Is vitamin D receptor (VDR) polymorphism associated with head and neck cancer risk? A systematic review and meta‐analysis

Author:

Ferri Camila Alves1,de Lima Vanessa Justo1,dos Santos Patrícia Koehler2,Rados Pantelis Varvaki1,Visioli Fernanda12ORCID

Affiliation:

1. Oral Pathology and Oral Medicine Department, School of Dentistry Universidade Federal do Rio Grande do Sul Porto Alegre Brazil

2. Experimental Center Research Hospital de Clínicas de Porto Alegre Porto Alegre Brazil

Abstract

AbstractBackgroundHead and neck cancer encompasses neoplasms affecting the oral cavity, pharynx, larynx, and thyroid. Identifying factors that modulate the carcinogenesis process can aid in identifying subgroups at higher risk of developing the disease, enabling implementation of prevention programs. Vitamin D receptor polymorphisms can affect the carcinogenesis of various tumors by altering vitamin D metabolism and cellular response.MethodsTo elucidate the role of vitamin D receptor polymorphisms in head and neck cancer, a systematic review was performed, searching the Embase, PubMed, Scopus, and Lilacs databases. A total of 19 articles met the inclusion criteria. The frequency of vitamin D receptors polymorphism alleles (FokI, ApaI, BsmI, TaqI, Cdx2, rs2107301, rs2238135) was recorded and pooled to calculate the odds ratio in a meta‐analysis using the Review Manager software.ResultsSubgroup analysis demonstrated significant associations in the anatomical site of cancer (oral cancer in ApaI and BsmI, and unspecified subsites of head and neck cancer in TaqI), genotyping method (FokI and BsmI), and continent of the study (ApaI, FokI, and BsmI).ConclusionOur findings were heterogeneous, as with other evidence available in the literature. Therefore, more clinical studies with larger sample sizes are needed to obtain more accurate results on the relationship between vitamin D receptor polymorphism and head and neck cancer.

Funder

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul

Publisher

Wiley

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