rs2282679

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This is a intron variant variant in the GC gene.

Key Literature Trait Associations

Vitamin D Levels

The G allele of rs2282679 in the GC gene, which encodes vitamin D-binding protein (DBP), is strongly associated with reduced circulating 25-hydroxyvitamin D levels. DBP is the principal plasma carrier of vitamin D metabolites; reduced DBP expression impairs transport of vitamin D to target tissues. Carriers of two copies of the G allele have median 25(OH)D levels approximately 18% lower than non-carriers, more than doubling the risk of vitamin D insufficiency.

Wang TJ et al. Common genetic determinants of vitamin D insufficiency: a genome-wide association study. Lancet (london, England) 376(9736):180-188 (2010)
Allele G
OR 1.63
p 3.5e-50
Large GWAS
Ahn J et al. Genome-wide association study of circulating vitamin D levels. Human Molecular Genetics 19(13):2739-45 (2010)
Allele G
OR
p 1.8e-49
N 6,722
Large GWAS
European
Allele G
OR 0.65
p 3.1e-2
N 285
Candidate gene study
East Asian
Moon RJ et al. Maternal and Fetal Genetic Variation in Vitamin D Metabolism and Umbilical Cord Blood 25-Hydroxyvitamin D. The Journal of Clinical Endocrinology and Metabolism (2022)
Allele G
OR
β 3.100
p
Candidate gene study
European

Hip fracture

The G allele of rs2282679, by reducing vitamin D-binding protein efficiency and circulating 25(OH)D, has been associated with increased hip fracture risk in specific patient populations. In a 10-year longitudinal study of 1,957 Japanese patients with rheumatoid arthritis, homozygous carriers of the risk genotype showed a hazard ratio of 2.52 (95% CI 1.05–6.05) for hip fracture under a recessive inheritance model. This association is likely mediated through lower 25(OH)D levels (p=8.1×10⁻⁵ in this cohort) and has not been broadly replicated in general population fracture GWAS.

Colorectal cancer

The C allele of rs2282679 has been associated with poorer disease-free survival in colorectal cancer patients, though no significant association with overall cancer risk was found. In a Canadian case-control study (n=637 cases), the C allele was linked to worse disease-free survival (HR 1.36; 95% CI 1.05–1.77), particularly in BRAF wild-type tumors. A larger international consortium study (n=7,657) found little evidence of association between lower vitamin D genetic scores and overall or cancer-specific mortality after multiple-testing correction, suggesting the survival finding may be population-specific or dietary context-dependent.

Neumeyer S et al. Genetic Predictors of Circulating 25-Hydroxyvitamin D and Prognosis after Colorectal Cancer. Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology (2020)
Allele C
OR
p
N 7,657
Preliminary work
multi-ancestry
Tagliabue E et al. Meta-analysis of vitamin D-binding protein and cancer risk. Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology (2015)
Allele C
OR 0.75
p
Meta-analysis
multi-ancestry

Metabolic syndrome

Carriers of the G allele at rs2282679 show elevated odds of metabolic syndrome and its components, including hypertriglyceridemia, hyperglycemia, and insulin resistance. In a study of 134 postmenopausal obese women, G allele carriers had OR 2.80 (95% CI 1.39–5.65) for metabolic syndrome and OR 2.43 for vitamin D deficiency. These associations are mechanistically plausible given that lower vitamin D-binding protein efficiency reduces bioavailable vitamin D, which has established roles in insulin secretion and glucose metabolism. Evidence is currently limited to small single-study data.

GWAS Catalog Trait Associations (7)

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

Research that mentions this SNP (8)

Association between variants in vitamin D‐binding protein gene and vitamin D deficiency among pregnant women in china
AssociationN=815Jinju Dong et al.(2020)· Journal of Clinical Laboratory Analysis

This case-control association study of 815 Chinese pregnant women identified five SNPs in the GC (vitamin D-binding protein) gene significantly associated with serum 25-hydroxyvitamin D concentration: rs17467825, rs4588, rs2282679, rs2298850, and rs1155563. Mean 25(OH)D level was 15.67±7.98 ng/mL with 75% prevalence of deficiency. An XGBoost model incorporating these SNPs plus environmental factors achieved AUC 0.828 for predicting 25(OH)D deficiency risk. The study suggests maternal vitamin D deficiency may increase macrosomia risk (12 of 16 macrosomic infants had deficient mothers).

Traits studied:25-hydroxyvitamin D concentrationMacrosomiaVitamin D deficiency
Genetic variation in the vitamin D related pathway and breast cancer risk in women of African ancestry in the root consortium
AssociationN=3,686Shengfeng Wang et al.(2018)· International Journal of Cancer

This study examined genetic variants in the vitamin D pathway using GWAS data from 3,686 women of African ancestry (1,657 cases). No significant associations were found between vitamin D pathway variants and breast cancer risk overall or by estrogen receptor status (pathway P > 0.5, SNP-level P adj > 0.2). Mendelian randomization analysis showed no association with genetically predicted 25(OH)D levels (P = 0.23). However, a nonsense variant rs41302073 in TYRP1 (pigment synthesis pathway) showed a 54% increased risk of breast cancer (OR = 1.54, 95% CI = 1.24-1.91, P adj = 0.007), warranting further investigation of non-vitamin D mechanisms.

