Skip to main content

Advertisement

Log in

Polymorphisms in the vitamin D receptor and the androgen receptor gene associated with the risk of urolithiasis

  • Original Article
  • Published:
Indian Journal of Clinical Biochemistry Aims and scope Submit manuscript

Abstract

Transcriptional activity of the vitamin D receptor (VDR) gene is regulated by androgen receptor (AR) gene and both are associated with renal stone formation. We examined gene polymorphisms of VDR (PCR-RFLP) and AR (GeneScan analysis) in 125 stone formers and 150 controls from north India. Genotype Ff of Fok-I and Tt of Taq-I demonstrated significantly higher risk (P<0.001, OR=3.559 and P=0.019, 1.830 respectively). Variant f allele exhibited 1.7-folds higher risk. Ff of Fok-I and Aa of Apa-I gene polymorphism showed higher risk in males only. Mean CAG repeat was significantly higher in hypercalciuric patients as compared to normocalciuric (mean=21.62 ± 3.384 vs. 20.11 ± 3.182; P=0.034). Combined effects 1.8-folds higher risk in patients with Tt genotype of Taq-I and short CAG repeat. Thus, association of FokI and TaqI VDR gene polymorphisms suggest VDR as an important genetic marker for urolithiasis. Further, patients with combination of Tt of Taq-I and short CAG repeat were at higher risk for stone formation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rendina D, Mossetti G, Viceconti R, Sorrentino M, Castaldo R, Manno G, et al. Association between vitamin D receptor gene Polymorphisms and fasting idiopathic Hypercalciuria in recurrent Stone-forming patients. Urol 2004; 64: 833–838.

    Article  PubMed  Google Scholar 

  2. Gao B, Yasui T, Itoh Y, Tozawa K, Hayashi Y, Kohri K. A Polymorphism of matrix Gla protein gene is associated with kidney stones. J Urol 2007; 177: 2361–2365.

    Article  CAS  PubMed  Google Scholar 

  3. Chen WC, Wu HC, Lin WC, Wu MC, Hsu CD, Tsai FJ. The association of androgen- and oestrogen-receptor gene polymorphisms with urolithiasis in men. BJU Int 2001; 88: 432–436.

    Article  CAS  PubMed  Google Scholar 

  4. Aswegen CH, Hurter P, van der Merwe CA, du Plessis DJ. The relationship between total urinary testosterone and renal calculi. Urol Res 1989; 17: 181–183.

    Article  PubMed  Google Scholar 

  5. Dunning AM, McBride S, Gregory J, Durocher F, Foster NA, Healey CS, et al. No association between androgen or vitamin D receptor gene polymorphisms and risk of breast cancer. Carcinogenesis 1999; 20: 2131–2135.

    Article  CAS  PubMed  Google Scholar 

  6. Slattery ML, Murtaugh M, Caan B, Wolff R, Ma KN, Samowitz W. Association between dietary fats and VDR genotypes and colon and rectal cancers. Int J Cancer Prev 2004;1: 193–205.

    CAS  Google Scholar 

  7. Peehl DM, Feldman D. Interaction of nuclear receptor ligands with the Vitamin D signaling pathway in prostate cancer. J Steroid Biochem Mol Biol 2004; 92: 307–315.

    Article  CAS  PubMed  Google Scholar 

  8. Zamuda JM, Cauley JA, Ferrell RE. Molecular epidemiological of Vitamin D receptor variants. Epidemiol Rev 2000; 22: 203–217.

    Google Scholar 

  9. Bid HK, Mishra DK and Mittal RD. Vitamin-D Receptor (VDR) Gene (Fok-I, Taq-I & Apa-I) Polymorphisms in Healthy Individuals from North Indian Population. Asian Pac J Cancer Prev 2005; 6: 147–152.

    PubMed  Google Scholar 

  10. Nagaba Y, Heishi M, Tazawa HY, Tsukamoto Y, Kobayashi Y. Vitamin D receptor gene polymorphisms affect secondary hyperparathyroidism in hemodialyzed patients. Am J Kid Dis 1998; 32: 464–469.

    Article  CAS  PubMed  Google Scholar 

  11. Goodman HO, Holmes RP, Assimos DG. Genetic factors in calcium oxalate stone disease. J Urol 1995; 153: 301–307.

    Article  CAS  PubMed  Google Scholar 

  12. Morrison NA, Qi JC, Tokita A, Kelly PJ, Crofts L, Nguyen TV, Sambrook PN, Eisman JA. Prediction of bone density from vitamin D receptor alleles. Nature 1994; 20: 284–287.

    Article  Google Scholar 

  13. Wieacker PF, Knoke I, Jakubiczka S. Clinical and molecularaspects of androgen receptor defects. Exp Clin Endocrinol Diabetes 1998; 106: 446–453.

    Article  CAS  PubMed  Google Scholar 

  14. Edwards A, Hammond HA, Jin L, Caskey CT, Chakraborty R. Genetic variation at five trimeric and tetrameric tandem repeat loci in four human population groups. Genomics 1992; 12: 241–253.

    Article  CAS  PubMed  Google Scholar 

  15. Chamberlain NL, Driver ED, Miesfeld RL. The length and location of CAG trinucleotide repeats in the androgen receptor N-terminal domain affect transactivation function. Nucleic Acids Res 1994; 22: 3181–3186.

