Vol.:(0123456789) 1 3
Molecular Biology Reports
https://doi.org/10.1007/s11033-019-04796-6
ORIGINAL ARTICLE
Strong association between VDR FokI (rs2228570) gene variant
and serum vitamin D levels in Turkish Cypriots
Gulten Tuncel
1,2
· Sehime Gulsun Temel
3,4
· Mahmut Cerkez Ergoren
1,2
Received: 29 January 2019 / Accepted: 3 April 2019
© Springer Nature B.V. 2019
Abstract
Vitamin D is an important molecule to keep teeth, bones and muscles healthy. It is obtained from diet, supplements and
primarily from exposure to sunlight. In recent years, vitamin D defciency is recognised as a worldwide health problem,
which results in disturbances in mineral metabolism and skeletal problems. Defciency might be caused due to sedentary
lifestyle, insufcient diet, age as well as some polymorphisms in the VDR gene. In this study the four most common VDR
polymorphisms (rs1544410 (BsmI), rs731236 (TaqI), rs7975232 (ApaI) and rs2228570 (FokI)) are investigated in a cohort
of Turkish Cypriots and aimed to detect any possible links between low serum vitamin D levels and these variants. The
rs2228570 (FokI) variant but not others were shown to have a signifcant association with decreased serum vitamin D levels
in the Turkish Cypriot population.
Keywords VDR · Polymorphism · Vitamin D defciency · Cyprus
Introduction
Vitamin D is a fat-soluble prohormone, which is well known
to be a major player in bone metabolism and calcium homeo-
stasis in animals [1, 2]. Chemically, vitamin D molecules
are classifed as secosteroids as their molecular structure is
very similar to that of steroid hormones, but they have one
broken carbon–carbon bond [3]. There are two major forms
of vitamin D. First one is vitamin D
2
or ergocalciferol, which
is synthesized by some plants and fungi, and the second
form is vitamin D
3
or cholecalciferol, which is produced by
animals [4].
The major sources of vitamin D for humans are diet, sup-
plementations and sun exposure. Vitamin D from the diet is
absorbed via the lymphatic system and transported to the
liver by the vitamin D-binding proteins [4, 5]. However, the
primary source in humans is the conversion of 7-dehydro-
cholesterol, which is present in the skin, to vitamin D
3
by
solar ultraviolet (UV) B rays (290–320 nm) [2, 4, 6]. It was
shown in a study that vitamin D produced in the skin can last
almost twice as long in the circulation compared to ingested
vitamin D [4, 6].
Biologically inactive vitamin D obtained from the diet
or skin is hydroxylated to prohormone 25-hydroxyvitamin
D (25(OH)D) in the liver [1, 5, 6]. Serum 25-hydroxyvi-
tamin D concentrations are measured when assessing the
vitamin D status, as it refects total body vitamin D reserves
[7]. Circulating 25-hydroxyvitamin D is then converted into
1,25-dihydroxyvitamin D
3
(1,25(OH)
2
D), which is the bio-
logically active form, by a second hydroxylation event in the
renal tissues [1, 5].
Gulten Tuncel and Sehime Gulsun Temel are co-authors.
Electronic supplementary material The online version of this
article (https://doi.org/10.1007/s11033-019-04796-6) contains
supplementary material, which is available to authorized users.
* Mahmut Cerkez Ergoren
mahmutcerkez.ergoren@neu.edu.tr
Gulten Tuncel
20173423@std.neu.edu.tr
Sehime Gulsun Temel
sehime@uludag.edu.tr
1
Department of Medical Biology, Faculty of Medicine, Near
East University, 99138 Nicosia, Cyprus
2
Research Center of Experimental Health Sciences (DESAM),
Near East University, 99138 Nicosia, Cyprus
3
Department of Medical Genetics, Faculty of Medicine,
Uludag University, Bursa, Turkey
4
Department of Histology and Embryology, Faculty
of Medicine, Uludag University, Bursa, Turkey