Traits studied:25-hydroxyvitamin D levelsBreast cancerEstrogen receptor negative breast cancerEstrogen receptor positive breast cancerVitamin D status
Vitamin D and prostate cancer prognosis: a Mendelian randomization study
AssociationN=702Olivia Trummer et al.(2016)· World Journal of Urology

This Mendelian randomization study of 702 prostate cancer patients investigated whether vitamin D status (as reflected by the GC rs2282679 polymorphism) causally influences prostate cancer progression. The GC rs2282679 SNP (T>G) was not associated with biochemical recurrence (HR 0.91, 95% CI 0.73-1.12), development of metastases (HR 1.20, 95% CI 0.88-1.63), or overall survival (HR 1.10, 95% CI 0.84-1.43), suggesting that vitamin D status plays an unlikely causal role in prostate cancer prognosis.

Traits studied:Biochemical recurrenceMetastasesOverall survivalProstate cancerVitamin D status
Association of common gene variants in vitamin D modulating genes and colon cancer recurrence
AssociationN=264Joanna Szkandera et al.(2013)· Journal of Cancer Research and Clinical Oncology

This retrospective association study of 264 patients with stages II and III colon cancer examined genetic variants in vitamin D modulating genes and their association with time to recurrence (TTR). The GC rs2282679 GG genotype was significantly associated with decreased TTR (HR=3.64, p=0.027) in patients with surgery alone, while CYP2R1 rs10741657 showed a trend toward decreased TTR (HR=1.50, p=0.060). DHCR7 rs12785878 showed no significant association with TTR.

Traits studied:Colon cancer recurrenceTime to recurrence
An analysis of the association between the vitamin D pathway and serum 25-hydroxyvitamin D levels in a healthy Chinese population
AssociationN=1,924Zeng Zhang et al.(2013)· Journal of Bone and Mineral Research

A cohort study of 1,924 very low birth weight preterm infants examined whether genetic predisposition for vitamin D deficiency (based on three SNPs: rs12794714, rs7944926, and rs2282679) was associated with adverse outcomes. The study found no significant associations between low genetic vitamin D level estimates and prematurity complications (IVH, PVL, BPD, NEC, sepsis, ROP), growth parameters, or bone fractures at age 5 years.

Traits studied:Bone fracturesBronchopulmonary dysplasia (BPD)Growth parametersIntraventricular hemorrhage (IVH)Necrotizing enterocolitis (NEC)Periventricular leukomalacia (PVL)Preterm birth outcomesRetinopathy of prematurity (ROP)SepsisVitamin D deficiency
Genome-wide association analysis of circulating vitamin D levels in children with asthma
AssociationN=1,680Jessica Lasky-Su et al.(2012)· Human Genetics

Genome-wide association analysis of circulating vitamin D (25(OH)D) levels in 572 Caucasian children with asthma identified SNPs nominally associated with vitamin D at baseline and year 4, with four SNPs replicated in 592 Costa Rican asthmatics (rs11002969, rs163221, rs1678849, rs4864976). Two major previous GWAS findings were replicated: rs2282679 (GC, p<1.9×10⁻¹⁰⁹ in original study) with strongest effect and rs10741657 (CYP2R1, p=3.3×10⁻²⁰) to a lesser degree, but these associations did not consistently replicate across all three populations including 516 Puerto Rican asthmatics.

Traits studied:Circulating 25-hydroxyvitamin D (25(OH)D) levelsVitamin D levels
Associations between common variants in GC and DHCR7/NADSYN1 and vitamin D concentration in Chinese Hans
AssociationN=3,210Ling Lu et al.(2012)· Human Genetics

This study examined associations between common variants in GC, CYP2R1, and NADSYN1/DHCR7 genes and plasma 25-hydroxyvitamin D levels in 3,210 Chinese Hans. Six variants showed significant associations with lower vitamin D levels: GC-rs4588 (β = -0.076 per risk-allele, P = 1.3 × 10⁻²⁶), GC-rs2282679 (β = -0.072, P = 4.9 × 10⁻²⁴), GC-rs7041, GC-rs1155563, NADSYN1/DHCR7-rs3829251 (β = -0.036, P = 4.7 × 10⁻⁵), and DHCR7-rs1790349 (β = -0.036, P = 5.7 × 10⁻⁵). Conditional analyses indicated that GC-rs4588 and GC-rs2282679 drive the associations at the GC locus in Chinese populations.

Traits studied:25-hydroxyvitamin D concentrationVitamin D deficiencyVitamin D level
Genetic predictors of 25-hydroxyvitamin D levels and risk of multiple sclerosis
AssociationN=8,004Simon KC et al.(2011)· Journal of Neurology

This study examined whether genetic variants that predict higher 25-hydroxyvitamin D (25(OH)D) levels are associated with reduced multiple sclerosis (MS) risk in 1,655 MS cases and 6,349 controls. SNPs in GC (rs2282679) were significant predictors of 25(OH)D levels but showed no association with MS risk. The CYP2R1 rs10741657 'A' allele was associated with increased 25(OH)D and reduced MS risk among HLA-DR15 negative individuals (OR=0.89, 95% CI: 0.79-1.01) but not HLA-DR15 positive individuals. CYP27B1 rs703842 'C' allele was inversely associated with MS risk, with stronger effects in HLA-DR15 negative (OR=0.79, 95% CI: 0.69-0.90) versus positive individuals (OR=0.91, 95% CI: 0.80-1.04), suggesting vitamin D's protective effect on MS may be attenuated by the HLA-DR15 risk allele.

Traits studied:25-hydroxyvitamin D levelsMultiple sclerosis

Gene information from NCBI Gene. Variant classifications from ClinVar.

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