Association Between Vitamin D Receptor Gene Polymorphisms and Polycystic Ovary Syndrome Risk: A Meta-Analysis
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Published studies have demonstrated a closer association between vitamin D receptor (VDR) gene polymorphisms and polycystic ovary syndrome (PCOS) risk, but the results were inconsistent. We therefore performed this meta-analysis to explore the precise associations between VDR gene polymorphisms and PCOS risk. Five online electronic databases (PubMed, Embase, SCI index, CNKI and Wanfang) were searched. Odds ratios (ORs) with 95% confidence interval (CIs) were calculated to assess the association between VDR Fok I C/T (rs10735810), BsmI A/G (rs1544410), ApaI A/C (rs7975232), and TaqI T/C (rs731236) polymorphisms and PCOS risk. In addition, heterogeneity, accumulative/sensitivity analysis and publication bias were conducted to check the statistical power. Overall, 10 publications (31 independent case-control studies) involving 1,531 patients and 1,174 controls were identified. We found that the C mutation of ApaI A/C was a risk factor for PCOS (C vs. A: OR = 1.20, 95%CI = 1.06-1.35, < 0.01, = 29.7%; CC vs. AA: OR = 1.49, 95%CI = 1.17-1.91, < 0.01, = 0%; CC vs. AA+AC: OR = 1.36, 95%CI = 1.09-1.69, = 0.01, = 12.8%). Moreover, the BsmI A/G polymorphism also showed a dangerous risk for PCOS in Asian population (G vs. A: OR = 1.62, 95%CI = 1.24-2.11, < 0.01, = 0%; AG vs. AA: OR = 2.08, 95%CI = 1.26-3.20, < 0.01, = 0%; GG vs. AA: OR = 2.21, 95%CI = 1.29-3.77, < 0.01, = 0%; AG+GG vs. AA: OR = 2.12, 95%CI = 1.42-3.16, < 0.01, = 0%). In addition, no significant association of Fok I C/T, and TaqI T/C polymorphisms was observed. In summary, our meta-analysis suggested that VDR gene polymorphisms contribute to PCOS development, especially in Asian populations.
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