    Article  CAS  PubMed  Google Scholar 

  16. Mitsumori K, Terai A, Oka H, Segawa T, Ogura K, Yoshida O, Ogawa O. Androgen receptor CAG repeat length polymorphism in benign prostatic hyperplasia (BPH): correlation with adenoma growth. Prostate 1999; 41: 253–257.

    Article  CAS  PubMed  Google Scholar 

  17. Chen WC, Chen HY, Lu HF, Hsu CD, Tsai FJ. Association of the vitamin D receptor gene start codon Fok I polymorphism with calcium oxalate stone disease. BJU Int 2001; 87: 168–171.

    Article  CAS  PubMed  Google Scholar 

  18. Miller SA, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res 1988; 16: 1215.

    Article  CAS  PubMed  Google Scholar 

  19. Harris SS, Eccleshall TR, Gross C, Dawson-Hughes B, Feldman D. The vitamin D receptor start codon polymorphism (Fok-1) and bone mineral density in premenopausal American Black and White women. J Bone Miner Res 1997; 12: 1043–1048.

    Article  CAS  PubMed  Google Scholar 

  20. Riggs BL, Nguyen TV, Melton LJ 3rd, Morrison NA, O’Fallon WM, Kelly PJ, et al. The contribution of vitamin D receptor gene alleles to the determination of bone mineral density in normal and osteoporotic women. J Bone Miner Res 1995; 10: 991–996.

    Article  CAS  PubMed  Google Scholar 

  21. Sainz J, Van Tornout JM, Loro ML, Sayre J, Roe TF, Gilsanz V. Vitamin D-receptor gene polymorphisms and bone density in prepubertal American girls of Mexican descent. N Engl J Med 1997; 337: 77–82.

    Article  CAS  PubMed  Google Scholar 

  22. Cram DS, Song B, McLachlan RI, Trounson AO. CAG trinucleotide repeats in the androgen receptor gene of infertile men exhibit stable inheritance in female offspring conceived after ICSI. Mol Hum Reprod 2000; 6: 861–966.

    Article  CAS  PubMed  Google Scholar 

  23. Valdivielso JM, Fernandez E. Vitamin D receptor polymorphisms and diseases. Clin Chim Acta 2006; 371: 1–12.

    Article  CAS  PubMed  Google Scholar 

  24. Arai H, Miyamoto K, Taketani Y, Yamamoto H, Iemori Y, Morita K, et al. A vitamin D receptor gene polymorphism in the translation initiation codon: effect on protein activity and relation to bone mineral density in Japanese women. J Bone Miner Res 1997; 12: 915–921.

    Article  CAS  PubMed  Google Scholar 

  25. Relan V, Khullar M, Singh SK, Sharma SK. Association of vitamin d receptor genotypes with calcium excretion in nephrolithiatic subjects in northern India. Urol Res 2004; 32: 236–240.

    Article  CAS  PubMed  Google Scholar 

  26. Vezzoli G, Soldati L, Proverbio MC, Adamo D, Rubinacci A, Bianchi G, et al Polymorphism of vitamin D receptor gene start codon in patients with calcium kidney stones. J Nephrol 2002; 15: 158.

    CAS  PubMed  Google Scholar 

  27. Bid HK, Chaudhary H, Mittal RD. Association of vitamin-D and calcitonin receptor gene polymorphism in paediatric nephrolithiasis. Pediatr Nephrol 2005a; 20: 773–776.

    Article  PubMed  Google Scholar 

  28. Nishijima S, Sugaya K, Naito A, Morozumi M, Hatano T, Ogawa Y. Association of vitamin D receptor gene polymorphism with urolithiasis. J Urol 2002; 167: 2188.

    Article  CAS  PubMed  Google Scholar 

  29. Ozkaya O, Soylemezoglu O, Misirlioglu M, Gonen S, Buyan N, Hasanoglu E. Polymorphisms in the vitamin D receptor gene and the risk of calcium nephrolithiasis in children. Eur Urol 2003; 44:150.

    Article  PubMed  Google Scholar 

  30. Sezgin G, Bilen CY, Asci NKR, Bagci H, Yilmaz AF. Vitamin D receptor gene polymorphisms in patients with urolithiasis. Urol Res 2006; 34: 47–52.

    Article  Google Scholar 

  31. Lee YH, Huang WC, Chiang H, Chen MT, Huang JK, Chang LS. Determination role of testosterone in the pathogenesis of urolithiasis in rats. J Urol 1992; 147: 1134–1138.

    CAS  PubMed  Google Scholar 

  32. Lee YH, Huang WC, Huang JK, Chang LS. Testosterone enhances whereas estrogen inhibit calcium oxalate stone formation in ethylene glycol treated rats. J Urol 1996; 156: 502–505.

    Article  CAS  PubMed  Google Scholar 

  33. Curhan GC. Epidemiologic evidence for the role of oxalate in idiopathic nephrolithiasis. J Endourol 1999; 13: 629–631.

    Article  CAS  PubMed  Google Scholar 

  34. Murthy S, Agoulnik IU, Weigel NL. Androgen receptor signaling and vitamin D receptor action in prostate cancer cells. Prostate 2005; 64: 362–372.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rama Devi Mittal.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mittal, R.D., Mishra, D.K., Srivastava, P. et al. Polymorphisms in the vitamin D receptor and the androgen receptor gene associated with the risk of urolithiasis. Indian J Clin Biochem 25, 119–126 (2010). https://doi.org/10.1007/s12291-010-0023-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12291-010-0023-0

Key Words

Navigation