Carcinogenesis Advance Access published online on March 2, 2009
Carcinogenesis, doi:10.1093/carcin/bgp055
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Published by Oxford University Press 2009.
Vitamin D-related Genes, Serum Vitamin D Concentrations, and Prostate Cancer Risk
1 Division of Cancer Epidemiology and Genetics, National Cancer Institute, NIH, Bethesda, MD
2 Cancer Prevention Program, Fred Hutchinson Cancer Research Center and Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA
3 Division of Urologic Surgery, Washington University School of Medicine, St. Louis, MO
4 Anschutz Cancer Pavilion University of Colorado, MS 710, Aurora, CO
Correspondence to: Jiyoung Ahn, PhD, Division of Cancer Epidemiology and Genetics, National Cancer Institute, 6120 Executive Blvd., Bethesda, MD 20892; Ahnj{at}mail.nih.gov
We systematically investigated the association of 48 SNPS in four vitamin D metabolizing genes (CYP27A1, GC, CYP27B1, and CYP24A1) with serum 25(OH)D and 1,25(OH)D levels and the association of these SNPS and an additional 164 SNPS in 8 downstream mediators of vitamin D signaling (VDR, RXRA, RXRB, PPAR, NCOA1, NCOA2, NCOA3, and SMAD3) with prostate cancer risk in the 749 incident prostate cancer cases and 781 controls of the PLCO trial. 25(OH)D (all cases and controls) and 1,25(OH)D (a subset of 150 controls) levels were measured by radioimmunoassay and SNP data were genotyped as part of a genome-wide scan. Among investigated SNPS, only four tagSNPS in GC, the major serum 25(OH)D carrier, were associated with 25(OH)D levels; no SNPS were associated with 1,25(OH)D levels. None of the 212 SNPS examined were associated with cancer risk overall. Among men in the lowest tertile of serum 25(OH)D (<48.9 nmol/l), however, prostate cancer risk was related to tagSNPS in or near the 3' untranslated region of VDR, with the strongest association for rs11574143 [OR (95%CI) for risk allele carriers vs wildtype: 2.49(1.51-4.11), p = 0.0007]; the genotype associations were null among men in tertile 2 and tertile 3. Results from the most comprehensive evaluation of serum vitamin D and its related genes to date suggest that tagSNPS in the 3untranslated region of VDR, may be associated with risk of prostate cancer in men with low vitamin D status.
Key Words: Vitamin D genetic polymorphism prostate cancer
Received December 31, 2008; revised February 14, 2009; accepted February 18, 2009.
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