Evidence map›Paper›PMID 34855907›Full record

Trial reportPloS one2021

Vitamin D related genetic polymorphisms affect serological response to high-dose vitamin D supplementation in multiple sclerosis.

Max Mimpen, Linda Rolf, Geert Poelmans, Jody van den Ouweland, Raymond Hupperts, Jan Damoiseaux, Joost Smolders

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Observational
  8. Review
  9. Risk Factors from Pregnancy to Adulthood in Multiple Sclerosis Outcome.International journal of molecular sciences · 2022
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Max MimpenSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.ORCID 0000-0003-2009-7199
Linda RolfSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.
Geert PoelmansDepartment of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands.
Jody van den OuwelandDepartment of Clinical Chemistry, Canisius-Wilhelmina Hospital, Nijmegen, Netherlands.
Raymond HuppertsSchool for Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.
Jan DamoiseauxCentral Diagnostic Laboratory, Maastricht University Medical Center, Maastricht, Netherlands.
Joost SmoldersMS Center ErasMS, Departments of Neurology and Immunology, Erasmus University Medical Center, Rotterdam, Netherlands.
Maastricht University · NLCanisius-Wilhelmina Ziekenhuis · NLNetherlands Institute for Neuroscience · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA poor 25-hydroxyvitamin D (25(OH)D) status is a much replicated risk factor for developing multiple sclerosis (MS), and several vitamin D-associated single nucleotide polymorphisms (SNPs) have been associated with a higher risk of MS. However, studies on the benefit of vitamin D supplementation in MS show inconclusive results. Here, we explore whether vitamin D-associated SNPs and MS risk alleles confound serological response to vitamin D supplementation.

methods34 participants from the SOLARIUM study consented to genotyping, of which 26 had vitamin D data available. The SOLARIUM study randomised relapsing-remitting MS patients to placebo or 14,000 IU vitamin D3 for 48 weeks. Participants were categorised as either 'carriers' or 'non-carriers' of the risk allele for 4 SNPs: two related to D binding protein (DBP) and associated with lower 25(OH)D levels (rs4588 and rs7041), and two related to vitamin D metabolism enzymes CYP27B1 and CYP24A1 and associated with a higher risk of MS (rs12368653; rs2248359, respectively). 25(OH)D levels were determined at baseline and after 48 weeks.

resultsThe DBP-related SNPs showed no difference in 25(OH)D status at baseline, but carriers of the rs7041 risk allele showed lower 25(OH)D-levels compared to non-carriers after 48 weeks of supplementation (median 224.2 vs. 332.0 nmol/L, p = 0.013). For CYP related SNPs, neither showed a difference at baseline, but carriers of the rs12368653 risk allele showed higher 25(OH)D-levels compared to non-carriers after 48 weeks of supplementation (median 304.1 vs. 152.0 nmol/L, p = 0.014). DISCUSSION: Vitamin D-related SNPs affect the serological response to high-dose vitamin D supplementation. The effects on more common doses of vitamin D, as well as the clinical consequence of this altered response, need to be investigated further.

Indexed as

Dietary Supplements25-Hydroxyvitamin D3 1-alpha-HydroxylaseAdultDNA-Binding ProteinsFemaleGenotypeHumansMaleMiddle AgedMultiple Sclerosis, Relapsing-RemittingPolymorphism, Single NucleotidePrognosisTranscription FactorsVitamin DVitamin D3 24-Hydroxylase25-hydroxyvitamin D25-Hydroxyvitamin D3 1-alpha-HydroxylaseCYP24A1 protein, humanCYP27B1 protein, humanDBP protein, humanDNA-Binding ProteinsTranscription FactorsVitamin DVitamin D3 24-Hydroxylase

Identifiers

PMID34855907
PMCPMC8638856
OpenAlexW3215984337

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.