rs2228570

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This is a protein-altering variant in the VDR gene.

Key Literature Trait Associations

Vitamin D Receptor Function

The FokI polymorphism in the vitamin D receptor creates a shorter, more transcriptionally active protein (f allele). The longer variant (F/T allele) has reduced VDR activity, potentially affecting calcium absorption, immune function, and bone density. VDR genotype influences optimal vitamin D supplementation dose.

Xu Y et al. Systematic review and meta-analysis on vitamin D receptor polymorphisms and cancer risk. Tumour Biology : the Journal of the International Society for Oncodevelopmental Biology and Medicine (2014)
Allele T
OR
β 0.014 ±0.002
p 1.0e-9
Meta-analysis
multi-ancestry
Allele T
OR
p 5.0e-8
Preliminary work

Multiple myeloma

A 2024 meta-analysis of Asian-population studies found strong associations between the rs2228570 T allele and multiple myeloma risk. Allele-level comparison yielded OR=1.687 (95% CI 1.474–1.931), while the homozygous TT vs. CC comparison showed OR=2.829 (95% CI 2.066–3.872). The dominant model (TT+TC vs. CC) gave OR=1.771 (95% CI 1.477–2.125). These effect sizes are notably large, though the data are currently derived exclusively from Asian populations, limiting generalizability to other ancestries.

Lyu C et al. Vitamin D receptor gene polymorphisms and multiple myeloma: a meta-analysis. Clinical and Experimental Medicine (2024)
Allele T
OR 1.69
p
Meta-analysis
East Asian

Pancreatic cancer

A comprehensive systematic review and network meta-analysis of 45 case-control studies (36,360 pancreatic cancer patients; 54,752 controls) identified rs2228570 as one of three SNPs most significantly associated with pancreatic cancer susceptibility. Under the homozygous genetic model, the T allele was associated with a nearly 2-fold increase in risk (OR=1.976, 95% CI 1.496–2.611). This large-scale analysis spanning 27 genes and 54 SNPs positions rs2228570 as a notable genetic risk factor for pancreatic cancer, although functional confirmation and replication in prospective cohorts are warranted.

Ovarian cancer

Multiple meta-analyses confirm that the rs2228570 T (f) allele is associated with increased ovarian cancer susceptibility. The most comprehensive updated meta-analysis (14 studies, 4,448 cases, 7,242 controls) found an overall OR of 1.14 (95% CI 1.05–1.23) under a dominant model, with the effect most consistent in Caucasians (OR 1.12) and stronger in Asians (OR 1.49). A large network meta-analysis of 65,754 patients across 45 studies confirmed rs2228570 as a predictor of ovarian cancer risk, and an umbrella review of systematic reviews (OR=1.123, p<0.001) corroborated this finding. The association is considered moderate in magnitude with consistent directional evidence across populations.

Allele T
OR 1.14
p
N 11,690
Meta-analysis
multi-ancestry
Allele T
OR 1.12
p 1.0e-3
Candidate gene study
multi-ancestry
Xu Y et al. Systematic review and meta-analysis on vitamin D receptor polymorphisms and cancer risk. Tumour Biology : the Journal of the International Society for Oncodevelopmental Biology and Medicine (2014)
Allele T
OR
p
Meta-analysis
multi-ancestry

Celiac disease

The T allele of rs2228570 (FokI f allele) has been associated with increased susceptibility to celiac disease in a meta-analysis of eligible studies. The pooled meta-OR was 1.52 (p=0.02), suggesting a moderately elevated risk for T-allele carriers. This association is biologically plausible given VDR's established role in intestinal mucosal immunity and immune tolerance. However, the number of studies meeting inclusion criteria was small (4 studies), and the finding should be interpreted with caution pending replication in larger cohorts.

Melanoma

A 2020 meta-analysis and systematic review of 14 eligible studies found that carriers of the rarer f allele (T allele) at rs2228570 are approximately 22% more likely to develop malignant melanoma under the dominant model (Ff+ff vs. FF). This association is consistent with VDR's established role in skin cell differentiation and UV-response pathways. The finding is considered moderate evidence given the multi-study aggregation, though heterogeneity across studies and limited sample size information restrict precise effect estimation.

