Abstract
Purpose
Vitamin D (VD) deficiency and osteoporosis have become a global public health problem. A variant in the Histidine Ammonia-Lyase (HAL) gene has been associated with VD levels and bone mineral density (BMD). However, whether this variant has an influence on VD levels and BMD in Mexican adults remain unclear.
Methods
This cross-sectional analysis included 1,905 adults participating in the Health Worker Cohort Study and 164 indigenous postmenopausal women from the Metabolic Analysis in an Indigenous Sample (MAIS) cohort. The rs3819817 variant was genotyped by TaqMan probe assay. Total 25 hydroxyvitamin D levels were measured by DiaSorin Liaison. BMD at the different sites was assessed through dual-energy X-ray absorptiometry. Linear and logistic regression models were performed to evaluate the associations of interest.
Results
The prevalence of VD deficiency was 41%, showing differences between sexes. Obesity and skin pigmentation were associated with lower levels of VD in males and females. rs3819817-T allele was associated with low levels of 25-hydroxyvitamin D, VD deficiency, and hip and femoral neck BMD values (g/cm2). We found two interactions with VD levels, one between adiposity and rs3819817-T allele (P = 0.017) and another between skin pigmentation and rs3819817-T allele (P = 0.019). In indigenous postmenopausal women, we observed higher VD levels in the southern region compared to the northern region (P < 0.001); however, we did not observe differences by genotype.
Conclusion
Our findings confirm that the genetic variant rs3819817 has an essential function in VD levels and BMD and suggests a role in skin pigmentation in the Mexican population.
Similar content being viewed by others
Availability of data
The data that support the findings of this study are available from the corresponding author, RV-C, upon reasonable request.
Code availability
Not applicable.
References
Carlberg C (2022) Vitamin D and its target genes. Nutrients 14:1354. https://doi.org/10.3390/nu14071354
Holick M (2007) Vitamina D deficiency. N Engl J Med 357:266–281
Abboud M, Rybchyn MS, Rizk R et al (2017) Sunlight exposure is just one of the factors which influence vitamin D status. Photochem Photobiol Sci Off J Eur Photochem Assoc Eur Soc Photobiol 16:302–313. https://doi.org/10.1039/c6pp00329j
Batai K, Cui Z, Arora A et al (2021) Genetic loci associated with skin pigmentation in African Americans and their effects on vitamin D deficiency. PLoS Genet 17:e1009319. https://doi.org/10.1371/journal.pgen.1009319
Çolak Y, Afzal S, Nordestgaard BG (2020) 25-Hydroxyvitamin D and risk of osteoporotic fractures: mendelian randomization analysis in 2 large population-based cohorts. Clin Chem 66:676–685. https://doi.org/10.1093/clinchem/hvaa049
Backman JD, Li AH, Marcketta A et al (2021) Exome sequencing and analysis of 454,787 UK Biobank participants. Nature 599:628–634. https://doi.org/10.1038/s41586-021-04103-z
Barresi C, Stremnitzer C, Mlitz V et al (2011) Increased sensitivity of histidinemic mice to UVB radiation suggests a crucial role of endogenous urocanic acid in photoprotection. J Invest Dermatol 131(1):188–194. https://doi.org/10.1038/jid.2010.231
Libon F, Cavalier E, Nikkels AF (2013) Skin color is relevant to vitamin D synthesis. Dermatology 227(3):250–254. https://doi.org/10.1159/000354750
Wolf ST, Dillon GA, Alexander LM et al (2022) Skin pigmentation is negatively associated with circulating vitamin D concentration and cutaneous microvascular endothelial function. Am J Physiol Heart Circ Physiol 323:490–498. https://doi.org/10.1152/ajpheart.00309.2022
Weishaar T, Rajan S (2015) Importance of body weight and skin color in determining appropriate vitamin D3 supplement doses for children and adolescents. Pediatr Res 77:370–375. https://doi.org/10.1038/pr.2014.190
