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rs2228570 (VDR)

What you carry at this position in your DNA and what research says about it.

Bone and Heart Health: 4/10 evidence, 55 publications.

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Sample genotype (not yours): A/A

Weaker Bones and Higher Respiratory Risk

Two copies of the A allele result in a longer, less active vitamin D receptor. This is linked to lower bone mineral density and a higher risk of respiratory issues.

What this genotype means: Lower bone mineral density; Increased risk of osteoporosis; Higher susceptibility to asthma.

Sample genotype (not yours): A/G

Typical Bone and Heart Health

Carrying one copy of each allele provides a balance between the longer and shorter receptor forms, resulting in intermediate bone density and typical cardiovascular risk.

What this genotype means: Typical bone mineral density; Average risk of cardiovascular issues; Standard response to vitamin D.

Sample genotype (not yours): G/G

Stronger Bones but Higher Heart Risk

Two copies of the G allele produce a highly active vitamin D receptor. This promotes stronger bones but is linked to an increased risk of heart disease.

What this genotype means: Higher bone mineral density; Lower risk of asthma; Increased risk of coronary artery disease.

About VDR

Gene function and biological role

Gene Function: The VDR gene encodes the vitamin D receptor, a nuclear transcription factor that binds the active form of vitamin D to regulate calcium absorption and bone mineralization [1]. Beyond bone metabolism, this receptor is expressed in immune cells, blood vessels, and heart tissue, where it modulates inflammatory pathways and cardiovascular function [2]. Variations in this gene can alter how efficiently the body responds to circulating vitamin D [3]. Consequently, these genetic differences influence susceptibility to osteoporosis, infections, and cardiovascular conditions [4].

Variant Impact: The rs2228570 variant, historically known as the FokI polymorphism, is a single nucleotide change located at the translation start site of the VDR gene [5]. This alteration shifts the start codon, resulting in two structurally distinct receptor proteins of different lengths [6]. The ancestral A allele produces a longer protein of 427 amino acids, whereas the G allele creates a shorter, 424-amino-acid version [7]. This shorter receptor is more transcriptionally active, allowing for more efficient expression of vitamin D-dependent genes [1].

Key Insight: The shorter version of the vitamin D receptor is actually more biologically active, meaning some people naturally process vitamin D more efficiently even with identical sun exposure.

Location: VDR. Chromosome 12 · 12q13.11 · 47.9 Mb

Genotype Frequencies

Estimated prevalence by population

Global 12.1%; European 14.7%; African 4.8%; East Asian 18.5%; South Asian 6.8%; Americas 17.8%; Ashkenazi 18.4%; Finnish 12.7%; Middle Eastern 9.4%; Amish 6.9%.

Estimated AA genotype frequency.

Global 43.5%; European 47.3%; African 34.3%; East Asian 49.0%; South Asian 38.6%; Americas 48.8%; Ashkenazi 49.0%; Finnish 45.9%; Middle Eastern 42.5%; Amish 38.8%.

Estimated AG genotype frequency.

Global 44.4%; European 38.0%; African 60.9%; East Asian 32.5%; South Asian 54.6%; Americas 33.4%; Ashkenazi 32.7%; Finnish 41.5%; Middle Eastern 48.1%; Amish 54.3%.

Estimated GG genotype frequency.

Associated Traits

Showing effects for A/A genotype

Organ Systems

Bone, Joint & Connective Tissue Health

Bone Mineral Density. Evidence: 4/10. Source: PMID 30963970. Lower Density.

Respiratory Health

Asthma. Evidence: 4/10. Source: PMID 31654764. Increased Risk.

Cardiovascular & Metabolic

Heart Disease

Heart Disease. Evidence: 3/10. Source: PMID 33590380. Lower Risk.

Lipids & Cholesterol

Cholesterol Levels. Evidence: 3/10. Source: PMID 30119682. Higher LDL.

Showing effects for A/G genotype

Bone Mineral Density. Evidence: 4/10. Source: PMID 30963970. Slightly Lower.

Asthma. Evidence: 4/10. Source: PMID 31654764. Typical Risk.

Heart Disease. Evidence: 3/10. Source: PMID 33590380. Slightly Higher Risk.

