GENETIC INSIGHTS INTO METABOLIC SYNDROME: VITAMIN D RECEPTOR BSMI POLYMORPHISM AMONG THE INDIGENOUS PEOPLE OF MANIPUR
DOI:
https://doi.org/10.22159/ajpcr.2025v18i7.54866Keywords:
Metabolic syndrome, Single nucleotide polymorphism, Vitamin D receptor gene, Type 2 diabetes, Cardiovascular diseaseAbstract
Objectives: The objectives of this study were to determine the association between the BsmI (rs1544410) polymorphism in the Vitamin D receptor (VDR) gene and metabolic syndrome (MetS) among the Indigenous population of Manipur.
Methods: A cross-sectional study total of 200 participants were genotyped for the BsmI polymorphism using polymerase chain reaction-restriction fragment length polymorphism analysis. Clinical parameters such as fasting blood sugar (FBS), lipid profile, blood pressure (BP), and Vitamin D were assessed.
Results: Statistical analysis revealed a significant association between the BsmI polymorphism and FBS levels, suggesting a potential genetic predisposition to impaired glucose metabolism. BB genotype is associated with higher FBS, cholesterol, triglycerides, and BP, which are risk factors for MetS. BB genotype also has significantly lower Vitamin D levels, which may play a role in these metabolic disturbances.
Conclusion: Individuals with the heterozygous (Bb) and homozygous recessive (bb) genotypes exhibit more favorable metabolic parameters compared to those with the homozygous dominant (BB) genotype. These findings highlight the role of VDR gene variants in MetS and underscore the need for further studies to validate these results in larger populations. Understanding genetic risk factors can contribute to personalized prevention and therapeutic strategies for MetS, particularly in genetically distinct ethnic groups like Manipur.
Downloads
References
Bovolini A, Garcia J, Andrade MA, Duarte JA. Metabolic syndrome pathophysiology and predisposing factors. Int J Sports Med. 2021 Mar;42(3):199-214. doi: 10.1055/a-1263-0898, PMID 33075830
Sarma D, Chauhan VS, Saikia KK, Sarma P, Nath S. Prevalence pattern of key polymorphisms in the vitamin D receptor gene among patients of type 2 diabetes mellitus in Northeast India. Indian J Endocrinol Metab. 2018;22(2):229-35. doi: 10.4103/ijem.IJEM_213_17, PMID 29911037
Nolan PB, Carrick-Ranson G, Stinear JW, Reading SA, Dalleck LC. Prevalence of metabolic syndrome and metabolic syndrome components in young adults: A pooled analysis. Prev Med Rep. 2017 Sep;7:211-5. doi: 10.1016/j.pmedr.2017.07.004, PMID 28794957
Gholami A, Montazeri-Najafabady N, Karimzadeh I, Dabbaghmanesh MH, Talei E. The effect of BsmI (rs1544410) single nucleotide polymorphism of vitamin D receptor (VDR) on insulin resistance in healthy children and adolescents: A cross-sectional study. BMC Pediatr. 2024 Jan 17;24(1):54. doi: 10.1186/s12887-023-04503-2, PMID 38233797
Herath HM, Weerasinghe NP, Weerarathna TP, Amarathunga A. A comparison of the prevalence of the metabolic syndrome among Sri Lankan patients with type 2 diabetes mellitus using WHO, NCEP-ATP III, and IDF definitions. Int J Chronic Dis. 2018;2018:7813537. doi: 10.1155/2018/7813537, PMID 30175110
Garralda-Del-Villar M, Carlos-Chillerón S, Diaz-Gutierrez J, Ruiz-Canela M, Gea A, Martínez-González MA, et al. Healthy lifestyle and incidence of metabolic syndrome in the SUN cohort. Nutrients. 2018 Dec 30;11(1):65. doi: 10.3390/nu11010065, PMID 30598006
