Purpose:Vitamin Dand dihydrotestosterone pathways interact to promote the growth of prostatic tissue. The nuclear vitamin D receptor (VDR) moderates the actions of vitamin D. 5a-Reductase type II (SRD5A2) codes for the enzyme that converts testosterone to dihydrotestosterone in the prostate.This study tested the interactions of VDR (CDX2, FokI) and SRD5A2 (V89L, A49T) polymorphisms, and their associations with prostate cancer. Experimental Design:This genetic association study included 932 non^Hispanic White (NHW) men and 414 Hispanic White (HW) men from SouthTexas. Cases had biopsy-confirmed cancer; controls had normal digital rectal exams and serum prostate-specific antigenlevels of <2.5ng/mL.Results: Using logistic regression analyses to test associations with prostate cancer, only the V89L polymorphism (VV genotype compared with LL/LV) in HW men was statistically significant [odds ratios (OR), 0.64; 95% confidence intervals (95% CI), 0.41-0.99]. The interaction terms for FokI and V89L in NHW men and CDX2 and V89L in HW men in the logistic model were significant (P = 0.02 and 0.03, respectively). When stratified by V89L genotype, the FokI polymorphism (TT/TC versus CC) was significantly associated with prostate cancer in NHW men with the V89L VV genotype (FokI OR, 1.53; 95% CI, 1.06-2.23). The CDX2 polymorphism (GG versus AG/AA) was significantly associated with prostate cancer only in HW men with the V89L VV genotype (CDX2 OR, 3.16; 95% CI, 1.39-7.19; interaction term P = 0.02). Conclusion: Our results indicate that the SRD5A2 V89L VV genotype interacts with VDR FokI TT/CTgenotypes in NHW men and VDR CDX2 GG genotypes in HW men to increase the risk for prostate cancer.Prostate cancer is the most commonly diagnosed non -skin cancer and one of the 10 leading causes of death in American men (1). The etiology of prostate cancer is not well known, although both genetic and environmental factors are believed to play a role. A twin study from Scandinavia estimated that 42% of the risk for prostate cancer might be explained by heritable factors (2). A diverse range of foods and nutrients have been found to moderately affect risk for prostate cancer, including soy, isoflavones, milk, saturated fats, and tomato products (3).A link between prostate cancer and vitamin D has been hypothesized. Lower levels of vitamin D in the serum have been associated with increased prostate cancer risk (4). In vitro studies have found that treating prostate cancer cells with vitamin D inhibits cell proliferation (5). Given these observations, it has been proposed that adequate circulating levels of vitamin D are important to protect against prostate cancer.The androgen testosterone and its bioactive form, dihydrotestosterone (DHT), are necessary for the normal growth and development of the prostate, and epidemiologic evidence supports their role in the etiology of prostate cancer (6). 5a-Reductase type II is the primary enzyme that converts testosterone to DHT in the prostate (7). Men who lack the gene that codes for 5a-reduct...