Cholesterol Levels. Evidence: 3/10. Source: PMID 30119682. Typical LDL.

Showing effects for G/G genotype

Bone Mineral Density. Evidence: 4/10. Source: PMID 30963970. Higher Density.

Asthma. Evidence: 4/10. Source: PMID 31654764. Lower Risk.

Heart Disease. Evidence: 3/10. Source: PMID 33590380. Higher Risk.

What AA Genotype Means

What this genotype means for the people who carry it

Sample genotype: AA (Homozygous)

Inheriting two copies of the A allele leads to the production of the longer, less transcriptionally active form of the vitamin D receptor [1]. This reduced receptor activity is consistently linked to lower bone mineral density and an elevated risk of osteoporosis and fractures [2]. On the respiratory front, this genotype is associated with a higher susceptibility to asthma and severe respiratory infections [3]. However, some cardiovascular studies suggest this genetic profile may correlate with a lower risk of coronary artery disease compared to G/G carriers [4]. Pharmacogenomic research indicates a potentially better response to certain antiviral and antibiotic therapies [5].

Lower bone mineral density; Increased risk of osteoporosis; Higher susceptibility to asthma.

What AG Genotype Means

Sample genotype: AG (Heterozygous)

Possessing one A allele and one G allele results in a mixture of both the longer and shorter vitamin D receptor proteins [1]. This intermediate state generally translates to typical bone mineral density and a standard baseline risk for osteoporosis [2]. Cardiovascular risk profiles, including susceptibility to coronary artery disease and blood pressure levels, remain close to population averages [3]. Respiratory health and immune responses to infections do not show the elevated risks seen in A/A homozygotes [4]. In clinical settings, individuals with this genotype show standard responses to vitamin D supplementation and common medications [5].

Typical bone mineral density; Average risk of cardiovascular issues; Standard response to vitamin D.

What GG Genotype Means

Sample genotype: GG (Homozygous)

Carrying two copies of the G allele leads to the exclusive production of the shorter, highly active vitamin D receptor [1]. This enhanced receptor activity facilitates superior calcium absorption, contributing to higher bone mineral density and a lower risk of osteoporosis [2]. It also supports robust immune defenses, correlating with a lower risk of asthma and respiratory infections [3]. However, this highly active receptor profile is linked to an increased risk of coronary artery disease and hypertension in several populations [4]. Additionally, individuals with this genotype may experience a higher risk of fractures specifically when undergoing high-dose calcitriol therapy [5].

Higher bone mineral density; Lower risk of asthma; Increased risk of coronary artery disease.

Related Variants

Variants with shared genetic architecture

rs739837 · VDR Gene · Chr 12 · Skin Cancer Risk

rs11568820 · VDR Gene · Chr 12 · Bone Health and Density

rs1544410 · VDR Gene · Chr 12 · Osteoporosis Risk

Sources

Association of Vitamin D Gene Polymorphisms and Bone Mineral Density in Healthy young Saudi Females.

Vitamin D Receptor (VDR) Gene Polymorphisms and Risk of Coronary Artery Disease (CAD): Systematic Review and Meta-analysis.

Genetic influence on circulating vitamin D among Saudi Arabians.

VDR and TNFSF11 polymorphisms are associated with osteoporosis in Thai patients.

A polymorphism at the translation start site of the vitamin D receptor gene is associated with the response to anti-osteoporotic therapy in postmenopausal women from southern Italy.

Vitamin D receptor polymorphism rs2228570 is significantly associated with risk of dyslipidemia and serum LDL levels in Chinese Han population.

Genetic associations of vitamin D receptor polymorphisms with advanced liver fibrosis and response to pegylated interferon-based therapy in chronic hepatitis C.

Vitamin D receptor gene polymorphism and susceptibility to asthma: Meta-analysis based on 17 case-control studies.

Influence of vitamin D-related gene polymorphisms (CYP27B and VDR) on the response to interferon/ribavirin therapy in chronic hepatitis C.

Vitamin D receptor genotypes influence the success of calcitriol therapy for recurrent vertebral fracture in osteoporosis.

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Content updated August 2026.

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