Allele T
OR 1.22
p
Meta-analysis
multi-ancestry

Autism spectrum disorder

A 2023 comprehensive systematic review and meta-analysis examining 16 SNPs across 8 genes (81 studies) found that rs2228570 was associated with increased autism spectrum disorder (ASD) risk under homozygote and recessive genetic models. VDR signaling is implicated in early neurodevelopment, synaptic plasticity, and prenatal brain development, providing a plausible biological basis. This association is considered preliminary given the smaller number of ASD-specific studies included for this SNP, and replication in large prospective cohorts is needed before clinical interpretation.

GWAS Catalog Trait Associations (1)

Genome-wide significant associations (p < 5×10⁻⁸) from the NHGRI-EBI GWAS Catalog.

ClinVar annotation

Conflicting Classifications
14 submitters4 publications

not specified; Vitamin D-dependent rickets type II with alopecia; not provided; Periodontitis

View on ClinVar →

Research that mentions this SNP (12)

Serum vitamin D, vitamin D receptor and binding protein genes polymorphisms in restless legs syndrome
AssociationN=288Félix Javier Jiménez-Jiménez et al.(2021)· Journal of Neurology

This case-control study of 288 Spanish RLS patients and 325 controls examined vitamin D metabolism genes and serum vitamin D levels. Serum 25-hydroxyvitamin D levels were significantly higher in RLS patients (21.94 ng/mL vs 18.63 ng/mL, p=0.0002), but seven SNPs in VDR and GC genes showed no association with RLS risk. However, RLS patients carrying the rs7975232CC genotype had higher frequency of response to GABAergic drugs.

Traits studied:Family history of RLSResponse to GABAergic drugsResponse to dopaminergic drugsRestless Legs Syndrome (RLS)
Genetic factors involved in delayed methotrexate elimination in children with acute lymphoblastic leukemia
AssociationN=87Yu Cheng et al.(2021)· Pediatric Blood &amp; Cancer

This study examined genetic and epigenetic markers associated with chemotherapy-induced oral mucositis in 87 pediatric patients with hematological neoplasms, with 81.9% developing mucositis. Global DNA methylation was significantly reduced in children who recovered from mucositis (18% vs 40% in healthy controls, p<0.05), and the DNMT1 rs2228611 SNP showed association with global methylation levels in cancer patients with mucositis history. miR-9-1 and miR-9-3 methylation patterns were associated with tumor status rather than mucositis.

Traits studied:Acute lymphoblastic leukemiaChemotherapy-induced toxicityHematological neoplasmsOral mucositis
Association of the matrix metalloproteinase 3 (MMP3) single nucleotide polymorphisms with tendinopathies: case-control study in high-level athletes
Case reportNina Briški et al.(2021)· International Orthopaedics

This is a Turkish-language personalized nutrigenetics and epigenetics coaching report for individual Mehmet Efe Yildirim (Report No. 1332, dated 2023-11-21). The report analyzes the individual's genetic polymorphisms related to nutritional metabolism, food sensitivities, detoxification pathways, and other health-related traits, providing personalized dietary and lifestyle recommendations based on cited scientific literature. This is a direct-to-consumer genetic test report, not a peer-reviewed research study.

Traits studied:Alcohol metabolismAnxiety and panic disorderCaffeine sensitivityCholine metabolismCircadian rhythmExercise performanceFolate metabolismFood allergiesGluten sensitivityHistamine sensitivityHomocysteinemiaInflammatory markersLactose intoleranceLiver healthMicrobiota metabolismNFE2L2 pathwayObesity and weight managementOmega-3 metabolismPhase I detoxificationPhase II glutathione transferasePlant sterols metabolismRiboflavin metabolismSelenium metabolismSleep qualityUGT metabolismVitamin A metabolismVitamin B12 metabolismVitamin B6 metabolismVitamin C metabolismVitamin D metabolismVitamin K metabolismZinc metabolism
Association between vitamin D receptor gene polymorphisms and idiopathic hypocitraturia in a Chinese Bai population
AssociationN=320Kangjian Li et al.(2019)· Urolithiasis

