1. Vitamin D and Inflammatory Bowel Disease: Mendelian Randomization Analyses in the Copenhagen Studies and UK Biobank.
- Author
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Lund-Nielsen J, Vedel-Krogh S, Kobylecki CJ, Brynskov J, Afzal S, and Nordestgaard BG
- Subjects
- Aged, Biological Specimen Banks, Cholestanetriol 26-Monooxygenase genetics, Colitis, Ulcerative blood, Colitis, Ulcerative epidemiology, Colitis, Ulcerative genetics, Crohn Disease blood, Crohn Disease epidemiology, Crohn Disease genetics, Cross-Sectional Studies, Cytochrome P450 Family 2 genetics, Denmark epidemiology, Female, Genotype, Humans, Inflammatory Bowel Diseases epidemiology, Inflammatory Bowel Diseases genetics, Male, Mendelian Randomization Analysis, Middle Aged, Prospective Studies, United Kingdom epidemiology, Vitamin D blood, Vitamin D Deficiency epidemiology, Vitamin D Deficiency genetics, Inflammatory Bowel Diseases blood, Vitamin D analogs & derivatives, Vitamin D Deficiency blood
- Abstract
Context: Vitamin D may be a modifiable risk factor for inflammatory bowel disease (IBD)., Objectives: We tested the hypothesis that plasma 25-hydroxyvitamin D levels are causally associated with risk of Crohn disease (CD) and ulcerative colitis (UC)., Design, Setting, Patients, and Interventions: We used a Mendelian randomization design to study 120,013 individuals from the Copenhagen City Heart Study, the Copenhagen General Population Study, and a Copenhagen-based cohort of patients with IBD. Of these, 35,558 individuals had plasma 25-hydroxyvitamin D measurements available, and 115,110 were genotyped for rs7944926 and rs11234027 in DHCR7 and rs10741657 and rs12794714 in CYP2R1, all variants associated with plasma 25-hydroxyvitamin D levels. We identified 653 cases of CD and 1265 cases of UC, of which 58 and 113, respectively, had 25-hydroxyvitamin D measurements available. We also included genetic data from 408,455 individuals from the UK Biobank, including 1707 CD cases and 3147 UC cases., Main Outcome Measure: Hazard ratios for higher plasma 25-hydroxyvitamin D levels., Results: The multivariable-adjusted hazard ratios for 10 nmol/L higher 25-hydroxyvitamin D level were 1.04 (95% CI: 0.93 to 1.16) for CD and 1.13 (95% CI: 1.06 to 1.21) for UC. A combined 25-hydroxyvitamin D allele score was associated with a 1.4-nmol/L increase in plasma 25-hydroxyvitamin D level and hazard ratios of 0.98 (95% CI: 0.94 to 1.03) for CD and 1.01 (95% CI: 0.97 to 1.05) for UC. Combining genetic data from the Copenhagen studies and the UK Biobank, genetically determined vitamin D did not appear to influence the risk of CD or UC., Conclusions: Our results do not support a major role for vitamin D deficiency in the development of IBD.
- Published
- 2018
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