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Multiple Sclerosis
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research-article

Past environmental sun exposure and risk of multiple sclerosis: a role for the Cdx-2 Vitamin D receptor variant in this interaction

JL Dickinson

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia Jo.Dickinson{at}utas.edu.au

DI Perera

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia

AF van der Mei

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia

A-L Ponsonby

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia; Murdoch Children’s Research Institute, Royal Children’s Hospital, Parkville, Victoria, Australia

AM Polanowski

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia

RJ Thomson

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia

BV Taylor

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia

JD McKay

International Agency for Research on Cancer, Lyon, France

J Stankovich

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia; Bioninformatics Division, The Walter and Hall Eliza Institute of Medical Research, Parkville Victoria, Australia

T Dwyer

Menzies Research Institute, University of Tasmania, Hobart, Tasmania, Australia; Murdoch Children’s Research Institute, Royal Children’s Hospital, Parkville, Victoria, Australia

Multiple studies have provided evidence for an association between reduced sun exposure and increased risk of multiple sclerosis (MS), an association likely to be mediated, at least in part, by the vitamin D hormonal pathway. Herein, we examine whether the vitamin D receptor (VDR), an integral component of this pathway, influences MS risk in a population-based sample where winter sun exposure in early childhood has been found to be an important determinant of MS risk. Three polymorphisms within the VDR gene were genotyped in 136 MS cases and 235 controls, and associations with MS and past sun exposure were examined by logistic regression. No significant univariate associations between the polymorphisms, rs11574010 (Cdx-2A > G), rs10735810 (Fok1T > C), or rs731236 (Taq1C > T) and MS risk were observed. However, a significant interaction was observed between winter sun exposure during childhood, genotype at rs11574010, and MS risk (P = 0.012), with the ‘G’ allele conferring an increased risk of MS in the low sun exposure group (≤2 h/day). No significant interactions were observed for either rs10735810 or rs731236, after stratification by sun exposure. These data provide support for the involvement of the VDR gene in determining MS risk, an interaction likely to be dependent on past sun exposure.

Key Words: environment • genetic polymorphisms • multiple sclerosis • receptor calcitrol

This version was published on May 1, 2009

Multiple Sclerosis, Vol. 15, No. 5, 563-570 (2009)
DOI: 10.1177/1352458509102459


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Home page
Mult SclerHome page
K. C. Simon, K. L Munger, Xing Yang, and A. Ascherio
Polymorphisms in vitamin D metabolism related genes and risk of multiple sclerosis
Multiple Sclerosis, February 1, 2010; 16(2): 133 - 138.
[Abstract] [PDF]



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