Vitamin D receptor genotypes, ultraviolet radiation exposure, and risk of non-hodgkin lymphoma

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Karin Ekström Smedby
  • Sandra Eloranta
  • Kristina Duvefelt
  • Mads Melbye
  • Keith Humphreys
  • Hjalgrim, Henrik
  • Ellen T. Chang

Ultraviolet radiation (UVR) exposure may influence risk of non-Hodgkin lymphoma (NHL) through vitamin D, with antineoplastic effects mediated through the vitamin D receptor (VDR). To explore the role of vitamin D in NHL risk and the potential interaction with UVR, the authors genotyped 10 VDR polymorphisms in 2,448 NHL patients and 1,981 controls from Denmark and Sweden who were recruited in 1999-2002. Odds ratios and 95% confidence intervals were computed with logistic regression. P values were 2-sided. Most VDR variants (e.g., rs731236/TaqI, rs15444410/BsmI) were not associated with overall risk of NHL, but there was some evidence of a positive association between rs4760655 and follicular lymphoma risk (nominal Ptrend = 0.004, corrected Ptrend = 0.24). There was no support for an effect of interaction between VDR variants and UVR exposure on risk of overall NHL or B-cell lymphoma subtypes. However, there was some evidence that rs731236 altered associations between UVR and T-cell NHL risk; while increasing UVR frequency lowered T-cell NHL risk among rs731236 TT carriers, an elevated risk was observed among rs731236 CC carriers (nominal Pinteraction ≤ 0.008, corrected Pinteraction ≥ 0.12). VDR does not appear to harbor major determinants of NHL risk, except perhaps for follicular lymphoma. Possible heterogeneity in effects of UVR exposure on T-cell lymphoma risk by VDR rs731236 genotype merits further investigation.

OriginalsprogEngelsk
TidsskriftAmerican Journal of Epidemiology
Vol/bind173
Udgave nummer1
Sider (fra-til)48-54
Antal sider7
ISSN0002-9262
DOI
StatusUdgivet - 1 jan. 2011

ID: 258836456