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February 4, 2014Journal of Cardiovascular Pharmacology and TherapeuticsOpen Access

Vitamin D receptor CGA haplotype linked to ~28% higher log PIIINP values versus non-carriers.

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Why the study?

Is there an association between vitamin D levels, VDR polymorphisms, and biomarkers of left ventricular remodeling in patients with systolic heart failure?

Population

30 patients with systolic heart failure undergoing right heart catheterization, mean EF 17% ± 8%.

Comparison

Presence of VDR haplotype block or vitamin D… vs Absence of VDR haplotype block or vitamin D…

Design

Cross-sectional

Key result

The CGA haplotype of the vitamin D receptor was associated with significantly higher log PIIINP values compared to patients without the haplotype (1.74 vs 1.36 mcg/mL, P=0.0041).

Authors

MDMichael P. DorschCNCarrie W. NemerovskiVEVicki L. Ellingrod

Discussion

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Overview

May inform fibrosis risk stratification in systolic HF; leaves open VDR role in remodeling.

Study Design

Type

Cross-Sectional (n=30)

Structured PICO

Is there an association between vitamin D levels, VDR polymorphisms, and biomarkers of left ventricular remodeling in patients with systolic heart failure?

P
Population
30 patients with systolic heart failure (ejection fraction <40% and NYHA class ≥ II) undergoing right heart catheterization.
E
Exposure
Presence of VDR haplotype block (CGA) or vitamin D levels above median
C
Comparator
Absence of VDR haplotype block or vitamin D levels below median
O
Outcome
Biomarkers of left ventricular remodeling (PIIINP, matrix metalloproteinase 2, and galectin 3) and hemodynamicssurrogate

Main Result

Absolute Event Rate: 1.74% vs 1.36%

p-value: p=.0041

The CGA haplotype of the vitamin D receptor is associated with higher levels of PIIINP, a biomarker for collagen type III synthesis, suggesting a genetic role in myocardial fibrosis in systolic heart failure.

Cite This Study

Dorsch et al. (2014) conducted a cross-sectional in Systolic heart failure (n=30). CGA haplotype of the vitamin D receptor vs. Patients without the CGA haplotype was evaluated on log PIIINP values (mcg/mL) (p=.0041). The CGA haplotype of the vitamin D receptor was associated with significantly higher log PIIINP values compared to patients without the haplotype (1.74 vs 1.36 mcg/mL, P=0.0041).

synapsesocial.com/papers/6aa67f974dd50f8a0764c644https://doi.org/10.1177/1074248413517747
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Also Consider

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  1. 1Association of the vitamin D metabolism gene polymorphism with the severity of coronary lesions assessed by SYNTAX score2024
  2. 2Serum Vitamin D and C-Reactive Protein Levels are Independently Associated with Diastolic Dysfunction2014 · 16 citations
  3. 3Involvement of Vitamin D Receptor Gene Polymorphism in Increased Cardiovascular Risk Disease in the Algerian Population2025 · 1 citations
  4. 4Correlation between serum vitamin D level and cardiac function: Echocardiographic assessment2015 · 8 citations
  5. 5Links between vitamin D receptor gene polymorphisms and coronary artery disease: a review of evidence2025