Sarebanhassanabadi M, Jalil Mirhosseini S, Mirzaei M, Namayandeh SM, Soltani MH, Pedarzadeh A, et al. The incidence of metabolic syndrome and the most powerful components as predictors of metabolic syndrome in Central Iran: A 10-year follow-up in a cohort study. Iran Red Crescent Med J. 2017 Jun 17;19(7):1-10. doi: 10.5812/ircmj.14934
Enas EA, Mohan V, Deepa M, Farooq S, Pazhoor S, Chennikkara H. The metabolic syndrome and dyslipidemia among Asian Indians: A population with high rates of diabetes and premature coronary artery disease. J Cardiometab Syndr. 2007;2(4):267-75. doi: 10.1111/j.1559- 4564.2007.07392.x, PMID 18059210
Wang D, Su K, Ding Z, Zhang Z, Wang C. Association of vitamin D receptor gene polymorphisms with metabolic syndrome in Chinese children. Int J Gen Med. 2021;14:57-66. doi: 10.2147/IJGM.S287205, PMID 33469344
Ramesh S, Abraham RA, Sarna A, Sachdev HS, Porwal A, Khan N, et al. Prevalence of metabolic syndrome among adolescents in India: A population-based study. BMC Endocr Disord. 2022 Oct 24;22(1):258. doi: 10.1186/s12902-022-01163-8, PMID 36280821
Zabetian A, Hadaegh F, Sarbakhsh P, Azizi F. Weight change and incident metabolic syndrome in Iranian men and women; A 3 year follow-up study. BMC Public Health. 2009 Dec;9(1):138. doi: 10.1186/1471-2458-9-138, PMID 19435528
Palomer X, González-Clemente JM, Blanco-Vaca F, Mauricio D. Role of vitamin D in the pathogenesis of type 2 diabetes mellitus. Diabetes Obes Metab. 2008 Mar;10(3):185-97. doi: 10.1111/j.1463- 1326.2007.00710.x, PMID 18269634
Yadavelli P, Vade VR, Devineni S. Evaluation of vitamin-D levels in children with TYPE-1 diabetes mellitus. Int J Curr Pharm Res. 2023 Nov;15:66-72. doi: 10.22159/ijcpr.2023v15i6.3079
Parker J, Hashmi O, Dutton D, Mavrodaris A, Stranges S, Kandala NB, et al. Levels of vitamin D and cardiometabolic disorders: Systematic review and meta-analysis. Maturitas. 2010 Mar;65(3):225-36. doi: 10.1016/j.maturitas.2009.12.013, PMID 20031348
Mackawy AM, Badawi ME. Association of vitamin D and vitamin D receptor gene polymorphisms with chronic inflammation, insulin resistance and metabolic syndrome components in type 2 diabetic Egyptian patients. Meta Gene. 2014 Dec;2:540-56. doi: 10.1016/j. mgene.2014.07.002, PMID 25606437
Sarkar S, Sadhu S, Roy R, Tarafdar S, Mukherjee N, Sil M, et al. Contemporary drifts in diabetes management. Int J Appl Pharm. 2023 Mar 7;15:1-9. doi: 10.22159/ijap.2023v15i2.46792
Jin T, Lu W, Gong X, Zhou J, Wu F. Association of vitamin D receptor polymorphisms with metabolic syndrome-related components: A cross-sectional study. J Clin Lab Anal. 2021 Jul;35(7):e23829. doi: 10.1002/ jcla.23829, PMID 34008880
Zakaria WN, Mohd Yunus N, Yaacob NM, Omar J, Wan Mohamed WM, Sirajudeen KN, et al. Association between vitamin D receptor polymorphisms (BsmI and FokI) and glycemic control among patients with type 2 diabetes. Int J Environ Res Public Health. 2021 Feb 8;18(4):1595. doi: 10.3390/ijerph18041595, PMID 33567588
Dobrowolski P, Prejbisz A, Kuryłowicz A, Baska A, Burchardt P, Chlebus K, et al. Metabolic syndrome - a new definition and management guidelines: A joint position paper by the polish society of hypertension, polish society for the treatment of obesity, polish lipid association, polish association for study of liver, polish society of family medicine, polish society of lifestyle medicine, division of prevention and epidemiology polish cardiac society, “club 30” polish cardiac society, and division of metabolic and bariatric surgery society of polish surgeons. Arch Med Sci. 2022;18(5):1133-56.