Weishaar T, Vergili JM (2013) Vitamin D status is a biological determinant of health disparities. J Acad Nutr Diet 113:643–651. https://doi.org/10.1016/j.jand.2012.12.011
Drincic AT, Armas LAG, Van Diest EE, Heaney RP (2012) Volumetric dilution, rather than sequestration best explains the low vitamin D status of obesity. Obesity (Silver Spring) 20:1444–1448. https://doi.org/10.1038/oby.2011.404
Pereira-Santos M, Costa PRF, Assis AMO et al (2015) Obesity and vitamin D deficiency: a systematic review and meta-analysis. Obes Rev 16:341–349. https://doi.org/10.1111/obr.12239
Denova-Gutiérrez E, Flores YN, Gallegos-Carrillo K, et al (2016) Health workers cohort study: methods and study design. Salud Publica Mex 58:708–716. https://doi.org/10.21149/spm.v58i6.8299
Mendoza-Caamal EC, Barajas-Olmos F, Garciá-Ortiz H et al (2020) Metabolic syndrome in indigenous communities in Mexico: A descriptive and cross-sectional study. BMC Public Health. https://doi.org/10.1186/s12889-020-8378-5
Rivera-Paredez B, Hidalgo-Bravo A, de la Cruz-Montoya A et al (2020) Association between vitamin D deficiency and common variants of Vitamin D binding protein gene among Mexican Mestizo and indigenous postmenopausal women. J Endocrinol Invest 43:935–946. https://doi.org/10.1007/s40618-019-01177-5
Carrillo-Vega MF, García-Peña C, Gutiérrez-Robledo LM, Pérez-Zepeda MU (2017) Vitamin D deficiency in older adults and its associated factors: a cross-sectional analysis of the Mexican Health and Aging Study. Arch Osteoporos. https://doi.org/10.1007/s11657-016-0297-9
Rivera-Paredez B, Macías N, Martínez-Aguilar MM et al (2018) Association between vitamin D deficiency and single nucleotide polymorphisms in the vitamin D receptor and GC genes and analysis of their distribution in Mexican postmenopausal women. Nutrients. https://doi.org/10.3390/nu10091175
WHO WHO Scientific group on the assessment of osteoporosis at primary health care level. http://www.who.int/chp/topics/Osteoporosis.pdf. Accessed 17 Mar 2018
The International Society for Clinical Densitometry (2019) Indications for Bone Mineral Density (BMD) Testing. https://iscd.org/learn/official-positions/adult-positions/. Accessed 21 Feb 2023
(1998) Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. Obes Res 6 Suppl 2:51S–209S
Who WHO (2011) Waist circumference and waist-hip ratio: report of a WHO expert consultation. World Health Organization, Geneva
Hernández-Avila M, Romieu I, Parra S et al (1998) Validity and reproducibility of a food frequency questionnaire to assess dietary intake of women living in Mexico City. Salud Publica Mex 40:133–140. https://doi.org/10.1590/S0036-36341998000200005
Martínez-González MA, López-Fontana C, Varo JJ et al (2005) Validation of the Spanish version of the physical activity questionnaire used in the Nurses’ Health Study and the Health Professionals’ Follow-up Study. Public Health Nutr 8:920–927. https://doi.org/10.1079/phn2005745
Gauderman WJ (2002) Sample size requirements for association studies of gene-gene interaction. Am J Epidemiol. https://doi.org/10.1093/aje/155.5.478
Holick MF (2014) Sunlight, ultraviolet radiation, vitamin D and skin cancer: how much sunlight do we need? Adv Exp Med Biol 810:1–16
Castanedo-Cázares JP, Lepe V, Gordillo-Moscoso A, Moncada B (2003) Ultraviolet radiation doses in Mexican students. Salud Publica Mex 45:439–444
Flores A, Flores M, Macias N et al (2017) Vitamin D deficiency is common and is associated with overweight in Mexican children aged 1–11 years. Public Health Nutr. https://doi.org/10.1017/S1368980017000040
Contreras-Manzano A, Villalpando S, Robledo-Pérez R (2017) Vitamin D status by sociodemographic factors and body mass index in Mexican women at reproductive age. Salud Publica Mex https://doi.org/10.21149/8080
