Lupus & antiphospholipid syndrome

Vitamin D receptor expression level in patients with SLE and its relationship with vitamin D status, disease course and bone mineral density

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

Low VDR concentration is a common phenomenon in patients with SLE associated with age, high disease activity, vitamin D supply and serum CTX concentration.

Study context

Population
Patients with SLE and controls
Participants
99 vs 30
Exposure
SLE vs controls
  • SLEn = 99
  • Controlsn = 30reference
Outcome
Serum VDR concentration and its relationship with vitamin D status, disease course, bone turnover markers and BMD

Main finding

As reported in the abstract

Serum VDR level

P < 0.01

SLE patients with low vitamin D receptor (VDR) concentrations
77.8%
SLE patients with relatively normal or high VDR levels
22.2%

Observational data: associations, not effects.

Further findings

Correlates of VDR level in SLE

Low VDR vs age (p=0.054)
r=−0.22
VDR vs C-reactive protein (CRP)
r=−0.22
VDR vs IL-6
r=−0.21
VDR vs SLEDAI-2K
r=−0.20
CTX increase with VDR decrease (p<0.05)
r=−0.27
Vitamin D 33.55% lower in low VDR vs relatively normal VDR (p=0.0001)
r=0.47
No relationship with sex, disease duration, body mass index (BMI), cumulative glucocorticoid (GC) dose, LN, creatinine, GFR
No significant difference in Z-score, T-score and bone mineral density (BMD) between low and relatively normal VDR (p>0.05)

Original publication

Vitamin D receptor expression level in patients with SLE and its relationship with vitamin D status, disease course and bone mineral density. Lupus Sci Med. Published 16 September 2025. doi:10.1136/lupus-2025-001730

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