Al-shahwan M, Gacem SA, Shamseddin S, Sammour M. Vitamin D impact on human health and its relation with several diseases. Int J Appl Pharm. 2018 Nov 22;10(6):60-4. doi: 10.22159/ijap.2018v10i6.28776
Contreras-Bolívar V, García-Fontana B, García-Fontana C, Muñoz-Torres M. Mechanisms involved in the relationship between vitamin D and insulin resistance: Impact on clinical practice. Nutrients. 2021 Oct 1;13(10):3491. doi: 10.3390/nu13103491, PMID 34684492
Rahmadhani R, Zaharan NL, Mohamed Z, Moy FM, Jalaludin MY. The associations between VDR BsmI polymorphisms and risk of vitamin D deficiency, obesity and insulin resistance in adolescents residing in a tropical country. PLOS One. 2017;12(6):e0178695. doi: 10.1371/ journal.pone.0178695, PMID 28617856
Israni N, Goswami R, Kumar A, Rani R. Interaction of vitamin D receptor with HLA DRB1 0301 in type 1 diabetes patients from North India. PLOS One. 2009 Dec 2;4(12):e8023. doi: 10.1371/journal. pone.0008023, PMID 19956544
Dilmec F, Uzer E, Akkafa F, Kose E, Van Kuilenburg AB. Detection of VDR gene ApaI and TaqI polymorphisms in patients with type 2 diabetes mellitus using PCR-RFLP method in a Turkish population. J Diabetes Complications. 2010;24(3):186-91. doi: 10.1016/j. jdiacomp.2008.12.002, PMID 19186074
Fatma H, Abdul SN. Association of vitamin D receptor gene BsmI polymorphism with type 2 diabetes mellitus in Pakistani population. Afr Health Sci. 2019 Jun;19(2):2164-71. doi: 10.4314/ahs.v19i2.41, PMID 31656501
Wu J, Atkins A, Downes M, Wei Z. Vitamin D in diabetes: Uncovering the sunshine hormone’s role in glucose metabolism and beyond.
Nutrients. 2023 Apr 21;15(8):1997. doi: 10.3390/nu15081997, PMID 37111216
Fronczek M, Osadnik T, Banach M. Impact of vitamin D receptor polymorphisms in selected metabolic disorders. Curr Opin Clin Nutr Metab Care. 2023 Jul 1;26(4):316-22. doi: 10.1097/ MCO.0000000000000945, PMID 37144463
He L, Wang M. Association of vitamin D receptor-a gene polymorphisms with coronary heart disease in Han Chinese. Int J Clin Exp Med. 2015;8(4):6224-9. PMID 26131229
Xia Z, Hu Y, Han Z, Gao Y, Bai J, He Y, et al. Association of vitamin D receptor gene polymorphisms with diabetic dyslipidemia in the elderly male population in North China. Clin Interv Aging. 2017;12:1673-9. doi: 10.2147/CIA.S145700, PMID 29066872
Hajj A, Chedid R, Chouery E, Megarbané A, Gannagé-Yared MH. Relationship between vitamin D receptor gene polymorphisms, cardiovascular risk factors and adiponectin in a healthy young population. Pharmacogenomics. 2016 Oct;17(15):1675-86. doi: 10.2217/pgs-2016-0045, PMID 27672714
Published
How to Cite
Issue
Section
Copyright (c) 2025 A.Sapna Devi, Dr Narmada Thongam, Dr.Suchitra Chongtham

This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.