Vitamin D Receptor Gene Polymorphisms and Breast Cancer Risk in Kazakhstan New articles in this journal are licensed under a Creative Commons Attribution 3.0 United States License. This journal is published by the University Library System of the University of Pittsburgh as part of its D-Scribe Digital Publishing Program and is cosponsored by the University of Pittsburgh Press. Vitamin D Receptor Gene Polymorphisms and Breast Cancer Risk in Kazakhstan Ainur Akilzhanova1, Zhannur Abilova1, Nurgul Sikhayeva2, Ivan Shtefanov3, Abay Makishev3, Tasbolat Adylkhanov4, Tolebay Rakhypbekov4, Zhaxybay Zhumadilov1, Kuvat Momynaliev2 1Center for Life Sciences, Nazarbayev University, Astana, Kazakhstan; 2National Center for Biotechnology, Almaty, Kazakhstan; 3Astana Medical University, Astana, Kazakhstan; 4Semey State Medical University, Semey, Kazakhstan Vol. 2, Suppl. (2013) | ISSN 2166-7403 (online) DOI 10.5195/cajgh.2013.95 | http://cajgh.pitt.edu http://www.library.pitt.edu/ http://www.pitt.edu/ http://www.library.pitt.edu/articles/digpubtype/index.html http://www.upress.pitt.edu/upressIndex.aspx http://creativecommons.org/licenses/by/3.0/us/ AKILZHANOVA This work is licensed under a Creative Commons Attribution 3.0 United States License. This journal is published by the University Library System of the University of Pittsburgh as part of its D-Scribe Digital Publishing Program and is cosponsored by the University of Pittsburgh Press. Central Asian Journal of Global Health Volume 2, Suppl. (2013) | ISSN 2166-7403 (online) | DOI 10.5195/cajgh.2013.95 | http://cajgh.pitt.edu Abstract Introduction: The steroid hormone 1,25-dihydroxyvitamin D3 is thought to protect against breast cancer. The activity of 1,25- dihydroxyvitamin D3 is mediated via the vitamin D receptor (VDR), and a number of polymorphisms in the VDR gene have been identified. These result in distinct genotypes, some of which may alter susceptibility to breast cancer. Two common single nucleotide polymorphisms (SNP) in the VDR gene (VDR), rs1544410 (BsmI) and rs2228570 (FokI), have been inconsistently associated with breast cancer risk. Increased risk has been reported for the FokI ff genotype, which encodes a less transcriptionally active isoform of VDR. A reduced risk has been reported for the BsmI BB genotype which may influence VDR mRNA stability. Aim: We have investigated whether specific VDR gene polymorphisms are associated with breast cancer risk in Kazakhstan women. Material and Methods: In a case–control study, female breast cancer patients (315) and a female control group (n=604) were tested for two VDR polymorphisms. Statistical analysis was conducted using SPSS19.0. Results: The VDR rs2228570 (FokI) polymorphism was associated with an increased occurence of BC [rs2228570 (folk) ff vs. FF genotype: OR=1.71; 95% CI=1.21-2.43]. No association was noted between rs1544410 (BsmI) BB and breast cancer risk [OR=0.68; 95% CI=0.49-0.95]. Conclusion: Although the factors that increase breast cancer susceptibility remain uncertain, future large studies should integrate genetic variation in VDR with biomarkers of vitamin D status. Additional testing on the effect of varying genotypes on the functional mechanisms of the VDR could help to improve future testing and treatment of woman at risk for breast cancer. Keywords: breast cancer, gene polymorphysm, vitamin D receptors, genetype suseptibility http://www.library.pitt.edu/ http://www.pitt.edu/ http://www.library.pitt.edu/articles/digpubtype/index.html http://www.upress.pitt.edu/upressIndex.aspx