Objective: Genetic variants of vitamin D receptor (VDR) were implicated in urolithiasis susceptibility in several case-control studies. However, these studies so far have provided conflicting results. In order to investigate the potential relationship, a meta-analysis was conducted. Methods: Eligible studies were retrieved via both computerized searches and review of references. The relation of VDR polymorphisms to urolithiasis was quantified on Apa I, Bsm I, Fok I and Taq I separately. Stratified analyses on regional characteristics and stone composition were also performed. Estimates of OR with 95% CI were summarized using the fixed- or random-effect models as appropriate. Results: A total of 17 studies were included in our analysis. There was no evidence showing significant associations between Apa I and Bsm I polymorphisms and urolithiasis risk in overall estimates. However, f allele and ff+Ff genotype in the dominant model of Fok I were related with an increase of urolithiasis risk. Taq I also presented with increased urolithiasis risk with t allele and tt+Tt genotype in the dominant model. Conclusion: Our meta-analysis indicated VDR polymorphisms could be potential biomarkers for urolithiasis susceptibility.

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