The association between vitamin D receptor gene polymorphisms and asthma: a systematic review and meta-analysis

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#asian-people #asthma #genotype #humans #polymorphism-genetic

The association between vitamin D receptor gene polymorphisms and asthma: a systematic review and meta-analysis

He et al., 2022 | Ann Palliat Med | Meta Analysis

Citation

He Lin, Zhou Xuegang, ... Guo Shuliang. The association between vitamin D receptor gene polymorphisms and asthma: a systematic review and meta-analysis. Ann Palliat Med. 2022-Feb;11(2):574-587. doi:10.21037/apm-21-3797

Abstract

BACKGROUND: Numerous studies have reported on the genetic factors related to asthma. In recent years, the vitamin D receptor (VDR) has been identified as one of the asthma susceptibility genes that is closely associated with the pathogenesis of asthma. METHODS: Randomized controlled trials (RCTs) related to asthma and the VDR were identified from the Chinese and English databases. The following keywords were used as search terms: "asthma", "vitamin D receptor", "VDR", "polymorphism", and "mutation". Meta-analysis was performed using RevMan 5.3 and Stata 13 software provided by the Cochrane system. RESULTS: A total of 7 RCTs were included in this meta-analysis, 6 of which described the correct random allocation methods, 6 described the allocation plan in detail, and 4 used the blinding method. The frequency of the CC + CA dominant genotype at the Apa I locus and the GG + GA genotype frequency at the Bsm I locus of the VDR gene were significantly higher in asthmatic patients compared to control healthy patients [odds ratio (OR) =0.81, 95% confidence interval (CI): 0.68 to 0.98, P=0.03<0.05; and OR =2.05, 95% CI: 1.23 to 3.41, P=0.006<0.05, respectively]. There were no significant differences between the CC, CT, and TT genotype frequencies at the Fok I site of the VDR gene in the experimental group and the CC, CT, TT genotype frequencies at the Taq I site and the control group (P>0.05). There was no significant difference between the genotype frequencies. DISCUSSION: Meta-analysis confirmed that VDR gene polymorphisms are closely related to the onset of asthma, and the gene expression of the Fok I, Bsm I, Apa I, and Taq I loci directly affects the incidence of asthma.

Key Findings

A total of 7 RCTs were included in this meta-analysis, 6 of which described the correct random allocation methods, 6 described the allocation plan in detail, and 4 used the blinding method. The frequency of the CC + CA dominant genotype at the Apa I locus and the GG + GA genotype frequency at the Bsm I locus of the VDR gene were significantly higher in asthmatic patients compared to control healthy patients [odds ratio (OR) =0.81, 95% confidence interval (CI): 0.68 to 0.98, P=0.03<0.05; and OR =

Outcomes Measured

  • Requires manual extraction

Population

Field Value
Population See abstract
Sample Size 7
Age Range See abstract
Condition See abstract

MeSH Terms

  • Asian People
  • Asthma
  • Genotype
  • Humans
  • Polymorphism, Genetic
  • Receptors, Calcitriol

Evidence Classification

  • Level: Meta Analysis
  • Publication Types: Journal Article, Meta-Analysis, Systematic Review
  • Vertical: vitamin-d

Provenance

Source extracted via PubMed E-utilities API on 2026-04-09