alone, and healthy individuals, and to investigate the relationship with susceptibility to CP.

Methods: In total, 280 individuals (116 with DM2 + CP, 95 with CP alone, and 69 healthy individuals) were genotyped using real-time polymerase chain reaction with allele-specific probes. Significant differences (P < .05) were found among the groups with regard to socio-epidemiological variables (sex, marital status, income, smoking habit, and schooling) and clinical-epidemiological variables (age, number of teeth, probing depth, clinical attachment loss, gingival bleeding index, and visible plaque index).

Results: The C allele was significantly more frequent among the healthy individuals (34.8%) than those with DM2 + CP (23.5%) (odds ratio [OR] = .58, 95% confidence interval [CI]: . 35-.94, P = .022). Likewise, the CC allele was significantly more frequent among healthy individuals (11.6%) than those with DM2 + CP (2.6%) (OR = .17, 95% CI: .03-.79, P = .015).

Conclusion: The results suggest that the presence of these variants could lead to a lower susceptibility to DM2 and CP. No other significant differences among groups were found for the other SNP investigated.

Keywords: CDX2; GATA; FokI; chronic periodontitis; vitamin D receptor.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alleles
  • Brazil
  • CDX2 Transcription Factor / genetics*
  • Case-Control Studies
  • Chronic Periodontitis / complications
  • Chronic Periodontitis / epidemiology
  • Chronic Periodontitis / genetics*
  • Dental Plaque Index
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / epidemiology
  • Diabetes Mellitus, Type 2 / genetics*
  • Female
  • Genetic Predisposition to Disease*
  • Genotype
  • Genotyping Techniques
  • Humans
  • Male
  • Middle Aged
  • Odds Ratio
  • Polymorphism, Single Nucleotide*
  • Receptors, Calcitriol / genetics*
  • Young Adult

Substances

  • CDX2 Transcription Factor
  • CDX2 protein, human
  • Receptors, Calcitriol