Aim:
Recent laboratory and epidemiological studies suggest that vitamin D is a potential agent for colorectal cancer prevention. Its function is partially mediated by the vitamin D receptor (VDR). The aim of this study was to investigate whether a novel G (allele "U") >A (allele "u") polymorphism (Tru9I) in the VDR intron 8 region is associated with risk for colorectal adenoma in a colonoscopy-based case-control study.
Methods:
Genotyping for a total of 391 subjects was carried out through PCR and restriction fragment length polymorphism.
Results:
The frequencies of "U" and "u" alleles were 89.3% and 10.7%, respectively. The "Uu" and "uu" genotypes were associated with decreased risk for adenoma (OR, 0.71; 95%CI, 0.40-1.25). The inverse association was more pronounced for multiple adenomas and adenomas that were larger had moderate or greater dysplasia, or were sessile: the odds ratios (ORs) were, 0.51 (95%CI, 0.21-1.24), 0.37 (95%CI, 0.11-1.28), 0.68 (95%CI, 0.33-1.41), and 0.36 (95%CI, 0.13-0.97) respectively. In joint/combined analyses, inverse associations were more obvious among those who had at least one "u" allele and also were younger (OR, 0.60; 95%CI, 0.26-1.37), women (OR, 0.38; 95%CI, 0.17-0.88), did not smoke (OR, 0.39; 95%CI, 0.13-1.23), or took NSAID (OR, 0.38; 95%CI, 0.12-1.25), but no evidence existed for interactions with calcium or vitamin D intake.
Conclusion:
Our findings suggest that the VDR Tru9I polymorphism may be associated with lower risk for colorectal adenoma, particularly in interaction with various risk factors, but not with calcium or vitamin D.
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DOI: 10.3390/nu12051455.
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DOI: 10.1177/0300060518761304.
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DOI: 10.3945/jn.115.224048.
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DOI: 10.15430/JCP.2015.20.2.97.
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Kong S, Goodman M, Judd S, Bostick R, Flanders W, McClellan W
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DOI: 10.1016/j.annepidem.2015.01.004.
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Lucock M, Yates Z, Martin C, Choi J, Boyd L, Tang S
Evol Med Public Health. 2014; 2014(1):69-91.
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PMC: 4001294.
DOI: 10.1093/emph/eou013.
Oxidative balance score, colorectal adenoma, and markers of oxidative stress and inflammation.
Kong S, Bostick R, Flanders W, McClellan W, Thyagarajan B, Gross M
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PMC: 3959731.
DOI: 10.1158/1055-9965.EPI-13-0619.
Vitamin D receptor gene polymorphisms in breast and renal cancer: current state and future approaches (review).
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Int J Oncol. 2013; 44(2):349-63.
PMID: 24297042
PMC: 3898813.
DOI: 10.3892/ijo.2013.2204.
Genetic associations in the vitamin D receptor and colorectal cancer in African Americans and Caucasians.
Kupfer S, Anderson J, Ludvik A, Hooker S, Skol A, Kittles R
PLoS One. 2011; 6(10):e26123.
PMID: 22046258
PMC: 3203108.
DOI: 10.1371/journal.pone.0026123.
Blood 25-hydroxyvitamin D3 concentrations and incident sporadic colorectal adenoma risk: a pooled case-control study.
Fedirko V, Bostick R, Goodman M, Flanders W, Gross M
Am J Epidemiol. 2010; 172(5):489-500.
PMID: 20650953
PMC: 3025635.
DOI: 10.1093/aje/kwq157.
Association of familial colorectal cancer with variants in the E-cadherin (CDH1) and cyclin D1 (CCND1) genes.
Grunhage F, Jungck M, Lamberti C, Berg C, Becker U, Schulte-Witte H
Int J Colorectal Dis. 2007; 23(2):147-54.
PMID: 17960397
DOI: 10.1007/s00384-007-0388-6.
Identification of multiple MAPK-mediated transcription factors regulated by tobacco smoke in airway epithelial cells.
Zhao J, Harper R, Barchowsky A, Di Y
Am J Physiol Lung Cell Mol Physiol. 2007; 293(2):L480-90.
PMID: 17496060
PMC: 3287033.
DOI: 10.1152/ajplung.00345.2006.