Castanedo-Cázares JP, Torres-Álvarez B, Portales-González B et al (2016) Analysis of the cumulative solar ultraviolet radiation in Mexico. Rev Med Inst Mex Seguro Soc 54:26–31
Barquera S, Hernández-Barrera L, Trejo-Valdivia B, et al (2020) Obesity in Mexico, prevalence andtrends in adults. Ensanut 2018–19. Salud Publica Mex 62:682–692. https://doi.org/10.21149/11630
Landrier J-F, Marcotorchino J, Tourniaire F (2012) Lipophilic micronutrients and adipose tissue biology. Nutrients 4:1622–1649. https://doi.org/10.3390/nu4111622
Karampela I, Sakelliou A, Vallianou N et al (2021) Vitamin D and obesity: current evidence and controversies. Curr Obes Rep 10:162–180. https://doi.org/10.1007/s13679-021-00433-1
de Oliveira LF, de Azevedo LG, da Mota SJ et al (2020) Obesity and overweight decreases the effect of vitamin D supplementation in adults: systematic review and meta-analysis of randomized controlled trials. Rev Endocr Metab Disord 21:67–76. https://doi.org/10.1007/s11154-019-09527-7
Yao Y, Zhu L, He L et al (2015) A meta-analysis of the relationship between vitamin D deficiency and obesity. Int J Clin Exp Med 8:14977–14984
Kull M, Kallikorm R, Lember M (2009) Body mass index determines sunbathing habits: Implications on vitamin D levels. Intern Med J 39:256–258. https://doi.org/10.1111/j.1445-5994.2009.01900.x
Wortsman J, Matsuoka LY, Chen TC et al (2000) Decreased bioavailability of vitamin D in obesity. Am J Clin Nutr 72:690–693. https://doi.org/10.1093/ajcn/72.3.690
Roizen JD, Long C, Casella A et al (2019) Obesity decreases hepatic 25-hydroxylase activity causing low serum 25-hydroxyvitamin D. J bone Miner Res Off J Am Soc Bone Miner Res 34:1068–1073. https://doi.org/10.1002/jbmr.3686
Bell NH, Epstein S, Greene A et al (1985) Evidence for alteration of the vitamin D-endocrine system in obese subjects. J Clin Invest 76:370–373. https://doi.org/10.1172/JCI111971
Lagunova Z, Porojnicu AC, Vieth R et al (2011) Serum 25-hydroxyvitamin D is a predictor of serum 1,25-dihydroxyvitamin D in overweight and obese patients. J Nutr 141:112–117. https://doi.org/10.3945/jn.109.119495
Brenner M, Hearing VJ (2008) The protective role of melanin against UV damage in human skin. Photochem Photobiol 84:539–549. https://doi.org/10.1111/j.1751-1097.2007.00226.x
Armas LAG, Dowell S, Akhter M et al (2007) Ultraviolet-B radiation increases serum 25-hydroxyvitamin D levels: The effect of UVB dose and skin color. J Am Acad Dermatol 57:588–593. https://doi.org/10.1016/j.jaad.2007.03.004
Whiting SJ, Calvo MS, Vatanparast H (2017) Chapter 43 - Current understanding of vitamin D metabolism, nutritional status, and role in disease prevention. In: Coulston AM, Boushey CJ, Ferruzzi MG, Delahanty LMBT-N in the P and T of D (Fourth E (Eds). Academic Press, pp 937–967
Nessvi S, Johansson L, Jopson J et al (2011) Association of 25-hydroxyvitamin D3)levels in adult New Zealanders with ethnicity, skin color and self-reported skin sensitivity to sun exposure. Photochem Photobiol 87:1173–1178. https://doi.org/10.1111/j.1751-1097.2011.00956.x
Manousaki D, Dudding T, Haworth S et al (2017) Low-frequency synonymous coding variation in CYP2R1 has large effects on vitamin D levels and risk of multiple sclerosis. Am J Hum Genet 101:227–238. https://doi.org/10.1016/j.ajhg.2017.06.014
GTEx Consortium (2020) The GTEx Consortium atlas of genetic regulatory effects across human tissues. Science 369:1318–1330. https://doi.org/10.1126/science.aaz1776
Eckhart L, Schmidt M, Mildner M et al (2008) Histidase expression in human epidermal keratinocytes: regulation by differentiation status and all-trans retinoic acid. J Dermatol Sci 50:209–215. https://doi.org/10.1016/j.jdermsci.2007.12.009
Welsh MM, Karagas MR, Applebaum KM et al (2008) A role for ultraviolet radiation immunosuppression in non-melanoma skin cancer as evidenced by gene-environment interactions. Carcinogenesis 29:1950–1954. https://doi.org/10.1093/carcin/bgn160
