Department of Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania; United States of America.
PLoS One. 2009 Aug 5;4(8):e6523. doi: 10.1371/journal.pone.0006523.
Estrogen may be involved in the development of prostate cancer. The association between genetic polymorphisms of estrogen receptors alpha (ESR1) and beta (ESR2) and prostate cancer risk was examined in a nested case-control study in Washington County, Maryland. Incident prostate cancer cases (n = 269) were matched to one or two controls (n = 440) by age, sex, race, and date of blood donation. Associations between estrogen receptor genotypes or dietary intake and the development of prostate cancer were examined in conditional logistic regression models. Results from this study showed that six single base-pair polymorphisms (SNPs) of ESR1 (rs1801132, rs2077647, rs746432, rs2273206, rs851982, rs2228480) and four SNPs of ESR2 (rs4986938, rs928554, rs8018687, rs number not available for ESR2 5696 bp 3' of STP A>G) were not significantly associated with prostate cancer risk, either by allelic or genotypic frequencies. However, an interactive association with BMI was observed in the relationship between prostate cancer risk and genotypes of ESR2 38 bp 3' of STP G>A (rs4986938) (p = 0.031). An interaction between intake level of phytoestrogen and genotypes of ESR1 Ex1-192G>C (rs746432) and between intake level of phytoestrogen and genotypes of ESR1 Ex8+229G>A (rs2228480) and risk of prostate cancer was observed (p = 0.0009 and p = 0.044, respectively). In conclusion, selected genetic polymorphisms of ESR1 and ESR2, overall, were not associated with prostate cancer risk. However, a variation in risk by BMI and phytoestrogen intake was implicated.
雌激素可能参与了前列腺癌的发生。在马里兰州华盛顿县进行的一项巢式病例对照研究中,研究了雌激素受体α(ESR1)和β(ESR2)的遗传多态性与前列腺癌风险之间的关系。将 269 例前列腺癌病例(病例组)按年龄、性别、种族和献血日期与 1 或 2 名对照(对照组)相匹配(n = 440)。在条件逻辑回归模型中,检验了雌激素受体基因型或饮食摄入与前列腺癌发生之间的关系。该研究结果表明,ESR1 的 6 个单碱基对多态性(SNP)(rs1801132、rs2077647、rs746432、rs2273206、rs851982、rs2228480)和 ESR2 的 4 个 SNP(rs4986938、rs928554、rs8018687、rs 未提供 ESR2 5696 bp 3'端 STP A>G 的 SNP 号)的等位基因或基因型频率与前列腺癌风险均无显著相关性。然而,在前列腺癌风险与 ESR2 3'端 STP G>A(rs4986938)(p = 0.031)基因型之间的关系中,观察到与 BMI 的交互作用。还观察到 ESR1 Ex1-192G>C(rs746432)基因型与植物雌激素摄入量和 ESR1 Ex8+229G>A(rs2228480)基因型与前列腺癌风险之间的摄入量的交互作用(p = 0.0009 和 p = 0.044)。总之,ESR1 和 ESR2 的选定遗传多态性总体上与前列腺癌风险无关。然而,提示 BMI 和植物雌激素摄入量的变化会影响风险。