Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Association of Circulating Vitamin D With Colorectal Cancer Depends on Vitamin D-Binding Protein Isoforms: A Pooled, Nested, Case-Control Study
Show others and affiliations
2020 (English)In: JNCI Cancer Spectrum, E-ISSN 2515-5091, Vol. 4, no 1, article id UNSP pkz083Article in journal (Refereed) Published
Abstract [en]

Background: Higher circulating 25-hydroxyvitamin-D [25(OH)D] concentrations are consistently inversely associated with colorectal cancer (CRC) risk in observational studies. However, it is unknown whether this association depends on the functional GC-rs4588*A (Thr436Lys) variant encoding the vitamin D-binding protein-2 (DBP2) isoform, which may affect vitamin D status and bioavailability. Methods: We analyzed data from 1710 incident CRC cases and 1649 incidence-density-matched controls nested within three prospective cohorts of mostly Caucasians. Study-specific incidence rate ratios (RRs) for associations of prediagnostic, seasonstandardized 25(OH)D concentrations according to DBP2 isoform with CRC were estimated using multivariable unconditional logistic regression and were pooled using fixed-effects models. All statistical significance tests were two-sided. Results: The odds of having 25(OH)D concentrations less than 50 nmol/L (considered insufficient by the Institute of Medicine) were 43% higher for each DBP2-encoding variant (rs4588*A) inherited (per DBP2 odds ratio [OR] = 1.43, 95% confidence interval [CI] = 1.27 to 1.62, P-trend = 1.2 x 10(-8)). The association of 25(OH)D concentrations with CRC risk differed by DBP2: 25(OH)D concentrations considered sufficient (> 50 nmol/L), relative to deficient (< 30 nmol/L), were associated with a 53% lower CRC risk among individuals with the DBP2 isoform (RR = 0.47, 95% CI = 0.33 to 0.67), but with a non-statistically significant 12% lower risk among individuals without it (RR = 0.88, 95% CI = 0.61 to 1.27) (P-heterogeneity = .01). Conclusions: Our results suggest that the 25(OH)D-CRC association may differ by DBP isoform, and those with a DBP2-encoding genotype linked to vitamin D insufficiency may particularly benefit from adequate 25(OH)D for CRC prevention.

Place, publisher, year, edition, pages
Oxford University Press, 2020. Vol. 4, no 1, article id UNSP pkz083
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:umu:diva-169892DOI: 10.1093/jncics/pkz083ISI: 000523291600011Scopus ID: 2-s2.0-85085558549OAI: oai:DiVA.org:umu-169892DiVA, id: diva2:1425647
Available from: 2020-04-22 Created: 2020-04-22 Last updated: 2025-08-28Bibliographically approved

Open Access in DiVA

fulltext(1216 kB)318 downloads
File information
File name FULLTEXT01.pdfFile size 1216 kBChecksum SHA-512
754e7cc829f04f583b65ab53ae8dbdb7b50ff6fcacbcc52e141d75e9eed4e1f5c26cb867e19268cd589664755a4daf461307a10a72be37977ced00bcd2f2099b
Type fulltextMimetype application/pdf

Other links

Publisher's full textScopus

Authority records

Hultdin, Johan

Search in DiVA

By author/editor
Song, MingyangTjonneland, AnneHultdin, Johan
By organisation
Clinical chemistry
In the same journal
JNCI Cancer Spectrum
Cancer and Oncology

Search outside of DiVA

GoogleGoogle Scholar
Total: 319 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 456 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf