C3-epimerization of 25-hydroxyvitamin D increases with increasing serum 25-hydroxyvitamin D levels and shows a high degree of tracking over time

dc.contributor.authorKubiak, Julia M.
dc.contributor.authorGrimnes, Guri
dc.contributor.authorCashman, Kevin D.
dc.contributor.authorKamycheva, Elena
dc.contributor.authorDowling, Kirsten G.
dc.contributor.authorSkrabáková, Zuzana
dc.contributor.authorJorde, Rolf
dc.contributor.funderSeventh Framework Programmeen
dc.contributor.funderHelse Nord RHFen
dc.contributor.funderUniversitetet i Tromsøen
dc.contributor.funderNovo Nordisken
dc.contributor.funderNorges Forskningsråden
dc.contributor.funderNorske Kvinners Sanitetsforeningen
dc.date.accessioned2018-02-26T16:09:32Z
dc.date.available2018-02-26T16:09:32Z
dc.date.issued2018-02-21
dc.date.updated2018-02-26T15:55:37Z
dc.description.abstractObjective: Evaluate the effects of serum 25-hydroxyvitamin D (25(OH)D) levels, vitamin D binding protein (DBP) and genetic factors on C3-epimerization of 25(OH)D and follow the tracking of the epimer during one year. Design: Cross-sectional and longitudinal study. Methods: Data from eight previously conducted, Tromsø based studies (3 observational, 5 randomized controlled trials) were combined. 25(OH)D serum samples were re-analyzed with a LC-MS/MS method that also resolves and measures the metabolite C3-epi-25(OH)D3. Data on vitamin D binding protein (DBP) phenotype (based on single nucleotide polymorphisms (SNPs) rs4588 and rs7041) and genetic determinants for serum 25(OH)D (SNPs rs2282679, rs10741657, rs3829251 and rs6013897) were collected where available. Results: 2219 subjects were included. Median (5th, 95th percentiles) baseline serum values of 25(OH)D3, C3-epi-25(OH)D3, and %-C3-epi-25(OH)D3 were 49.1 (22.1, 92.8) nmol/L, 2.3 (0.9, 6.0) nmol/L and 4.4 (2.7, 8.4) %, respectively. The highest baseline values were 230.5 nmol/L for 25(OH)D3, 79.7 nmol/L for C3-epi-25(OH)D3 and 48.2% for %-C3-epi-25(OH)D3. There was a strong correlation between serum 25(OH)D3 and C3-epi-25(OH)D3. The %-C3-epi-25(OH)D3 value increased with increasing serum 25(OH)D3, but leveled off at ~7% at a 25(OH)D3 concentration of ~120–140 nmol/L. There was a significant degree of tracking for %-C3-epi-25(OH)D3 (correlation coefficient rho between baseline and 1-year values 0.39, P < 0.001). The %-C3-epi-25(OH)D3 level was not related to serum DBP level, DBP phenotype nor to SNPs related to serum 25(OH)D3 level. The serum 25(OH)D3 level could explain less than 3% of %-C3-epi-25(OH)D3 variation. Conclusions: There are considerable individual and reproducible differences in percent C3-epimerization of uncertain clinical importance.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationKubiak, J. M., Grimnes, G., Cashman, K. D., Kamycheva, E., Dowling, K., Skrabáková, Z. and Jorde, R. 'C3-epimerization of 25-hydroxyvitamin D increases with increasing serum 25-hydroxyvitamin D levels and shows a high degree of tracking over time', Clinical Biochemistry, 54, pp. 61-67. doi: 10.1016/j.clinbiochem.2018.02.013en
dc.identifier.doi10.1016/j.clinbiochem.2018.02.013
dc.identifier.endpage67en
dc.identifier.issn0009-9120
dc.identifier.journaltitleClinical biochemistryen
dc.identifier.startpage61en
dc.identifier.urihttps://hdl.handle.net/10468/5547
dc.identifier.volume54
dc.language.isoenen
dc.publisherElsevieren
dc.relation.projectinfo:eu-repo/grantAgreement/EC/FP7::SP1::KBBE/613977/EU/Food-based solutions for Optimal vitamin D Nutrition and health through the life cycle/ODINen
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0009912017311980
dc.rights© 2018 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectVitamin Den
dc.subjectEpimerization effectsen
dc.subjectVitamin D binding protein (DBP)en
dc.subjectCalcium metabolismen
dc.titleC3-epimerization of 25-hydroxyvitamin D increases with increasing serum 25-hydroxyvitamin D levels and shows a high degree of tracking over timeen
dc.typeArticle (peer-reviewed)en
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