Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Association of Vitamin D with Non-melanoma Skin Cancer Risk: An Umbrella Review of Systematic Reviews and Meta-Analyses

Version 1 : Received: 10 November 2023 / Approved: 16 November 2023 / Online: 16 November 2023 (10:46:20 CET)

A peer-reviewed article of this Preprint also exists.

Seretis, K.; Bounas, N.; Sioka, C. The Association of Vitamin D with Non-Melanoma Skin Cancer Risk: An Umbrella Review of Systematic Reviews and Meta-Analyses. Medicina 2023, 59, 2130. Seretis, K.; Bounas, N.; Sioka, C. The Association of Vitamin D with Non-Melanoma Skin Cancer Risk: An Umbrella Review of Systematic Reviews and Meta-Analyses. Medicina 2023, 59, 2130.

Abstract

Background and Objectives: Previous studies revealed anti-angiogenic, antiproliferative and anti-inflammatory effects of Vitamin D on cancer cells. Although this body of evidence supported the correlation of high Vitamin D levels with reduced incidence rates for various malignancies, contradictory results were reported regarding non-melanoma skin cancer (NMSC). Aim of this overview was to summarize the available evidence from the existing pool of systematic reviews and meta-analyses, focusing on Vitamin D serum status, dietary intake, and Vitamin D receptor (VDR) polymorphisms in correlation to NMSC incidence. Materials and Methods: A literature search in electronic databases was conducted from inception to January 2023. Inclusion criteria were systematic reviews and meta-analyses published in peer-reviewed journals, evaluating Vitamin D serum levels, dietary and/or supplementary intake, or VDR gene polymorphisms, and reporting data on NMSC. Results: A total of 10 studies were included in the data analysis models. A positive association between Vitamin D serum levels and NMSC is highlighted. However, dietary/supplementation of Vitamin D doesn’t exhibit a likewise strong linkage to NMSC. Despite the contradictory findings, VDR polymorphisms may play a crucial role in the intricate NMSC pathogenesis. Conclusions: This umbrella review showed that high Vitamin D levels are associated with increased NMSC incidence, potentially due to its direct correlation with increased sun exposure. Further research on VDR polymorphisms is suggested to explore their true effect size on NMSC risk.

Keywords

Non-melanoma skin cancer; Vitamin D; risk; Vitamin D receptor; review; VDR polymorphism

Subject

Medicine and Pharmacology, Dermatology

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