This case-control association study investigated the relationship between VDR gene polymorphisms (rs7975232, rs2228570, rs731236, and rs1544410) and idiopathic hypocitraturia (IH) in 200 Chinese Bai patients and 120 controls. The study found that rs7975232 allele A and rs2228570 genotype TT were significantly associated with IH (p<0.0125 after Bonferroni correction). Haplotype TCGC was protective (OR=0.559, p=0.001) while haplotype TTGA was a risk factor (OR=1.929, p=0.006).

Traits studied:idiopathic hypocitraturiaurolithiasis
Association Between Single Gene Polymorphisms and Bone Biomarkers and Response to Calcium and Vitamin D Supplementation in Young Adults Undergoing Military Training
AssociationN=748Erin Gaffney-Stomberg et al.(2017)· Journal of Bone and Mineral Research

This randomized, double-blind, placebo-controlled trial examined associations between SNPs in calcium and vitamin D-related genes and bone biomarkers in 748 young military trainees. The study found that rs7041 (DBP gene) was associated with higher 25OHD (β=4.46, p=1.97E-10) and rs2228570 (VDR gene) was associated with lower P1NP (β=-4.83, p=0.04) and osteocalcin. A composite genetic risk score combining rs7041 and rs1544410 predicted differential responses to calcium and vitamin D supplementation during intensive military training.

Traits studied:1,25-dihydroxyvitamin D (1,25(OH)2D3)Bone mineral densityBone turnover markersBone-specific alkaline phosphatase (BAP)C-terminal telopeptide of type I collagen (CTX)Ionized calcium (iCa)Osteocalcin (OC)Parathyroid hormone (PTH)Procollagen type I N-terminal propeptide (P1NP)Response to calcium and vitamin D supplementationStress fracture riskTartrate-resistant acid phosphatase (TRAP)Vitamin D binding protein (DBP)Vitamin D status (25OHD)
Genetic variations in vitamin D-related pathways and breast cancer risk in African American women in the AMBER consortium
AssociationN=8,350Song Yao et al.(2016)· International Journal of Cancer

A case-control study of 3,663 African American women with breast cancer and 4,687 controls from the AMBER consortium examined associations between vitamin D-related genetic variants and breast cancer risk. The study identified several variants in genes including CASR, ERCC6, DDB2, and REV1 associated with breast cancer risk overall and by estrogen receptor status. Notable findings include rs9308822 (REV1, OR=0.86, p=1.1×10⁻⁴) for overall breast cancer, rs114723899 (ERCC6, OR=0.62, p=4.3×10⁻⁵) for ER+ breast cancer, and rs112594756 (CASR, OR=1.27, p=7.3×10⁻⁵) associated with ER-negative disease.

Traits studied:Breast cancerEstrogen receptor negative breast cancerEstrogen receptor positive breast cancer
Genetic determinants in the development of sensitization to environmental allergens in early childhood
ReviewPriya Tripathi et al.(2014)· Immunity, Inflammation and Disease

This is Part 2 of a review on house dust mite (HDM) allergen sensitization in children, discussing genetic factors that influence IgE responses and clinical manifestations of HDM allergy. The review summarizes recent advances in understanding the role of gene polymorphisms (including HLA-DRB1, IL-4, IL-10, VDR, TNF-α, IL-18) in HDM sensitization development, and covers diagnostic approaches and allergen-specific immunotherapy (ASIT) effectiveness for HDM-induced allergic diseases.

