PMID- 33376592 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201231 IS - 2090-8040 (Print) IS - 2042-0099 (Electronic) IS - 2042-0099 (Linking) VI - 2020 DP - 2020 TI - The Influence of Vitamin D Receptor Gene Polymorphisms in Spondyloarthritis. PG - 8880879 LID - 10.1155/2020/8880879 [doi] LID - 8880879 AB - Spondyloarthritis (SpA) is an inflammatory rheumatic disease related to low bone mineral density. Because vitamin D plays an important role in bone metabolism and immune system modulation, the aim of this study was to evaluate the influence of polymorphisms in vitamin D receptor genes (VDR) in the development of SpA. In this case-control study, a total of 244 patients with SpA and 197 individuals with no SpA were included. Among the patients, 174 had ankylosing spondylitis (AS) and 66 had psoriatic arthritis (PsA). Genotyping of FokI (rs2228570 C > T), BsmI (rs1544410 C > T), ApaI (rs7975232 A > C), and TaqI (rs731236 T > C) was performed using PCR-RFLP, while genotyping of HLA-B *27 was performed using PCR-SSP. Serum levels for hydroxy (OH) vitamin D and the clinical activity index of the disease (BASDAI) were also evaluated. SNPStats and OpenEpi software were used for statistical analysis. The ApaI a allele and ApaI a/a genotype were less frequent in PsA compared with controls. The ApaI a/a genotype was associated with a protecting factor for PsA in females, and ApaI A/a was associated with a protecting factor for the disease in HLA-B *27 positive patients. Notwithstanding, the ApaI a/a genotype was a risk factor for SpA and AS in males. The FokI f/f genotype was associated with a better clinical activity in PsA. When considering the covariates, vitamin D sufficiency, and gender, the FokI F/F genotype was associated with a risk factor in males with SpA and AS compared with females with this same genotype. In conclusion, the ApaI rs7975232 polymorphism was associated with PsA, and the FokI rs2228570 polymorphism was associated with better clinical PsA activity. ApaI and FokI were associated with SpA and AS when considering gender and vitamin D sufficiency. CI - Copyright (c) 2020 Janisleya Silva Ferreira Neves et al. FAU - Neves, Janisleya Silva Ferreira AU - Neves JSF AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. FAU - Visentainer, Jeane Eliete Laguila AU - Visentainer JEL AUID- ORCID: 0000-0002-5815-7903 AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. AD - Department of Basic and Health Science, Maringa State University, Parana, Brazil. FAU - Reis, Denise Manjurma da Silva AU - Reis DMDS AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. FAU - Rocha Loures, Marco Antonio AU - Rocha Loures MA AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. AD - Department of Medicine, Maringa State University, Parana, Brazil. FAU - Alves, Hugo Vicentin AU - Alves HV AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. FAU - Lara-Armi, Fernanda Formaggi AU - Lara-Armi FF AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. FAU - de Alencar, Josiane Bazzo AU - de Alencar JB AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. FAU - Valentin Zacarias, Joana Maira AU - Valentin Zacarias JM AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. FAU - Sell, Ana Maria AU - Sell AM AUID- ORCID: 0000-0001-7315-3567 AD - Biosciences and Physiopathology, Department of Clinical Analysis and Biomedicine, Maringa State University, Parana, Brazil. AD - Department of Basic and Health Science, Maringa State University, Parana, Brazil. LA - eng PT - Journal Article DEP - 20201208 PL - United States TA - Int J Inflam JT - International journal of inflammation JID - 101538188 PMC - PMC7738787 COIS- The authors declare that there are no conflicts of interest regarding the publication of this article. EDAT- 2020/12/31 06:00 MHDA- 2020/12/31 06:01 PMCR- 2020/12/08 CRDT- 2020/12/30 05:21 PHST- 2020/07/22 00:00 [received] PHST- 2020/10/10 00:00 [revised] PHST- 2020/11/28 00:00 [accepted] PHST- 2020/12/30 05:21 [entrez] PHST- 2020/12/31 06:00 [pubmed] PHST- 2020/12/31 06:01 [medline] PHST- 2020/12/08 00:00 [pmc-release] AID - 10.1155/2020/8880879 [doi] PST - epublish SO - Int J Inflam. 2020 Dec 8;2020:8880879. doi: 10.1155/2020/8880879. eCollection 2020.