Vitamin D Status Clinical Trial
Official title:
Vitamin D Binding Protein (Gc) Allele Variation Effects Response to Vitamin D Treatment
We have just completed a randomized, clinical trial of 100,000 IU Vitamin D3 given as a single dose at the beginning of winter. We found a wide range of responses to the dose. This study proposes that genetic differences account for some of the variation in response of 25(OH)D levels after treatment with oral Vitamin D.
We suspect that the wide range of response is effected by other factors such as variation in
Vitamin D binding protein (the major transporter of Vitamin D metabolites).
Gc, also known as Vitamin D binding protein (DBP), group specific component, or Gc globulin,
is a 52-58 kDa multifunctional plasma protein, synthesized in the liver. The gene encoding
for Gc is located on chromosome 4, and three common co-dominant alleles give rise to three
phenotypes (Gc1s, Gc1f, and Gc2). Gc binds actin, recruits neutrophil leukocytes and
converts into a macrophage- and osteoclast- activating factor. It also is the major
transporter of Vitamin D and its' metabolites. Lauridsen et al. showed that Gc phenotype
correlates with 25(OH)D levels in a group of postmenopausal women.
This study proposes that Gc phenotype accounts for some of the variation in response of
25(OH)D levels after treatment with oral Vitamin D.
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Observational Model: Cohort, Time Perspective: Cross-Sectional
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