Traits studied:Allergic diseasesAllergic rhinitisAsthmaAtopic dermatitisHouse dust mite sensitization
Vitamin D receptor gene variants and clinical outcomes after androgen-deprivation therapy for prostate cancer
AssociationN=601Jiunn-Bey Pao et al.(2013)· World Journal of Urology

This is the largest study examining VDR polymorphisms in 601 prostate cancer patients receiving androgen-deprivation therapy. FokI rs2228570 (T allele) was associated with increased risk of high Gleason score (OR=1.28, P=0.043), BsmI rs1544410 (A allele) was associated with reduced risk of high PSA nadir (OR=0.55, P=0.023), and the ApaI-Tru9I-BsmI A-A-G haplotype showed increased risk of high Gleason score (P=0.050). However, no VDR polymorphisms were significantly associated with disease progression or mortality following ADT.

Traits studied:All-cause mortalityDisease progressionGleason scorePSA nadirProstate cancerProstate cancer-specific mortality
Vitamin D receptor polymorphisms in patients with cutaneous melanoma
AssociationN=3,676Irene Orlow et al.(2012)· International Journal of Cancer

A population-based case-control study of 3,676 individuals from the Genes, Environment and Melanoma (GEM) Study examined 38 vitamin D receptor (VDR) gene polymorphisms in relation to cutaneous melanoma risk. The study found 8 SNPs with statistically significant associations with melanoma, including 6 SNPs investigated for the first time in relation to melanoma (OR range approximately 0.87-1.19), supporting the role of the vitamin D pathway in melanoma genesis.

Traits studied:Cutaneous melanomaMultiple primary melanoma
Coding region analysis of vitamin D receptor gene and its association with active calcium stone disease
AssociationN=215Abbas Basiri et al.(2012)· Urological Research

A case-control study of 106 active calcium stone formers versus 109 controls found that the VDR start codon polymorphism rs2228570 (T→C, p.M1T) was significantly associated with calcium nephrolithiasis (p<0.001), with the C allele present in 74% of cases versus 47% of controls (OR 10.7-11.1). Two other VDR variants (rs731236 and NT-029419.12: g.10416049C→T) showed no association with stone disease.

Traits studied:Active calcium stone formationCalcium nephrolithiasisRenal stone disease
Vitamin D receptor rs2228570 polymorphism and invasive ovarian carcinoma risk: Pooled analysis in five studies within the Ovarian Cancer Association Consortium
Meta-analysisN=5,299Galina Lurie et al.(2011)· International Journal of Cancer

A pooled analysis of five population-based case-control studies within the Ovarian Cancer Association Consortium examined the association between the VDR rs2228570 (Fok I) polymorphism and invasive ovarian carcinoma risk in 1,820 cases and 3,479 controls. The T allele was significantly associated with a 9% increased ovarian cancer risk per allele (OR=1.09; 95% CI: 1.01-1.19; p=0.04), with stronger associations among younger women (aged <50 years, OR=1.24; 95% CI: 1.04-1.47; p=0.02). The analysis provides evidence that this functional VDR polymorphism may influence ovarian cancer susceptibility.

Traits studied:Invasive ovarian carcinomaOvarian cancer
Variability in Ethanol Biodisposition in Whites Is Modulated by Polymorphisms in the Adh1b and Adh1c Genes
ReviewCarmen Martínez et al.(2010)· Hepatology

A comprehensive review of nutrigenetics and nutrigenomics examining how genetic variants influence individual responses to nutrients and dietary interventions. The paper discusses associations between numerous SNPs (rs9939609 in FTO, rs2287019 in GIPR, rs7903146 in TCF7L2, rs5219 in KCNJ11, and many others) and metabolic traits including obesity, type 2 diabetes, and other chronic diseases, along with epigenetic mechanisms by which phytochemicals (curcumin, resveratrol, lycopene) modulate gene expression. The review synthesizes current evidence for precision nutrition approaches tailored to individual genetic profiles.

Traits studied:Bone density/osteoporosisCaffeine sensitivityCardiovascular diseaseCeliac diseaseCerebrovascular diseaseCoronary heart diseaseDetoxification capacityEating behaviorGlucose homeostasisHistamine intoleranceInflammatory diseasesInsulin resistanceLactose intoleranceLeptin resistanceMetabolic syndromeNickel intoleranceObesityOsteoarthritisOverweightType 2 diabetes

Gene information from NCBI Gene. Variant classifications from ClinVar.

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