Landeck L, Jakasa I, Dapic I et al (2016) The effect of epidermal levels of urocanic acid on 25-hydroxyvitamin D synthesis and inflammatory mediators upon narrowband UVB irradiation. Photodermatol Photoimmunol Photomed 32:214–223. https://doi.org/10.1111/phpp.12249
Moro J, Tomé D, Schmidely P et al (2020) Histidine: a systematic review on metabolism and physiological effects in human and different animal species. Nutrients. https://doi.org/10.3390/nu12051414
Moreno-Estrada A, Gignoux CR, Fernández-López JC et al (2014) The genetics of Mexico recapitulates Native American substructure and affects biomedical traits. Science (80-). https://doi.org/10.1126/science.1251688
García-Ortiz H, Barajas-Olmos F, Contreras-Cubas C et al (2021) The genomic landscape of Mexican Indigenous populations brings insights into the peopling of the Americas. Nat Commun 12:5942. https://doi.org/10.1038/s41467-021-26188-w
Romero-Hidalgo S, Ochoa-Leyva A, Garcíarrubio A et al (2017) Demographic history and biologically relevant genetic variation of Native Mexicans inferred from whole-genome sequencing. Nat Commun 8:1005. https://doi.org/10.1038/s41467-017-01194-z
Sohail M, Chong AY, Quinto-Cortes CD et al (2022) Nationwide genomic biobank in Mexico unravels demographic history and complex trait architecture from 6057 individuals. bioRxiv. https://doi.org/10.1101/2022.07.11.499652
Flores M, Barquera S, Sánchez LM, et al (2011) Concentraciones séricas de vitamina D en niños mexicanos. Resultados de la ENSANUT 2006. Inst Nac Salud Pública
Acknowledgements
We thank the staff and participants of the HWSC study for their important contribution. We also acknowledge the technical assistance provided by Jeny Flores-Morales (National Institute of Genomic Medicine, INMEGEN). In addition, the authors thank to the undergraduate students from the Biological Pharmaceutical Chemistry-UAM-X: Erica Mireya Mandujano Fernández and Mildred Carmona Santiago, for their participation in genotyping.
Funding
This project was partially supported by Consejo Nacional de Ciencia y Tecnología CF-2019-102962. The Health Workers Cohort Study was supported by: Consejo Nacional de Ciencia y Tecnología (Grant numbers: 7876, 87783, 262233, 26267 M, SALUD-2010-01-139796, SALUD-2011-01-161930, and CB-2013-01-221628).
Author information
Authors and Affiliations
Contributions
Conceptualization and Investigation: B.R.-P. and R.V.-C.; Writing- original draft preparation: B.R.-P., R.V.-C., and A.H.-B.; Data Analysis: B.R.-P.; Writing—review and editing: B.R.-P., A.H.-B., G.L-R., E.D.-G., F.B.-O., A.M.-H., L.O., J.S. and R.V.-C.; Resources; R.V.-C, E.D.-G. and J.S; Data Curation: E.D.-G, J.S., F.B.-O., A.M.-H., L.O.; Funding acquisition: R.V.-C and J.S. All authors have read and agreed to the published version of the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Ethics approval
The research was approved by the Instituto Mexicano del Seguro Social and Instituto Nacional de Medicina Genómica, according to the principles of the Declaration of Helsinki, in accordance with the relevant guidelines and ethical regulations in research involving human participants.
Informed consent
All participants in the study provided written informed consent.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Rivera-Paredez, B., Hidalgo-Bravo, A., León-Reyes, G. et al. The role of single nucleotide variant rs3819817 of the Histidine Ammonia-Lyase gene and 25-Hydroxyvitamin D on bone mineral density, adiposity markers, and skin pigmentation, in Mexican population. J Endocrinol Invest 46, 1911–1921 (2023). https://doi.org/10.1007/s40618-023-02051-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40618-023-02051-1